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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the Fiscal Year Ended December 31, 2004. |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED] |
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For the transition period
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Commission file no. 001-14953
UICI
(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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(IRS Employer
Identification No.) |
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9151 Grapevine Highway
North Richland Hills, Texas
(Address of principal executive offices) |
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76180
(Zip Code) |
Registrants telephone number, including area code:
(817) 255-5200
Securities registered pursuant to Section 12(b) of the
Act:
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Title of Each Class |
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Name of Each Exchange on Which Registered |
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Common Stock, $0.01 par value
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New York Stock Exchange |
Securities registered pursuant to Section 12(g) of the
Act:
None
(Title of class)
Indicate by check mark whether the registrant (1) has filed
all reports required to be filed by Section 13 or 15(d) of
the Securities Exchange Act of 1934 during the preceding
12 months (or for such shorter period that the registrant
was required to file such reports), and (2) has been
subject to such filing requirements for the past
90 days. Yes þ No o
Indicate by check mark if disclosure of delinquent filers
pursuant to Item 405 of Regulation S-K is not
contained herein, and will not be contained, to the best of
Registrants knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this
Form 10-K or any amendment to this
Form 10-K þ
Indicate by check mark whether the Registrant is an accelerated
filer (as defined in Rule 12b-2 of the
Act). Yes þ No o
As of June 30, 2004, the last business day of the
registrants most recently completed second fiscal quarter,
the aggregate market value of shares of common stock held by
non-affiliates was $760.4 million based on the number of
shares held by non-affiliates (31,938,221) and the reported
closing market price of the common stock on the New York Stock
Exchange on such date of $23.81. The number of shares
outstanding of $0.01 par value Common Stock, as of
February 23, 2005 was 46,433,399.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the annual proxy statement for the annual meeting of
stockholders are incorporated by reference into Part III.
PART I
Introduction
UICI is referred to throughout this Annual Report on
Form 10-K as the Company or
UICI and may also be referred to as
we, us or our.
We offer insurance (primarily health and life) to niche consumer
and institutional markets. Through our subsidiaries we issue
primarily health insurance policies, covering individuals and
families, to the self-employed, association group, voluntary
employer group and student markets. During 2004, 2003 and 2002,
we generated health insurance premiums in the amount of
approximately $1.813 billion, $1.547 billion and
$1.161 billion, respectively, representing 88%, 85% and
84%, respectively, of our total revenues in such periods.
Through our Self-Employed Agency 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 (choice of doctor) plans and preferred
provider organization (PPO) plans, as well as other
supplemental types of coverage. We market these higher
deductible products to the self-employed and individual markets
through independent contractor agents associated with
UGA-Association Field Services (a wholly-owned marketing
division of the Company) and Cornerstone America (a wholly-owned
marketing division of the Company), which are our
dedicated agency sales forces that primarily sell
the Companys products. We believe that we have the largest
direct selling organization in the health insurance field, with
approximately 2,400 independent writing agents selling health
insurance to the self-employed market in 44 states.
Through our Student Insurance Division, we offer tailored health
insurance programs that generally provide single school year
coverage to individual students at colleges and universities. We
also provide an accident policy for students at public and
private schools in pre-kindergarten through grade 12. In the
student market, we sell our products through in-house account
executives that focus on colleges and universities on a national
basis. We believe that we provide student insurance plans to
more universities than any other single insurer. We distribute
these products to the college and university market primarily
through an in-house employee sales force.
Our Star HRG Division specializes in the design, marketing and
administration of limited benefit health insurance plans for
entry level, high turnover, and hourly employees. We market and
sell these products directly to our employer clients through our
dedicated sales force of Star HRG employees and through
independent insurance brokers and consultants retained by the
employer client.
Through our Life Insurance Division, we also 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 our 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.
During 2003, through a newly formed company, ZON Re USA LLC (a
82.5%-owned subsidiary), we began to underwrite, administer and
issue 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 through professional reinsurance
intermediaries and a network of independent commercial insurance
agents, brokers and third party administrators
(TPAs).
In October 2004, we completed the acquisition of substantially
all of the operating assets of HealthMarket, Inc., a Norwalk,
Connecticut-based provider of consumer driven health plans
(CDHPs) to the small business (2 to 200 employees) marketplace.
We believe that the HealthMarket acquisition will provide our
agency field force with affordable, consumer friendly health
insurance plans that can be offered both to our
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existing self-employed individual market customers and also to
the many small employer group prospects reached through our
marketing programs. In addition, HealthMarkets existing
network of independent agents and brokers continue to have
access to the consumer driven health plans designed and
administered by HealthMarket. This acquisition will afford the
Company the opportunity to enter the CDHP market, which some
industry analysts have projected to grow to over
$16 billion in annual premium over the next few years.
Subject to receipt of applicable regulatory approvals, we intend
to market and sell HealthMarkets CDHP products to the
individual and small employer group markets through our
subsidiaries, The MEGA Life and Health Insurance Company,
Mid-West National Life Insurance Company of Tennessee and The
Chesapeake Life Insurance Company.
UICI is a holding company, and we conduct our insurance
businesses through our wholly owned insurance company
subsidiaries, The MEGA Life and Health Insurance Company
(MEGA), Mid-West National Life Insurance Company of
Tennessee (Mid-West) and The Chesapeake Life
Insurance Company (Chesapeake). MEGA is an insurance
company domiciled in Oklahoma and is licensed to issue health,
life and annuity insurance policies in all states except New
York. Mid-West is an insurance company domiciled in Tennessee
and is licensed to issue health, life and annuity insurance
policies in Puerto Rico and all states except Maine, New
Hampshire, New York, and Vermont. Chesapeake is an insurance
company domiciled in Oklahoma and is licensed to issue health
and life insurance policies in all states except
New Jersey, New York and Vermont.
Our principal insurance subsidiaries are rated by A.M. Best,
Fitch and Standard & Poors (S&P).
Set forth below are financial strength ratings of the principal
insurance subsidiaries as of December 31, 2004 (except for
the S&P rating, which was effective February 2, 2005).
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A.M. Best | |
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Fitch | |
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S&P | |
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MEGA
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A- (Excellent) |
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A (Strong) |
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A- (Strong) |
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Mid-West
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A- (Excellent) |
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A (Strong) |
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A- (Strong) |
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Chesapeake
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A- (Excellent) |
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Not Rated |
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BBB+ (Good) |
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All of the above 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 D (Distressed).
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.
Standard & Poors financial strength ratings range
from AAA (Extremely Strong) to CC
(Extremely Weak).
On February 2, 2005, Standard & Poors Rating
Services announced that it had assigned to UICI a counterparty
credit rating of BBB- with a stable
outlook. S&Ps counterparty credit rating is a current
opinion of an obligors overall financial capacity to pay
its financial obligations. Standard & Poors
counterparty credit ratings range from AAA
(Extremely Strong) to CC (Currently
Highly-Vulnerable).
Our operating segments for financial reporting purposes include
(a) the Insurance segment, which includes the businesses of
the Companys Self-Employed Agency Division, the Student
Insurance Division, Star HRG Division, the Life Insurance
Division and Other Insurance and (b) Other Key Factors,
which 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.
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For purposes of segment reporting, the Company had previously
reported the results of its Student Insurance Division and Star
HRG Division as one business unit referred to as its Group
Insurance Division. Effective October 1, 2004, the
Company began separately reporting the results of its Student
Insurance Division and Star HRG Division.
Over the past three years we have actively endeavored to
simplify our business by closing and/or disposing of assets and
operations not otherwise related to our core health and life
insurance operations. We have separately classified as
discontinued operations for financial reporting purposes the
operations of our former Academic Management Services Corp.
subsidiary, our former Senior Market Division and our former
Special Risk Division. See Discontinued
Operations discussion below.
Our principal executive offices are located at 9151 Grapevine
Hwy, North Richland Hills, Texas 76180-5605, and our telephone
number is (817) 255-5200.
Our periodic SEC filings, including our annual reports on
Form 10-K, quarterly reports on Form 10-Q, current
reports on Form 8-K, and if applicable, amendments to those
reports filed or furnished pursuant to Section 13(a) or
15(d) of the Securities Exchange Act of 1934 are available
through our web site at www.uici.net free of charge as soon as
reasonably practicable after such material is electronically
filed with, or furnished to, the SEC.
Insurance Segment
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Self-Employed Agency Division |
Through our Self-Employed Agency Division, we offer a broad
range of health insurance products for self-employed individuals
and individuals who work for small businesses and, commencing in
the fourth quarter of 2004 following the acquisition of
HealthMarket Inc., consumer driven health plan products to the
small (2-75 members) employer group market.
The Self-Employed Agency Division generated revenues of
$1.493 billion, $1.332 billion and $1.036 billion
(73%, 73% and 75% of our total revenue) in 2004, 2003 and 2002,
respectively.
Market. We offer a broad range of health insurance
products for self-employed individuals and individuals who work
for small businesses. According to the Bureau of Labor
Statistics, there were approximately 12 million
self-employed individuals in the United States at the end of
2002. We currently have in force approximately 350,000 health
policies issued or coinsured by the Company. We believe that
there is significant opportunity to increase our penetration in
this market.
Insurance Products. Our health insurance plan offerings
for the self-employed market include the following:
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Our Basic Hospital-Medical Expense Plan has a $1.0 million
lifetime maximum benefit for all injuries and sicknesses and
$500,000 lifetime maximum benefit for each injury or sickness.
Covered expenses are subject to a deductible. Covered hospital
room and board charges are reimbursed at 100% up to a
pre-selected daily maximum. Covered expenses for inpatient
hospital miscellaneous charges, same-day surgery facility,
surgery, assistant surgeon, anesthesia, second surgical opinion,
doctor visits, and ambulance services are reimbursed at 80% to
100% up to a scheduled maximum. This type of health insurance
policy is of a scheduled benefit nature, and as
such, provides benefits equal to the lesser of the actual cost
incurred for covered expenses or the maximum benefit stated in
the policy. These limitations allow for more certainty in
predicting future claims experience, and, as a result, we expect
that future premium increases for this policy will be less than
on our catastrophic policy. |
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Our Preferred Provider Plan incorporates managed care features
of a preferred provider organization, which are
designed to control health care costs through negotiating
discounts with a PPO network. Benefits are structured to
encourage the use of providers with which we have negotiated
lower fees for the services to be provided. The savings from
these negotiated fees reduce the costs to the individual |
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policyholders. The policies that provide for the use of a PPO
impose a higher deductible and co-payment if the policyholder
uses providers outside of the PPO network. |
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Our Catastrophic Hospital Expense Plan provides a
$2.0 million lifetime maximum for all injuries and
sicknesses and a lifetime maximum benefit for each injury or
sickness ranging from $500,000 to $1.0 million. Covered
expenses are subject to a deductible and are then reimbursed at
a benefit payment rate ranging from 50% to 100% as determined by
the policy. After a pre-selected dollar amount of covered
expenses has been reached, the remaining expenses are reimbursed
at 100% for the remainder of the period of confinement per
calendar year. The benefits for this plan tend to increase as
hospital care expenses increase and, as a result, premiums on
these policies are subject to increase as overall hospital care
expenses rise. |
Each of our health insurance products is available with a
menu of various options (including various
deductible levels, coinsurance percentages and limited riders
that cover particular events such as outpatient accidents, and
doctors visits), enabling the insurance product to be
tailored to meet the insurance needs and the budgetary
constraints of the policyholder. We offer as an optional benefit
an Accumulated Covered Expense (ACE) rider that provides
for catastrophic coverage on our Scheduled/ Basic plans for
covered expenses under the contract that generally exceed
$75,000 or, in certain cases, $100,000. The ACE rider pays
benefits at 100% after the stop loss is reached up to the
aggregate maximum amount of the contract.
Commencing in the first quarter of 2005, we began to roll out on
a selective state-by-state basis a new suite of consumer driven
health plans for the individual market, utilizing our
recently-acquired HealthMarket consumer driven health plan
features and methodology. To encourage and enable consumers to
assume a greater role in making health care decisions,
HealthMarket has developed software systems and support services
that enable the complete design and administration of consumer
driven health plans. Information is published on the internet
and is available through customer support via the telephone to
assist our customers in obtaining the optimum benefits from
their insurance coverage in terms of both access and cost.
Subject to receipt of applicable regulatory approvals, these
products will be issued and sold by our subsidiaries, The MEGA
Life and Health Insurance Company and Mid-West National Life
Insurance Company of Tennessee, and distributed by independent
agents associated with our UGA Association Field
Services and Cornerstone America marketing divisions.
We have also developed and offer new ancillary product lines
that provide protection against short-term disability, as well
as a combination product that provides benefits for life,
disability and critical illness. These products have been
designed to further protect against risks to which our core
self-employed customer is typically exposed.
Marketing and Sales. Our marketing strategy in the
self-employed market is to remain closely aligned with our
dedicated agent sales forces. Substantially all of the health
insurance products issued by our insurance company subsidiaries
are sold through independent contractor agents associated with
us. We believe that we have the largest direct selling
organization in the health insurance field, with approximately
2,400 independent writing agents selling health insurance to the
self-employed market in 44 states.
Our agents are independent contractors, and all compensation
that agents receive from us for the sale of insurance is based
upon the agents levels of sales production.
UGA Association Field Services (UGA) and
Cornerstone America (Cornerstone) (the principal
marketing divisions of MEGA and Mid-West, respectively) are each
organized into geographical regions, with each geographical
region having a regional director, two additional levels of
field leaders and writing agents (i.e., the agents that
are not involved in leadership of other agents).
UGA and Cornerstone are each responsible for the recruitment and
training of their field leaders and writing agents. UGA and
Cornerstone generally seek persons with previous sales
experience. The process of recruiting agents is extremely
competitive. We believe that the primary factors in successfully
recruiting and retaining effective agents and field leaders are
our practices regarding advances on commissions, the quality of
the sales leads provided, the availability and accessibility of
equity ownership plans, the quality of the products offered,
proper training, and agent incentives and support. Classroom and
field training with respect to product
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content is required and made available to the agents under the
direction of our regulated insurance subsidiaries.
We provide health insurance products to consumers in the
self-employed market in 44 states. As is the case with many
of our competitors in this market, a substantial portion of our
products are issued to members of various independent membership
associations that act as the master policyholder for such
products. The two principal membership associations in the
self-employed market that make available to their members our
health insurance products are the National Association for the
Self-Employed and the Alliance for Affordable Services. The
associations provide their membership access to a number of
benefits and products, including health insurance underwritten
by us. Subject to applicable state law, individuals generally
may not obtain insurance under an associations master
policy unless they are also members of the association. The
agreements with these associations requiring the associations to
continue as the master policyholder for our policies and to make
our products available to their respective members are
terminable by us and the associations upon not less than one
years advance notice to the other party.
UGA agents and Cornerstone agents also act as field service
representatives (FSRs) for the associations. In this capacity
the FSRs enroll new association members and provide membership
retention services. For such services, we and the FSRs receive
compensation. Specialized Association Services, Inc. (a company
controlled by the adult children of Ronald L. Jensen,
UICIs Chairman) provides administrative and benefit
procurement services to the associations. One of our
subsidiaries (UICI Marketing, Inc., a wholly-owned subsidiary
and our direct marketing group) generates new membership sales
prospect leads for both UGA and Cornerstone for use by the FSRs
(agents). UICI Marketing also provides video and print services
to the associations and to Specialized Association Services,
Inc. See Note K of Notes to Consolidated Financial
Statements. In addition to health insurance premiums derived
from the sale of health insurance, we receive fee income from
the associations, including fees associated with enrollment and
member retention services, fees for association membership
marketing and administrative services and fees for certain
association member benefits.
During 2004, we and our insurance company subsidiaries resolved
a nationwide class action lawsuit challenging the nature of the
relationship between our insurance companies and the membership
associations that make available to their members our insurance
companies health insurance products. See
Note L of Notes to Consolidated Financial Statements.
While we believe that we are providing association group
coverage in full compliance with applicable law, changes in our
relationship with the membership associations and/or changes in
the laws and regulations governing so-called association
group insurance (particularly changes that would subject
the issuance of policies to prior premium rate approval and/or
require the issuance of policies on a guaranteed
issue basis) could have a material adverse impact on our
financial condition, results of operations and/or business.
UICI Marketing, Inc. generates sales prospect leads for UGA and
Cornerstone for use by their agents. UICI Marketing administers
a call center (located in Oklahoma City, Oklahoma) staffing
approximately 120 tele-service representatives. UICI Marketing
has developed a marketing pool of approximately nine million
prospects from various data sources. Prospects initially
identified by UICI Marketing that are self-employed, small
business owners or individuals may become a qualified
lead by responding through one of UICI Marketings
traditional and internet lead channels and by expressing an
interest in learning more about health insurance. We believe
that UGA and Cornerstone agents, possessing the qualified
leads contact information, are able to achieve a higher
close rate than is the case with unqualified
prospects.
Policy Design and Claims Management. Our traditional
indemnity health insurance products are principally designed to
limit coverages to the occurrence of significant events that
require hospitalization. This policy design, which includes high
deductibles, reduces the number of covered claims requiring
processing, thereby serving as a control on administrative
expenses. We seek to price our products in a manner that
accurately reflects our underwriting assumptions and targeted
margins, and we rely on the marketing capabilities of our
dedicated agency sales forces to sell these products at prices
consistent with these objectives.
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We maintain administrative centers with full underwriting,
claims management and administrative capabilities. We believe
that by processing our own claims we can better assure that
claims are properly processed and can utilize the claims
information to periodically modify the benefits and coverages
afforded under our policies.
We have also developed an actuarial data warehouse, which is a
critical risk management tool that provides our actuaries with
rapid access to detailed exposure, claim and premium data. This
analysis tool enhances the actuaries ability to design,
monitor and adequately price all of the Self-Employed Agency
Divisions insurance products.
Provider Network Arrangements. The Company enrolls its
indemnity customers in selected PPO networks to obtain discounts
on provider services that would otherwise not be available. In
situations where a customer does not obtain services from a
contracted provider, the Company applies various usual and
customary fees, which limit the amount paid to providers within
specific geographic areas.
We believe that access to provider network contracts is a
critical factor in controlling medical costs, since there is
often a significant difference between a network-negotiated rate
and the non-discounted rate. To this end, we access networks of
hospitals and physicians through a variety of relationships with
third party network providers. During 2004, approximately 70% of
submitted claims were adjudicated through provider networks. In
addition, we have retained a pharmacy benefits management
company that has approximately 55,000 participating pharmacies
nationwide. We also utilize co-payments, coinsurance,
deductibles and annual limits to manage prescription drug costs.
Consumer Driven Health Plan Products. Commencing in the
first quarter of 2005, we began to roll out on a selective
state-by-state basis a new suite of consumer driven health plans
for the individual market, utilizing our recently-acquired
HealthMarket consumer driven health plan features and
methodology. HealthMarket has developed software systems and
support services that enable the complete design and
administration of consumer driven health plans, which will
incorporate features that will enable consumers to assume a
greater role in making health care decisions. Information is
published on the internet and is available through customer
support via the telephone to assist our customers in obtaining
the optimum benefits from their insurance coverage in terms of
both access and cost.
Focusing on the cost side of the healthcare equation, our
Consumer Preference Plan CDHP product will include
multiple benefit options for consumers, such as deductibles and
coinsurance, benefits that are based on Maximum Allowable
Charges (a MAC) (which is the total fee that will be
considered under the terms of the policy for a particular
service), and other powerful information tools, including
advanced websites for comparing provider cost and quality. At
February 19, 2005, the Consumer Preference Plan had been
approved for issuance in Arkansas, Alabama, Florida, Illinois,
Michigan, Missouri, Pennsylvania, Rhode Island, Texas, Virginia
and Wisconsin.
Focusing as well on healthcare utilization, the Companys
Smart Consumer Plan CDHP product will enable
consumers to exert an even higher level of control over
healthcare decisions. The Smart Consumer Plan
product focuses on episodes of care through episode
allowances. There are more than 100 common medical conditions
for which the Company has calculated an episode allowance, a
single, lump-sum dollar amount for a package of services to
treat a condition from beginning to end. Episode allowances are
only intended for conditions where the Company believes it is
reasonable to ask consumers to be involved in decisions
regarding their care and to make choices that can impact costs.
Less controllable medical events (such as emergencies or
catastrophic situations) are outside the scope of episodes of
care. At February 19, 2005, the Smart Consumer Plan had
been approved for issuance in Arkansas, Alabama, Illinois,
Michigan, Missouri, Pennsylvania, Rhode Island, Texas, Virginia
and Wisconsin.
In the first quarter of 2005, we began to offer health plans
with CDHP features to consumers in Illinois, Michigan, Missouri,
Rhode Island, Texas and Florida.
Preferred Provider Products. In order to further control
health care costs, in 1995 we incorporated into certain of our
health plans managed care features of a preferred provider
organization (PPO). These health plans incorporate managed care
features of a PPO through negotiated discounts with a PPO
network. The
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health plans that provide the PPO option generally provide a
greater level of benefits for services performed within the PPO
network in the form of lower deductibles and co-payments
compared to out-of-network services. The value of the network
discount is reflected in the form of lower premium rates and
discounts on covered charges.
Acquisition of Health Blocks. Historically, the Company
from time to time acquired and may continue to acquire closed
(i.e., no new policies) blocks of health insurance policies or
companies that own such blocks. These opportunities were pursued
on a case-by-case basis, and revenues from such blocks have
generally not represented a material portion of SEA Division
revenue.
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Small Employer Group Products |
During 2004 we announced our intent to enter the small (2-15
members) employer group market with a new suite of products
incorporating our recently-acquired HealthMarket consumer driven
health plan (CDHP) features and methodology. Small
U.S. employers pay approximately $400 billion of
health premiums each year, representing approximately one-half
of the total employer-funded market. As the most price sensitive
segment of the group health insurance market, we believe that
this segment offers significant growth opportunities. Subject to
receipt of applicable regulatory approvals, these products will
be issued and sold by our subsidiary, The MEGA Life and Health
Insurance Company, and distributed by independent agents
associated with our UGA Association Field Services
marketing division. We believe that our agents existing
customer relationships with small business owners may provide us
with a favorable competitive advantage in the market. In the
first quarter of 2005, we intend to begin to offer our
Consumer Advantage Plan to small (2-15 members)
employer group consumers in selected urban markets in Texas,
Georgia and Michigan.
In addition, we intend to continue to utilize and grow
HealthMarkets existing network of independent agents and
brokers to distribute products to the larger small (2-50
members) employer group market. Upon receipt of applicable
regulatory approvals, products to be distributed through the
brokerage community will be issued by our subsidiary,
Chesapeake. At the time of our acquisition of HealthMarket in
October 2004, HealthMarket had utilized brokers to enroll in its
consumer driven health plans over 2,400 companies with an
aggregate of approximately 38,000 members. At February 1,
2005, the Company had executed agreements with approximately
1,100 independent insurance brokers to represent Chesapeake in
connection with the sale of products to the small (2-50 member)
employer group market.
To date, the Company has generated only nominal revenues and
losses from the sale of health insurance products to the small
employer group market.
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Student Insurance Division |
Our Student Insurance Division (based in St. Petersburg,
Florida) offers tailored health insurance programs that
generally provide single school year coverage to individual
students at colleges and universities. We also provide an
accident policy for students at public and private schools in
pre-kindergarten through grade 12.
Market. The student market consists primarily of students
attending colleges and universities in the United States and, to
a lesser extent, students attending public and private schools
in grades pre-kindergarten through grade 12. Generally, our
marketing efforts have been focused on college students whose
circumstances are such that health insurance may not otherwise
be available through their parents. In particular, older
undergraduates, graduate and international students often have a
need to obtain insurance as first-time buyers, as
many schools require proof of insurance as a requirement for
enrollment. According to industry sources, there are
approximately 2,100 four-year universities and colleges in the
United States, which have a combined enrollment of approximately
9.5 million students. Typically, a carrier must be approved
and endorsed by the educational institution as a preferred
vendor of health insurance coverage to the institutions
students. We believe that we have been authorized by more
universities to provide student health insurance plans than any
other single insurer.
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Products. Our student insurance programs are designed to
meet the requirements of each individual school. The programs
generally provide coverage for one school year (which typically
runs from September through the succeeding August) and the
maximum benefits available to any individual student enrolled in
the program range from $10,000 to $1.0 million, depending
on the coverage level desired by the school.
Our Student Insurance division underwrites, manages and pays
claims and administers policies for about 75% of all of its
school clients. Selected school clients have elected to
administer and pay claims through independent third party
administrators (TPAs) with respect to student insureds attending
their schools.
Our Student Insurance division had revenues of
$306.3 million, $249.1 million and $167.4 million
in 2004, 2003 and 2002, respectively, representing approximately
15%, 14% and 12% of our consolidated revenues in each such year.
Marketing and Sales. We market our student insurance
products to colleges and universities on a national basis
through in-house account executives whose compensation is based
primarily on commissions. Account executives make presentations
to the appropriate school officials and if we are selected, we
are endorsed as the provider of health insurance for students
attending that school.
The pre-kindergarten through grade 12 business is marketed
nationwide, primarily through third party agents and brokers.
Our Star HRG Division, with principal offices in Phoenix,
Arizona, specializes in the development, marketing, and
administration of limited benefit plans for entry level, high
turnover, hourly employees. The Star HRG Division reported
revenues of $150.5 million, $118.2 million and
$84.2 million in the years ended December 31, 2004,
2003 and 2002, respectively, representing approximately 7%, 7%
and 6% of our total revenues in each such period.
Market. Star HRG focuses its marketing efforts on three
distinct market segments: small companies employing 10-99
eligible employees, mid-size companies employing 100-1,499
eligible employees and larger employers with 1,500 or more
eligible employees. Star HRGs Starbridge and Starbridge
Choices programs (sales of which account for approximately 98%
of its revenues) are marketed to large and mid-size companies
and constitute an affordably priced group of limited benefit
plans designed to meet the needs of entry level, high turnover,
hourly employees. The plans include both standard and
consumer-driven models and are designed to meet the needs of
full or part-time employees and are predominantly used for
non-benefited classes of employees and newly hired individuals
who are not yet eligible for full-time benefits. Target
industries include national and regional restaurant chains,
retail and convenience stores, service stations, call centers,
and various other outlets of the service/hospitality industries.
Star HRG also offers an affordably priced group of limited
benefit plans designed to meet the needs of workers in smaller
businesses with 10-99 eligible employees and larger size
businesses that utilize contract workers. The plans are designed
to meet the needs of full or part-time workers and are
predominantly used for non-benefited classes of employees, the
trucking industrys owner/operators, and temporary/contract
workers. Star HRG markets these products for the smaller company
market under the brand names Health Assist,
Temp Assist and ProDrivers Choice.
Products. Product offerings under Star HRG programs
include affordable limited benefit medical, dental, term life,
accidental death benefits, and short-term disability, as well as
access to discounted prescription, vision, and other health care
related services.
Marketing and Sales. Star HRG markets its products in all
50 states and the District of Columbia. Star HRG markets
directly to its employer clients through its dedicated sales
force of 17 Star HRG employees. Clients often retain independent
insurance agents, brokers, or consultants to facilitate the
sales process.
Star HRGs sales efforts are supplemented by a full-service
enrollment center located in Phoenix, Arizona. To increase plan
participation, the enrollment center utilizes direct mail
pieces, interactive voice response technology and an
in-bound/out-bound call center enrollment team.
9
Our Life Insurance Division offers life insurance products to
individuals. At December 31, 2004, the Life Insurance
Division (which is based in Oklahoma City, Oklahoma) had over
$4.7 billion of life insurance in force and approximately
287,000 individual policyholders. The Life Insurance Division,
which grew historically through acquisitions of closed blocks of
life insurance and annuity policies, has more recently shifted
its focus and has begun to build new distribution channels and
to market and sell newly designed life insurance products. In
2004, 2003 and 2002, the Life Insurance Division generated
revenues of $68.1 million, $62.2 million and
$74.4 million, respectively, representing 3%, 3% and 5%,
respectively, of our total revenue in each such year. Included
in 2002 revenues for the Life Insurance Division were revenues
of $6.3 million attributable to the Companys
workers compensation business, which the Company exited in
May 2001.
Markets Served. The Life Division offers its life
insurance products to demographically growing market segments
that we have identified as underserved, including the
self-employed market, the middle-income market, the Hispanic
market and the senior market.
Products. The Life Insurance Divisions products are
tailored to meet the specific needs of customers in each of its
targeted markets. We offer universal life insurance and term
insurance products to individuals in the self-employed market.
We offer other term plans, as well as two universal life
products, to meet the needs of individuals in the middle-income
market and the Hispanic market. We also offer a whole life
product, a graded whole life and a modified whole life product
to assist seniors in meeting their needs to cover final expenses.
Distribution. The Life Insurance Division distributes its
products primarily through two distribution channels. Commencing
in the second quarter of 2002, our UGA and Cornerstone agents
began to market our universal life and term products to
individuals in the self-employed market. In 2003, the Life
Insurance Division also entered into new marketing relationships
with two independent marketing companies to distribute our
products through networks of managing general agents (MGAs). One
marketing company offers universal life and term products to
middle-income buyers, as well as through agencies that
specialize in sales to Hispanic buyers. The second marketing
company offers our whole life product line exclusively for
seniors. At year-end 2004, these two marketing organizations had
contracted over 10,000 independent agents to distribute our
products.
Marketing and Sales. With the help of agents associated
with UGA and Cornerstone, the Life Insurance Division seeks to
leverage our significant health insurance customer base by
positioning itself to offer those customers (self-employed
individuals) universal life and term life products designed to
fit their changing needs. The two independent marketing
companies with which we have contracted offer their agents
product lines to cover the needs of the middle-income market,
the Hispanic market and the senior market. The Life Insurance
Division has also developed a needs analysis software selling
system, Blueprint for
Lifetm.
This selling tool allows the agent to accurately and quickly
identify the amount of insurance that should be carried by an
individual. The tool generates a Blueprint that
helps our customers plan for the distribution of life insurance
proceeds and other assets. We believe that the Blueprint
for Life selling tool provides a much needed and valuable
service to the middle-income buyer, who has often been
overlooked or underserved by other distributors of life
insurance products.
Former College Fund Life Division. Through our
former College Fund Life Insurance Division, we previously
offered an interest-sensitive whole life insurance product that
was generally issued with an annuity rider and a child term
rider. The child term rider included a special provision under
which we committed to provide private student loans to help fund
the named childs higher education if certain restrictions
and qualifications are satisfied. Student loans were available
in amounts up to $30,000 for students attending undergraduate
school and up to $30,000 for students attending graduate school.
Loans made under this rider are not funded or supported by the
federal government.
Effective May 31, 2003, we closed our College
Fund Life Division and discontinued offering the College
Fund Life product, including the child term rider that
committed us to provide private student loans to help fund the
named childs higher education. Despite the close of the
College Fund Life Division, we continue to
10
have outstanding commitments to fund student loans for the years
2005 through 2025 with respect to policies previously issued.
See Notes H and L of Notes to Consolidated Financial
Statements.
Through our 82.5%-owned subsidiary, ZON Re USA LLC (ZON
Re), we underwrite, administer and issue accidental death,
accidental death and dismemberment (AD&D), accident medical
and accident disability insurance products, both on a primary
and on a reinsurance basis. In the year ended December 31,
2004, ZON Re generated revenues and operating income of
$14.4 million and $1.4 million, respectively.
ZON Re underwrites and manages accident reinsurance programs on
behalf of MEGA for primary life, accident and health and
property and casualty insurers that wish to transfer risk for
certain types of primary accident programs. Accident reinsurance
provides reimbursement to primary insurance carriers for covered
losses resulting from accidental bodily injury or accidental
death. For its reinsurance programs, ZON Re targets national,
regional and middle market insurers in the United States and
Canada. ZON Re distributes accident reinsurance products through
a network of professional reinsurance intermediaries. ZON Re
underwrites on behalf of MEGA both treaty and facultative
accident reinsurance programs, which may be offered on either a
quota share or excess of loss basis. The Company has determined,
as a matter of policy, that MEGAs exposure on any single
reinsurance contract issued by it and underwritten by Zon Re
will not exceed $1.0 million per person and
$10.0 million per event.
ZON Re also underwrites and distributes a limited portfolio of
primary accident insurance products issued by Chesapeake. These
products are designed for direct purchase by banks,
associations, employers and affinity groups and are distributed
through a national network of independent commercial insurance
agents, brokers and third party administrators (TPAs). The
Company has determined, as a matter of policy, that
Chesapeakes maximum exposure on any single primary
insurance contract issued by it and underwritten by ZON Re will
not exceed $1.0 million per person.
Discontinued Operations
Over the past two years we have actively endeavored to simplify
our business by closing and/or disposing of assets and
operations not otherwise related to our core health and life
insurance operations, including the operations of our former
Academic Management Services Corp. (AMS) subsidiary
(which we sold in November 2003), our former Senior Market
Division, and our former Special Risk Division. See
Item 7 Managements Discussion
and Analysis of Financial Condition and Results of Operations.
Ceded Reinsurance
Our insurance subsidiaries reinsure portions of the coverages
provided by their insurance products with other insurance
companies on both an excess-of-loss and coinsurance basis. The
maximum retention by us on one individual in the case of life
insurance is $200,000 for MEGA and Mid-West and $100,000 for
Chesapeake. We use reinsurance for our health insurance business
solely for limited purposes. Reinsurance agreements are intended
to limit an insurers maximum loss.
Competition
In each of our lines of business, we compete with other
insurance companies or service providers, depending on the line
and product, although we have no single competitor who competes
against us in all of the business lines in which we operate.
With respect to the business of our Self-Employed Agency
Division, the market is characterized by many competitors, and
our main competitors include health insurance companies, health
maintenance organizations and the Blue Cross/ Blue Shield plans
in the states in which we write business. With respect to our
Student Insurance and Star HRG businesses, we compete with
subsidiaries and units of larger, national insurance providers.
While we are among the largest competitors in terms of market
share in many of our business lines, in some cases there are one
or more major market players in a particular line of business.
11
Competition in our businesses is based on many factors,
including quality of service, product features, price, scope of
distribution, scale, financial strength ratings and name
recognition. We compete, and will continue to compete, for
customers and distributors with many insurance companies and
other financial services companies. We compete not only for
business and individual customers, employer and other group
customers, but also for agents and distribution relationships.
Some of our competitors may offer a broader array of products
than our specific subsidiaries with which they compete in
particular markets, may have a greater diversity of distribution
resources, may have better brand recognition, may from time to
time have more competitive pricing, may have lower cost
structures or, with respect to insurers, may have higher
financial strength or claims paying ratings. Organizations with
sizable market share or provider-owned plans may be able to
obtain favorable financial arrangements from health care
providers that are not available to us. Some may also have
greater financial resources with which to compete. In addition,
from time to time, companies enter and exit the markets in which
we operate, thereby increasing competition at times when there
are new entrants. For example, several large insurance companies
have recently entered the market for individual health insurance
products. We may lose business to competitors offering
competitive products at lower prices, or for other reasons,
which could materially adversely affect our future results of
operations and financial condition.
Regulatory and Legislative Matters
Our insurance subsidiaries are subject to extensive regulation
in their states of domicile and the other states in which they
do business under statutes that typically delegate broad
regulatory, supervisory and administrative powers to insurance
departments. The method of regulation varies, but the subject
matter of such regulation covers, among other things, the amount
of dividends and other distributions that can be paid by the
insurance subsidiaries without prior approval or notification;
the granting and revoking of licenses to transact business;
trade practices, including with respect to the protection of
consumers; disclosure requirements; privacy standards; minimum
loss ratios; premium rate regulation; underwriting standards;
approval of policy forms; claims payment; licensing of insurance
agents and the regulation of their conduct; the amount and type
of investments that the insurance subsidiaries may hold, minimum
reserve and surplus requirements; risk-based capital
requirements; and compelled participation in, and assessments in
connection with, risk sharing pools and guaranty funds. Such
regulation is intended to protect policyholders rather than
investors.
Our insurance subsidiaries are required to file detailed annual
statements with the state insurance regulatory departments and
are subject to periodic financial and market conduct
examinations by such departments. The most recently completed
financial examination for MEGA in Oklahoma (MEGAs domicile
state) was completed as of and for the three-year period ended
December 31, 2001. MEGA is currently undergoing a financial
examination in Oklahoma as of and for the two-year period ended
December 31, 2003. The most recently completed financial
examination for Mid-West in Tennessee (Mid-Wests domicile
state) was completed as of and for the five-year period ended
December 31, 1999. Mid-West is currently undergoing a
financial examination in Tennessee as of and for the four-year
period ended December 31, 2003. The most recently completed
financial examination for Chesapeake in Oklahoma
(Chesapeakes domicile state) was completed as of and for
the three-year period ended December 31, 2000. The Oklahoma
Department of Insurance is currently conducting a financial
examination of Chesapeake as of, and for the three-year period,
ended December 31, 2003.
State insurance departments have also periodically conducted and
continue to conduct market conduct examinations of UICIs
insurance subsidiaries. As of December 31, 2004, either or
both of MEGA and Mid-West were subject to ongoing market conduct
examinations and/or open inquiries with respect to marketing
practices in 12 states. State insurance regulatory agencies
have authority to levy monetary fines and penalties resulting
from findings made during the course of such market conduct
examinations. Historically, our insurance subsidiaries have from
time to time been subject to such fines and penalties, none of
which
12
individually or in the aggregate have had a material adverse
effect on our results of operations or financial condition.
On March 8, 2005, the Office of the Insurance Commissioner
of the State of Washington issued a cease and desist order that
prohibits MEGA from selling a previously approved health
insurance product to consumers in the State of Washington. Since
October 2004, representatives of MEGA have been engaged in
discussions with the Washington Department of Insurance in an
effort to resolve issues with respect to use of a policy form
that was initially approved by the Washington Department of
Insurance in 1997. UICI has also voluntarily terminated sales of
a similar product issued by Mid-West, pending resolution of the
open issues with the State of Washington Department of
Insurance. MEGA and Mid-West have issued certificates covering
approximately 60,000 insureds in the State of Washington. UICI
currently does not believe that the issuance of the cease and
desist order by the Washington Insurance Commissioner will have
a material adverse effect upon its results of operations or its
financial condition.
State regulation of health insurance products varies from state
to state, although all states regulate premium rates, policy
forms and underwriting and claims practices to one degree or
another. Most states have special rules for health insurance
sold to individuals and small groups. For example, a number of
states have passed or are considering legislation that would
limit the differentials in rates that insurers could charge for
health care coverage between new business and renewal business
for small groups with similar demographics. Every state has also
adopted legislation that would make health insurance available
to all small employer groups by requiring coverage of all
employees and their dependents, by limiting the applicability of
pre-existing conditions exclusions, by requiring insurers to
offer a basic plan exempt from certain benefits as well as a
standard plan, or by establishing a mechanism to spread the risk
of high risk employees to all small group insurers. The
U.S. Congress and various state legislators have from time
to time proposed changes to the health care system that could
affect the relationship between health insurers and their
customers, including external review. In addition, various
states are considering the adoption of play or pay
laws requiring that employers either offer health insurance or
pay a tax to cover the costs of public health care insurance. We
cannot predict with certainty the effect that any proposals, if
adopted, or legislative developments could have on our insurance
businesses and operations.
A number of states have enacted new health insurance legislation
over the past several years. These laws, among other things,
mandate benefits with respect to certain diseases or medical
procedures, require health insurers to offer an independent
external review of certain coverage decisions and establish
health insurer liability. There has also been an increase in
legislation regarding, among other things, prompt payment of
claims, privacy of personal health information, health insurer
liability, prohibition against insurers including discretionary
clauses in their policy forms and relationships between health
insurers and providers. We expect that this trend of increased
legislation will continue. These laws may have the effect of
increasing our costs and expenses.
We provide health insurance products to consumers in the
self-employed market in 44 states. As is the case with many
of our competitors in this market, a substantial portion of our
products are issued to members of various independent membership
associations that act as the master policyholder for such
products. During 2004, we and our insurance company subsidiaries
resolved a nationwide class action lawsuit challenging the
nature of the relationship between our insurance companies and
the membership associations that make available to their members
our insurance companies health insurance products. See
Note L of Notes to Consolidated Financial Statements.
While we believe that we are providing association group
coverage in full compliance with applicable law, changes in our
relationship with the membership associations and/or changes in
the laws and regulations governing association group insurance
(particularly changes that would subject the issuance of
policies to prior premium rate approval and/or require the
issuance of policies on a guaranteed issue basis)
could have a material adverse impact on our financial condition,
results of operations and/or business.
Many states have also enacted insurance holding company laws
that require registration and periodic reporting by insurance
companies controlled by other corporations. Such laws vary from
state to state, but typically require periodic disclosure
concerning the corporation that controls the controlled insurer
and prior
13
notice to, or approval by, the applicable regulator of
inter-corporate transfers of assets and other transactions
(including payments of dividends in excess of specified amounts
by the controlled insurer) within the holding company system.
Such laws often also require the prior approval for the
acquisition of a significant ownership interest (i.e., 10% or
more) in the insurance holding company. UICI (the holding
company) and our insurance subsidiaries are subject to such
laws, and we believe that we and such subsidiaries are in
compliance in all material respects with all applicable
insurance holding company laws and regulations.
Under the risk-based capital initiatives adopted in 1992 by the
National Association of Insurance Commissioners
(NAIC), insurance companies must calculate and
report information under a risk-based capital formula.
Risk-based capital formulas are intended to evaluate risks
associated with asset quality, adverse insurance experience,
losses from asset and liability mismatching, and general
business hazards. This information is intended to permit
regulators to identify and require remedial action for
inadequately capitalized insurance companies, but it is not
designed to rank adequately capitalized companies. At
December 31, 2004, the risk-based capital ratio of each of
our domestic insurance subsidiaries significantly exceeded the
ratio for which regulatory corrective action would be required.
The states in which our insurance subsidiaries are licensed have
the authority to change the minimum mandated statutory loss
ratios to which they are subject, the manner in which these
ratios are computed and the manner in which compliance with
these ratios is measured and enforced. Loss ratios are commonly
defined as incurred claims divided by earned premiums. Most
states in which our insurance subsidiaries write insurance have
adopted the loss ratios recommended by the NAIC, but frequently
the loss ratio regulations do not apply to the types of health
insurance issued by our subsidiaries. We are unable to predict
the impact of (i) any changes in the mandatory statutory
loss ratios for individual or group policies to which we may
become subject, or (ii) any change in the manner in which
these minimums are computed or enforced in the future. Such
changes could result in a narrowing of profit margins and
adversely affect our business and results of operations. We have
not been informed by any state that our insurance subsidiaries
do not meet mandated minimum ratios, and we believe that we are
in compliance with all such minimum ratios. In the event that we
are not in compliance with minimum statutory loss ratios
mandated by regulatory authorities with respect to certain
policies, we may be required to reduce or refund premiums, which
could have a material adverse effect upon our business and
results of operations.
The NAIC and state insurance departments are continually
reexamining existing laws and regulations, including those
related to reducing the risk of insolvency and related
accreditation standards. To date, the increase in
solvency-related oversight has not had a significant impact on
our insurance business.
In 1945, the U.S. Congress enacted the McCarran-Ferguson
Act, which declared the regulation of insurance to be primarily
the responsibility of the individual states. Although repeal of
McCarran-Ferguson is debated in the U.S. Congress from time
to time, the federal government generally does not directly
regulate the insurance business. However, federal legislation
and administrative policies in several areas, including
healthcare, pension regulation, age and sex discrimination,
financial services regulation, securities regulation, privacy
laws, terrorism and federal taxation, do affect the insurance
business.
|
|
|
The Health Insurance Portability and Accountability Act of
1996 (HIPAA) |
As with other lines of insurance, the regulation of health
insurance historically has been within the domain of the states.
However, HIPAA and the implementing regulations promulgated
thereunder by the Department of Health and Human Services impose
new obligations for issuers of health and dental insurance
coverage and health and dental benefit plan sponsors. HIPAA
requires certain guaranteed issuance and renewability of health
insurance coverage for individuals and small employer groups
(generally 50 or fewer employees) and limits exclusions based on
pre-existing conditions. Most of the insurance reform provisions
of HIPAA became effective for plan years beginning on or after
July 1, 1997.
HIPAA also establishes new requirements for maintaining the
confidentiality and security of individually identifiable health
information and new standards for electronic health care
transactions. The Department of
14
Health and Human Services promulgated final HIPAA regulations in
2002. The privacy regulations required compliance by April 2003,
the electronic transactions regulations by October 2003 and the
security regulations by April 2005. As have other entities in
the health care industry, we have incurred substantial costs in
meeting the requirements of these HIPAA regulations and expect
to continue to incur costs to achieve and to maintain
compliance. We have been working diligently to comply with these
regulations within the time periods required and believe that we
will comply in a timely fashion. As a consequence of these new
standards for electronic transactions, we may see an increase in
the number of health care transactions that are submitted to us
in paper format, which could increase our costs to process
medical claims.
HIPAA is a far-reaching and complex issue and proper
interpretation and practice under the law continue to evolve.
Consequently, our efforts to measure, monitor and adjust our
business practices to comply with HIPAA are ongoing. Failure to
comply could result in regulatory fines and civil lawsuits.
Knowing and intentional violations of these rules may also
result in federal criminal penalties.
UICI is currently reviewing the potential impact of the HIPAA
privacy and security regulations on its operations, including
its information technology and security systems. The Company
cannot at this time predict with specificity what impact the
recently adopted final HIPAA rules governing the privacy and
security of individually-identifiable health information may
have on the business or results of operations of the Company.
However, these new rules will likely increase the Companys
burden of regulatory compliance with respect to its life and
health insurance products and other information-based products,
and may reduce the amount of information the Company may
disclose and use if the Companys customers do not consent
to such disclosure and use. There can be no assurance that the
restrictions and duties imposed by the recently adopted final
rules on the privacy and security of individually-identifiable
health information will not have a material adverse effect on
UICIs business and future results of operations.
On October 26, 2001, the International Money Laundering
Abatement and Anti-Terrorist Financing Act of 2001 was enacted
into law as part of the USA PATRIOT Act. The law requires, among
other things, that financial institutions adopt anti-money
laundering programs that include policies, procedures and
controls to detect and prevent money laundering, designate a
compliance officer to oversee the program and provide for
employee training, and periodic audits in accordance with
regulations proposed by the U.S. Treasury Department.
Proposed Treasury regulations governing portions of our life
insurance business would require us to develop and implement
procedures designed to detect and prevent money laundering and
terrorist financing. We remain subject to U.S. regulations
that prohibit business dealings with entities identified as
threats to national security. We have licensed software to
enable us to detect and prevent such activities in compliance
with existing regulations and we are developing policies and
procedures designed to comply with the proposed regulations
should they come into effect.
There are significant criminal and civil penalties that can be
imposed for violation of Treasury regulations. We believe that
the steps we are taking to comply with the current regulations
and to prepare for compliance with the proposed regulations
should be sufficient to minimize the risks of such penalties.
From time to time the Company utilizes, either directly or
through third party vendors, e-mail to identify prospective
sales leads for use by its agents. The federal CAN SPAM Act,
which became effective January 1, 2004 and is administered
and enforced by the Federal Trade Commission, establishes
national standards for sending bulk, unsolicited commercial
e-mail. While targeting and prohibiting e-marketers to send
unsolicited commercial email with falsified headers, the CAN
SPAM Act permits the use of unsolicited commercial e-mail if and
as long as the message contains an opt-out mechanism, a
functioning return e-mail address, a valid subject line
indicating the e-mail is an advertisement and the legitimate
physical address of the mailer. While the Company has taken what
it believes are reasonable steps to ensure that it, and the
various third party vendors with which it does business, are in
full compliance with the CAN SPAM Act, failure to comply with
the provisions of the CAN SPAM Act could result in regulatory
fines and civil lawsuits.
15
The Financial Services Modernization Act of 1999 (the so-called
Gramm-Leach-Bliley Act, or GLBA) includes several
privacy provisions and introduced new controls over the transfer
and use of individuals nonpublic personal data by
financial institutions, including insurance companies, insurance
agents and brokers and certain other entities licensed by state
insurance regulatory authorities.
GLBA provides that there is no federal preemption of a
states insurance related privacy laws if the state law is
more stringent than the privacy rules imposed under GLBA.
Accordingly, selected state insurance regulators or state
legislatures have adopted rules that limit the ability of
insurance companies, insurance agents and brokers and certain
other entities licensed by state insurance regulatory
authorities to disclose and use non-public information about
consumers to third parties. These limitations require the
disclosure by these entities of their privacy policies to
consumers and, in some circumstances, will allow consumers to
prevent the disclosure or use of certain personal information to
an unaffiliated third party. Pursuant to the authority granted
under GLBA to state insurance regulatory authorities to regulate
the privacy of nonpublic personal information provided to
consumers and customers of insurance companies, insurance agents
and brokers and certain other entities licensed by state
insurance regulatory authorities, the National Association of
Insurance Commissioners has recently promulgated a new model
regulation called Privacy of Consumer Financial and Health
Information Regulation. Some states issued this model regulation
before July 1, 2001, while other states must pass certain
legislative reforms to implement new state privacy rules
pursuant to GLBA. In addition, GLBA requires state insurance
regulators to establish standards for administrative, technical
and physical safeguards pertaining to customer records and
information to (a) ensure their security and
confidentiality, (b) protect against anticipated threats
and hazards to their security and integrity, and
(c) protect against unauthorized access to and use of these
records and information. The privacy and security provisions of
GLBA will significantly affect how a consumers nonpublic
personal information is transmitted through and used by
diversified financial services companies and conveyed to and
used by outside vendors and other unaffiliated third parties.
Legislation has been introduced in the U.S. Congress that
would allow state-chartered and regulated insurance companies,
such as our insurance subsidiaries, to choose instead to be
regulated exclusively by a federal insurance regulator. We do
not believe that such legislation will be enacted during the
current Congressional term.
Numerous proposals to reform the current health care system have
been introduced in the U.S. Congress and in various state
legislatures. Proposals have included, among other things,
modifications to the existing employer-based insurance system, a
quasi-regulated system of managed competition
among health insurers, and a single-payer, public program.
Changes in health care policy could significantly affect our
business. For example, federally mandated, comprehensive major
medical insurance, if proposed and implemented, could partially
or fully replace some of our current products. Furthermore,
legislation has been introduced from time to time in the
U.S. Congress that could result in the federal government
assuming a more direct role in regulating insurance companies.
There is also legislation pending in the U.S. Congress and
in various states designed to provide additional privacy
protections to consumer customers of financial institutions.
These statutes and similar legislation and regulations in the
United States or other jurisdictions could affect our ability to
market our products or otherwise limit the nature or scope of
our insurance operations.
The NAIC and individual states have been studying small face
amount life insurance for the past three years. Some initiatives
that have been raised at the NAIC include further disclosure for
small face amount policies and restrictions on premium to
benefit ratios. The NAIC is also studying other issues such as
suitability of insurance products for certain
customers. This may have an effect on our pre-funded funeral
insurance business. Suitability requirements such as a customer
assets and needs worksheet could extend and complicate the sale
of pre-funded funeral insurance products.
16
We are unable to evaluate new legislation that may be proposed
and when or whether any such legislation will be enacted and
implemented. However, many of the proposals, if adopted, could
have a material adverse effect on our financial condition, cash
flows or results of operations, while others, if adopted, could
potentially benefit our business.
Recently, the insurance industry has experienced substantial
volatility as a result of current litigation, investigations and
regulatory activity by various insurance, governmental and
enforcement authorities concerning certain practices within the
insurance industry. These practices include the payment of
contingent commissions by insurance companies to insurance
brokers and agents and the extent to which such compensation has
been disclosed, the solicitation and provision of fictitious or
inflated quotes, the use of inducements to brokers or companies
in the sale of group insurance products, and the accounting
treatment for finite reinsurance or other non-traditional or
loss mitigation insurance products. We have received inquiries
and informational requests from insurance departments in certain
states in which our insurance subsidiaries operate. We cannot
predict at this time the effect that current litigation,
investigations and regulatory activity will have on the
insurance industry or our business.
The NAIC and several states have recently proposed regulations
and/or laws that would that would prohibit agent/broker
practices that have been the focus of recent investigations of
broker compensation in the State of New York. The NAIC has
adopted a Compensation Disclosure Amendment to its Producers
Licensing Model Act which, if adopted by the states, would
require disclosure by agents/brokers to customers that insurers
will compensate such agents/brokers for the placement of
insurance and documented acknowledgement of this arrangement in
cases where the customer also compensates the agent/broker. Some
larger states, including California and New York, are
considering additional provisions that would require the
disclosure of the amount of compensation and/or require (where
an agent/broker represents more than one insurer) placement of
the best coverage. We cannot predict how many
states, if any, may promulgate the NAIC amendment or similar
regulations or the extent to which these regulations may have an
adverse impact on our business.
Employees
We had approximately 2,900 employees at February 18, 2005.
We consider our employee relations to be good. Agents associated
with our UGA and Cornerstone field forces constitute independent
contractors and are not employees of the Company.
We currently own and occupy our executive offices located at
9151 Grapevine Hwy, North Richland Hills, Texas 76180-5605
comprising in the aggregate approximately 250,000 square
feet of office space. In addition, we lease office space at
various locations.
|
|
Item 3. |
Legal Proceedings |
See Note L of Notes to Consolidated Financial
Statements, the terms of which are incorporated by reference
herein.
|
|
Item 4. |
Submissions of Matters to a Vote of Security
Holders |
None.
Executive Officers of the Company
The Chairman of the Company is elected, and all other executive
officers listed below are appointed, by the Board of Directors
of the Company at its Annual Meeting each year or by the
Executive Committee of the
17
Board of Directors to hold office until the next Annual Meeting
or until their successors are elected or appointed. None of
these officers have family relationships with any other
executive officer or director.
|
|
|
|
|
|
|
|
|
Name of Officer |
|
Principal Position |
|
Age | |
|
Business Experience During Past Five Years |
|
|
|
|
| |
|
|
Ronald L. Jensen
|
|
Chairman of the Board |
|
|
74 |
|
|
Mr. Jensen has served as Chairman since December 1983. |
William J. Gedwed
|
|
President and Chief Executive Officer |
|
|
49 |
|
|
Mr. Gedwed has served as a director of the Company since June
2000 and as its President and Chief Executive Officer of the
Company since July 1, 2003. He has Served as a Director
and/or executive officer of NMC Holdings, Inc. and/or its
subsidiaries since August 1993. Mr. Gedwed currently serves
as Chairman and Director of the Companys insurance
subsidiaries. |
Troy A. McQuagge
|
|
President of the Companys Agency Marketing Group |
|
|
43 |
|
|
Mr. McQuagge served as President of UGA Association
Field Services from 1997 until May 2004. Currently serves as
President of Agency Marketing Group. Mr. McQuagge has
served as Senior Vice President of the Companys insurance
subsidiaries since June 2004. |
Glenn W. Reed
|
|
Executive Vice President and General Counsel |
|
|
52 |
|
|
Mr. Reed has served in his current position since July 1999.
Prior to joining UICI, Mr. Reed was a partner with the
Chicago, Illinois law firm of Gardner, Carton &
Douglas. He also serves as Director and Vice President of the
Companys insurance subsidiaries. |
Phillip J. Myhra
|
|
Executive Vice President Insurance Group |
|
|
52 |
|
|
Mr. Myhra has served as an executive officer of the Insurance
Group since December 1999 and as Executive Vice
President Insurance Group of the Company since
February 2001. He serves as a Director, President and Chief
Executive Officer of the Companys insurance subsidiaries.
Prior to joining the Company, Mr. Myhra served as Senior
Vice President of Mutual of Omaha. |
William J. Truxal
|
|
President of the Companys Student Insurance Division |
|
|
48 |
|
|
Mr. Truxal was appointed President of Student Insurance Division
in September 2003. He joined the predecessor of the
Companys Student Insurance Division in 1983 as an account
executive, and has been President of Student Resources since
September 1992. He also serves as Vice President of the
Companys insurance subsidiaries. |
18
|
|
|
|
|
|
|
|
|
Name of Officer |
|
Principal Position |
|
Age | |
|
Business Experience During Past Five Years |
|
|
|
|
| |
|
|
Timothy L. Cook
|
|
President of the Companys Star HRG Division |
|
|
56 |
|
|
Mr. Cook has served as President of Star HRG Division since
February 2002. Mr. Cook joined the Company upon its
acquisition of Star HRG in February 2002, where he served as
Vice President since March 1990. He also serves as Vice
President of MEGA. |
Mark D. Hauptman
|
|
Vice President and Chief Financial Officer and Chief Accounting
Officer |
|
|
47 |
|
|
Mr. Hauptman joined the Company in 1988 as Controller of the
Companys former OKC Division. He has served as the
Companys Chief Accounting Officer since June 2001 and has
served as Chief Financial Officer since May 2002. He also serves
as Director and Vice President of the Companys insurance
subsidiaries. |
James N. Plato
|
|
President Life Insurance Division |
|
|
56 |
|
|
Mr. Plato has served as an executive officer and director of the
Companys insurance subsidiaries since June 2001. From 2000
to 2001, Mr. Plato served as an executive officer and/or
director of Ilona Financial Group and its subsidiaries. |
19
PART II
|
|
Item 5. |
Market for Registrants Common Stock and Related
Stockholder Matters |
The Companys shares are traded on the New York Stock
Exchange (NYSE) under the symbol UCI.
The table below sets forth on a per share basis, for the period
indicated, the high and low closing sales prices of the Common
Stock on the NYSE.
|
|
|
|
|
|
|
|
|
|
|
|
High | |
|
Low | |
|
|
| |
|
| |
Fiscal Year Ended December 31, 2003
|
|
|
|
|
|
|
|
|
|
1st Quarter
|
|
$ |
16.41 |
|
|
$ |
8.42 |
|
|
2nd Quarter
|
|
|
15.65 |
|
|
|
9.78 |
|
|
3rd Quarter
|
|
|
17.43 |
|
|
|
11.80 |
|
|
4th Quarter
|
|
|
16.20 |
|
|
|
12.90 |
|
Fiscal Year Ended December 31, 2004
|
|
|
|
|
|
|
|
|
|
1st Quarter
|
|
$ |
15.00 |
|
|
$ |
12.70 |
|
|
2nd Quarter
|
|
|
23.81 |
|
|
|
14.56 |
|
|
3rd Quarter
|
|
|
33.05 |
|
|
|
21.93 |
|
|
4th Quarter
|
|
|
35.84 |
|
|
|
24.00 |
|
As of February 21, 2005, there were approximately 12,200
holders of record of Common Stock.
On August 18, 2004, the Companys Board of Directors
adopted a policy of issuing a regular semi-annual cash dividend
on shares of its common stock. The amount of the dividend,
record date and payment date will be subject to approval every
six months by the Companys Board of Directors. Subject to
future analyses of the Companys cash resources and
projected cash needs, the Board of Directors intends to continue
in the future to consider and reassess from time to time the
Companys dividend policy. In accordance with the new
dividend policy, on August 18, 2004, the Companys
Board of Directors declared a regular semi-annual cash dividend
of $0.25 on each share of Common Stock, which dividend was paid
on September 15, 2004 to shareholders of record at the
close of business on September 1, 2004. On February 9,
2005, the Companys Board of Directors declared a regular
semi-annual cash dividend of $0.25 per share and a special
cash dividend of $0.25 per share. The regular and special
dividend will be payable on March 15, 2005 to shareholders
of record at the close of business on February 21, 2005.
In addition, dividends paid by the Companys domestic
insurance subsidiaries to the Company out of earned surplus in
any year that are in excess of limits set by the laws of the
state of domicile require prior approval of state regulatory
authorities in that state. See Note J of the Notes
to Consolidated Financial Statements included herein.
During the year ended December 31, 2004, the Company issued
16,000 shares of unregistered common stock pursuant to its
2001 Restricted Stock Plan.
Issuer Purchases of Equity Securities
Set forth in the table below is certain information with respect
to purchases of shares of the Companys common stock in the
open market during each of the months in the year ended
December 31, 2004 (a) pursuant to the authority
granted under the Companys previously announced share
repurchase program (see discussion below under the
caption Managements Discussion and Analysis of
Financial Condition and Results of Operations Share
Repurchase Program), (b) to facilitate
agent-participants contributions to, and to satisfy the
Companys commitment to issue its shares upon vesting of
matching credits under, the stock accumulation plans established
for the benefit of the Companys agents (see
Note M of Notes to Consolidated Financial Statements),
and (c) by the trustee for the Companys Employee
Stock Ownership and Retirement
20
Savings Plan (which reflects shares purchased with employee
contributions as well as the portion attributable to the
Companys matching contributions):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of | |
|
Maximum Number | |
|
|
|
|
|
|
Shares Purchased as | |
|
of Shares That May | |
|
|
Total Number | |
|
|
|
Part of Publicly | |
|
yet be Purchased | |
|
|
of Shares | |
|
Average Price | |
|
Announced Plans or | |
|
Under the Plans or | |
Period |
|
Purchased | |
|
Paid per Share | |
|
Programs | |
|
Programs | |
|
|
| |
|
| |
|
| |
|
| |
1/1/04-1/31/04
|
|
|
36,263 |
|
|
$ |
13.2467 |
|
|
|
|
|
|
|
972,400 |
|
2/1/04-2/29/04
|
|
|
219,326 |
|
|
|
13.5069 |
|
|
|
|
|
|
|
972,400 |
|
3/1/04-3/31/04
|
|
|
1,010,866 |
|
|
|
14.3232 |
|
|
|
831,400 |
|
|
|
141,000 |
|
4/1/04-4/30/04
|
|
|
151,254 |
|
|
|
15.2323 |
|
|
|
|
|
|
|
141,000 |
|
5/1/04-5/31/04
|
|
|
239,232 |
|
|
|
18.6468 |
|
|
|
100,000 |
|
|
|
1,041,000 |
|
6/1/04-6/30/04
|
|
|
110,057 |
|
|
|
21.1688 |
|
|
|
|
|
|
|
1,041,000 |
|
7/1/04-7/31/04
|
|
|
219,974 |
|
|
|
22.6474 |
|
|
|
112,000 |
|
|
|
929,000 |
|
8/1/04-8/31/04
|
|
|
219,574 |
|
|
|
21.8933 |
|
|
|
|
|
|
|
929,000 |
|
9/1/04-9/30/04
|
|
|
95,374 |
|
|
|
29.1097 |
|
|
|
|
|
|
|
929,000 |
|
10/1/04-10/31/04
|
|
|
225,499 |
|
|
|
34.3970 |
|
|
|
|
|
|
|
929,000 |
|
11/1/04-11/30/04
|
|
|
65,303 |
|
|
|
33.3898 |
|
|
|
|
|
|
|
929,000 |
|
12/1/04-12/31/04
|
|
|
139,387 |
|
|
|
33.8927 |
|
|
|
|
|
|
|
929,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
2,732,109 |
(1) |
|
$ |
19.8538 |
|
|
|
1,043,400 |
(2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
The number of shares purchased other than through a publicly
announced plan or program includes 431,775 shares purchased
with respect to the UICI Employee Stock Ownership and Savings
Plan and 1,256,934 shares purchased with respect to the
stock accumulation plans established for the benefit of the
Companys agents. |
|
(2) |
In November 1998 the Company announced the authorization to
repurchase 4,500,000 shares, and the Company
reconfirmed the repurchase program on February 28, 2001 and
February 11, 2004. The Company announced the authorization
to repurchase an additional 1,000,000 shares under the
program on April 28, 2004. The repurchase program has no
expiration date. |
|
|
Item 6. |
Selected Financial Data |
The following selected consolidated financial data as of and for
each of the five years in the period ended December 31,
2004 has been derived from the audited Consolidated Financial
Statements of the Company. The following data should be read in
conjunction with the Consolidated Financial Statements and the
notes thereto and Managements Discussion and Analysis
of Financial Condition and Results of Operations included
herein.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
2001 | |
|
2000 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts and operating ratios) | |
Income Statement Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues from continuing operations
|
|
$ |
2,057,906 |
|
|
$ |
1,813,205 |
|
|
$ |
1,375,704 |
|
|
$ |
967,924 |
|
|
$ |
867,190 |
|
|
Income from continuing operations before income taxes
|
|
|
221,149 |
|
|
|
131,916 |
|
|
|
76,759 |
|
|
|
73,163 |
|
|
|
98,059 |
|
|
Income from continuing operations
|
|
|
145,881 |
|
|
|
87,324 |
|
|
|
51,054 |
|
|
|
49,484 |
|
|
|
64,128 |
|
|
Income (loss) from discontinued operations
|
|
|
15,677 |
|
|
|
(72,990 |
) |
|
|
953 |
|
|
|
(6,592 |
) |
|
|
(58,395 |
) |
|
Net income
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
|
$ |
42,892 |
|
|
$ |
5,733 |
|
21
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
2001 | |
|
2000 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except per share amounts and operating ratios) | |
Per Share Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings per share from
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
continuing operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share
|
|
$ |
3.16 |
|
|
$ |
1.88 |
|
|
$ |
1.08 |
|
|
$ |
1.06 |
|
|
$ |
1.37 |
|
|
|
|
Diluted earnings per common share
|
|
$ |
3.07 |
|
|
$ |
1.82 |
|
|
$ |
1.05 |
|
|
$ |
1.03 |
|
|
$ |
1.34 |
|
|
Earnings (loss) per share from discontinued operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (loss) per common share
|
|
$ |
0.34 |
|
|
$ |
(1.57 |
) |
|
$ |
0.02 |
|
|
$ |
(0.14 |
) |
|
$ |
(1.25 |
) |
|
|
|
Diluted earnings (loss) per common share
|
|
$ |
0.33 |
|
|
$ |
(1.52 |
) |
|
$ |
0.02 |
|
|
$ |
(0.13 |
) |
|
$ |
(1.22 |
) |
|
Earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share
|
|
$ |
3.50 |
|
|
$ |
0.31 |
|
|
$ |
0.99 |
|
|
$ |
0.92 |
|
|
$ |
0.12 |
|
|
|
|
Diluted earnings per common share
|
|
$ |
3.40 |
|
|
$ |
0.30 |
|
|
$ |
0.96 |
|
|
$ |
0.90 |
|
|
$ |
0.12 |
|
Operating Ratios:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health Ratios:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio(1)
|
|
|
61 |
% |
|
|
65 |
% |
|
|
63 |
% |
|
|
64 |
% |
|
|
64 |
% |
|
|
|
Expense ratio(1)
|
|
|
33 |
% |
|
|
34 |
% |
|
|
34 |
% |
|
|
34 |
% |
|
|
31 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined health ratio
|
|
|
94 |
% |
|
|
99 |
% |
|
|
97 |
% |
|
|
98 |
% |
|
|
95 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance Sheet Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total investments and cash(2)
|
|
$ |
1,710,589 |
|
|
$ |
1,579,131 |
|
|
$ |
1,355,918 |
|
|
$ |
1,231,860 |
|
|
$ |
1,073,885 |
|
|
Total assets
|
|
|
2,345,658 |
|
|
|
2,126,959 |
|
|
|
1,915,188 |
|
|
|
1,676,711 |
|
|
|
1,460,777 |
|
|
Total policy liabilities
|
|
|
1,258,671 |
|
|
|
1,184,984 |
|
|
|
1,028,969 |
|
|
|
891,361 |
|
|
|
824,632 |
|
|
Total debt
|
|
|
15,470 |
|
|
|
18,951 |
|
|
|
7,922 |
|
|
|
23,511 |
|
|
|
66,782 |
|
|
Student loan credit facilities
|
|
|
150,000 |
|
|
|
150,000 |
|
|
|
150,000 |
|
|
|
100,000 |
|
|
|
|
|
|
Stockholders equity
|
|
|
714,145 |
|
|
|
587,568 |
|
|
|
585,050 |
|
|
|
534,572 |
|
|
|
447,105 |
|
|
Stockholders equity per share(3)
|
|
$ |
15.18 |
|
|
$ |
12.15 |
|
|
$ |
11.76 |
|
|
$ |
10.81 |
|
|
$ |
9.74 |
|
|
|
(1) |
The health loss ratio represents benefits, claims and settlement
expenses related to health insurance policies stated as a
percentage of earned health premiums. The health expense ratio
represents underwriting, policy acquisition costs and insurance
expenses related to health insurance policies stated as a
percentage of earned health premiums. |
|
(2) |
Does not include restricted cash. See Note A of
Notes to Consolidated Financial Statements. |
|
(3) |
Excludes the unrealized gains on securities available for sale,
which gains are reported in accumulated other comprehensive
income (loss) as a separate component of stockholders
equity. |
22
|
|
Item 7. |
Managements Discussion and Analysis of Financial
Condition and Results of Operations |
The following discussion of our historical results of operations
and of our liquidity and capital resources should be read in
conjunction with the Selected Financial Data and the
Consolidated Financial Statements of the Company and related
notes thereto included herein.
Overview
We offer insurance (primarily health and life) to niche consumer
and institutional markets. Through our subsidiaries we issue
primarily health insurance policies, covering individuals and
families, to the self-employed, association group, voluntary
employer group and student markets, and life insurance policies
to markets that we believe are underserved. We believe that we
have the largest direct selling organization in the health
insurance field, with approximately 2,400 independent writing
agents selling health insurance to the self-employed market in
44 states.
The Companys revenues consist primarily of premiums
derived from sales of its indemnity, PPO, student group and
voluntary employer group health plans and from life insurance
policies. Revenues also include investment income derived from
our investment portfolio and other income, which consists
primarily of income derived by the Self-Employed Agency Division
from ancillary services and membership marketing and
administrative services provided to the membership associations
that make available to their members the Companys health
insurance products.
Premiums on health insurance contracts are recognized as earned
over the period of coverage on a pro rata basis. Premiums on
traditional life insurance are recognized as revenue when due.
Set forth in the table below is premium by insurance division
for each of the past three fiscal years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Premium:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
1,355,328 |
|
|
$ |
1,192,688 |
|
|
$ |
911,318 |
|
|
Student Insurance Division
|
|
|
297,036 |
|
|
|
239,574 |
|
|
|
161,292 |
|
|
Star HRG Division
|
|
|
145,749 |
|
|
|
114,428 |
|
|
|
81,763 |
|
|
Life Insurance Division
|
|
|
38,660 |
|
|
|
30,366 |
|
|
|
38,557 |
|
|
Other Insurance
|
|
|
14,127 |
|
|
|
150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total premium
|
|
$ |
1,850,900 |
|
|
$ |
1,577,206 |
|
|
$ |
1,192,930 |
|
|
|
|
|
|
|
|
|
|
|
The Companys expenses consist primarily of insurance
claims expense and expenses associated with the underwriting and
acquisition of insurance policies. Claims expenses consist
primarily of payments to physicians, hospitals and other health
care providers under health policies and include an estimated
amount for incurred but not reported or paid claims.
Underwriting, policy acquisition costs and insurance expenses
consist of direct expenses incurred across all insurance lines
in connection with issuance, maintenance and administration of
in-force insurance policies, including amortization of deferred
policy acquisition costs, commissions paid to agents,
administrative expenses and premium taxes. The Company also
incurs other direct expenses in connection with generating
income derived by the Self-Employed Agency Division from
ancillary services and membership marketing and administrative
services provided to the membership associations that make
available to their members the Companys health insurance
products.
The Company establishes liabilities for benefit claims that have
been reported but not paid and claims that have been incurred
but not reported under health and life insurance contracts.
These claim liabilities are developed using actuarial principles
and assumptions that consider a number of items, including
historical and current claim payment patterns, product
variations, the timely implementation of appropriate rate
increases and seasonality. See discussion below,
Critical Accounting Policies and Estimates
Claim Liabilities and Note F of Notes to
Consolidated Financial Statements.
23
In connection with various stock-based compensation plans that
we maintain for the benefit of our employees and independent
agents, we record non-cash variable stock-based compensation
expense in amounts that depend and fluctuate based upon the
market performance of the Companys common stock. See
discussion below under the caption Variable
Stock-Based Compensation and Note M of Notes to
Consolidated Financial Statements. The accounting treatment of
the Companys agent plans has resulted and will continue to
result in unpredictable stock-based compensation charges,
primarily dependent upon future fluctuations in the quoted price
of UICI common stock.
Our business segments for financial reporting purposes include
(a) the Insurance segment, which includes the businesses of
the Companys Self-Employed Agency Division, the Student
Insurance Division, the Star HRG Division, the Life Insurance
Division and Other Insurance (consisting of the Companys
ZON Re, USA LLC accident insurance/reinsurance business, which
commenced operations in the third quarter of 2003); and
(b) Other Key Factors, which includes investment income not
allocated to the Insurance segment, realized gains or losses on
sale of investments, interest expense on corporate debt, general
expenses relating to corporate operations, minority interest,
variable stock-based compensation and operations that do not
constitute reportable operating segments (including the
Companys investment in Healthaxis, Inc. until sold on
September 30, 2003).
For segment reporting, the Company had previously reported the
Student Insurance Division and Star HRG Division as one business
unit referred to as Group Insurance Division.
Effective October 1, 2004, the Company began reporting the
results of the Group Insurance Division as two business units,
the Student Insurance Division and Star HRG Division.
Over the past two years we have actively endeavored to simplify
our business by closing and/or disposing of assets and
operations not otherwise related to our core health and life
insurance operations. We have separately classified as
discontinued operations for financial reporting purposes the
operations of our former Academic Management Services Corp.
(AMS) subsidiary (engaged in the student loan
origination and funding business, student loan servicing
business, and tuition installment payment plan business, which
we sold in November 18, 2003), our Senior Market Division
(through which we formerly developed and marketed long-term care
and Medicare supplement insurance products for the senior
market) and our Special Risk Division (through which we formerly
provided various niche health insurance related products,
including stop loss, marine crew accident, organ
transplant and international travel accident products and
various insurance intermediary services and managed care
services).
Recent Developments
On March 8, 2005, the Office of the Insurance Commissioner
of the State of Washington issued a cease and desist order that
prohibits MEGA from selling a previously approved health
insurance product to consumers in the State of Washington. Since
October 2004, representatives of MEGA have been engaged in
discussions with the Washington Department of Insurance in an
effort to resolve issues with respect to use of a policy form
that was initially approved by the Washington Department of
Insurance in 1997. UICI has also voluntarily terminated sales of
a similar product issued by Mid-West, pending resolution of the
open issues with the State of Washington Department of
Insurance. MEGA and Mid-West have issued certificates covering
approximately 60,000 insureds in the State of Washington. UICI
currently does not believe that the issuance of the cease and
desist order by the Washington Insurance Commissioner will have
a material adverse effect upon its results of operations or its
financial condition.
Results of Operations Overview
During 2004 the Companys financial condition, cash flow
and results from operations were impacted by several key factors
and developments:
|
|
|
Favorable Results at SEA Division |
The Companys 2004 results from continuing operations
benefited from the strong performance of its SEA Division, which
reported record operating income in 2004 of $260.7 million,
compared to operating
24
income of $109.1 million in 2003. Results at the
Companys SEA Division in 2004 reflected a favorable loss
ratio and increased renewal premium revenue, with which is
associated a lower commission rate compared to the commission
rate on first year premium revenue.
|
|
|
Reduction in SEA Claim Liability |
Results in 2004 at the Companys SEA Division benefited
from a significant decrease in loss ratio (from 61.7% in 2003 to
54.4% in 2004) associated with the SEA Divisions block of
health insurance business. This decrease in the loss ratio was
due in significant part to the reduction in the amount of
$47.8 million during 2004 of claim liabilities established
in 2003 in response to a rapid pay down in 2003 of an excess
pending claims inventory. The actual claim payment experience
during 2004 with respect to prior periods was lower than
originally estimated when the claim liability was established in
2003. See discussion below under the caption
Critical Accounting Policies and Estimates
Claims Liabilities Claims
Liability Development Experience. The decrease in loss
ratio was also due in part to lower levels of incurred claims in
2004 compared to the prior year. The Company currently
anticipates that loss ratios at the SEA Division will begin over
time to trend upward to historical levels.
|
|
|
Settlement of Association Group Litigation |
During 2004, the Company and its insurance company subsidiaries
resolved a nationwide class action lawsuit challenging the
nature of the relationship between UICIs insurance
companies and the membership associations that make available to
their members the insurance companies health insurance
products upon terms that did not have a material adverse effect
upon 2004 results of operations or financial condition. See
Note L of Notes to Consolidated Financial Statements.
Results at our SEA Division in 2003 included a
$(25.0) million charge associated with the reassessment of
loss accruals established for this and other litigation.
|
|
|
Significant Operating Losses at Our Student Insurance
Division |
In 2004, our Student Insurance Division (which offers tailored
health insurance programs that generally provide single school
year coverage to individual students at colleges and
universities) reported an operating loss of
$(49.5) million. Results in 2004 at the Student Insurance
business unit reflected an increase in the loss ratio associated
with the Student Insurance units book of 2003-2004 school
year business. This increase in the loss ratio was attributable
primarily to a higher-than-expected amount of paid claims during
the year (which resulted from temporary changes in claim payment
procedures necessary to reduce the Student Insurance units
claims inventory to levels more closely approximating historical
levels) and to the failure of the Companys claim system to
effectively utilize discounts afforded by the Companys
network provider contracts. The Company has taken steps to
modify its claims processing system to better utilize such
network provider discounts. In addition, results in 2004
reflected the recording of an impairment charge in the amount of
$(6.6) million principally associated with the abandonment
of computer hardware and software assets associated with its
claims processing system and higher than expected administrative
costs attributable to inefficiencies created with its claim
processing systems.
On October 8, 2004, the Company completed the acquisition,
for a cash purchase price of $53.1 million, of
substantially all of the operating assets of HealthMarket, Inc.,
a Norwalk, Connecticut-based provider of consumer driven health
plans (CDHPs) to the small business (2 to 250 employees)
marketplace. In the acquisition, UICIs wholly owned
insurance subsidiary, The MEGA Life and Health Insurance
Company, acquired HealthMarkets administrative platform
and substantially all of HealthMarkets CDHP technology,
fixed assets and personnel. Subject to applicable regulatory
approvals, UICI intends to market and sell HealthMarkets
Consumer Driven Health Plan products to the individual and small
employer group markets through MEGA, Mid-West and Chesapeake.
25
As part of the acquisition, Chesapeake entered into an
assumption reinsurance agreement with HealthMarket and its
wholly owned insurance subsidiary, American Travelers Assurance
Company (ATAC), pursuant to which Chesapeake agreed
to pay a contingent renewal fee to HealthMarket. This renewal
fee has been and will be recorded as goodwill and/or other
intangibles, as and when Chesapeake issues a renewal policy to a
former ATAC policyholder.
Results of Operations
The table below sets forth certain summary information about our
operating results for each of the three most recent fiscal years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
|
|
Percentage | |
|
|
|
Percentage | |
|
|
|
|
|
|
Increase | |
|
|
|
Increase | |
|
|
|
|
2004 | |
|
(Decrease) | |
|
2003 | |
|
(Decrease) | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Revenue
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health
|
|
$ |
1,812,892 |
|
|
|
17 |
% |
|
$ |
1,547,233 |
|
|
|
33 |
% |
|
$ |
1,161,381 |
|
|
|
Life premiums and other considerations
|
|
|
38,008 |
|
|
|
27 |
% |
|
|
29,973 |
|
|
|
(5 |
)% |
|
|
31,549 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total premium:
|
|
|
1,850,900 |
|
|
|
17 |
% |
|
|
1,577,206 |
|
|
|
32 |
% |
|
|
1,192,930 |
|
|
Investment income
|
|
|
85,868 |
|
|
|
11 |
% |
|
|
77,661 |
|
|
|
(4 |
)% |
|
|
80,831 |
|
|
Other income
|
|
|
114,467 |
|
|
|
(4 |
)% |
|
|
118,627 |
|
|
|
10 |
% |
|
|
107,541 |
|
|
Gains (losses) on sale of investments
|
|
|
6,671 |
|
|
|
NM |
|
|
|
39,711 |
|
|
|
NM |
|
|
|
(5,598 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues:
|
|
|
2,057,906 |
|
|
|
13 |
% |
|
|
1,813,205 |
|
|
|
32 |
% |
|
|
1,375,704 |
|
Benefits and Expenses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses
|
|
|
1,127,058 |
|
|
|
8 |
% |
|
|
1,039,593 |
|
|
|
34 |
% |
|
|
774,492 |
|
|
Underwriting, policy acquisition costs, and insurance expenses
|
|
|
632,132 |
|
|
|
12 |
% |
|
|
563,574 |
|
|
|
30 |
% |
|
|
432,468 |
|
|
Stock based compensation expense (benefit)
|
|
|
14,307 |
|
|
|
NM |
|
|
|
(459 |
) |
|
|
NM |
|
|
|
16,312 |
|
|
Other expenses
|
|
|
59,843 |
|
|
|
(18 |
)% |
|
|
73,354 |
|
|
|
19 |
% |
|
|
61,886 |
|
|
Interest expense
|
|
|
3,417 |
|
|
|
13 |
% |
|
|
3,016 |
|
|
|
(27 |
)% |
|
|
4,148 |
|
|
Losses in Healthaxis, Inc. investment
|
|
|
|
|
|
|
NM |
|
|
|
2,211 |
|
|
|
(77 |
)% |
|
|
9,639 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses:
|
|
|
1,836,757 |
|
|
|
9 |
% |
|
|
1,681,289 |
|
|
|
29 |
% |
|
|
1,298,945 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
221,149 |
|
|
|
68 |
% |
|
|
131,916 |
|
|
|
72 |
% |
|
|
76,759 |
|
Federal income taxes
|
|
|
75,268 |
|
|
|
69 |
% |
|
|
44,592 |
|
|
|
73 |
% |
|
|
25,705 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
|
145,881 |
|
|
|
67 |
% |
|
|
87,324 |
|
|
|
71 |
% |
|
|
51,054 |
|
Income (loss) from discontinued operations (net of income tax
benefit)
|
|
|
15,677 |
|
|
|
NM |
|
|
|
(72,990 |
) |
|
|
NM |
|
|
|
953 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before cumulative effect of accounting change
|
|
|
161,558 |
|
|
|
NM |
|
|
|
14,334 |
|
|
|
NM |
|
|
|
52,007 |
|
Cumulative effect of accounting change (net of income tax
benefit)
|
|
|
|
|
|
|
NM |
|
|
|
|
|
|
|
NM |
|
|
|
(5,144 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
161,558 |
|
|
|
NM |
|
|
$ |
14,334 |
|
|
|
NM |
|
|
$ |
46,863 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
26
UICI reported revenues and income from continuing operations in
2004 of $2.058 billion and $145.9 million
($3.07 per diluted share), respectively, compared to 2003
revenues and income from continuing operations of
$1.813 billion and $87.3 million ($1.82 per
diluted share), respectively. Reflecting results from
discontinued operations, the Company reported overall
2004 net income of $161.6 million ($3.40 per
diluted share), compared to 2003 net income of
$14.3 million ($0.30 per diluted share).
Revenues. UICIs revenues increased to
$2.058 billion in 2004 from $1.813 billion in 2003, an
increase of $245 million, or 13.5%. The Companys
revenues were particularly impacted by the following factors:
|
|
|
|
|
The Company generated a 17% increase in health premium revenue
(to $1.813 billion in 2004 from $1.547 billion in
2003), which increase resulted from new business, as well as
increased renewal business derived from new health business
originally written in 2001 and 2002. |
|
|
|
Life premiums and other considerations increased by 27%, to
$38.0 million in 2004 from $30.0 million in 2003. This
increase was attributable primarily to sales of newly-designed
life products through its relationships with its two independent
marketing companies. |
|
|
|
Due to a 10% year over year increase in invested assets,
investment income increased to $85.9 million in 2004
compared to $77.7 million in 2003. |
|
|
|
Other income (consisting primarily of income derived by the SEA
Division from ancillary services and membership marketing and
administrative services provided to the membership associations
that make available to their members the Companys health
insurance products) decreased by 4%, to $114.5 million in
2004 from $118.6 million in 2003. The decrease was
primarily related to a year over year decrease in new business
for which the Company receives membership marketing and
administrative fees. |
|
|
|
The Company recognized gains on sale of investments of
$6.7 million in 2004 compared to $39.7 million in
2003. The realized gains in 2003 resulted primarily from a
$40.4 million (pre-tax) gain generated in the fourth
quarter of 2003 on the sale of a substantial portion of the
Companys stake in AMLI Residential. |
Expenses. UICIs total expenses increased to
$1.837 billion in 2004 from $1.681 billion in 2003, an
increase of $156.0 million, or 9%. The Companys
expenses were particularly impacted by the following factors:
|
|
|
|
|
Benefits, claims and settlement expenses increased by 8% to
$1.127 billion in 2004 from $1.040 billion in 2003.
Benefits, claims and settlement expenses grew at a rate lower
than premium revenues primarily as a result of a decrease in
loss ratio due in significant part to the reduction of claim
liabilities established in 2003 at the Companys SEA
Division in response to a rapid pay down of an excess pending
claims inventory. The actual claim payment experience during
2004 with respect to prior periods at the SEA Division was lower
than originally estimated when the claim liabilities were
established in 2003. |
|
|
|
Underwriting costs, policy acquisition costs and insurance
expenses increased by 12% to $632.1 million in 2004 from
$563.6 million in 2003, reflecting the increase in premium
revenue, offset by the establishment in 2003 of significant
accruals associated with then-pending litigation. |
|
|
|
The Company maintains for the benefit of its employees and
independent agents various stock-based compensation plans, in
connection with which it records non-cash variable stock-based
compensation expense (benefit) in amounts that depend and
fluctuate based upon the market performance of the
Companys common stock. In 2004, the Company recognized a
non-cash stock based compensation expense in the amount of
$(14.3) million, compared to non-cash stock based
compensation benefit of $459,000 in 2003, principally due to the
higher average price of UICI shares in 2004 compared to the
average share price in 2003. |
27
|
|
|
|
|
Other expenses (consisting primarily of direct expenses incurred
by the Company in connection with providing ancillary services
and membership marketing and administrative services provided to
the membership associations that make available to their members
the Companys health insurance products) decreased by 18%,
to $59.8 million in 2004 from $73.4 million in 2003.
The decrease is attributed to the decrease in enrollment of new
association memberships relative to existing memberships; the
direct expenses related to new ancillary services are higher
than the costs of maintaining these ancillary services for
existing business. |
|
|
|
Total interest expense increased by 13%, to $3.4 million in
2004 from $3.0 million in 2003, primarily due to an
increase in the borrowing rates associated with student loan
borrowings (consisting of borrowings incurred to fund student
loan obligations under the Companys College Fund Life
Division program see Note H of Notes to
Consolidated Financial Statements). |
Operating Income. Income from continuing operations
before federal income taxes (operating income)
increased by 68%, to $221.1 million in 2004 from
$131.9 million in 2003. As discussed more fully below, the
Companys 2004 results from continuing operations benefited
from a significant year-over-year increase in operating income
at its SEA Division (from $109.1 million in 2003 to
$260.7 million in 2004). Operating income generated by the
SEA Division was offset in part by significant operating losses
in 2004 at the Companys Student Insurance Division and an
increase in non-cash variable stock-based compensation expense.
The Companys business segments for financial reporting
purposes include (a) the Insurance segment, which includes
the businesses of the Companys Self-Employed Agency
Division, the Student Insurance Division, the Star HRG Division,
the Life Insurance Division and Other Insurance; and
(b) Other Key Factors, which includes investment income not
allocated to the Insurance segment, realized gains or losses on
sale of investments, interest expense on corporate debt, general
expenses relating to corporate operations, minority interest,
variable stock-based compensation and operations that do not
constitute reportable operating segments (including the
Companys investment in Healthaxis, Inc. until sold on
September 30, 2003).
For purposes of segment reporting, the Company had previously
reported the results of its Student Insurance Division and Star
HRG Division as one business unit referred to as its Group
Insurance Division. Effective October 1, 2004, the
Company began separately reporting the results of the Student
Insurance Division and Star HRG Division.
28
Operating income (loss) for each of the Companys business
segments and divisions in 2004 and 2003 was as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Operating income (loss)
|
|
|
|
|
|
|
|
|
Insurance:
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
260,745 |
|
|
$ |
109,079 |
|
|
|
Student Insurance Division
|
|
|
(49,482 |
) |
|
|
(9,783 |
) |
|
|
Star HRG Division
|
|
|
3,320 |
|
|
|
1,910 |
|
|
|
Life Insurance Division
|
|
|
4,362 |
|
|
|
(2,350 |
) |
|
|
Other Insurance(1)
|
|
|
1,415 |
|
|
|
(705 |
) |
|
|
|
|
|
|
|
|
|
|
Total Insurance
|
|
|
220,360 |
|
|
|
98,151 |
|
Other Key Factors Investment income on equity,
realized gains and losses, general corporate expenses and other
(including interest on corporate debt)
|
|
|
15,096 |
|
|
|
33,306 |
|
|
Variable stock-based compensation
|
|
|
(14,307 |
) |
|
|
459 |
|
|
|
|
|
|
|
|
|
|
|
Total Other Key Factors
|
|
|
789 |
|
|
|
33,765 |
|
|
|
|
|
|
|
|
|
|
|
Total operating income
|
|
$ |
221,149 |
|
|
$ |
131,916 |
|
|
|
|
|
|
|
|
|
|
(1) |
Reflects results of a subsidiary (ZON Re USA LLC) established in
the third quarter of 2003 to underwrite, administer and issue
accidental death, accidental death and dismemberment (AD&D),
accident medical and accident disability insurance products,
both on a primary and on a reinsurance basis. |
29
Self-Employed Agency Division. Set forth below is certain
summary financial and operating data for the Companys
Self-Employed Agency (SEA) Division for each of the
three most recent fiscal years:
|
|
|
Self-Employed Agency Division |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
|
|
Percentage | |
|
|
|
Percentage | |
|
|
|
|
|
|
Increase | |
|
|
|
Increase | |
|
|
|
|
2004 | |
|
(Decrease) | |
|
2003 | |
|
(Decrease) | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenues
|
|
$ |
1,355,328 |
|
|
|
14 |
% |
|
$ |
1,192,688 |
|
|
|
31 |
% |
|
$ |
911,318 |
|
|
Investment income(1)
|
|
|
33,640 |
|
|
|
8 |
% |
|
|
31,230 |
|
|
|
16 |
% |
|
|
26,978 |
|
|
Other income
|
|
|
103,871 |
|
|
|
(4 |
)% |
|
|
108,519 |
|
|
|
11 |
% |
|
|
97,611 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
1,492,839 |
|
|
|
12 |
% |
|
|
1,332,437 |
|
|
|
29 |
% |
|
|
1,035,907 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits expenses
|
|
|
736,678 |
|
|
|
0 |
% |
|
|
736,101 |
|
|
|
29 |
% |
|
|
571,814 |
|
|
Underwriting and acquisition expenses
|
|
|
445,737 |
|
|
|
4 |
% |
|
|
428,403 |
|
|
|
29 |
% |
|
|
333,058 |
|
|
Other expenses(1)
|
|
|
49,679 |
|
|
|
(16 |
)% |
|
|
58,854 |
|
|
|
26 |
% |
|
|
46,840 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
1,232,094 |
|
|
|
1 |
% |
|
|
1,223,358 |
|
|
|
29 |
% |
|
|
951,712 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income
|
|
$ |
260,745 |
|
|
|
139 |
% |
|
$ |
109,079 |
|
|
|
30 |
% |
|
$ |
84,195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio(2)
|
|
|
54.4 |
% |
|
|
(12 |
)% |
|
|
61.7 |
% |
|
|
(2 |
)% |
|
|
62.7 |
% |
|
Expense ratio(2)
|
|
|
32.9 |
% |
|
|
(8 |
)% |
|
|
35.9 |
% |
|
|
(2 |
)% |
|
|
36.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined health ratio
|
|
|
87.3 |
% |
|
|
(11 |
)% |
|
|
97.6 |
% |
|
|
(2 |
)% |
|
|
99.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating margin(3)
|
|
|
19.2 |
% |
|
|
111 |
% |
|
|
9.1 |
% |
|
|
(1 |
)% |
|
|
9.2 |
% |
|
Average number of writing agents in period
|
|
|
2,329 |
|
|
|
(9 |
)% |
|
|
2,551 |
|
|
|
(0 |
)% |
|
|
2,563 |
|
|
Submitted annualized volume(4)
|
|
$ |
860,377 |
|
|
|
(4 |
)% |
|
$ |
895,159 |
|
|
|
(4 |
)% |
|
$ |
929,256 |
|
|
|
(1) |
Allocations of investment income and certain general expenses
are based on a number of assumptions and estimates, and the
business divisions reported operating results would change
if different methods were applied. |
|
(2) |
The health loss ratio represents benefits, claims and settlement
expenses related to health insurance policies stated as a
percentage of earned health premiums. The health expense ratio
represents underwriting, policy acquisition costs and insurance
expenses related to health insurance policies stated as a
percentage of earned health premiums. |
|
(3) |
Operating margin is defined as operating income as a percentage
of earned premium revenue. |
|
(4) |
Submitted annualized premium volume in any period is the
aggregate annualized premium amount associated with health
insurance applications submitted by the Companys agents in
such period for underwriting by the Company. |
The SEA Division reported operating income of
$260.7 million in 2004, compared to operating income of
$109.1 million in 2003. Operating income at the SEA
Division in 2004 was positively impacted by an increase in
earned premium revenue, reduced administration and commission
expenses as a percentage of earned premium, and a decrease in
loss ratio resulting from favorable claims experience. Earned
premium revenue at the SEA Division increased to
$1.355 billion in 2004 from $1.193 billion in 2003.
30
The SEA Divisions operating margin in 2004 was 19.2%,
compared to 9.1% in 2003. The significant year-over-year
increase in operating margin was attributable primarily to a
decrease in the loss ratio, a decrease in general administrative
expenses as a percentage of earned premium revenue and a
decrease in the effective commission rate (due to a decrease in
the amount of first year premium relative to renewal premium,
which carries a lower commission rate compared to commissions on
first year premium). In addition, 2003 results included a
$(25.0) million charge associated with a reassessment of
loss accrual established for certain then-pending litigation.
The decrease in loss ratio (from 61.7% in the full year 2003 to
54.4% in the full year 2004) was due in significant part to the
reduction in the amount of $47.8 million during 2004 of
claim liabilities established in 2003 in response to a rapid pay
down in 2003 of an excess pending claims inventory. The actual
claim payment experience during 2004 with respect to prior
periods was lower than originally estimated when the claim
liabilities were established in 2003. See discussion
below under the caption Critical Accounting Policies and
Estimates Claims
Liabilities Claims Liability
Development Experience. The decrease in loss ratio was
also due in part to lower levels of incurred claims in 2004
compared to the prior year. The Company currently anticipates
that loss ratios at the SEA Division will begin over time to
trend upward to historical levels.
Submitted annualized premium volume (i.e., the aggregate
annualized premium amount associated with health insurance
applications submitted by the Companys agents for
underwriting by the Company) decreased by 4% (to
$860.4 million in 2004 from $895.2 million in the
2003) compared to submitted annualized premium volume in the
corresponding period in 2003. The decrease in submitted
annualized premium volume in 2004 can be attributed to reduced
production at the Companys agencies, resulting primarily
from an 8.7% reduction in the average number of writing agents
in the field during 2004 compared to the prior year. The
Companys agencies took steps in the fourth quarter of 2004
to increase recruitment of new agents.
Results in 2004 at SEA include results at the Companys
HealthMarket unit, which was acquired by the Company in October
2004 and provides consumer driven health plans to the small
employer group market. Results at HealthMarket during 2004 were
not material to overall operating results at SEA.
31
Student Insurance Division. Set forth below is certain
summary financial and operating data for the Companys
Student Insurance Division for each of the three most recent
fiscal years:
|
|
|
Student Insurance Division |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
|
|
Percentage | |
|
|
|
Percentage | |
|
|
|
|
|
|
Increase | |
|
|
|
Increase | |
|
|
|
|
2004 | |
|
(Decrease) | |
|
2003 | |
|
(Decrease) | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenues
|
|
$ |
297,036 |
|
|
|
24 |
% |
|
$ |
239,574 |
|
|
|
49 |
% |
|
$ |
161,292 |
|
|
Investment income(1)
|
|
|
6,089 |
|
|
|
22 |
% |
|
|
5,008 |
|
|
|
30 |
% |
|
|
3,844 |
|
|
Other income
|
|
|
3,200 |
|
|
|
(29 |
)% |
|
|
4,489 |
|
|
|
96 |
% |
|
|
2,291 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
306,325 |
|
|
|
23 |
% |
|
|
249,071 |
|
|
|
49 |
% |
|
|
167,427 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits expenses
|
|
|
265,698 |
|
|
|
33 |
% |
|
|
200,510 |
|
|
|
64 |
% |
|
|
122,391 |
|
|
Underwriting and acquisition expenses(1)
|
|
|
90,109 |
|
|
|
54 |
% |
|
|
58,344 |
|
|
|
48 |
% |
|
|
39,451 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
355,807 |
|
|
|
37 |
% |
|
|
258,854 |
|
|
|
60 |
% |
|
|
161,842 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss)
|
|
$ |
(49,482 |
) |
|
|
NM |
|
|
$ |
(9,783 |
) |
|
|
NM |
|
|
$ |
5,585 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio(2)
|
|
|
89.4 |
% |
|
|
7 |
% |
|
|
83.7 |
% |
|
|
10 |
% |
|
|
75.9 |
% |
|
Expense ratio(2)
|
|
|
30.4 |
% |
|
|
25 |
% |
|
|
24.3 |
% |
|
|
0 |
% |
|
|
24.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined health ratio
|
|
|
119.8 |
% |
|
|
11 |
% |
|
|
108.0 |
% |
|
|
8 |
% |
|
|
100.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating margin(3)
|
|
|
(16.7 |
)% |
|
|
NM |
|
|
|
(4.1 |
)% |
|
|
NM |
|
|
|
3.5 |
% |
|
|
(1) |
Allocations of investment income and certain general expenses
are based on a number of assumptions and estimates, and the
business divisions reported operating results would change
if different methods were applied. |
|
(2) |
The health loss ratio represents benefits, claims and settlement
expenses related to health insurance policies stated as a
percentage of earned health premiums. The health expense ratio
represents underwriting, policy acquisition costs and insurance
expenses related to health insurance policies stated as a
percentage of earned health premiums. |
|
(3) |
Operating margin is defined as operating income as a percentage
of earned premium revenue. |
NM: Not meaningful
The Companys Student Insurance Division (which offers
tailored health insurance programs that generally provide single
school year coverage to individual students at colleges and
universities) reported operating losses of $(49.5) million
in 2004, compared to operating losses of $(9.8) million in
2003. Results for 2004 at Student Insurance reflected an
increase in the loss ratio, which was primarily attributable to
a higher-than-expected amount of paid claims (which resulted
from the reduction of the Student Insurance units claims
inventory to levels more closely approximating historical
levels), the failure of the Companys claim system to
effectively utilize discounts afforded by the Companys
network provider contracts and to an impairment charge in the
amount of $(6.6) million principally associated with the
abandonment of computer hardware and software assets associated
with its claims processing system. The Company has taken steps
to modify its claims processing system to better utilize network
provider discounts.
Earned premium revenue at the Student Insurance unit increased
to $297.0 million in 2004 from $239.6 million in 2003
(a 24% increase). The Companys Student Insurance unit has
completed its 2004-2005
32
school year sales efforts, with respect to which it has imposed
significant rate increases. The impact of such rate increases
will not be fully realized until 2005.
Star HRG Division. Set forth below is certain summary
financial and operating data for the Companys Star HRG
Division for each of the three most recent fiscal years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
|
|
Percentage | |
|
|
|
Percentage | |
|
|
|
|
|
|
Increase | |
|
|
|
Increase | |
|
|
|
|
2004 | |
|
(Decrease) | |
|
2003 | |
|
(Decrease) | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenues
|
|
$ |
145,749 |
|
|
|
27 |
% |
|
$ |
114,428 |
|
|
|
40 |
% |
|
$ |
81,763 |
|
|
Investment income(1)
|
|
|
817 |
|
|
|
18 |
% |
|
|
695 |
|
|
|
20 |
% |
|
|
578 |
|
|
Other income
|
|
|
3,897 |
|
|
|
26 |
% |
|
|
3,090 |
|
|
|
68 |
% |
|
|
1,834 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
150,463 |
|
|
|
27 |
% |
|
|
118,213 |
|
|
|
40 |
% |
|
|
84,175 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits expenses
|
|
|
92,754 |
|
|
|
22 |
% |
|
|
75,951 |
|
|
|
60 |
% |
|
|
47,549 |
|
|
Underwriting and acquisition expenses(1)
|
|
|
54,389 |
|
|
|
35 |
% |
|
|
40,352 |
|
|
|
39 |
% |
|
|
29,056 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
147,143 |
|
|
|
27 |
% |
|
|
116,303 |
|
|
|
52 |
% |
|
|
76,605 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss)
|
|
$ |
3,320 |
|
|
|
74 |
% |
|
$ |
1,910 |
|
|
|
(75 |
)% |
|
$ |
7,570 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio(2)
|
|
|
63.6 |
% |
|
|
(4 |
)% |
|
|
66.4 |
% |
|
|
14 |
% |
|
|
58.2 |
% |
|
Expense ratio(2)
|
|
|
37.4 |
% |
|
|
6 |
% |
|
|
35.2 |
% |
|
|
(1 |
)% |
|
|
35.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined health ratio
|
|
|
101.0 |
% |
|
|
(1 |
)% |
|
|
101.6 |
% |
|
|
8 |
% |
|
|
93.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating margin(3)
|
|
|
2.3 |
% |
|
|
35 |
% |
|
|
1.7 |
% |
|
|
(82 |
)% |
|
|
9.3 |
% |
|
|
(1) |
Allocations of investment income and certain general expenses
are based on a number of assumptions and estimates, and the
business divisions reported operating results would change
if different methods were applied. |
|
(2) |
The health loss ratio represents benefits, claims and settlement
expenses related to health insurance policies stated as a
percentage of earned health premiums. The health expense ratio
represents underwriting expenses, policy acquisition costs and
insurance expenses related to health insurance policies stated
as a percentage of earned health premiums. |
|
(3) |
Operating margin is defined as operating income as a percentage
of earned premium revenue. |
The Companys Star HRG Division (which designs, markets and
administers limited benefit health insurance plans for entry
level, high turnover, and hourly employees) reported operating
income for 2004 of $3.3 million, compared to operating
income of $1.9 million in 2003. Profitability in 2004 was
positively impacted by a decrease (to 63.6% in 2004 from 66.4%
in 2003) in the loss ratio associated with the Star HRG book of
business, which decreases can be attributed to rate increases
implemented during 2004. The decrease in loss ratio in 2004 was
partially offset by higher-than-expected administrative expenses
(which were associated with certain technology initiatives) and
increased marketing costs associated with new market initiatives.
Earned premium revenue at Star HRG increased to
$145.7 million in 2004 from $114.4 million in 2003 (a
27% increase).
33
Life Insurance Division. Set forth below is certain
summary financial and operating data for the Companys Life
Insurance Division for each of the three most recent fiscal
years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
|
|
Percentage | |
|
|
|
Percentage | |
|
|
|
|
|
|
Increase | |
|
|
|
Increase | |
|
|
|
|
2004 | |
|
(Decrease) | |
|
2003 | |
|
(Decrease) | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
|
|
(Dollars in thousands) | |
|
|
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenues
|
|
$ |
38,660 |
|
|
|
27 |
% |
|
$ |
30,366 |
|
|
|
(21 |
)% |
|
$ |
38,557 |
|
|
Investment income(1)
|
|
|
27,625 |
|
|
|
(10 |
)% |
|
|
30,610 |
|
|
|
(11 |
)% |
|
|
34,207 |
|
|
Other income
|
|
|
1,861 |
|
|
|
51 |
% |
|
|
1,236 |
|
|
|
(25 |
)% |
|
|
1,655 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
68,146 |
|
|
|
10 |
% |
|
|
62,212 |
|
|
|
(16 |
)% |
|
|
74,419 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits expenses
|
|
|
25,770 |
|
|
|
(4 |
)% |
|
|
26,971 |
|
|
|
(18 |
)% |
|
|
32,738 |
|
|
Underwriting and acquisition expenses(1)
|
|
|
35,680 |
|
|
|
0 |
% |
|
|
35,678 |
|
|
|
15 |
% |
|
|
30,903 |
|
|
Interest expense
|
|
|
2,334 |
|
|
|
22 |
% |
|
|
1,913 |
|
|
|
(29 |
)% |
|
|
2,681 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
63,784 |
|
|
|
(1 |
)% |
|
|
64,562 |
|
|
|
(3 |
)% |
|
|
66,322 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss)
|
|
$ |
4,362 |
|
|
|
286 |
% |
|
$ |
(2,350 |
) |
|
|
(129 |
)% |
|
$ |
8,097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Allocations of investment income and certain general expenses
are based on a number of assumptions and estimates, and the
business divisions reported operating results would change
if different methods were applied. |
The Companys Life Insurance Division reported operating
income in 2004 of $4.4 million, compared to an operating
loss of $(2.4) million in 2003. The operating loss at the
Companys Life Insurance Division in 2003 was primarily
attributable to a claim accrual increase associated with the
Companys former workers compensation business, a charge
associated with the final resolution of litigation arising out
of the closedown in 2001 of the Companys former workers
compensation business and costs associated with the closedown of
the Companys College Fund Life Division operations.
The Company determined that, effective May 31, 2003, it
would no longer issue new life insurance policies under the
College Fund Life Division program and, effective
June 30, 2003, it ceased all operations at the
Companys Norcross, Georgia facility. In connection with
such closedown and relocation to the Oklahoma City office, the
Company incurred exit costs (consisting primarily of employee
severance and relocation expenses and lease termination costs)
in the amount of approximately $1.1 million which costs
were expensed as incurred in 2003.
During 2004, 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
$32.7 million, compared to $9.8 million in 2003,
reflecting the ramping up of sales of the Companys new
life products that were introduced to the market in the second
half of 2003.
Other Insurance. During 2003, through a newly formed
company, ZON Re USA LLC (an 82.5%-owned subsidiary), we began to
underwrite, administer and issue accidental death, accidental
death and dismemberment (AD&D), accident medical and
accident disability insurance products, both on a primary and on
a reinsurance basis. In 2004, ZON Re generated revenues and
operating income of $14.4 million and $1.4 million,
respectively.
Other Key Factors. The Other Key Factors segment includes
investment income not allocated to the Insurance segment,
realized gains or losses on sale of investments, interest
expense on corporate debt, general
34
expenses relating to corporate operations, minority interest,
variable stock-based compensation and operations that do not
constitute reportable operating segments (including the
Companys investment in Healthaxis, Inc. until sold on
September 30, 2003).
The Companys Other Key Factors segment reported operating
income of $789,000 in 2004, compared to operating income of
$33.8 million in 2003. The decrease in operating income in
the Other Key Factors segment in 2004 was primarily attributable
to a $32.1 million decrease in net realized gains (from
$39.7 million in net realized gains in 2003 to
$7.6 million in net realized gains in 2004) and a
$(14.8) million year-over-year increase (from a benefit in
2003 of $459,000 to an expense in 2004 of $(14.3) million,
or $(0.20) per diluted share, net of tax) in the expense related
to variable stock-based compensation associated with the various
stock accumulation plans established by the Company for the
benefit of its independent agents. See Note M of
Notes to Consolidated Financial Statements Agent
Stock Accumulation Plans. In connection with these plans,
the Company records non-cash variable stock-based compensation
expense (or records a benefit) in amounts that depend and
fluctuate based upon the market performance of the
Companys common stock. These unfavorable factors were
offset by an $8.2 million increase in 2004 in investment
income on equity and a reduction of general corporate expenses
of $3.4 million. Results in 2003 reflected the recognition
of realized gains in the amount of $40.4 million (pre-tax)
relating to the sale of a substantial portion of the
Companys stake in AMLI Residential and a loss of
$(2.2) million, representing the Companys share of
operating losses attributable to its investment in Healthaxis,
Inc. (which the Company sold in the third quarter of 2003).
The Companys reported results in 2004 and 2003 reflected
income (loss) (net of tax) from discontinued operations
(consisting of the Companys AMS unit, its Senior Market
Division and its Special Risk Division) in the amount of
$15.7 million ($0.33 per diluted share) and
$(73.0) million ($(1.52) per diluted share), respectively.
Results from discontinued operations for the full year 2004
reflected a favorable resolution of a dispute relating to its
former Special Risk Division (which resulted in pre-tax income
in the amount of $10.7 million recorded in the second
quarter of 2004), a tax benefit associated with the reduction of
a tax accrual and the release of a portion of the valuation
allowance on the capital loss carryover due to the realization
of capital gains during 2004, and a pre-tax gain recorded in the
first quarter of 2004 in the amount of $7.7 million
generated from the sale of the remaining uninsured student loan
assets formerly held by the Companys former Academic
Management Services Corp subsidiary (which the Company disposed
of in November 2003). These favorable factors were offset in
part by the recording in the second quarter of 2004 of a loss
accrual with respect to multiple lawsuits that were filed
arising out of UICIs announcement in July 2003 of a
shortfall in the type and amount of collateral supporting
securitized student loan financing facilities of the
Companys former AMS subsidiary.
Results from discontinued operations in 2003 included losses
(net of tax) from AMS in the amount of $(64.2) million
(which included a $(61.2) million expense reflecting the
estimated loss on disposal recorded in the third quarter of
2004) and the costs associated with the close down of the
Companys former Senior Market Division.
UICI reported revenues and income from continuing operations in
2003 of $1.813 billion and $87.3 million
($1.82 per diluted share), respectively, compared to 2002
revenues and income from continuing operations of
$1.376 billion and $51.1 million ($1.05 per
diluted share), respectively.
The Company reported net income in 2003 in the amount of
$14.3 million ($0.30 per diluted share), compared to
net income of $46.9 million ($0.96 per diluted share)
in 2002. Reported net income included income (losses) from
discontinued operations in 2003 and 2002 in the amount of
$(73.0) million ($(1.52) per diluted share) and $953,000
($0.02 per diluted share), respectively. Overall results in
the full year ended December 31, 2002 also included a
goodwill impairment charge in the amount of $(5.1) million
(net of tax)
35
($(0.11) per diluted share), which was reflected as a cumulative
effect of a change in accounting principle in accordance with
Financial Accounting Standards Board (FASB)
Statement No. 142, Goodwill and Other Intangible
Assets.
Revenues. UICIs revenues increased to
$1.813 billion in 2003 from $1.376 billion in 2002, an
increase of $437.5 million, or 32%. The Companys
revenues were particularly impacted by the following factors:
|
|
|
|
|
The Company generated a significant increase in health premium
revenue (to $1.547 billion in 2003 from $1.161 billion
in 2002, an increase of $385.9 million, or 33%) which
resulted from new business as well as increased renewal business
derived from new health business originally written in 2001 and
2002. |
|
|
|
Life premiums and other considerations decreased by 5% to
$30.0 million in 2003 from $31.5 million in 2002. This
decrease resulted primarily from reduced premiums and other
considerations from closed blocks of life and annuity business
and the termination of sales (in May 2003) of the Companys
life policies through its former College Fund Life Division. |
|
|
|
Despite a 16.8% increase in invested assets over the year ended
December 31, 2003, investment income remained relatively
constant ($77.7 million in 2003 compared to
$80.8 million in 2002) due to a decrease in yield on
invested assets resulting from lower prevailing market interest
rates. |
|
|
|
Other income (consisting primarily of income derived by the SEA
Division from ancillary services and membership marketing and
administrative services provided to the membership associations
that make available to their members the Companys health
insurance products) increased by 10% to $118.6 million in
2003 from $107.5 million in 2002. Other income is directly
related to sales of health insurance by the SEA Division and, as
a result, the Company benefited from strong renewal income from
health business originally written 2001 and 2002. |
|
|
|
The Company recognized gains on sale of investments of
$39.7 million in 2003 compared to losses of
$(5.6) million in 2002, which increase resulted primarily
from a $40.4 million (pre-tax) gain generated in the fourth
quarter of 2003 on the sale of a substantial portion of the
Companys stake in AMLI Residential. Results in 2002
reflected impairment charges for certain fixed income securities
in the amount of $(14.7) million. The impairment charges
were partially offset by realized gains associated with other
securities in the portfolio. |
Expenses. UICIs total expenses increased to
$1.681 billion in 2003 from $1.299 billion in 2002, an
increase of $382.3 million, or 29%. The Companys
expenses were particularly impacted by the following factors:
|
|
|
|
|
Benefits, claims and settlement expenses increased by 34% to
$1.040 billion in 2003 from $774.5 million in 2002.
Benefits, claims and settlement expenses grew faster than
premium revenues primarily as a result of less than favorable
experience in our Student Insurance division and charges related
to increases in claim liabilities and final resolution of
certain litigation in the Life Division. |
|
|
|
Underwriting, policy acquisition costs and insurance expenses
increased by 30% to $563.6 million in 2003 from
$432.5 million in 2002, consistent with the increase in
premium revenue. |
|
|
|
The Company maintains for the benefit of its employees and
independent agents various stock-based compensation plans, in
connection with which it records non-cash variable stock-based
compensation (expense) benefit in amounts that depend and
fluctuate based upon the market performance of the
Companys common stock. In 2003 the Company recognized a
stock based compensation benefit in the amount of $459,000,
compared to stock based compensation expense of
$(16.3) million in 2002, principally due to the lower
average price of UICI shares in 2003 compared to the average
share price in 2002. |
36
|
|
|
|
|
Other expenses (consisting primarily of direct expenses incurred
by the Company in connection with providing ancillary services
and membership marketing and administrative services provided to
the membership associations that make available to their members
the Companys health insurance products) increased by 19%,
to $73.4 million in 2003 from $61.9 million in 2002. |
|
|
|
Total interest expense decreased by 27%, to $3.0 million in
2003 from $4.1 million in 2002, primarily due to a decrease
in interest expense associated with student loan borrowings
(consisting of borrowings incurred to fund student loan
obligations under the Companys College Fund Life
Division program see Note H of Notes to
Consolidated Financial Statements), which decrease resulted from
a decline in prevailing market interest rates. |
Operating Income. Income from continuing operations
before federal income taxes (operating income)
increased by 72%, to $131.9 million in 2003 from
$76.8 million in 2002. As discussed more fully below, the
Companys 2003 results from continuing operations benefited
from a 30% year-over-year increase in operating income at its
SEA Division (from $84.2 million in 2002 to
$109.1 million in 2003) and a pre-tax gain in the amount of
$40.4 million ($26.2 million or $0.55 per diluted
share, net of tax) recognized in the fourth quarter of 2003
associated with the sale of a substantial portion of the
Companys stake in AMLI Residential. These favorable
factors were offset by operating losses in 2003 at the
Companys Student Insurance and Life Insurance operations.
The Companys business segments for financial reporting
purposes include (a) the Insurance segment, which includes
the businesses of the Companys Self-Employed Agency
Division, the Student Insurance Division, the Star HRG Division,
the Life Insurance Division and Other Insurance; and
(b) Other Key Factors, which includes investment income not
allocated to the Insurance segment, realized gains or losses on
sale of investments, interest expense on corporate debt, general
expenses relating to corporate operations, minority interest,
variable stock-based compensation and operations that do not
constitute reportable operating segments (including the
Companys investment in Healthaxis, Inc. until sold on
September 30, 2003).
For segment reporting, the Company had previously reported the
Student Insurance Division and Star HRG Division as one business
unit referred to as Group Insurance Division.
Effective October 1, 2004, the Company began reporting the
results of the Group Insurance Division as two business units,
the Student Insurance Division and Star HRG Division.
37
Operating income (loss) for each of the Companys business
segments and divisions in 2003 and 2002 was as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Operating income (loss)
|
|
|
|
|
|
|
|
|
Insurance:
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
109,079 |
|
|
$ |
84,195 |
|
|
|
Student Insurance Division
|
|
|
(9,783 |
) |
|
|
5,585 |
|
|
|
Star HRG Division
|
|
|
1,910 |
|
|
|
7,570 |
|
|
|
Life Insurance Division
|
|
|
(2,350 |
) |
|
|
8,097 |
|
|
|
Other Insurance(1)
|
|
|
(705 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance
|
|
|
98,151 |
|
|
|
105,447 |
|
Other Key Factors Investment income on equity,
realized gains and losses, general corporate expenses and other
(including interest on non-student loan indebtedness)
|
|
|
33,306 |
|
|
|
(12,376 |
) |
|
Variable stock-based compensation
|
|
|
459 |
|
|
|
(16,312 |
) |
|
|
|
|
|
|
|
|
|
|
Total Other Key Factors
|
|
|
33,765 |
|
|
|
(28,688 |
) |
|
|
|
|
|
|
|
|
|
|
Total operating income
|
|
$ |
131,916 |
|
|
$ |
76,759 |
|
|
|
|
|
|
|
|
|
|
(1) |
Reflects results of a subsidiary (ZON Re USA LLC) established in
the third quarter of 2003 to underwrite, administer and issue
accidental death, accidental death and dismemberment (AD&D),
accident medical and accident disability insurance products,
both on a primary and on a reinsurance basis. |
Self-Employed Agency Division. The SEA Divisions
30% year-over-year increase in operating income (to
$109.1 million in 2003 from $84.2 million in 2002) was
driven by a 31% increase in earned premium revenue (to
$1.193 billion in 2003 from $911.3 million in 2002).
The increase in earned premium revenue in 2003 was primarily
attributable to earned premiums associated with renewals of
business originally written in 2001 and 2002. Submitted
annualized premium volume decreased in 2003 to
$895.2 million from $929.3 million in 2002.
Results at the SEA Division in 2003 included a
$(25.0) million charge associated with the reassessment of
loss accruals established for certain pending litigation. See
Note L of Notes to Consolidated Financial Information.
Operating margin (operating income as a percentage of earned
premium revenue) remained relatively constant (9.1% in 2003 and
9.2% in 2002).
Student Insurance Division. Operating losses at the
Student Insurance Division in 2003 were attributable to
unfavorable claim experience. In the third quarter of 2003, the
Company recorded a $(13.1) million ($(8.5) million net
of tax, or $(0.18) per diluted share) charge, substantially all
of which was attributable to unfavorable claims experience.
Because Student Insurance policies are issued on a single school
year basis and the 2003-2004 school year commenced in August
2003, the Student Insurance Division was limited in its ability
to reprice its overall book of business until August 2004.
Star HRG Division. Operating income at the Star HRG
Division decreased in 2003 to $1.9 million from
$7.6 million in 2002. This decrease in operating income was
due mostly to unfavorable claims experience.
Life Insurance Division. The operating losses at the
Companys Life Insurance Division in 2003 were primarily
attributable to a claim accrual increase associated with the
Companys former workers compensation business, a charge
associated with the final resolution of litigation arising out
of the closedown in 2001 of the
38
Companys former workers compensation business, costs
associated with the closedown of the Companys College
Fund Life Division operations and a decrease in investment
income allocated to the division.
The Company determined that, effective May 31, 2003, it
would no longer issue new life insurance policies under the
College Fund Life Division program and, effective
June 30, 2003, it ceased all operations at the
Companys Norcross, Georgia facility. In connection with
such closedown and relocation to the Oklahoma City office, the
Company incurred exit costs (consisting primarily of employee
severance and relocation expenses and lease termination costs)
in the amount of approximately $1.1 million which costs
were expensed as incurred in 2003.
Other Insurance. In the third quarter of 2003, the
Company established a subsidiary (ZON Re USA, LLC) to
underwrite, administer and issue accidental death, accidental
death and dismemberment (AD&D), accident medical and
accident disability insurance products, both on a primary and on
a reinsurance basis. At December 31, 2003, the results of
the start up operation were not material to the consolidated
results of operations of the Company.
Other Key Factors. The Other Key Factors category
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, minority interest, variable stock-based
compensation and operations that do not constitute reportable
operating segments (including the Companys investment in
Healthaxis, Inc. until sold on September 30, 2003)
For the year ended December 31, 2003, Other Key Factors
reported operating income of $33.8 million, compared to an
operating loss of $(28.7) million in 2002. The increase in
operating income for the year ended December 31, 2003 was
attributable to various factors, including a gain in the amount
of $40.4 million realized in the fourth quarter of 2003
upon the sale by the Company of a substantial portion of its
stake in AMLI Residential and non-cash stock-based compensation
income attributable to the Companys stock accumulation
plans in the aggregate amount of $459,000 (see discussion
below). These favorable factors in 2003 were offset by a
decrease of $5.3 million in investment income not allocated
to the Insurance segment (which in turn resulted from a decrease
in yield on invested assets).
Effective September 30, 2003, the Company sold back to HAI
its entire 48.27% equity interest in HAI for a total sale price
of $3.9 million, of which $500,000 was paid in cash at
closing and the balance was paid by delivery of a promissory
note payable to the Company in the amount of $3.4 million.
The Company recognized a nominal loss for financial reporting
purposes in connection with the sale.
Prior to disposal, the Company accounted for its investment in
HAI utilizing the equity method and, accordingly, recognized its
ratable share of HAI income and loss. See Note B of
Notes to Consolidated Financial Statements. For the year ended
December 31, 2002, the total HAI loss in the amount of
$(9.6) million reflected the Companys share of
HAIs operating losses of $(3.1) million plus a
$(6.5) million impairment charge related to the adjustment
to the carrying value of the Companys investment in HAI
taken in the second quarter of 2002.
The Companys reported results in 2003 and 2002 reflected
income (loss) (net of tax) from discontinued operations
(consisting of the Companys AMS unit, its Senior Market
Division, its Special Risk Division, its former sub-prime credit
card unit and its third party administration
(TPA) business) in the amount of $(73.0) million
($(1.52) per diluted share), and $953,000 ($0.02 per
diluted share), respectively. Results from discontinued
operations in 2003 included significant losses (net of tax) from
AMS in the amount of $(64.2) million (which included a
$(61.2) million expense reflecting the estimated loss on
disposal recorded in the third quarter of 2003) and the costs
associated with the close down of the Companys former
Senior Market Division.
For the year ended December 31, 2003 and 2002, AMS reported
earnings (losses) (net of tax) in the amount of
$(64.2) million and $5.3 million, respectively.
Reflecting the anticipated sale of AMS, the
39
Company recorded during the third quarter of 2003 an estimated
loss upon disposal of AMS in the amount of $(61.2) million.
In 2003, the Company reported losses associated with the former
Senior Market Division in the amount of $(9.2) million (net
of tax), compared to losses in the amount of $(5.0) million
(net of tax) in 2002. The losses in 2003 were primarily
attributable to a loss of $(5.5) million (net of tax)
recognized in the second quarter of 2003 upon sale of the
Companys interest in the agency through which the Company
formerly marketed and distributed insurance products to the
senior market, a write off of impaired assets, operating losses
incurred at the Senior Market Division through the close-down
date and costs associated with the wind down and closing of the
operations.
Variable Stock-Based Compensation
The Company sponsors a series of stock accumulation plans
established for the benefit of the independent insurance agents
and independent sales representatives associated with its
independent agent field forces, including UGA
Association Field Services and Cornerstone America. In
connection with these plans, the Company has from time to time
recorded and will continue to record non-cash variable
stock-based compensation expense in amounts that depend and
fluctuate based upon the market performance of the
Companys common stock. For financial reporting purposes,
the Company reflects all non-cash variable stock based
compensation associated with its agent stock plans in its
Other Key Factors business segment. See
Note M of Notes to Consolidated Financial Statements.
The accounting treatment of the Companys agent plans has
resulted and will continue to result in unpredictable non-cash
stock-based compensation charges, primarily dependent upon
future fluctuations in the quoted price of UICI common stock.
These unpredictable fluctuations in stock based compensation
charges may result in material non-cash fluctuations in the
Companys results of operations. Unvested benefits under
the agent plans vest in January of each year; accordingly, in
periods of general appreciation in the quoted price of UICI
common stock, the Companys cumulative liability, and
corresponding charge to income, for unvested stock-based
compensation is expected to be greater in each successive
quarter during any given year.
2003 Change in Claims and Future Benefit Liability
Estimates Self-Employed Agency Division
Effective January 1, 2003, the Companys SEA Division
made certain refinements to its claim and future benefit
liability estimates, the net effect of which decreased claim and
future policy benefit liabilities and correspondingly increased
operating income reported by the SEA Division in the amount of
$4.8 million in the first quarter of 2003. Set forth below
is a summary of the adjustments and changes in accounting
estimates made by the Company.
The Company has issued certain health policies with a
return-of-premium (ROP) rider, pursuant to
which the Company undertakes to return to the policyholder on or
after age 65 all premiums paid less claims reimbursed under
the policy. The ROP rider also provides that the policyholder
may receive a portion of the benefit prior to age 65. Prior
to January 1, 2003, the Company established a liability for
future ROP benefits, which liability was calculated by applying
mid-terminal reserve factors (calculated on two-year preliminary
term basis, using 5% interest, 1958 CSO mortality terminations,
and level future gross premiums) to the current premium on a
contract-by-contract basis. A claim offset was applied, on a
contract-by-contract basis, solely with respect to an older
closed block of policies, utilizing only claims paid to date,
with no assumption of future claims.
The Company records an ROP liability to fund longer-term
obligations associated with the ROP rider. This liability is
impacted both by the techniques utilized to calculate the
liability and the many assumptions underlying the calculation,
including interest rates, policy lapse rates, premium rate
increases on policies and assumptions with regard to claims
paid. The Company had previously utilized a simplified
estimation technique (described above) that it believed
generated an appropriate ROP liability in the aggregate.
40
However, the Company reviewed its ROP estimation technique in
order to determine if refinements to the technique were
appropriate. As a result of such review, and as more
particularly described in the paragraph below, effective
January 1, 2003, the ROP estimation technique was refined
to utilize new mid-terminal reserve factors (calculated on a net
level basis, using 4.5% interest, 1958 CSO mortality and
assuming 10% annual increases in future gross premiums) and to
apply these factors to the historical premium payments on a
contract-by-contract basis.
The net premium assumption was revised from two-year preliminary
term to net level in order to produce a more appropriate accrual
for the liability of the ROP benefits in relation to the
premiums. The interest rate assumption was reduced from 5% to
4.5% to reflect current investment yields. Since the ROP rider
is primarily attached to attained-age rated health insurance
products that are subject to periodic rate adjustment, the
Company has determined as part of its ongoing review of the ROP
estimation technique to increase its ROP liability to cover
reasonably foreseeable changes to the future gross premium.
Based on Company experience, the revised reserve factors
incorporate an assumption of a 10% average annual increase in
future gross premiums on such products. The estimation technique
was also refined to use historical premiums and anticipated
future premium increases in the calculation of future benefits
rather than calculating the liability only from the current
gross premium. Finally, a claim offset for actual benefits paid
through the reporting date is applied to the ROP liability for
all policies on a contract-by-contract basis. In the original
simplified estimation technique, the intent was to balance the
offsetting effects of applying the two-year preliminary term
factors to the current gross premiums, since the historical
premium information was not available. Changes to the technique
were made in 2003 when sufficient historical premium information
was available to refine the estimation calculation.
Substantially all of the effect of this change in estimating the
liability for future ROP benefits was attributable to the
refinement of adding the assumption of a 10% average annual
increase in the level of future gross premiums for attained-age
rated health insurance products.
As a result of these changes, the liability for future ROP
benefits increased, and operating income correspondingly
decreased, by $12.9 million during the first quarter of
2003.
Assumptions used in the estimation of the Companys ROP
liability, such as interest or the annual increases in future
gross premiums, will continue to be used in subsequent
accounting periods for those benefits already issued, including
the future gross premiums anticipated by the reserve factors.
Changes in assumptions may be applied to newly issued policies
as well as for adjustments in the level of premium for existing
policies other than those already anticipated. The new
assumptions used will be those appropriate at the time the
change is made.
The ROP liabilities in the amount of $86.0 million and
$83.4 million at December 31, 2004 and 2003,
respectively, are reflected in future policy and contract
benefits on the Companys consolidated balance sheet.
The SEA Division utilizes the developmental method to estimate
claims liabilities. Under the developmental method, completion
factors are applied to claim payments in order to estimate the
ultimate claim payments. These completion factors are derived
from historical experience and are dependent on the incurred
dates of the claim payments.
Prior to January 1, 2003, the Company utilized the original
incurred date coding definition to establish the date a policy
claim is incurred under the developmental method. Under the
original incurred date coding definition, prior to the end of
the period in which a health policy claim was made, the Company
estimated and recorded a liability for the cost of all medical
services related to the accident or sickness relating to the
claim, even though the medical services associated with such
accident or sickness might not be rendered to the insured until
a later financial reporting period.
Due to the anticipation of a future increase in the level of
favorable development associated with the growth in business,
the SEA Division undertook an analysis of the liability
estimation process. The Company believes that the developmental
method is the standard methodology within the health insurance
industry and therefore re-evaluated the key assumptions utilized
under this method. As the Company gained more
41
experience with the older blocks of business, the original
incurred date coding assumption was re-examined. This
re-examination resulted in the decision to utilize a new
incurred date definition instead of the original incurred date
definition for purposes of estimating claim liabilities for the
SEA Division.
Effective January 1, 2003, the Company implemented a new
incurred date coding definition to establish incurred dates
under the developmental method in the SEA Division. Under this
new incurred date coding definition, a break in service of more
than six months will result in the establishment of a new
incurred date for subsequent services. In addition, under this
new incurred date coding definition, claim payments continuing
more than thirty-six months without a six month break in service
will result in the establishment of a new incurred date. This
change in the incurred date definition assumption resulted in a
reduction in the estimated claim liabilities at the SEA
Division, and a corresponding increase in operating income, in
the amount of $12.3 million during the first quarter of
2003.
|
|
|
Other Changes in Estimate |
Several refinements in the claims liability calculation, all of
which were treated as changes in accounting estimates, resulted
in a further reduction of the claims liability, and
corresponding increase in operating income, in the amount of
$5.4 million during the first quarter of 2003. This
reduction in the claims liability was attributable primarily to
the effects of a change in estimate of the liability for excess
pending claims. This change was necessary to maintain
consistency with the historical data underlying the calculation
of the new completion factors used in the claim development
calculation. These completion factors are based on more recent
experience with claims payments than the previous factors. This
more recent experience has a greater number of pending claims.
As a result, the new completion factors have built in a higher
level of liabilities for pending claims. The release of a
portion of the excess pending claims liability reflects the
additional pending claims included in the completion factors.
Quarterly Results
The following table presents the information for each of the
Companys fiscal quarters in 2004 and 2003. This
information is unaudited and has been prepared on the same basis
as the audited Consolidated Financial Statements of the Company
included herein and, in managements opinion, reflects all
adjustments necessary for a fair presentation of the information
for the periods presented. The operating results for any quarter
are not necessarily indicative of results for any future period.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quarter Ended | |
|
|
| |
|
|
December 31, | |
|
September 30, | |
|
June 30, | |
|
March 31, | |
|
December 31, | |
|
September 30, | |
|
June 30, | |
|
March 31, | |
|
|
2004 | |
|
2004 | |
|
2004 | |
|
2004 | |
|
2003 | |
|
2003 | |
|
2003 | |
|
2003 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands except per share amounts) | |
Income Statement Data: |
Revenues from continuing operations
|
|
$ |
538,064 |
|
|
$ |
513,166 |
|
|
$ |
511,980 |
|
|
$ |
494,696 |
|
|
$ |
517,707 |
|
|
$ |
453,567 |
|
|
$ |
430,748 |
|
|
$ |
411,183 |
|
Income from continuing operations before federal income taxes
|
|
|
66,890 |
|
|
|
49,131 |
|
|
|
55,115 |
|
|
|
50,013 |
|
|
|
59,730 |
|
|
|
20,802 |
|
|
|
20,387 |
|
|
|
30,997 |
|
Income from continuing operations
|
|
|
43,967 |
|
|
|
33,269 |
|
|
|
35,947 |
|
|
|
32,698 |
|
|
|
40,014 |
|
|
|
13,806 |
|
|
|
13,294 |
|
|
|
20,210 |
|
Income (loss) from discontinued operations
|
|
|
1,904 |
|
|
|
1,623 |
|
|
|
6,457 |
|
|
|
5,693 |
|
|
|
(273 |
) |
|
|
(67,101 |
) |
|
|
(6,509 |
) |
|
|
893 |
|
Net income (loss)
|
|
$ |
45,871 |
|
|
$ |
34,892 |
|
|
$ |
42,404 |
|
|
$ |
38,391 |
|
|
$ |
39,741 |
|
|
$ |
(53,295 |
) |
|
$ |
6,785 |
|
|
$ |
21,103 |
|
42
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quarter Ended | |
|
|
| |
|
|
December 31, | |
|
September 30, | |
|
June 30, | |
|
March 31, | |
|
December 31, | |
|
September 30, | |
|
June 30, | |
|
March 31, | |
|
|
2004 | |
|
2004 | |
|
2004 | |
|
2004 | |
|
2003 | |
|
2003 | |
|
2003 | |
|
2003 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands except per share amounts) | |
Per Share Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (loss)
per common share: |
|
Income from continuing operations
|
|
$ |
0.96 |
|
|
$ |
0.72 |
|
|
$ |
0.78 |
|
|
$ |
0.70 |
|
|
$ |
0.86 |
|
|
$ |
0.30 |
|
|
$ |
0.29 |
|
|
$ |
0.43 |
|
|
Income (loss) from discontinued operations
|
|
|
0.04 |
|
|
|
0.04 |
|
|
|
0.14 |
|
|
|
0.12 |
|
|
|
(0.00 |
) |
|
|
(1.45 |
) |
|
|
(0.14 |
) |
|
|
0.02 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
1.00 |
|
|
$ |
0.76 |
|
|
$ |
0.92 |
|
|
$ |
0.82 |
|
|
$ |
0.86 |
|
|
$ |
(1.15 |
) |
|
$ |
0.15 |
|
|
$ |
0.45 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (loss)
per common share: |
|
Income from continuing operations
|
|
$ |
0.93 |
|
|
$ |
0.71 |
|
|
$ |
0.76 |
|
|
$ |
0.68 |
|
|
$ |
0.83 |
|
|
$ |
0.29 |
|
|
$ |
0.28 |
|
|
$ |
0.42 |
|
|
Income (loss) from discontinued operations
|
|
|
0.04 |
|
|
|
0.03 |
|
|
|
0.13 |
|
|
|
0.12 |
|
|
|
(0.00 |
) |
|
|
(1.40 |
) |
|
|
(0.14 |
) |
|
|
0.02 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
0.97 |
|
|
$ |
0.74 |
|
|
$ |
0.89 |
|
|
$ |
0.80 |
|
|
$ |
0.83 |
|
|
$ |
(1.11 |
) |
|
$ |
0.14 |
|
|
$ |
0.44 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Computation of earnings (loss) per share for each quarter is
made independently of earnings (loss) per share for the year.
Liquidity and Capital Resources
On a consolidated level, the Companys primary sources of
liquidity have been premium revenues from policies issued,
investment income, fees and other income, proceeds from
corporate borrowings and borrowings to fund student loans. The
primary uses of cash have been payments for benefits, claims and
commissions under those policies, operating expenses, cash
dividends to shareholders, stock repurchases and the funding of
student loans. During 2004, the Company generated net cash from
operations on a consolidated basis in the amount of
$243.9 million, compared to $291.2 million in 2003 and
$266.0 million in 2002.
The Companys consolidated short and long-term indebtedness
(all of which constituted indebtedness of the holding company)
(exclusive of indebtedness secured by student loans) decreased
from $19.0 million at December 31, 2003 to
$15.5 million at December 31, 2004.
At each of December 31, 2004 and 2003, the Company had an
aggregate of $150.0 million of indebtedness outstanding
under a secured student loan credit facility, which indebtedness
is represented by Student Loan Asset-Backed Notes (the
SPE Notes) issued by a bankruptcy-remote special
purpose entity (the SPE). At December 31, 2004
and 2003, indebtedness outstanding under the secured student
loan credit facility was secured by alternative
(i.e.,non-federally guaranteed) student loans and accrued
interest in the carrying amount of $114.9 million and
$111.8 million, respectively, and by a pledge of cash, cash
equivalents and other qualified investments in the amount of
$37.4 million and $40.4 million, respectively. At
December 31, 2004, $29.7 million of such cash, cash
equivalents and other qualified investments was available to
fund the purchase from the Company of additional student loans
generated under the Companys College First Alternative
Loan program, which purchases may be made in accordance with the
terms of the agreements governing the securitization until
February 2006.
All indebtedness issued under the secured student loan credit
facility is reflected as student loan indebtedness on the
Companys consolidated balance sheet; all such student
loans and accrued investment income pledged to secure such
facility are reflected as student loan assets and accrued
investment income, respectively, on the Companys
consolidated balance sheet; and all such cash, cash equivalents
and qualified investments specifically pledged under the student
loan credit facility are reflected as restricted cash on the
Companys consolidated balance sheet. The SPE Notes
represent obligations solely of the SPE and not of the
43
Company or any other subsidiary of the Company. For financial
reporting and accounting purposes the student loan credit
facility has been classified as a financing. Accordingly, in
connection with the financing the Company has recorded and will
in the future record no gain on sale of the assets transferred
to the SPE.
The SPE Notes were issued by the SPE in three tranches
($50.0 million of Series 2001A-1 Notes and
$50.0 million of Series 2001A-2 Notes issued on
April 27, 2001, and $50.0 million of Series 2002A
Notes issued on April 10, 2002). The Series 2001A-1
Notes and Series 2001A-2 Notes have a final stated maturity
of July 1, 2036; the Series 2002A Notes have a final
stated maturity of July 1, 2037. However, the SPE Notes are
subject to mandatory redemption in whole or in part (a) on
the first interest payment date which is at least 45 days
after February 1, 2006, from any monies then remaining on
deposit in the acquisition fund not used to purchase additional
student loans and (b) on the first interest payment date
which is at least 45 days after July 1, 2005, from any
monies then remaining on deposit in the acquisition fund
received as a recovery of the principal amount of any student
loan securing payment of the SPE Notes, including scheduled,
delinquent and advance payments, payouts or prepayments. After
July 1, 2005, the SPE Notes are also subject to mandatory
redemption in whole or in part on each interest payment date
from any monies received as a recovery of the principal amount
of any student loan securing payment of the SPE Notes, including
scheduled, delinquent and advance payments, payouts or
prepayments.
The SPE and the secured student loan facility were structured
with an expectation that interest and recoveries of principal to
be received with respect to the underlying student loans
securing payment of the SPE Notes would be sufficient to pay
principal of and interest on the SPE Notes when due, together
with operating expenses of the SPE. This expectation was based
upon analysis of cash flow projections, and assumptions
regarding the timing of the financing of the underlying student
loans to be held by the SPE, the future composition of and yield
on the financed student loan portfolio, the rate of return on
monies to be invested by the SPE in various funds and accounts
established under the indenture governing the SPE Notes, and the
occurrence of future events and conditions. There can be no
assurance, however, that the student loans will be financed as
anticipated, that interest and principal payments from the
financed student loans will be received as anticipated, that the
reinvestment rates assumed on the amounts in various funds and
accounts will be realized, or other payments will be received in
the amounts and at the times anticipated.
UICI is a holding company, the principal assets of which are its
investments in its separate operating subsidiaries, including
its regulated insurance subsidiaries. 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 its subsidiaries. The laws governing the
Companys insurance subsidiaries restrict dividends paid by
the Companys domestic insurance subsidiaries in any year.
Inability to access cash from its subsidiaries could have a
material adverse effect upon the Companys liquidity and
capital resources.
44
Set forth below is a summary statement of cash flows for UICI at
the holding company level for each of the three most recent
years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash Position Holding Company Year | |
|
|
Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Cash on Hand Beginning of Year
|
|
$ |
37,840 |
|
|
$ |
22,429 |
|
|
$ |
57,277 |
|
Sources of Cash:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dividends from domestic insurance subsidiaries(1)
|
|
|
23,000 |
|
|
|
5,000 |
|
|
|
20,000 |
|
|
Dividends from offshore insurance subsidiaries
|
|
|
5,290 |
|
|
|
23,385 |
|
|
|
5,900 |
|
|
Dividends from non-insurance subsidiaries(2)
|
|
|
27,630 |
|
|
|
14,475 |
|
|
|
6,203 |
|
|
Proceeds from Trust Securities
|
|
|
14,570 |
|
|
|
|
|
|
|
|
|
|
Proceeds from financing activities(3)
|
|
|
26,587 |
|
|
|
20,744 |
|
|
|
12,413 |
|
|
Proceeds from Sun Litigation agreement
|
|
|
|
|
|
|
|
|
|
|
15,600 |
|
|
Proceeds from sale of AMS
|
|
|
|
|
|
|
27,773 |
|
|
|
|
|
|
Proceeds from stock option activities
|
|
|
7,524 |
|
|
|
10,966 |
|
|
|
12,616 |
|
|
Tax treaty net payments from subsidiaries
|
|
|
|
|
|
|
18,535 |
|
|
|
17,406 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total sources of cash
|
|
|
104,601 |
|
|
|
120,878 |
|
|
|
90,138 |
|
|
|
|
|
|
|
|
|
|
|
Uses of Cash:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash to operations
|
|
|
(18,941 |
) |
|
|
(14,974 |
) |
|
|
(10,203 |
) |
|
Contributions/investment in subsidiaries(4)
|
|
|
(2,506 |
) |
|
|
(2,278 |
) |
|
|
(19,043 |
) |
|
Contribution to AMS
|
|
|
|
|
|
|
(48,250 |
) |
|
|
|
|
|
Acquisitions
|
|
|
|
|
|
|
|
|
|
|
(33,000 |
) |
|
Discharge of common stock put obligation
|
|
|
|
|
|
|
|
|
|
|
(11,906 |
) |
|
Financing activities(5)
|
|
|
(21,807 |
) |
|
|
(17,369 |
) |
|
|
(17,725 |
) |
|
Dividends paid to shareholders
|
|
|
(11,477 |
) |
|
|
|
|
|
|
|
|
|
Purchases of UICI common stock(6)
|
|
|
(36,220 |
) |
|
|
(19,596 |
) |
|
|
(30,609 |
) |
|
Purchase of investments
|
|
|
(10,387 |
) |
|
|
|
|
|
|
|
|
|
Tax treaty net payments from subsidiaries
|
|
|
(1,530 |
) |
|
|
|
|
|
|
|
|
|
Other investment activities
|
|
|
|
|
|
|
(3,000 |
) |
|
|
(2,500 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Total uses of cash
|
|
|
(102,868 |
) |
|
|
(105,467 |
) |
|
|
(124,986 |
) |
|
|
|
|
|
|
|
|
|
|
Cash on hand at end of year
|
|
$ |
39,573 |
|
|
$ |
37,840 |
|
|
$ |
22,429 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Consists of dividends paid to the parent by The MEGA Life and
Health Insurance Company and Mid-West National Life Insurance
Company of Tennessee. |
|
(2) |
2004 includes $25.0 million dividend from a non-insurance
subsidiary related to the sale of the remaining uninsured
student loans retained by the Company at the sale of AMS. |
|
(3) |
Includes borrowings from and/or repayments on loans from
subsidiaries in the amount of $3.9 million,
$8.3 million and $2.8 million in 2004, 2003 and 2002,
respectively, and proceeds from subsidiaries related to agent
stock plans in the amount of $19.7 million,
$10.5 million and $8.5 million in 2004, 2003 and 2002,
respectively. |
|
(4) |
Includes purchase of and investment in non-insurance
subsidiaries and funding of discontinued operations. |
|
(5) |
Includes in 2004 repayment of senior notes at final maturity in
the amount of $4.0 million, $15.0 million retirement
of convertible debentures and $2.8 million of advances to
subsidiaries. Includes in 2003 and 2002 repayment of senior
notes, loans payable to subsidiaries and advances to
subsidiaries. |
45
|
|
(6) |
Includes repurchase of UICI common stock under the
Companys stock repurchase program in the amount of
$16.3 million (1,043,400 shares), $5.1 million
(349,200 shares) and $29.3 million
(2,000,000 shares) in 2004, 2003 and 2002, respectively.
Also includes in 2004, 2003 and 2002 the amounts of
$19.9 million, $14.5 million and $1.3 million,
respectively, representing repurchases of UICI common stock for
agent stock accumulation plans and purchases from an officer of
the Company. |
See Schedule II following Note R of Notes to
Consolidated Financial Statements for additional information
regarding the holding companys cash flow.
At December 31, 2004 and 2003, UICI at the holding company
level held cash and cash equivalents in the amount of
$39.6 million and $37.8 million, respectively. The
Company currently estimates that, through December 31,
2005, the holding company will have net operating cash
requirements in the amount of approximately $19.5 million,
which will consist primarily of currently budgeted operating
expenses at the holding company level. The Company currently
anticipates that these cash requirements at the holding company
level will be funded by cash on hand and dividends to be paid
from insurance and non-insurance subsidiaries.
Prior approval by insurance regulatory authorities is required
for the payment by a domestic insurance company of dividends
that exceed certain limitations based on statutory surplus and
net income. During the 2004 year, Mid-West paid dividends
in the amount of $23.0 million to the holding company. MEGA
did not pay any dividends in 2004.
Historically, the Company has not caused its regulated domestic
insurance subsidiaries to declare and pay dividends in the full
amount that such subsidiaries could otherwise pay without prior
regulatory approval, and during 2005 the Company intends to
continue to adhere to that policy. During 2005, the
Companys domestic insurance companies could pay, without
prior approval of the regulatory authorities, aggregate
dividends in the ordinary course of business to the holding
company of approximately $146.9 million. However, as it has
done in the past, the Company will assess the results of
operations of the regulated domestic insurance companies to
determine the prudent dividend capability of the subsidiaries,
consistent with UICIs practice of maintaining risk-based
capital ratios at each of the Companys domestic insurance
subsidiaries significantly in excess of minimum requirements.
|
|
|
Sources and Uses of Cash and Liquidity |
During 2004, 2003 and 2002, the Companys cash and
liquidity at the holding company were positively impacted by the
following significant factors and developments:
|
|
|
|
|
On March 31, 2004, the Company completed the sale of all of
the remaining uninsured student loan assets formerly held by the
Companys former Academic Management Services Corp.
subsidiary. These assets had been retained by the Company at the
November 18, 2003 sale of Academic Management Services Corp
and reflected as held-for-sale assets on the Companys
consolidated balance sheet. The sale of the uninsured student
loans generated gross cash proceeds in the amount of
approximately $25.0 million. |
|
|
|
In April 2004, the Company, through a newly formed Delaware
statutory business trust, generated net proceeds of
$14.6 million from the issuance in a private placement of
$15.0 million aggregate issuance amount of floating rate
trust preferred securities. See Note H of Notes to
Consolidated Financial Statements. |
|
|
|
Effective November 1, 2004, the Company terminated a
$30.0 million bank credit facility that was otherwise
scheduled to mature in January 2005. At the time the facility
was terminated, the Company had no borrowings outstanding under
the facility. |
|
|
|
On November 18, 2003, the Company sold its AMS unit,
generating net cash proceeds to UICI of approximately
$27.8 million (which amount is reflected as Proceeds
from sale of AMS in the table above). At closing, UICI
also received uninsured student loan assets formerly held by
AMS special |
46
|
|
|
|
|
purpose financing subsidiaries with a face amount of
approximately $44.3 million (including accrued interest).
In 2004, the Company completed the sale of the portfolio of
uninsured loans. |
|
|
|
At August 15, 2002, all remaining options initially granted
to agents and employees in August 1998 under the UICI 1998
employee and agent stock option plans vested and became
exercisable. All such options were exercisable at an option
price of $15.00 per UICI share and remained exercisable
during the period ended on January 13, 2003. During the
year ended December 31, 2002 and the interim period that
commenced on January 1, 2003 and ended January 13,
2003, the Company at the holding company level derived cash
proceeds in the amount of $10.7 million and
$8.9 million, respectively, from the exercise of stock
options granted under the 1998 plans (which amounts are
reflected as Proceeds from stock option activities
in the table above). See Note M of Notes to
Consolidated Financial Statements. |
|
|
|
The Company and Mr. Jensen (the Companys Chairman)
were formerly defendants in litigation concerning the
distribution of the cash proceeds from the sale and liquidation
of SunTech Processing Systems, LLC (STP) assets in
February 1998 (the Sun Litigation). Effective
April 2, 2002, the Company and Mr. Jensen entered into
an Assignment and Release Agreement, which, among other things,
transferred UICIs financial and other rights and
obligations in STP to Mr. Jensen and effectively terminated
the Companys active participation in, and limited the
Companys financial exposure associated with, the Sun
Litigation. In accordance with the terms of the Assignment and
Release Agreement, on April 2, 2002 Mr. Jensen made a
total payment to UICI of $15.6 million (which amounts are
reflected as Proceeds from Sun Litigation
agreement in the table above) and granted to UICI
various indemnities against possible losses which UICI might
incur resulting from the Sun Litigation. See Note K
of Notes to Consolidated Financial Statements. |
During 2004, 2003 and 2002, the Companys principal uses of
cash and liquidity at the holding company were as follows:
|
|
|
|
|
On August 18, 2004, the Companys Board of Directors
adopted a policy of issuing a regular semi-annual cash dividend
on shares of its common stock. In accordance with the new
dividend policy, on August 18, 2004, the Companys
Board of Directors declared a regular semi-annual cash dividend
of $0.25 on each share of Common Stock ($11.5 million in
the aggregate), which dividend was paid on September 15,
2004. |
|
|
|
In April 2004, the Company paid in full its outstanding
6% convertible subordinated notes in the aggregate amount
of $15.0 million and accrued interest thereon to the date
of prepayment. The notes had been issued by the Company in
November 2003 in full payment of all contingent consideration
payable in connection with UICIs February 2002 acquisition
of Star HRG. |
|
|
|
In June 2004, the Company paid in full the final payment due in
the amount of $4.0 million on its 8.75% Senior Notes
due June 2004, which the Company had issued in 1994 in the
original aggregate issuance amount of $27.7 million. In
accordance with the agreement, the Company repaid approximately
$4.0 million aggregate principal together with accrued
interest each June 2003 and 2002. |
|
|
|
During 2004, UICI utilized approximately $16.3 million to
repurchase 1,043,400 shares of its common stock
pursuant to its share repurchase program, which was reconfirmed
by the Board of Directors of the Company at its July 31,
2002 meeting. During 2003 and 2002, UICI utilized approximately
$5.1 million and $29.3 million, respectively, to
repurchase 349,200 and 2,000,000 shares, respectively,
of its common stock pursuant to its share repurchase program.
Such amounts are reflected as Purchases of UICI common
stock in the table above |
|
|
|
In July 2003, we announced that we had uncovered collateral
shortfalls in the type and amount of collateral supporting two
of the securitized student loan financing facilities of our AMS
unit and the failure to comply with reporting obligations under
the financing documents at seven of those facilities. We
subsequently entered into waiver and release agreements with all
of the financial institutions that were parties to the
securitized student loan financing facilities, which agreements
required us in July 2003 to contribute $48.25 million in
cash to the capital of AMS (which amount is reflected as |
47
|
|
|
|
|
Contribution to AMS in the table above). See
Note Q of Notes to Consolidated Financial Statements. |
|
|
|
On July 1, 2002, UICI discharged an obligation to purchase
from an affiliated party 369,174 shares of common stock at
a put price of $32.25 per share, or $11.9 million in
the aggregate (which amount is reflected as Discharge of
common stock put obligation in the table above). See
Note K of Notes to Consolidated Financial Statements. |
|
|
|
Effective June 15, 2002, UICI and HAI terminated a Services
Agreement, pursuant to which HAI formerly provided information
systems and software development services (including
administration of the Companys computer data center) to
the Company and its insurance company affiliates. As part of the
termination arrangement, UICI made a one-time payment to HAI in
the amount of $6.5 million (which amount is reflected as
Contributions/investment in subsidiaries in the
table above) and tendered 500,000 shares of HAI common
stock to HAI. See Note K of Notes to Consolidated
Financial Statements. |
|
|
|
Effective February 28, 2002, UICI acquired Star HRG for an
initial cash purchase price of $25.0 million (which amount
is included in Acquisitions in the table above),
plus additional contingent consideration based on the future
annualized premium of Star HRG measured over the three-month
period ended May 31, 2003. In full payment of all
contingent consideration payable, on November 10, 2003,
UICI delivered to the sellers UICIs 6% convertible
subordinated notes in the aggregate principal amount of
$15.0 million, together with cash interest in the aggregate
amount of approximately $1.5 million. See
Note H of Notes to Consolidated Financial Statements. |
|
|
|
On January 17, 2002, UICI completed the purchase, for a
cash purchase price of $8.0 million (which amount is
included in Acquisitions in the table above), of a
50% interest in an agency specializing in the sale of long-term
care and Medicare supplement insurance products. In the second
quarter of 2003, the Company completed the sale of its 50%
interest in this agency for a nominal price. |
Contractual Obligations and Off Balance Sheet Arrangements
Set forth below is a summary of the Companys contractual
obligations (on a consolidated basis) at December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payment Due by Period | |
|
|
| |
|
|
|
|
Less Than | |
|
|
|
More Than | |
|
|
Total | |
|
1 Year | |
|
1-3 Years | |
|
3-5 Years | |
|
5 Years | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Corporate debt
|
|
$ |
15,470 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
15,470 |
|
Student loan credit facility
|
|
|
150,000 |
|
|
|
|
|
|
|
40,450 |
|
|
|
25,450 |
|
|
|
84,100 |
|
Future policy benefits
|
|
|
444,228 |
|
|
|
19,798 |
|
|
|
35,317 |
|
|
|
35,105 |
|
|
|
354,008 |
|
Claim liabilities
|
|
|
622,587 |
|
|
|
536,117 |
|
|
|
86,470 |
|
|
|
|
|
|
|
|
|
Capital lease obligations
|
|
|
4,238 |
|
|
|
1,416 |
|
|
|
2,439 |
|
|
|
383 |
|
|
|
|
|
Operating lease obligations
|
|
|
40,135 |
|
|
|
7,734 |
|
|
|
12,555 |
|
|
|
10,971 |
|
|
|
8,875 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
1,276,658 |
|
|
$ |
565,065 |
|
|
$ |
177,231 |
|
|
$ |
71,909 |
|
|
$ |
462,453 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
All indebtedness issued under the secured student loan credit
facility represent obligations solely of the 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.
The payments related to the future policy benefits and claim
liabilities reflected in the table above have been projected
utilizing assumptions based on the Companys historical
experience and anticipated future experience.
The Companys off balance sheet arrangements consist of
commitments to fund student loans generated by its former
College Fund Life Division and letters of credit.
48
Through the Companys former College Fund Life
Division, the Company previously offered an interest-sensitive
whole life insurance product issued with a child term rider,
under which the Company committed to provide private student
loans to help fund the named childs higher education if
certain restrictions and qualifications are satisfied. At
December 31, 2004, the Company had outstanding commitments
to fund student loans under the College Fund Life Division
program for the years 2005 through 2025. Loans are limited to
the cost of school or prescribed maximums. These loans are
generally guaranteed as to principal and interest by a private
guarantee agency and are also collateralized by either the
related insurance policy or the co-signature of a parent or
guardian. The total student loan funding commitments for each of
the next five school years and thereafter, as well as the amount
the Company expects to be required to fund based on historical
utilization rates and policy lapse rates, are as follows as of
December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
Total | |
|
Expected | |
|
|
Commitment | |
|
Funding | |
|
|
| |
|
| |
|
|
(In thousands) | |
2005
|
|
$ |
76,976 |
|
|
$ |
8,368 |
|
2006
|
|
|
73,221 |
|
|
|
7,120 |
|
2007
|
|
|
70,979 |
|
|
|
5,820 |
|
2008
|
|
|
63,889 |
|
|
|
4,673 |
|
2009
|
|
|
59,804 |
|
|
|
3,733 |
|
2010 and thereafter
|
|
|
183,540 |
|
|
|
6,837 |
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
528,409 |
|
|
$ |
36,551 |
|
|
|
|
|
|
|
|
Interest rates on the above commitments are principally variable
(prime plus 2%).
The Company has historically funded its College Fund Life
Division student loan commitments with the proceeds of
indebtedness issued by a bankruptcy-remote special purpose
entity (the SPE Notes). At December 31,
2004, $29.7 million of cash, cash equivalents and other
qualified investments was available to fund the purchase by the
bankruptcy-remote special purpose entity from the Company of
additional student loans generated under the Companys
College First Alternative Loan program. The indenture governing
the terms of the SPE Notes provides, however, that the proceeds
of such SPE Notes may be used to fund student loan commitments
only until February 1, 2006, after which any monies then
remaining on deposit in the acquisition fund created by the
indenture not used to purchase additional student loans must be
used to redeem the SPE Notes. See discussion above
under the caption Liquidity and Capital
Resources Consolidated and Note H
of Notes to Consolidated Financial Statements.
At each of December 31, 2004 and 2003, the Company had
$5.0 million and $7.1 million, respectively, of
letters of credit outstanding relating to its insurance
operations.
Investments
General. The Companys Investment Committee monitors
the investment portfolio of the Company and its subsidiaries.
The Investment Committee receives investment management services
from external professionals and from the Companys in-house
investment management team. The internal investment management
team monitors the performance of the external managers as well
as directly managing approximately 20% of the investment
portfolio.
Investments are selected based upon the parameters established
in the Companys investment policies. Emphasis is given to
the selection of high quality, liquid securities that provide
current investment returns. Maturities or liquidity
characteristics of the securities are managed by continually
structuring the duration of the investment portfolio to be
consistent with the duration of the policy liabilities.
Consistent with regulatory requirements and internal guidelines,
the Company invests in a range of assets, but limits its
investments in certain classes of assets, and limits its
exposure to certain industries and to single issuers.
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.
Managements review considers
49
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. Management monitors
investments where two or more of the above indicators exist. The
Company also identifies investments in economically challenged
industries. If investments are determined to be impaired, a loss
is recognized at the date of determination.
Set forth below is a summary of the Companys investments
by category at December 31, 2004 and 2003:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
December 31, 2003 | |
|
|
| |
|
| |
|
|
|
|
% of Total | |
|
|
|
% of Total | |
|
|
Carrying | |
|
Carrying | |
|
Carrying | |
|
Carrying | |
|
|
Amount | |
|
Value | |
|
Amount | |
|
Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Securities available for sale
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities, at fair value (cost:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 $1,500,204; 2003 $1,370,093)
|
|
$ |
1,531,231 |
|
|
|
89.1 |
% |
|
$ |
1,405,092 |
|
|
|
89.8 |
% |
|
Equity securities, at fair value (cost:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 $1,508; 2003 $13,754)
|
|
|
1,461 |
|
|
|
0.1 |
% |
|
|
16,612 |
|
|
|
1.1 |
% |
Mortgage loans
|
|
|
3,884 |
|
|
|
0.2 |
% |
|
|
5,411 |
|
|
|
0.3 |
% |
Policy loans
|
|
|
17,101 |
|
|
|
1.0 |
% |
|
|
18,436 |
|
|
|
1.2 |
% |
Short-term and other investments
|
|
|
165,661 |
|
|
|
9.6 |
% |
|
|
119,566 |
|
|
|
7.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total investments
|
|
$ |
1,719,338 |
|
|
|
100.0 |
% |
|
$ |
1,565,117 |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturity securities. Fixed maturity securities
accounted for 89.1% and 89.8% of the Companys total
investments at December 31, 2004 and 2003, respectively.
Fixed maturity securities at December 31, 2004 consisted of
the following:
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
|
| |
|
|
|
|
% of Total | |
|
|
Carrying | |
|
Carrying | |
|
|
Value | |
|
Value | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
U.S. Treasury and U.S. Government agency obligations
|
|
$ |
59,350 |
|
|
|
3.9 |
% |
Corporate bonds
|
|
|
941,342 |
|
|
|
61.5 |
% |
Mortgage-backed securities issued by U.S. Government
Agencies and authorities
|
|
|
331,717 |
|
|
|
21.6 |
% |
Other mortgage and asset backed securities
|
|
|
198,822 |
|
|
|
13.0 |
% |
|
|
|
|
|
|
|
|
|
$ |
1,531,231 |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
Included in the fixed maturity portfolio is an allocation of
corporate bonds. The Company invests in primarily short term and
medium term investment grade corporate bonds. The Companys
investment policy limits individual concentration risk of
investment grade bonds to 3% of assets and non investment grade
bonds to 2% of assets. As of 12/31/04, the largest concentration
in any one investment grade corporate bond was
$16.0 million which represented less than 1% of total
invested assets. The largest concentration in any one non
investment grade corporate bonds was $3.7 million, which
represented less than 0.5% of total invested assets.
Included in the fixed maturity portfolio is an allocation of
mortgage-backed securities, including collateralized mortgage
obligations and mortgage-backed pass-through certificates, and
commercial mortgage-backed securities. To limit its credit risk,
the Company invests in mortgage-backed securities that are rated
investment grade by the public rating agencies. The
Companys mortgage-backed securities portfolio is a
conservatively structured portfolio that is concentrated in the
less volatile tranches, such as planned
50
amortization classes and sequential classes. The Company seeks
to minimize prepayment risk during periods of declining interest
rates and minimize duration extension risk during periods of
rising interest rates. The Company has less than 1% of its
investment portfolio invested in the more volatile tranches.
As of December 31, 2004 and 2003, $1.495 billion (or
97.6%) and $1.383 billion (or 98.4%), respectively, of the
fixed maturity securities portfolio was rated BBB or better
(investment grade) and $36.7 million (or 2.4%) and
$22.2 million (or 1.6%), respectively, of the fixed
maturity securities portfolio was invested in below investment
grade securities (rated less than BBB).
A quality distribution for fixed maturity securities at
December 31, 2004 is set forth below:
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
|
| |
|
|
|
|
% of Total | |
|
|
Carrying | |
|
Carrying | |
Rating |
|
Value | |
|
Value | |
|
|
| |
|
| |
|
|
(Dollars in thousands) | |
U.S. Government and AAA
|
|
$ |
613,996 |
|
|
|
40.1 |
% |
AA
|
|
|
52,878 |
|
|
|
3.4 |
% |
A
|
|
|
483,209 |
|
|
|
31.6 |
% |
BBB
|
|
|
344,430 |
|
|
|
22.5 |
% |
Less than BBB
|
|
|
36,718 |
|
|
|
2.4 |
% |
|
|
|
|
|
|
|
|
|
$ |
1,531,231 |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
Investment accounting policies. The Company has
classified its entire fixed maturity portfolio as
available for sale. This classification requires the
portfolio to be carried at fair value with the resulting
unrealized gains or losses, net of applicable income taxes,
reported in accumulated other comprehensive income as a separate
component of stockholders equity. As a result,
fluctuations in fair value, which is affected by changes in
interest rates, will result in increases or decreases to the
Companys stockholders equity.
During 2004, 2003 and 2002, the Company recorded impairment
charges for certain fixed and equity securities in the amount of
$3.6 million, $5.1 million and $14.7 million,
respectively. The Companys 2002 impairment charge included
a $6.1 million impairment charge associated with the
Companys WorldCom, Inc. holdings.
Set forth below is a summary of the Companys gross
unrealized losses in its fixed maturities as of
December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized Loss | |
|
Unrealized Loss | |
|
|
|
|
Less Than 12 Months | |
|
12 Months or longer | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
Fair | |
|
Unrealized | |
|
Fair | |
|
Unrealized | |
|
Fair | |
|
Unrealized | |
Description of Securities |
|
Value | |
|
Losses | |
|
Value | |
|
Losses | |
|
Value | |
|
Losses | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
US Treasury obligations and direct obligations of
US Government agencies
|
|
$ |
10,889 |
|
|
$ |
182 |
|
|
$ |
2,887 |
|
|
$ |
153 |
|
|
$ |
13,776 |
|
|
$ |
335 |
|
Mortgage backed securities issued by U.S. Government
agencies and authorities
|
|
|
66,191 |
|
|
|
319 |
|
|
|
37,621 |
|
|
|
365 |
|
|
|
103,812 |
|
|
|
684 |
|
Other mortgage and asset backed securities
|
|
|
44,138 |
|
|
|
480 |
|
|
|
56,802 |
|
|
|
994 |
|
|
|
100,940 |
|
|
|
1,474 |
|
Corporate bonds
|
|
|
144,427 |
|
|
|
1,533 |
|
|
|
151,190 |
|
|
|
4,394 |
|
|
|
295,617 |
|
|
|
5,927 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total securities
|
|
$ |
265,645 |
|
|
$ |
2,514 |
|
|
$ |
248,500 |
|
|
$ |
5,906 |
|
|
$ |
514,145 |
|
|
$ |
8,420 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, 2004, the Company had $8.4 million of
unrealized losses in its fixed maturities portfolio. Of the
$2.5 million in unrealized losses of less than twelve
months, only one security had an
51
unrealized loss in excess of 10%. The amount of unrealized loss
attributed to the security in excess of 10% was $371,000. The
$5.9 million in unrealized losses of more than twelve
(12) months is attributable to numerous securities with
unrealized losses of less than 10%.
The Company continually monitors these investments and believes
that as of December 31, 2004, the unrealized loss in these
investments is temporary.
The Company regularly monitors its investment portfolio to
attempt to minimize its concentration of credit risk in any
single issuer. Set forth in the table below is a schedule of all
investments representing greater than 1% of the Companys
aggregate investment portfolio at December 31, 2004 and
2003, excluding investments in U.S. Government securities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
|
|
% of Total | |
|
|
|
% of Total | |
|
|
Carrying | |
|
Carrying | |
|
Carrying | |
|
Carrying | |
|
|
Amount | |
|
Value | |
|
Amount | |
|
Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Fixed Maturities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Federal National Mortgage Corporation
|
|
$ |
18,038 |
|
|
|
1.0 |
% |
|
$ |
|
|
|
|
|
|
Equity investments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
AMLI Residential Properties Trust
|
|
$ |
|
|
|
|
|
|
|
$ |
16,584 |
|
|
|
1.1 |
% |
Short-term investments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fidelity Institutional Money Market Fund
|
|
$ |
122,793 |
|
|
|
7.1 |
% |
|
$ |
91,392 |
|
|
|
5.8 |
% |
The Fidelity Institutional Money Market Fund is a diversified
institutional money market fund that invests solely in the
highest quality United States dollar denominated money market
securities of domestic and foreign issuers.
The Company recognized pre-tax gains in 2004 and 2003 in the
amounts of $3.6 million and $40.4 million,
respectively, which were associated with the sale during the
periods of the Companys entire stake in AMLI Residential
Properties Trust. The Company effected such sale to diversify
its portfolio and to generate taxable capital gains that could
be used to offset capital losses recognized from other
investments.
Share Repurchase Program
At its April 28, 2004 regular quarterly meeting, the UICI
Board of Directors reconfirmed the Companys
1998 share repurchase program, in which it initially
authorized the repurchase of up to 4,500,000 shares of UICI
common stock from time to time in open market or private
transactions, and granted management authority to repurchase up
to an additional 1,000,000 shares. Through
December 31, 2004, the Company had purchased under the
program an aggregate of 4,571,000 shares (at an aggregate
cost of $64.1 million; average cost per share of $14.03),
of which 1,043,400 shares (at an aggregate cost of
$16.3 million; average cost per share of $15.67) were
purchased during 2004. The Company now has remaining authority
pursuant to the program as reauthorized to repurchase up to an
additional 929,000 shares. The timing and extent of
additional repurchases, if any, will depend on market conditions
and the Companys evaluation of its financial resources at
the time of purchase.
Critical Accounting Policies and Estimates
The Companys discussion and analysis of its financial
condition and results of operations are based upon the
Companys consolidated financial statements, which have
been prepared in accordance with accounting principles generally
accepted in the United States of America. The preparation of
these financial statements requires the Company to make
estimates and judgments that affect the reported amounts of
assets, liabilities, revenues and expenses, and related
disclosure of contingent assets and liabilities. On an on-going
basis, the Company evaluates its estimates, including those
related to health and life insurance claims, bad debts,
investments, intangible assets, income taxes, financing
operations and contingencies and litigation. The
52
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.
The Company believes the following critical accounting policies
affect its more significant judgments and estimates used in the
preparation of its consolidated financial statements.
The Company establishes liabilities for benefit claims that have
been reported but not paid and claims that have been incurred
but not reported under health and life insurance contracts.
Consistent with overall company philosophy, a single best
estimate claim liability is determined which is expected to be
adequate under most circumstances. This estimate is developed
using actuarial principles and assumptions that consider a
number of items as appropriate, including but not limited to
historical and current claim payment patterns, product
variations, the timely implementation of appropriate rate
increases and seasonality. The Company does not develop ranges
in the setting of the claims liability reported in the financial
statements. However, to the extent not already reflected in the
actuarial analyses, management also considers qualitative
factors that may affect the ultimate benefit levels to determine
its best estimate of the claims liability. These qualitative
considerations include, among others, the impact of medical
inflation, utilization of health services, exposure levels,
product mix, pending claim levels and other relevant factors.
The Company uses the developmental method to estimate claim
liabilities. This method applies completion factors to claim
payments in order to estimate the ultimate amount of the claim.
These completion factors are derived from historical experience
and are dependent on the incurred dates of the claim payments.
An extensive degree of judgment is used in this estimation
process. For health care costs payable, the claim liability
balances and the related benefit expenses are highly sensitive
to changes in the assumptions used in the claims liability
calculations. With respect to health claims, the items that have
the greatest impact on the Companys financial results are
the medical cost trend, which is the rate of increase in health
care costs, and the unpredictable variability in actual
experience. Any adjustments to prior period claim liabilities
are included in the benefit expense of the period in which
adjustments are identified. Due to the considerable variability
of health care costs and actual experience, adjustments to
health claim liabilities usually occur each quarter and are
sometimes significant.
The Company believes that its recorded claim liabilities are
reasonable and adequate to satisfy its ultimate claims
liability. Each of the Companys major operating units has
an actuarial staff that has primary responsibility for assessing
the claim liabilities. Corporate has an oversight process in
place to provide final review of the establishment of the claim
liabilities. The Company uses its own experience as appropriate
and relies on industry loss experience as necessary in areas
where the Companys data is limited. Our estimate of claim
liabilities represents managements best estimate of the
Companys liability as of December 31, 2004. Assuming
a hypothetical 1% difference in the loss ratio (i.e.,
benefits, claims and settlement expenses stated as a percentage
of earned premiums) for the year ended December 31, 2004,
net income would increase or decrease by approximately
$12.0 million and diluted net earnings per common share
would increase or decrease by approximately $0.25 per share.
Prior to January 1, 2003, the SEA Division utilized the
original incurred date coding definition to establish the date a
policy claim is incurred under the developmental method. Under
the original incurred date coding definition, prior to the end
of the period in which a health policy claim was made, the
Company estimated and recorded a liability for the cost of all
medical services related to the accident or sickness relating to
the claim, even though the medical services associated with such
accident or sickness might not be rendered to the insured until
a later financial reporting period.
Due to the anticipation of a future increase in the level of
favorable development associated with the growth in business,
the SEA Division undertook an analysis of the liability
estimation process. The Company believes that the developmental
method is the standard methodology within the health insurance
industry and
53
therefore re-evaluated the key assumptions utilized under this
method. With the aging of the older blocks of business, the
original incurred date coding assumption was re-examined. This
re-examination resulted in the decision to utilize a new
incurred date definition instead of the original incurred date
definition for purposes of estimating claim liabilities for the
SEA Division.
Effective January 1, 2003, the Company implemented a new
incurred date coding definition to establish incurred dates
under the developmental method in the SEA Division. Under this
new incurred date coding definition, a break in service of more
than six months will result in the establishment of a new
incurred date for subsequent services. In addition, under this
new incurred date coding definition, claim payments continuing
more than thirty-six months without a six month break in service
will result in the establishment of a new incurred date. This
change in the incurred date definition assumption resulted in a
reduction in the estimated claim liabilities, and a
corresponding increase in operating income, at the SEA Division
in the amount of $12.3 million during the first quarter of
2003.
The SEA Division also makes various refinements to the claim
liabilities as appropriate. These refinements estimate
liabilities for circumstances, such as an excess pending claims
inventory (i.e., inventories of pending claims in excess
of historical levels) and disputed claims. For example, the
Company closely monitors the level of claims that are pending.
When the level of pending claims appears to be in excess of
normal levels, the Company typically establishes a
liability for excess pending claims. The Company believes that
such an excess pending claims liability is
appropriate under such circumstances because of the operation of
the developmental method used by the Company to calculate the
principal claim liability, which method develops or
completes paid claims to estimate the claim
liability. When the pending claims inventory is higher than
would ordinarily be expected, the level of paid claims is
correspondingly lower than would ordinarily be expected. This
lower level of paid claims, in turn, results in the
developmental method yielding a smaller claim liability than
would have been yielded with a normal level of paid claims,
resulting in the need for an augmented claim liability.
With respect to business at its Student Insurance and Star HRG
Divisions, the Company assigns incurred dates based on the date
of service. This definition estimates the liability for all
medical services received by the insured prior to the end of the
applicable financial period. Appropriate adjustments are made in
the completion factors to account for pending claim inventory
changes and contractual continuation of coverage beyond the end
of the financial period.
Set forth below is a summary of claim liabilities by business
unit at each of December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Self-Employed Agency Division
|
|
$ |
493,406 |
|
|
$ |
455,140 |
|
|
$ |
363,679 |
|
Student Insurance Division
|
|
|
83,954 |
|
|
|
77,357 |
|
|
|
43,093 |
|
Star HRG Division
|
|
|
16,203 |
|
|
|
16,622 |
|
|
|
16,027 |
|
Life Insurance Division
|
|
|
12,072 |
|
|
|
13,866 |
|
|
|
18,096 |
|
Other Insurance
|
|
|
5,144 |
|
|
|
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal
|
|
|
610,779 |
|
|
|
563,045 |
|
|
|
440,895 |
|
Reinsurance Recoverable
|
|
|
11,808 |
|
|
|
12,428 |
|
|
|
25,400 |
|
|
|
|
|
|
|
|
|
|
|
|
Total claim liability
|
|
$ |
622,587 |
|
|
$ |
575,473 |
|
|
$ |
466,295 |
|
|
|
|
|
|
|
|
|
|
|
54
Activity in the claims liability is summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Claims liability at beginning of year, net of related
reinsurance recoverables
|
|
$ |
563,045 |
|
|
$ |
440,895 |
|
|
$ |
322,989 |
|
Add:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims liability on acquired business
|
|
|
|
|
|
|
12,783 |
|
|
|
|
|
|
Incurred losses, net of reinsurance, occurring during:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
1,196,421 |
|
|
|
1,067,951 |
|
|
|
787,444 |
|
|
Prior years
|
|
|
(90,914 |
) |
|
|
(54,392 |
) |
|
|
(31,484 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
1,105,507 |
|
|
|
1,013,559 |
|
|
|
755,960 |
|
|
|
|
|
|
|
|
|
|
|
Deduct payments for claims, net of reinsurance, occurring during:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
714,361 |
|
|
|
616,939 |
|
|
|
410,365 |
|
|
Prior years
|
|
|
343,412 |
|
|
|
287,253 |
|
|
|
227,689 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,057,773 |
|
|
|
904,192 |
|
|
|
638,054 |
|
|
|
|
|
|
|
|
|
|
|
Claims liability at end of year, net of related reinsurance
recoverables (2004 $11,808; 2003
$12,428; 2002 $25,400)
|
|
$ |
610,779 |
|
|
$ |
563,045 |
|
|
$ |
440,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims Liability Development Experience |
Inherent in the Companys claim liability estimation
practices is the desire to establish liabilities that are more
likely to be redundant than deficient. Furthermore, the
Companys philosophy is to price its insurance products to
make an underwriting profit, not to increase written premiums.
While management continually attempts to improve its loss
estimation process by refining its ability to analyze loss
development patterns, claim payments and other information,
uncertainty remains regarding the potential for adverse
development of estimated ultimate liabilities.
Set forth in the table below is a summary of the claims
liability development experience (favorable) unfavorable by
business unit in the Companys Insurance segment for each
of the years ended December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Self-Employed Agency Division
|
|
$ |
(91,720 |
) |
|
$ |
(54,009 |
) |
|
$ |
(30,729 |
) |
Student Insurance Division
|
|
|
4,733 |
|
|
|
(581 |
) |
|
|
(3,753 |
) |
Star HRG Division
|
|
|
(3,002 |
) |
|
|
(1,753 |
) |
|
|
|
|
Life Insurance Division
|
|
|
(926 |
) |
|
|
1,951 |
|
|
|
2,998 |
|
Other Insurance
|
|
|
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total favorable
|
|
$ |
(90,914 |
) |
|
$ |
(54,392 |
) |
|
$ |
(31,484 |
) |
|
|
|
|
|
|
|
|
|
|
The above table shows incurred losses developed at the SEA
Division in amounts less than originally anticipated due to
better-than-expected experience on the health business in the
SEA Division in 2004, 2003, and 2002.
55
The favorable claims liability development experience at the SEA
Division in 2004 reflects the effect of $47.8 million in
claim liabilities established during 2003 in response to a rapid
pay down during 2003 of an excess pending claims inventory. In
particular, during 2003 the Company observed a change in the
distribution of paid claims by incurred date; more paid claims
were assigned to recent incurred dates than had been the case on
paid claims in prior years. Assignment of paid claims with more
recent incurred dates typically results in an understatement of
the claim development liability, resulting in the need for
augmented claim liabilities. The Company believes that the
deviation from historical experience in incurred date assignment
was a natural consequence of the effort required to reduce a
claims backlog, which the Company was experiencing at the SEA
Division during the course of 2003. However, as the actual
claims experience developed in 2004, these augmented claim
liabilities in the amount of $47.8 million proved to be
redundant. These claim liabilities were released during 2004
and, as a result, will not influence the level of claim
liability redundancies in future periods.
The total favorable claims liability development experience for
2004 in the amount of $91.7 million represented 20.2% of
total claim liabilities established for the SEA Division at
December 31, 2003. Excluding the impact of the augmented
claim liabilities established at December 31, 2003 in
response to the rapid pay down during 2003 of an excess pending
claims inventory, the favorable experience in 2004 in the claims
liability was $43.9 million, or 9.6% of total claim
liabilities established for the SEA Division at
December 31, 2003.
The total favorable claims liability development experience for
2003 in the amount of $54.0 million represented 14.9% of
total claim liabilities established for the SEA Division at
December 31, 2002. The favorable experience in the SEA
Division for 2003 included the effect of the $17.7 million
decrease in claims liability due to the refinements made
effective January 1, 2003 to the claims liability
calculation ($12.3 million) and changes in estimate
($5.4 million). See the discussion above under the
caption 2003 Change in Claims and Future Benefit Liability
Estimates Self-Employed Agency Division.
Excluding the impact of these refinements and changes in
estimate, the favorable experience in 2003 in the claims
liability was $36.3 million, or 10.0% of the total claim
liabilities established for the SEA Division at
December 31, 2002.
The total favorable claims liability development experience for
2002 in the amount of $30.7 million represented 11.6% of
total claim liabilities established for the SEA Division at
December 31, 2002.
Over time, the developmental method replaces anticipated
experience with actual experience, resulting in an ongoing
re-estimation of the claims liability. Since the greatest degree
of estimation is used for more recent periods, the most recent
prior year is subject to the greatest change. Recent actual
experience has produced lower levels of claims payment
experience than originally expected.
|
|
|
Student Insurance Division and Star HRG Division |
The products of the Student Insurance and Star HRG Divisions
consist principally of medical insurance. In general, medical
insurance business, for which incurred dates are assigned based
on date of service, has a short tail, which means
that a favorable development or unfavorable development shown
for prior years relates primarily to actual experience in the
most recent prior year.
The unfavorable claims liability development experience at the
Student Insurance Division in 2004 in the amount of
$4.7 million reflects the effects of a delay in processing
of prior-year claims and higher-than-expected claim experience
associated with the business written for the 2003-2004 school
year. The Student Insurance Division experienced favorable
claims liability development for 2003 and 2002.
The favorable claims liability development experience at the
Star HRG Division in 2004 includes the effects of claims in 2004
developing more favorably than indicated by the loss trends in
2003 used to determine the claim liability at December 31,
2003. The Star HRG Division also experienced favorable
development for 2003. Since the Star HRG business was new to the
Company (acquired in 2002), an expected loss ratio was used to
set the claims liability at December 31, 2002.
56
The adverse experience for the Life Insurance Division during
2003 and 2002 was attributable to development of its closed
block of workers compensation business. The Life Insurance
Division previously wrote workers compensation insurance
and similar group accident coverage for employers in a limited
geographical market. In May 2001, the Company made the decision
to terminate this operation, and all existing policies were
terminated as the policies came up for renewal over the
succeeding twelve months. The closing of new and renewal
business starting in July of 2001 had the effect of
concentrating the claims experience into existing policies and
eliminating any benefits that might accrue from improved
underwriting of new business or liabilities released on newer
claims that might settle more quickly. The effect of closing a
block of this type of business is difficult to estimate at the
date of closing, due to the longer claims tail usually
experienced with workers compensation coverage, the tendency of
claims to concentrate in severity but without an associated
degree of predictability as the number of cases decreases, and
the unpredictable costs of protracted litigation often
associated with the adjudication of claims under workers
compensation policies.
|
|
|
Accounting for Policy Acquisition Costs |
|
|
|
Health Policy Acquisition Costs |
The Company incurs various costs in connection with the
origination and initial issuance of its health insurance
policies, including underwriting and policy issuance costs,
costs associated with lead generation activities and
distribution costs (i.e., sales commissions paid to
agents). The Company defers those costs that vary with
production. The Company defers commissions paid to agents and
premium taxes with respect to the portion of health premium
collected but not yet earned, and the Company amortizes the
deferred expense over the period as and when the premium is
earned. Costs associated with generating sales leads with
respect to the health business issued through the SEA Division
are capitalized and amortized over a two-year period, which
approximates the average life of a policy. For financial
reporting purposes, underwriting and policy issuance costs
(which the Company estimates are more fixed than variable) with
respect to health policies issued through the Companys
SEA, Student Insurance and Star HRG Divisions are expensed as
incurred.
With respect to health policies sold through the Companys
SEA Division, commissions paid to agents with respect to first
year policies are higher than commissions paid to agents with
respect to policies in renewal years. Accordingly, during
periods of increasing first year premium revenue (such as
occurred during 2002), the SEA Divisions overall operating
profit margin will be negatively impacted by the higher
commission expense associated with first year premium revenue.
|
|
|
Life Policy Acquisition Costs |
The Company incurs various costs in connection with the
origination and initial issuance of its life insurance policies,
including underwriting and policy issuance costs. The Company
defers those costs that vary with production. The Company
capitalizes commission and issue costs primarily associated with
the new business of its Life Insurance Division. Deferred
acquisition costs consist primarily of sales commissions and
other underwriting costs of new life insurance sales. Policy
acquisition costs associated with traditional life business are
capitalized and amortized over the estimated premium-paying
period of the related policies, in proportion to the ratio of
the annual premium revenue to the total premium revenue
anticipated. Such anticipated premium revenue, which is modified
to reflect actual lapse experience, is estimated using the same
assumptions as are used for computing policy benefits. For
universal life-type and annuity contracts, capitalized costs are
amortized at a constant rate based on the present value of the
estimated gross profits expected to be realized on the book of
contracts.
The cost of business acquired through acquisition of
subsidiaries or blocks of business is determined based upon
estimates of the future profits inherent in the business
acquired. Such costs are capitalized and amortized over the
estimated premium-paying period. Anticipated investment income
is considered in
57
determining whether a premium deficiency exists. The
amortization period is adjusted when estimates of current or
future gross profits to be realized from a group of products are
revised.
The Company monitors and assesses the recoverability of deferred
health and life policy acquisition costs on a quarterly basis.
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Goodwill and Other Identifiable Intangible Assets |
Effective January 1, 2002, the Company adopted Financial
Accounting Standards Board Statement 142, Goodwill and
Other Intangible Assets. Statement 142 requires that
goodwill and other intangible assets with indefinite useful
lives no longer be amortized, but instead be tested for
impairment at least annually. Statement 142 also requires
that intangible assets with estimable useful lives be amortized
over their respective estimated useful lives to their estimated
residual values and reviewed for impairment. Prior to the
adoption of Statement 142, goodwill was amortized using the
straight-line method, generally 20 to 25 years. The Company
has determined that it will review goodwill and other intangible
assets for impairment as of November 1 of each year or more
frequently if certain indicators arise. An impairment loss would
be recorded in the period such determination was made. The
Companys annual review in 2004 of the goodwill and other
intangible assets related to continuing operations indicated no
impairment.
As a result of the transitional impairment testing completed
during the quarter ended June 30, 2002, the Company
determined that goodwill recorded in connection with the
acquisition of former subsidiaries, Academic Management Services
Corp. (AMS) and Barron Risk Management Services
(Barron) was impaired in the aggregate amount of
$6.9 million ($5.1 million net of tax). The Company
reflected this impairment charge in its financial statements as
a cumulative effect of a change in accounting principle as of
January 1, 2002 in accordance with Statement No. 142.
During 2003 and 2002, the Company sold AMS and Barron,
respectively.
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Accounting for 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
Company has established a liability for future unvested benefits
under the Agent Plans and adjusts the liability based on the
market value of the Companys Common Stock. The accounting
treatment of the Companys Agent Plans has resulted and
will continue to result in unpredictable stock-based
compensation charges, dependent upon fluctuations in the quoted
price of UICI common stock. These unpredictable fluctuations in
stock based compensation charges may result in material non-cash
fluctuations in the Companys results of operations. See
discussion above under the caption Variable
Stock-Based Compensation and Note M of Notes to
Consolidated Financial Statements.
The Company has classified its investments in securities with
fixed maturities as available for sale. Investments in equity
securities and securities with fixed maturities have been
recorded at fair value, and unrealized investment gains and
losses are reflected in stockholders equity. Investment
income is recorded when earned, and capital gains and losses are
recognized when investments are sold. Investments are reviewed
quarterly to determine if they have suffered an impairment of
value that is considered other than temporary. If investments
are determined to be impaired, a loss is recognized at the date
of determination.
Testing for impairment of investments also requires significant
management judgment. The identification of potentially impaired
investments, the determination of their fair value and the
assessment of whether any decline in value is other than
temporary are the key judgment elements. The discovery of new
information and the passage of time can significantly change
these judgments. Revisions of impairment judgments are made when
new information becomes known, and any resulting impairment
adjustments are made at that time. The current economic
environment and recent volatility of securities markets increase
the difficulty of determining
58
fair value and assessing investment impairment. The same
influences tend to increase the risk of potentially impaired
assets.
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.
Managements review 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 of the issuer
deterioration and situations where dividends have been reduced
or eliminated or scheduled interest payments have not been made.
Management monitors investments where two or more of the above
indicators exist. The Company also identifies investments in
economically challenged industries. If investments are
determined to be impaired, a loss is recognized at the date of
determination.
The Company seeks to match the maturities of invested assets
with the payment of expected liabilities. By doing this, the
Company attempts to make cash available as payments become due.
If a significant mismatch of the maturities of assets and
liabilities were to occur, the impact on the Companys
results of operations could be significant.
The Company records deferred tax assets to reflect the impact of
temporary differences between the financial statement carrying
amounts and tax bases of assets. The Company establishes a
valuation allowance when management believes, based on the
weight of the available evidence, that it is more likely than
not that some portion of the deferred tax asset will not be
realized. Realization of the net deferred tax asset is dependent
on generating sufficient future taxable income. However, the
amount of the deferred tax asset considered realizable, however,
could be reduced in the near term if estimates of future taxable
income during the carryforward period are reduced.
During 2002, the Company determined that it was more likely than
not that it would be able to realize its deferred tax assets,
which related primarily to operating losses in prior years at
the Companys AMS subsidiary. Accordingly, in 2002, the
Company released and recognized as income the then remaining
valuation allowance of $4.0 million.
During 2003, the Company realized $59.3 million of net
capital losses for federal tax purposes. The capital losses were
generated in 2003 from the sale of AMS, Healthaxis and
SeniorsFirst LLC and were partially offset by the gain from the
sale of a substantial portion of the Companys equity stake
in AMLI Residential. To the extent not utilized to offset
capital gains generated in prior years, the net capital losses
generated in 2003 will be carried forward to future years, with
the ability to utilize the remaining capital losses in 2004
through 2008. During 2003, the Company determined that it was
more likely than not that it would not be able to realize its
deferred tax assets related to a portion of the capital loss
carryforwards generated in 2003. Accordingly, the Company
established a valuation allowance of $19.8 million
associated with the carryforwards at December 31, 2003.
As of December 31, 2004, the balance of the valuation
allowance was $17.0 million, reflecting a reduction of
$2.8 million from the valuation allowance at
December 31, 2003. The reduction in the valuation allowance
was attributable primarily to realization of tax capital gains
during 2004.
At this time management does not anticipate selling appreciated
assets to generate capital gains (and impair future investment
return) solely for the purpose of utilizing the capital loss
carryover. In addition, management believes it cannot rely on
unrealized gains in its investment portfolio as evidence of
recoverability of the deferred tax asset on the capital loss
carryover. However, the Company will consider future taxable
income and ongoing prudent and feasible tax planning strategies
in assessing the need to change the valuation allowance. In the
event that the Company were to determine that it would be able
to realize all or part of its net deferred tax asset in the
future, the valuation allowance would be adjusted to reflect its
deferred tax assets at the amount that the Company believes is
more likely than not to be realized. Increasing the valuation
59
allowance would result in a charge to income in the period such
determination was made. In the event the Company were to
determine that it would be able to realize its deferred tax
assets in the future in excess of its net recorded amount, an
adjustment to the deferred tax asset would increase income in
the period such determination was made.
The Company is subject to proceedings and lawsuits related to
insurance claims and other matters. See Note L of
Notes to Consolidated Financial Statements. The Company is
required to assess the likelihood of any adverse judgments or
outcomes to these matters, as well as potential ranges of
probable losses. A determination of the amount of accruals
required, if any, for these contingencies is made after careful
analysis of each individual issue. The required accruals may
change in the future due to new developments in each matter or
changes in approach, such as a change in settlement strategy in
dealing with these matters.
Privacy Initiatives
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 governing the use and security of individuals
nonpublic personal data by financial institutions, including
insurance companies, may have a significant impact on the
Companys business and future results of operations. See
Business Regulatory and Legislative
Matters.
Other Matters
The state of domicile of each of the Companys domestic
insurance subsidiaries imposes minimum risk-based capital
requirements that were developed by the NAIC. The formulas for
determining the amount of risk-based capital specify various
weighting factors that are applied to financial balances and
premium levels based on the perceived degree of risk. Regulatory
compliance is determined by a ratio of a companys
regulatory total adjusted capital, as defined, to its authorized
control level risk-based capital, as defined. Companies
specific trigger points or ratios are classified within certain
levels, each of which requires specified corrective action. At
December 31, 2004, the risk-based capital ratio of each of
the Companys domestic insurance subsidiaries significantly
exceeded the ratios for which regulatory corrective action would
be required.
Dividends paid by domestic insurance companies out of earned
surplus in any year are limited by the law of the state of
domicile. See Item 5 Market for
Registrants Common Stock and Related Stockholder Matters
and Note J of Notes to the Consolidated Financial
Statements.
Inflation
Inflation historically has had a significant impact on the
health insurance business. In recent years, inflation in the
costs of medical care covered by such insurance has exceeded the
general rate of inflation. Under basic hospital medical
insurance coverage, established ceilings for covered expenses
limit the impact of inflation on the amount of claims paid.
Under catastrophic hospital expense plans and preferred provider
contracts, covered expenses are generally limited only by a
maximum lifetime benefit and a maximum lifetime benefit per
accident or sickness. Thus, inflation may have a significantly
greater impact on the amount of claims paid under catastrophic
hospital expense and preferred provider plans as compared to
claims under basic hospital medical coverage. As a result,
trends in health care costs must be monitored and rates adjusted
accordingly. Under the health insurance policies issued in the
self-employed market, the primary insurer generally has the
right to increase rates upon 30-60 days written notice and
subject to regulatory approval in some cases.
The annuity and universal life-type policies issued directly and
assumed by the Company are significantly impacted by inflation.
Interest rates affect the amount of interest that existing
policyholders expect to have credited to their policies.
However, the Company believes that the annuity and universal
life-type policies are
60
generally competitive with those offered by other insurance
companies of similar size, and the investment portfolio is
managed to minimize the effects of inflation.
Recently Issued Accounting Pronouncements
On December 16, 2004, the Financial Accounting Standards
Board (FASB) issued Statement 123R,
Share-Based Payment, which requires all companies to
recognize compensation cost for all share-based payments to
employees at fair value. The Statement is effective for public
companies (except small business issuers, as defined in SEC
Regulation S-B) for interim or annual periods beginning
after June 15, 2005. The FASB also concluded that
retroactive application of the requirements of
Statement 123 (not Statement 123R) to the beginning of
the fiscal year that includes the effective date would be
permitted, but not required. The Company therefore will be
required to apply Statement 123R beginning July 1,
2005 and could choose to apply Statement 123 retroactively
from January 1, 2005 to June 30, 2005. The cumulative
effect of adoption, if any, would be measured and recognized on
July 1, 2005. The Company believes the adoption of this
pronouncement will not have a material effect upon the financial
condition or results of operations.
Emerging Issue Task Force (EITF) Issue No. 03-1
provides guidance on the meaning of the phrase
other-than-temporary impairment and its application
to several types of investments, including debt securities
classified as held-to-maturity and available-for-sale under FASB
Statement No. 115, Accounting for Certain Investments in
Debt and Equity Securities. On September 30, 2004, the
FASB issued FASB Staff Position (FSP)
Issue 03-1-1, which delayed the effective date of
paragraphs 10-20 of EITF Issue No. 03-1.
Paragraphs 10-20 of EITF Issue No. 03-1 give guidance
on how to evaluate and recognize impairment loss that is other
than temporary (i.e., steps 2 and 3 of the impairment model).
Application of those paragraphs is deferred pending issuance of
proposed FSP EITF Issue No. 03-1-a. EITF Issue
No. 03-1-a addresses the application of EITF Issue
No. 03-1 to debt securities that are impaired solely
because of interest-rate and/or sector-spread increases and that
are analyzed for impairment under paragraph 16 of EITF
Issue No. 03-1. The guidance in paragraphs 6-9 of EITF
Issue No. 03-1 (i.e., step 1 of the impairment model), as
well as the disclosure requirements in paragraphs 21
and 22, have not been deferred and should be applied based
on the transition provisions in EITF Issue No. 03-1. The
Company believes the adoption of this pronouncement will not
have a material effect upon the financial condition or results
of operations of the Company.
On March 14, 2003, the AICPAs Accounting Standards
Executive Committee issued an exposure draft Statement of
Position (SOP), Accounting by Insurance Enterprises for
Deferred Acquisition Costs on Internal Replacements Other Than
Those Specifically Described in FASB Statement No. 97.
The exposure draft provides guidance on accounting by insurance
enterprises for deferred acquisition costs on internal
replacements other than those specifically described in FASB
Statement No. 97, including definition of an internal
replacement, determining not substantially different
internal replacements, accounting for internal replacements that
are substantially different, accounting for internal
replacements that are not substantially different, sales
inducements offered in conjunction with an internal replacement,
costs and assessments related to internal replacements, and
recoverability.
A final SOP would be effective for internal replacements
occurring in fiscal years beginning after December 15,
2004, with earlier adoption encouraged. Restatement of
previously issued annual financial statements is not permitted.
Initial application of this SOP should be as of the beginning of
an entitys fiscal year (that is, if the SOP is adopted
prior to the effective date and during an interim period, all
prior interim periods of the year of adoption should be
restated). The impact of implementation of the SOP,
Accounting by Insurance Enterprises for Deferred Acquisition
Costs on Internal Replacements Other Than Those Specifically
Described in FASB Statement No. 97 on the
Companys financial position or results of operations is
not expected to be material.
Safe Harbor Statement under the Private Securities Litigation
Reform Act of 1995
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
61
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 below 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:
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Medical Claims and Health Care Costs |
If the Company is unable to accurately estimate medical claims
and control health care costs, its results of operations may be
materially and adversely affected. The Company estimates the
costs of its future medical claims and other expenses using
actuarial methods based upon historical data, medical inflation,
product mix, seasonality, utilization of health care services
and other relevant factors. The Company establishes premiums
based on these methods. The premiums the Company charges its
customers generally are fixed for one-year periods, and
therefore, costs the Company incurs in excess of its medical
claim projections generally are not recovered in the contract
year through higher premiums. Certain factors may and often do
cause actual health care costs to vary from what the Company
estimated and reflected in premiums. These factors may include,
but not be limited to: (1) an increase in the rates charged
by providers of health care services and supplies, including
pharmaceuticals; (2) higher than expected use of health
care services by members; (3) the occurrence of
bioterrorism, catastrophes or epidemics; (4) changes in the
demographics of insureds and medical trends affecting insureds;
and (5) new mandated benefits or other regulatory changes
that increase the Companys costs. The occurrence of any of
these factors, which are beyond the Companys control,
could result in a material adverse effect on its business,
financial condition and results of operations.
The Company conducts business in a heavily regulated industry,
and changes in government regulation could increase the costs of
compliance or cause the Company to discontinue marketing its
products in certain states. The Companys business is
extensively regulated by federal and state authorities. Some of
the new federal and state regulations promulgated under the
Health Insurance Portability and Accountability Act of 1996, or
HIPAA, relating to health care reform require the Company to
implement changes in its programs and systems in order to
maintain compliance. The Company has incurred significant
expenditures as a result of HIPAA regulations and expects to
continue to incur expenditures as various regulations become
effective. The Company is subject to periodic changes in state
laws and regulations regarding the selection and pricing of
risks and other matters. New regulations regarding these issues
could increase the Companys costs and decrease its
premiums. The Company has in the past decided, and may in the
future decide, to discontinue marketing its products in states
that have enacted, or are considering, various health care
reform regulations that would impair the Companys ability
to market its products profitably. Federal and state
legislatures also are considering health care reform measures
which may result in higher health insurance costs. The
implementation of prompt pay laws, whereby a
claim must be paid in a certain number of days regardless of
whether it is a valid claim or not, subject to a right of
recovery, may have a negative effect on the Companys
results of operations.
The Companys failure to comply with new or existing
government regulation could subject it to significant fines and
penalties. The Companys efforts to measure, monitor and
adjust its business practices to comply with the law are
ongoing. Failure to comply with enacted regulations, including
the laws mentioned above, could require the Company to pay
refunds or result in significant fines, penalties, or the loss
of one or
62
more of its licenses. From time to time the Company is subject
to inquiries related to its activities and practices in states
in which it operates. The Company has been subject to regulatory
penalties, assessments and restitution orders in a number of
states. Furthermore, federal and state laws and regulations
continue to evolve. The costs of compliance may cause the
Company to change its operations significantly, or adversely
impact the health care provider networks with which the Company
does business, which may adversely affect its business and
results of operations.
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Association Group Health Insurance and Certain
Relationships |
As is the case with many of our competitors in the self-employed
market, a substantial portion of our health insurance products
are issued to members of various independent membership
associations that act as the master policyholder for such
products. The two principal membership associations in the
self-employed market that make available to their members our
health insurance products are the National Association for the
Self-Employed and the Alliance for Affordable Services. The
associations provide their membership access to a number of
benefits and products, including health insurance underwritten
by us. Subject to applicable state law, individuals generally
may not obtain insurance under an associations master
policy unless they are also members of the association. The
agreements with these associations requiring the associations to
continue as the master policyholder for our policies and to make
our products available to their respective members are
terminable by us and the associations upon not less than one
years advance notice to the other party.
Our UGA agents and Cornerstone agents also act as field service
representatives (FSRs) for the associations, in which capacity
the FSRs enroll new association members and provide membership
retention services. For such services, we and the FSRs receive
compensation. Specialized Association Services, Inc. (a company
controlled by the adult children of Ronald L. Jensen,
UICIs Chairman) provides administrative and benefit
procurement services to the associations. One of our
subsidiaries (UICI Marketing, Inc., a wholly-owned subsidiary
and our direct marketing group) generates new membership sales
prospect leads for both UGA and Cornerstone for use by the FSRs
(agents). UICI Marketing also provides video and print services
to the associations and to Specialized Association Services,
Inc. See Note K of Notes to Consolidated Financial
Statements. In addition to health insurance premiums derived
from the sale of health insurance, we receive fee income from
the associations, including fees associated with enrollment and
member retention services, fees for association membership
marketing and administrative services and fees for certain
association member benefits.
During 2004, we and our insurance company subsidiaries resolved
a nationwide class action lawsuit challenging the nature of the
relationship between our insurance companies and the membership
associations that make available to their members our insurance
companies health insurance products. See
Note L of Notes to Consolidated Financial Statements.
While we believe that we are providing association group
coverage in full compliance with applicable law, changes in our
relationship with the membership associations and/or changes in
the laws and regulations governing so-called association
group insurance (particularly changes that would subject
the issuance of policies to prior premium rate approval and/or
require the issuance of policies on a guaranteed
issue basis) could have a material adverse impact on our
financial condition, results of operations and/or business.
The Company is subject to class actions and other forms of
litigation in the ordinary course of its business, including
litigation based on new or evolving legal theories, which could
result in significant liabilities and costs. For example, during
2004 we and our insurance company subsidiaries resolved a
nationwide class action lawsuit challenging the nature of the
relationship between our insurance companies and the membership
associations that make available to their members our insurance
companies health insurance products. See
Note L of Notes to Consolidated Financial Statements.
The nature of the Companys business subjects it to a
variety of legal actions and claims relating but not limited to
(a) denial of health care benefits; (b) disputes over
rating methodology and practices or termination
63
of coverage; (c) disputes with agents over compensation or
other matters; (d) disputes related to claim administration
errors and failure to disclose network rate discounts and other
fee and rebate arrangements; (e) disputes related to
managed care or cost containment activities, and
(f) disputes over co-payment calculations. The Company
cannot predict with certainty the outcome of lawsuits against
the Company or the potential costs associated with defending
such suits.
Recently, the insurance industry has experienced substantial
volatility as a result of current litigation, investigations and
regulatory activity by various insurance, governmental and
enforcement authorities concerning certain practices within the
insurance industry. These practices include the payment of
contingent commissions by insurance companies to insurance
brokers and agents and the extent to which such compensation has
been disclosed, the solicitation and provision of fictitious or
inflated quotes, the use of inducements to brokers or companies
in the sale of group insurance products, and the accounting
treatment for finite reinsurance or other non-traditional or
loss mitigation insurance products. We have received inquiries
and informational requests from insurance departments in certain
states in which our insurance subsidiaries operate. We cannot
predict at this time the effect that current litigation,
investigations and regulatory activity will have on the
insurance industry or our business.
The Company operates in a highly competitive environment.
Competition in the Companys industry may limit its ability
to attract new insureds or to maintain its existing membership
in force. The Company competes primarily on the basis of price,
benefit plan design, and quality of customer service, reputation
and quality of agent relations. The Company competes for
insureds with other health insurance providers and managed care
companies, many of whom have many more insureds in regional
markets and greater financial resources. The Company cannot
provide assurance that it will be able to compete effectively in
this industry. As a result, the Company may be unable to attract
new insureds or maintain its existing policies in force and its
results of operations may be adversely affected.
Information processing is critical to the Companys
business, and a failure of the Companys information system
to provide timely and accurate information could adversely
affect its business and results of operations. The
Companys failure to maintain an effective and efficient
information system or disruptions in its information system
could cause disruptions in its business operations, including
(a) failure to comply with prompt pay laws; (b) loss
of existing insureds; (c) difficulty in attracting new
insureds; (e) disputes with insureds, providers and agents;
(f) regulatory problems; (g) increases in
administrative expenses; and (h) other adverse consequences.
Negative publicity regarding the Companys business
practices and about the health insurance industry in general may
harm the Companys business and adversely affect our
results of operations and financial condition. The nature of the
market for the health and life insurance and related products
and services we provide is that we interface with and distribute
our products and services ultimately to individual consumers.
There may be a perception among the media and/or consumer
advocate groups that these purchasers may be unsophisticated and
in need of consumer protection. Accordingly, from time to time,
consumer advocate groups or the media may focus attention on our
products and services, thereby subjecting UICI and/or its
industry to the possibility of periodic negative publicity. We
may also be negatively impacted if another company in one of our
businesses or in a related business engages in practices
resulting in increased public attention to our businesses.
Negative publicity may result in increased regulation and
legislative scrutiny of industry practices as well as increased
litigation, which may further increase our costs of doing
business and adversely affect our profitability by impeding our
ability to market our products and services, requiring us to
change our products or services or increasing the regulatory
burdens under which we operate.
64
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Provider Network Relationships |
The Companys results of operations and competitive
position could be adversely affected by its inability to enter
into or maintain satisfactory relationships with networks of
hospitals, physicians, dentists, pharmacies and other health
care providers. The failure to secure cost-effective health care
provider network contracts may result in a loss of insureds or
higher medical costs. In addition, the inability to contract
with provider networks, the inability to terminate contracts
with existing provider networks and enter into arrangements with
new provider networks to serve the same market, and/or the
inability of providers to provide adequate care, could adversely
affect the Companys results of operations.
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Insurance Company Ratings |
Companys principal insurance subsidiaries are currently
rated by A.M. Best Company, Fitch and Standard &
Poors. 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. If the Companys insurance
subsidiaries are not able to maintain their current rating by
A.M. Best Company, Fitch and/or Standard & Poors,
the Companys results of operations could be materially
adversely affected, particularly with respect to the
Companys Star HRG and Student Insurance businesses.
Decreases in operating performance and other financial measures
may result in a downward adjustment of the rating of the
insurance subsidiaries assigned by A.M. Best Company, Fitch or
Standard & Poors. In addition, other factors
beyond the Companys control such as general downward
economic cycles and changes implemented by the rating agencies,
including changes in the criteria for the underwriting or the
capital adequacy model may result in a decrease in the rating. A
downward adjustment in rating by A.M. Best Company, Fitch and/or
Standard & Poors of the Companys insurance
subsidiaries could cause the Companys agents or potential
customers to look at the Company with less favor, which could
have a material adverse effect on the Companys results of
operations.
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Holding Company Structure |
UICI is a holding company, the principal assets of which are its
investments in its separate operating subsidiaries, including
its regulated insurance subsidiaries. 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 its subsidiaries. The Companys insurance
subsidiaries are subject to regulations that limit their ability
to transfer funds to the Company. If the Company is unable to
obtain funds from its insurance subsidiaries, it will experience
reduced cash flow, which could affect the Companys ability
to pay its obligations to creditors as they become due.
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Capital and Surplus Requirements |
If the Companys regulated insurance subsidiaries are not
able to comply with state capital standards, state regulators
may require the Company to take certain actions that could have
a material adverse effect on its results of operations and
financial condition. State regulations govern the amount of
capital required to be retained in the Companys regulated
insurance subsidiaries and the ability of those regulated
subsidiaries to pay dividends. Those state regulations include
the requirement to maintain minimum levels of statutory capital
and surplus, including meeting the requirements of the
risk-based capital standards promulgated by the National
Association of Insurance Commissioners. State regulators have
broad authority to take certain actions in the event those
capital requirements are not met. Those actions could
significantly impact the way the Company conducts its business,
reduce its ability to access capital from the operations of its
regulated insurance subsidiaries and have a material adverse
effect on its results of operations and financial condition. Any
new minimum capital requirements adopted in the future through
state regulation may increase the Companys capital
requirements.
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Item 7A. |
Quantitative and Qualitative Disclosures about Market
Risk |
Market risk is the risk of loss arising from adverse changes in
market rates and prices, such as interest rates, foreign
currency exchange rates, and other relevant market rate or price
changes. Market risk is directly influenced by the volatility
and liquidity in the markets in which the related underlying
assets are traded.
The primary market risk to the Companys investment
portfolio is interest rate risk associated with investments and
the amount of interest that policyholders expect to have
credited to their policies. The interest rate risk taken in the
investment portfolio is managed relative to the duration of the
liabilities. The Companys investment portfolio consists
mainly of high quality, liquid securities that provide current
investment returns. The Company believes that the annuity and
universal life-type policies are generally competitive with
those offered by other insurance companies of similar size. The
Company does not anticipate significant changes in the primary
market risk exposures or in how those exposures are managed in
the future reporting periods based upon what is known or
expected to be in effect in future reporting periods.
Sensitivity analysis is defined as the measurement of potential
loss in future earnings, fair values or cash flows of market
sensitive instruments resulting from one or more selected
hypothetical changes in interest rates and other market rates or
prices over a selected time. In the Companys sensitivity
analysis model, a hypothetical change in market rates is
selected that is expected to reflect reasonably possible
near-term changes in those rates. Near term is
defined as a period of time going forward up to one year from
the date of the consolidated financial statements.
In this sensitivity analysis model, the Company uses fair values
to measure its potential loss. The primary market risk to the
Companys market sensitive instruments is interest rate
risk. The sensitivity analysis model uses a 100 basis point
change in interest rates to measure the hypothetical change in
fair value of financial instruments included in the model. For
invested assets, duration modeling is used to calculate changes
in fair values. Duration on invested assets is adjusted to call,
put and interest rate reset features.
The sensitivity analysis model produces a loss in fair value of
market sensitive instruments of $70.4 million based on a
100 basis point increase in interest rates as of
December 31, 2004. This loss value only reflects the impact
of an interest rate increase on the fair value of the
Companys financial instruments.
The Company has not used derivative financial instruments in
managing its market risk.
|
|
Item 8. |
Financial Statements and Supplementary Data |
The audited consolidated financial statements of the Company and
other information required by this Item 8 are included in
this Form 10-K beginning on page F-1.
|
|
Item 9. |
Changes in and Disagreements with Accountants on
Accounting and Financial Disclosure |
None.
|
|
Item 9A. |
Disclosure Controls and Procedures |
|
|
|
Conclusion Regarding the Effectiveness of Disclosure
Controls and Procedures |
Under the supervision and with the participation of our
management, including our principal executive officer and
principal financial officer, we conducted an evaluation of our
disclosure controls and procedures, as such term is defined
under Rule 13a-15(e) promulgated under the Securities
Exchange Act of 1934, as amended (the Exchange Act). Based on
this evaluation, our principal executive officer and our
principal financial officer concluded that our disclosure
controls and procedures were effective as of the end of the
period covered by this annual report.
|
|
|
Managements Report on Internal Control Over
Financial Reporting |
Our management is responsible for establishing and maintaining
adequate internal control over financial reporting, as such term
is defined in Exchange Act Rules 13a-15(f). The
Companys internal control system
66
was designed to provide reasonable assurance to the
Companys management and its Board of Directors regarding
the preparation and fair presentation of published financial
statements. However, all internal control systems, no matter how
well designed, have inherent limitations. Therefore, even those
systems determined effective can provide only reasonable
assurance with respect to financial statement preparation and
presentation.
The Companys management assessed the effectiveness of the
Companys internal control over financial reporting as of
December 31, 2004. Under the supervision and with the
participation of our management, including our principal
executive officer and principal financial officer, we conducted
an evaluation of the effectiveness of our internal control over
financial reporting based on the framework contained in
Internal Control Integrated Framework issued
by the Committee of Sponsoring Organizations of the Treadway
Commission (the COSO Report).
In conducting its evaluation, managements scope excluded
the operations of HealthMarket, Inc., a Norwalk,
Connecticut-based provider of consumer driven health plans
(CDHPs). The Company acquired substantially all of the operating
assets of HealthMarket, Inc. on October 8, 2004. At
December 31, 2004, the assets of HealthMarket, Inc.
acquired in the transaction in the amount of $54.2 million
represented approximately 2.3% of the Companys
consolidated total assets, and the revenue of HealthMarket, Inc.
in 2004 in the amount of $14.6 million represented less
than one percent (1%) of the Companys consolidated revenue
for 2004. Accordingly, managements assessment as of
December 31, 2004 did not include the internal control over
financial reporting of the HealthMarket, Inc. operations.
Based on our evaluation under the framework in the COSO Report,
and subject to the limitation in scope discussed in the
preceding paragraph, our management concluded that our internal
control over financial reporting was effective as of
December 31, 2004.
The Companys independent Registered Public Accounting
Firm, KPMG LLP, has issued an audit report on our assessment of
the Companys internal control over financial reporting,
which report appears on Page F-3 of this Annual Report on
Form 10-K.
|
|
Item 9B. |
Other Information |
None
67
PART III
|
|
Item 10. |
Directors and Executive Officers of the Registrant |
See the Companys Proxy Statement to be filed in
connection with the 2005 Annual Meeting of Shareholders, of
which the section entitled Election of Directors is
incorporated herein by reference.
For information on executive officers of the Company, reference
is made to the item entitled Executive Officers of the
Company in Part I of this report.
|
|
Item 11. |
Executive Compensation |
See the Companys Proxy Statement to be filed in
connection with the 2005 Annual Meeting of Stockholders, of
which the subsection entitled Executive Compensation
is incorporated herein by reference.
|
|
Item 12. |
Security Ownership of Certain Beneficial Owners and
Management |
See the Companys Proxy Statement to be filed in
connection with the 2005 Annual Meeting of Stockholders, of
which the subsection entitled Nominees and the
subsection entitled Beneficial Ownership of Common
Stock are incorporated herein by reference.
|
|
Item 13. |
Certain Relationships and Related Transactions |
See the Companys Proxy Statement to be filed in
connection with the 2005 Annual Meeting of Stockholders, of
which the subsection entitled Certain Relationships and
Related Transactions is incorporated herein by reference.
See Note K of Notes to Consolidated Financial
Statements.
|
|
Item 14. |
Principal Accountant Fees and Services |
See the Companys Proxy Statement to be filed in
connection with the 2005 Annual Meeting of Stockholders, of
which the subsection captioned Independent Public
Accountants is incorporated herein by reference.
PART IV
|
|
Item 15. |
Exhibits, Financial Statement Schedules, and Reports on
Form 8-K |
(a) Financial Statements
The following consolidated financial statements of UICI and
subsidiaries are included in Item 8:
|
|
|
|
|
|
|
Page | |
|
|
| |
Report of Independent Registered Public Accounting Firm
|
|
|
F-2 |
|
Report of Independent Registered Public Accounting Firm on
Internal Control over Financial Reporting
|
|
|
F-3 |
|
Consolidated Balance Sheets December 31, 2004
and 2003
|
|
|
F-4 |
|
Consolidated Statements of Operations Years ended
December 31, 2004, 2003 and 2002
|
|
|
F-5 |
|
Consolidated Statements of Stockholders Equity and Other
Comprehensive Income (Loss) Years ended
December 31, 2004, 2003 and 2002
|
|
|
F-6 |
|
Consolidated Statements of Cash Flows Years ended
December 31, 2004, 2003 and 2002
|
|
|
F-7 |
|
Notes to Consolidated Financial Statements
|
|
|
F-8 |
|
68
Financial Statement Schedules
|
|
|
|
|
|
|
|
|
Schedule II
|
|
|
|
Condensed Financial Information of Registrant December 31,
2004, 2003 and 2002: UICI (Holding Company) |
|
|
F-76 |
|
Schedule III
|
|
|
|
Supplementary Insurance Information |
|
|
F-79 |
|
Schedule IV
|
|
|
|
Reinsurance |
|
|
F-81 |
|
Schedule V
|
|
|
|
Valuation and Qualifying Accounts |
|
|
F-82 |
|
All other schedules for which provision is made in the
applicable accounting regulations of the Securities and Exchange
Commission are not required under the related instructions or
are not applicable and therefore have been omitted.
The response to this portion of Item 15 is submitted as a
separate section of this report entitled
Exhibit Index.
69
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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.
|
|
|
|
By: |
/s/ WILLIAM J. GEDWED |
|
|
|
|
|
William J. Gedwed, |
|
President, Chief Executive Officer, and Director |
Date: March 15, 2005
Pursuant to the requirements of Securities Exchange Act of 1934,
this report has been signed below by the following persons on
behalf of the registrant and in the capacities and on the dates
indicated.
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ RONALD L. JENSEN*
Ronald
L. Jensen |
|
Chairman of the Board and Director |
|
March 15, 2005 |
|
/s/ WILLIAM J. GEDWED*
William
J. Gedwed |
|
President, Chief Executive Officer, and Director |
|
March 15, 2005 |
|
/s/ MARK D. HAUPTMAN*
Mark
D. Hauptman |
|
Vice President, Chief Financial Officer, and Chief Accounting
Officer |
|
March 15, 2005 |
|
/s/ GLENN W. REED
Glenn
W. Reed |
|
Executive Vice President, General Counsel, and Director |
|
March 15, 2005 |
|
/s/ DENNIS C.
McCUISTION*
Dennis
C. McCuistion |
|
Director |
|
March 15, 2005 |
|
/s/ MURAL R. JOSEPHSON*
Mural
R. Josephson |
|
Director |
|
March 15, 2005 |
|
/s/ R. H. MICK
THOMPSON*
R.
H. Mick Thompson |
|
Director |
|
March 15, 2005 |
|
/s/ RICHARD T. MOCKLER*
Richard
T. Mockler |
|
Director |
|
March 15, 2005 |
|
*By: /s/ GLENN W.
REED
Glenn
W. Reed
(Attorney-in-fact) |
|
(Attorney-in-fact) |
|
March 15, 2005 |
70
ANNUAL REPORT ON FORM 10-K
ITEM 8, ITEM 15(A)(1) and (2), (C), and (D)
FINANCIAL STATEMENTS and SUPPLEMENTAL DATA
FINANCIAL STATEMENT SCHEDULES
CERTAIN EXHIBITS
YEAR ENDED DECEMBER 31, 2004
UICI
and
SUBSIDIARIES
NORTH RICHLAND HILLS, TEXAS
F-1
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
The Board of Directors and Stockholders
UICI
We have audited the accompanying consolidated balance sheets of
UICI and subsidiaries (the Company) as of
December 31, 2004 and 2003, and the related consolidated
statements of operations, stockholders equity and
comprehensive income (loss) and cash flows for each of the years
in the three-year period ended December 31, 2004. In
connection with our audits of the consolidated financial
statements, we also have audited the financial statement
schedules as listed in the Index at Item 15(a). These
consolidated financial statements and financial statement
schedules are the responsibility of the Companys
management. Our responsibility is to express an opinion on these
consolidated financial statements and financial statement
schedules based on our audits.
We conducted our audits in accordance with the standards of the
Public Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in
the financial statements. An audit also includes assessing the
accounting principles used and significant estimates made by
management, as well as evaluating the overall financial
statement presentation. We believe that our audits provide a
reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred
to above present fairly, in all material respects, the
consolidated financial position of UICI and subsidiaries as of
December 31, 2004 and 2003, and the results of their
operations and their cash flows for each of the years in the
three-year period ended December 31, 2004, in conformity
with U.S. generally accepted accounting principles. Also,
in our opinion, the related financial statement schedules, when
considered in relation to the basic consolidated financial
statements taken as a whole, present fairly in all material
respects, the information set forth therein.
We also have audited, in accordance with the standards of the
Public Company Accounting Oversight Board (United States), the
effectiveness of UICIs internal control over financial
reporting as of December 31, 2004, based on criteria
established in Internal Control Integrated
Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission (COSO), and our report
dated March 14, 2005 expressed an unqualified opinion on
managements assessment of, and the effective operation of,
internal control over financial reporting.
Dallas, Texas
March 14, 2005
F-2
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
The Board of Directors and Stockholders
UICI
We have audited managements assessment, included in the
accompanying Managements Report on Internal Control Over
Financial Reporting, that UICI maintained effective internal
control over financial reporting as of December 31, 2004,
based on criteria established in Internal Control
Integrated Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission (COSO). UICIs
management is responsible for maintaining effective internal
control over financial reporting and for its assessment of the
effectiveness of internal control over financial reporting. Our
responsibility is to express an opinion on managements
assessment and an opinion on the effectiveness of the
Companys internal control over financial reporting based
on our audit.
We conducted our audit in accordance with the standards of the
Public Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether effective internal control
over financial reporting was maintained in all material
respects. Our audit included obtaining an understanding of
internal control over financial reporting, evaluating
managements assessment, testing and evaluating the design
and operating effectiveness of internal control, and performing
such other procedures as we considered necessary in the
circumstances. We believe that our audit provides a reasonable
basis for our opinion.
A companys internal control over financial reporting is a
process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with
generally accepted accounting principles. A companys
internal control over financial reporting includes those
policies and procedures that (1) pertain to the maintenance
of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of the assets of the
company; (2) provide reasonable assurance that transactions
are recorded as necessary to permit preparation of financial
statements in accordance with generally accepted accounting
principles, and that receipts and expenditures of the company
are being made only in accordance with authorizations of
management and directors of the company; and (3) provide
reasonable assurance regarding prevention or timely detection of
unauthorized acquisition, use, or disposition of the
companys assets that could have a material effect on the
financial statements.
Because of its inherent limitations, internal control over
financial reporting may not prevent or detect misstatements.
Also, projections of any evaluation of effectiveness to future
periods are subject to the risk that controls may become
inadequate because of changes in conditions, or that the degree
of compliance with the policies or procedures may deteriorate.
In our opinion, managements assessment that UICI
maintained effective internal control over financial reporting
as of December 31, 2004, is fairly stated, in all material
respects, based on criteria established in Internal
Control Integrated Framework issued by the
Committee of Sponsoring Organizations of the Treadway Commission
(COSO). Also, in our opinion, UICI maintained, in all material
respects, effective internal control over financial reporting as
of December 31, 2004, based on criteria established in
Internal Control Integrated Framework issued
by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
UICI acquired substantially all of the assets of
HealthMarket, Inc., a Norwalk, Connecticut-based provider
of consumer driven health plans on October 8, 2004 (the
HealthMarket acquisition). Management excluded from its
assessment of internal control over financial reporting the
HealthMarket acquisition representing total assets of
$54.2 million and revenues of $14.6 million included
in the consolidated financial statements of UICI and
subsidiaries as of and for the year ended December 31, 2004.
We also have audited, in accordance with the standards of the
Public Company Accounting Oversight Board (United States), the
consolidated balance sheets of UICI and subsidiaries as of
December 31, 2004 and 2003, and the related consolidated
statements of operations, stockholders equity,
comprehensive income (loss) and cash flows for each of the years
in the three-year period ended December 31, 2004, and our
report dated March 14, 2005 expressed an unqualified
opinion on those consolidated financial statements.
Dallas, Texas
March 14, 2005
F-3
UICI AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(Dollars in thousands, | |
|
|
except share amounts) | |
ASSETS |
Investments
|
|
|
|
|
|
|
|
|
|
Securities available for sale
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities, at fair value (cost:
|
|
|
|
|
|
|
|
|
|
|
2004 $1,500,204; 2003 $1,370,093)
|
|
$ |
1,531,231 |
|
|
$ |
1,405,092 |
|
|
|
Equity securities, at fair value (cost:
|
|
|
|
|
|
|
|
|
|
|
2004 $1,508; 2003 $13,754)
|
|
|
1,461 |
|
|
|
16,612 |
|
|
Mortgage loans
|
|
|
3,884 |
|
|
|
5,411 |
|
|
Policy loans
|
|
|
17,101 |
|
|
|
18,436 |
|
|
Short-term and other investments
|
|
|
165,661 |
|
|
|
119,566 |
|
|
|
|
|
|
|
|
|
|
Total Investments
|
|
|
1,719,338 |
|
|
|
1,565,117 |
|
Cash and cash equivalents
|
|
|
|
|
|
|
14,014 |
|
Student loans
|
|
|
109,288 |
|
|
|
105,341 |
|
Restricted cash
|
|
|
39,455 |
|
|
|
42,477 |
|
Investment income due and accrued
|
|
|
22,706 |
|
|
|
22,796 |
|
Due premiums
|
|
|
86,051 |
|
|
|
54,668 |
|
Reinsurance receivables
|
|
|
24,537 |
|
|
|
57,247 |
|
Agents and other receivables
|
|
|
34,762 |
|
|
|
30,551 |
|
Deferred acquisition costs
|
|
|
110,502 |
|
|
|
90,651 |
|
Property and equipment, net
|
|
|
97,863 |
|
|
|
78,076 |
|
Goodwill and other intangible assets
|
|
|
75,625 |
|
|
|
45,399 |
|
Deferred income tax
|
|
|
16,569 |
|
|
|
14,009 |
|
Other assets
|
|
|
8,962 |
|
|
|
6,613 |
|
|
|
|
|
|
|
|
|
|
$ |
2,345,658 |
|
|
$ |
2,126,959 |
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
Policy liabilities:
|
|
|
|
|
|
|
|
|
|
Future policy and contract benefits
|
|
$ |
444,228 |
|
|
$ |
439,153 |
|
|
Claims
|
|
|
622,587 |
|
|
|
575,473 |
|
|
Unearned premiums
|
|
|
177,406 |
|
|
|
153,699 |
|
|
Other policy liabilities
|
|
|
14,450 |
|
|
|
16,659 |
|
Accounts payable and accrued expenses
|
|
|
54,644 |
|
|
|
47,921 |
|
Cash overdraft
|
|
|
8,749 |
|
|
|
|
|
Other liabilities
|
|
|
131,431 |
|
|
|
101,585 |
|
Federal income taxes payable
|
|
|
3,355 |
|
|
|
18,630 |
|
Debt
|
|
|
15,470 |
|
|
|
18,951 |
|
Student Loan Credit Facility
|
|
|
150,000 |
|
|
|
150,000 |
|
Net liabilities of discontinued operations
|
|
|
9,193 |
|
|
|
17,320 |
|
|
|
|
|
|
|
|
|
|
|
1,631,513 |
|
|
|
1,539,391 |
|
Commitments and Contingencies (Note L)
|
|
|
|
|
|
|
|
|
Stockholders Equity
|
|
|
|
|
|
|
|
|
|
Preferred stock, par value $0.01 per share
authorized 10,000,000 shares, no shares issued and
outstanding in 2004 and 2003
|
|
|
|
|
|
|
|
|
|
Common Stock, par value $0.01 per share
authorized 100,000,000 shares in 2004 and 2003; 47,623,102
issued and 45,715,144 outstanding in 2004; 48,111,964 issued and
46,327,234 outstanding in 2003
|
|
|
476 |
|
|
|
481 |
|
|
Additional paid-in capital
|
|
|
202,139 |
|
|
|
210,320 |
|
|
Accumulated other comprehensive income
|
|
|
20,137 |
|
|
|
24,607 |
|
|
Retained earnings
|
|
|
528,447 |
|
|
|
378,366 |
|
|
Treasury stock, at cost (1,907,958 common shares in 2004 and
1,784,730 common shares in 2003)
|
|
|
(37,054 |
) |
|
|
(26,206 |
) |
|
|
|
|
|
|
|
|
|
|
714,145 |
|
|
|
587,568 |
|
|
|
|
|
|
|
|
|
|
$ |
2,345,658 |
|
|
$ |
2,126,959 |
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-4
UICI AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(Dollars in thousands, except per | |
|
|
share amounts) | |
Revenue
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health (includes amounts received from related parties of
$2,085, $1,308 and $2,090 in 2004, 2003 and 2002, respectively)
|
|
$ |
1,812,892 |
|
|
$ |
1,547,233 |
|
|
$ |
1,161,381 |
|
|
|
Life premiums and other considerations
|
|
|
38,008 |
|
|
|
29,973 |
|
|
|
31,549 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,850,900 |
|
|
|
1,577,206 |
|
|
|
1,192,930 |
|
|
Investment income (includes amounts received from related
parties of $9, $35 and $4 in 2004, 2003 and 2002, respectively)
|
|
|
85,868 |
|
|
|
77,661 |
|
|
|
80,831 |
|
|
Other income (includes amounts received from related parties of
$2,488, $2,263 and $8,416 in 2004, 2003 and 2002, respectively)
|
|
|
114,467 |
|
|
|
118,627 |
|
|
|
107,541 |
|
|
Gains (losses) on sale of investments
|
|
|
6,671 |
|
|
|
39,711 |
|
|
|
(5,598 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
2,057,906 |
|
|
|
1,813,205 |
|
|
|
1,375,704 |
|
Benefits and Expenses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses
|
|
|
1,127,058 |
|
|
|
1,039,593 |
|
|
|
774,492 |
|
|
Underwriting, policy acquisition costs, and insurance expenses
(includes amounts paid to related parties of $7,294, $9,145 and
$19,440 in 2004, 2003 and 2002, respectively)
|
|
|
632,132 |
|
|
|
563,574 |
|
|
|
432,468 |
|
|
Stock appreciation expense (benefit)
|
|
|
14,307 |
|
|
|
(459 |
) |
|
|
16,312 |
|
|
Other expenses, (includes amounts paid to related parties of
$1,320, $3,021 and $4,737 in 2004, 2003 and 2002, respectively)
|
|
|
59,843 |
|
|
|
73,354 |
|
|
|
61,886 |
|
|
Interest expense
|
|
|
3,417 |
|
|
|
3,016 |
|
|
|
4,148 |
|
|
Losses in Healthaxis, Inc. investment
|
|
|
|
|
|
|
2,211 |
|
|
|
9,639 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,836,757 |
|
|
|
1,681,289 |
|
|
|
1,298,945 |
|
|
|
|
|
|
|
|
|
|
|
INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES
|
|
|
221,149 |
|
|
|
131,916 |
|
|
|
76,759 |
|
Federal income taxes
|
|
|
75,268 |
|
|
|
44,592 |
|
|
|
25,705 |
|
|
|
|
|
|
|
|
|
|
|
INCOME FROM CONTINUING OPERATIONS
|
|
|
145,881 |
|
|
|
87,324 |
|
|
|
51,054 |
|
DISCONTINUED OPERATIONS:
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations, (net of income tax benefit of
$1,084, $16,522 and $3,275 in 2004, 2003 and 2002, respectively)
|
|
|
15,677 |
|
|
|
(72,990 |
) |
|
|
953 |
|
|
|
|
|
|
|
|
|
|
|
INCOME BEFORE CUMULATIVE EFFECT OF ACCOUNTING CHANGE
|
|
|
161,558 |
|
|
|
14,334 |
|
|
|
52,007 |
|
Cumulative effect of accounting change (net of income tax
benefit, of $-0-, $-0- and $1,742 in 2004, 2003 and 2002,
respectively)
|
|
|
|
|
|
|
|
|
|
|
(5,144 |
) |
|
|
|
|
|
|
|
|
|
|
NET INCOME
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
|
|
|
|
|
|
|
|
|
|
Earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
3.16 |
|
|
$ |
1.88 |
|
|
$ |
1.08 |
|
|
Income (loss) from discontinued operations
|
|
|
0.34 |
|
|
|
(1.57 |
) |
|
|
0.02 |
|
|
|
|
|
|
|
|
|
|
|
|
Income before cumulative effect of accounting change
|
|
|
3.50 |
|
|
|
0.31 |
|
|
|
1.10 |
|
|
Cumulative effect of accounting change
|
|
|
|
|
|
|
|
|
|
|
(0.11 |
) |
|
|
|
|
|
|
|
|
|
|
NET INCOME
|
|
$ |
3.50 |
|
|
$ |
0.31 |
|
|
$ |
0.99 |
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings Income from continuing operations
|
|
$ |
3.07 |
|
|
$ |
1.82 |
|
|
$ |
1.05 |
|
|
Income (loss) from discontinued operations
|
|
|
0.33 |
|
|
|
(1.52 |
) |
|
|
0.02 |
|
|
|
|
|
|
|
|
|
|
|
|
Income before cumulative effect of accounting change
|
|
|
3.40 |
|
|
|
0.30 |
|
|
|
1.07 |
|
|
Cumulative effect of accounting change
|
|
|
|
|
|
|
|
|
|
|
(0.11 |
) |
|
|
|
|
|
|
|
|
|
|
NET INCOME
|
|
$ |
3.40 |
|
|
$ |
0.30 |
|
|
$ |
0.96 |
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-5
UICI AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY AND
COMPREHENSIVE INCOME (LOSS)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
|
|
|
|
|
|
|
|
Other | |
|
|
|
|
|
|
|
|
|
|
Additional | |
|
Comprehensive | |
|
|
|
|
|
|
|
|
Common | |
|
Paid-In | |
|
Income | |
|
Retained | |
|
Treasury | |
|
|
|
|
Stock | |
|
Capital | |
|
(Loss) | |
|
Earnings | |
|
Stock | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance at January 1, 2002
|
|
$ |
494 |
|
|
$ |
201,328 |
|
|
$ |
30,294 |
|
|
$ |
317,169 |
|
|
$ |
(14,713 |
) |
|
$ |
534,572 |
|
Comprehensive income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
46,863 |
|
|
|
|
|
|
|
46,863 |
|
|
Other comprehensive income, net of tax:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in unrealized gains (losses) on securities
|
|
|
|
|
|
|
|
|
|
|
18,523 |
|
|
|
|
|
|
|
|
|
|
|
18,523 |
|
|
|
Deferred income tax expense
|
|
|
|
|
|
|
|
|
|
|
(6,374 |
) |
|
|
|
|
|
|
|
|
|
|
(6,374 |
) |
|
|
Other
|
|
|
|
|
|
|
|
|
|
|
(106 |
) |
|
|
|
|
|
|
|
|
|
|
(106 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income
|
|
|
|
|
|
|
|
|
|
|
12,043 |
|
|
|
|
|
|
|
|
|
|
|
12,043 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income
|
|
|
|
|
|
|
|
|
|
|
12,043 |
|
|
|
46,863 |
|
|
|
|
|
|
|
58,906 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vesting of Agent Plan credits
|
|
|
|
|
|
|
4,915 |
|
|
|
|
|
|
|
|
|
|
|
3,127 |
|
|
|
8,042 |
|
Common stock issued
|
|
|
8 |
|
|
|
15,288 |
|
|
|
|
|
|
|
|
|
|
|
(3,809 |
) |
|
|
11,487 |
|
Exercise stock options
|
|
|
7 |
|
|
|
12,059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12,066 |
|
Purchase of treasury stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(42,515 |
) |
|
|
(42,515 |
) |
Stock-based compensation tax benefit
|
|
|
|
|
|
|
1,107 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,107 |
|
Other
|
|
|
|
|
|
|
1,385 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,385 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2002
|
|
|
509 |
|
|
|
236,082 |
|
|
|
42,337 |
|
|
|
364,032 |
|
|
|
(57,910 |
) |
|
|
585,050 |
|
Comprehensive income (loss):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14,334 |
|
|
|
|
|
|
|
14,334 |
|
|
Other comprehensive loss, net of tax:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in unrealized gains (losses) on securities
|
|
|
|
|
|
|
|
|
|
|
(27,273 |
) |
|
|
|
|
|
|
|
|
|
|
(27,273 |
) |
|
|
Deferred income tax expense
|
|
|
|
|
|
|
|
|
|
|
9,481 |
|
|
|
|
|
|
|
|
|
|
|
9,481 |
|
|
|
Other
|
|
|
|
|
|
|
|
|
|
|
62 |
|
|
|
|
|
|
|
|
|
|
|
62 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive loss
|
|
|
|
|
|
|
|
|
|
|
(17,730 |
) |
|
|
|
|
|
|
|
|
|
|
(17,730 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income (loss)
|
|
|
|
|
|
|
|
|
|
|
(17,730 |
) |
|
|
14,334 |
|
|
|
|
|
|
|
(3,396 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vesting of Agent Plan credits
|
|
|
|
|
|
|
7,932 |
|
|
|
|
|
|
|
|
|
|
|
4,294 |
|
|
|
12,226 |
|
Common stock issued
|
|
|
1 |
|
|
|
358 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
359 |
|
Exercise stock options
|
|
|
7 |
|
|
|
10,341 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10,348 |
|
Retirement of treasury stock
|
|
|
(36 |
) |
|
|
(46,970 |
) |
|
|
|
|
|
|
|
|
|
|
47,006 |
|
|
|
|
|
Purchase of treasury stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(19,596 |
) |
|
|
(19,596 |
) |
Stock-based compensation tax benefit
|
|
|
|
|
|
|
618 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
618 |
|
Other
|
|
|
|
|
|
|
1,959 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,959 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2003
|
|
|
481 |
|
|
|
210,320 |
|
|
|
24,607 |
|
|
|
378,366 |
|
|
|
(26,206 |
) |
|
|
587,568 |
|
Comprehensive income (loss):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
161,558 |
|
|
|
|
|
|
|
161,558 |
|
|
Other comprehensive loss, net of tax:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Change in unrealized gains (losses) on securities
|
|
|
|
|
|
|
|
|
|
|
(6,877 |
) |
|
|
|
|
|
|
|
|
|
|
(6,877 |
) |
|
|
Deferred income tax expense
|
|
|
|
|
|
|
|
|
|
|
2,407 |
|
|
|
|
|
|
|
|
|
|
|
2,407 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive loss
|
|
|
|
|
|
|
|
|
|
|
(4,470 |
) |
|
|
|
|
|
|
|
|
|
|
(4,470 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income (loss)
|
|
|
|
|
|
|
|
|
|
|
(4,470 |
) |
|
|
161,558 |
|
|
|
|
|
|
|
157,088 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dividends paid
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(11,477 |
) |
|
|
|
|
|
|
(11,477 |
) |
Vesting of Agent Plan credits
|
|
|
|
|
|
|
249 |
|
|
|
|
|
|
|
|
|
|
|
10,358 |
|
|
|
10,607 |
|
Exercise stock options
|
|
|
6 |
|
|
|
5,546 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,552 |
|
Stock-based compensation tax benefit
|
|
|
|
|
|
|
1,972 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,972 |
|
Retirement of treasury stock
|
|
|
(11 |
) |
|
|
(16,729 |
) |
|
|
|
|
|
|
|
|
|
|
16,740 |
|
|
|
|
|
Purchase of treasury stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(37,946 |
) |
|
|
(37,946 |
) |
Other
|
|
|
|
|
|
|
781 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
781 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2004
|
|
$ |
476 |
|
|
$ |
202,139 |
|
|
$ |
20,137 |
|
|
$ |
528,447 |
|
|
$ |
(37,054 |
) |
|
$ |
714,145 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-6
UICI AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Operating Activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
|
|
(Income) loss from discontinued operations
|
|
|
(15,677 |
) |
|
|
72,990 |
|
|
|
(953 |
) |
|
Adjustments to reconcile net income to cash provided by
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Gains) loss on sale of investments
|
|
|
(6,671 |
) |
|
|
(39,711 |
) |
|
|
5,598 |
|
|
|
Operating loss of Healthaxis, Inc
|
|
|
|
|
|
|
2,211 |
|
|
|
3,139 |
|
|
|
Decrease (increase) in accrued investment income
|
|
|
(4,538 |
) |
|
|
(2,040 |
) |
|
|
474 |
|
|
|
Decrease (increase) in reinsurance receivables and other
receivables
|
|
|
1,407 |
|
|
|
(27,605 |
) |
|
|
1,119 |
|
|
|
Change in federal income tax payable
|
|
|
(15,275 |
) |
|
|
19,862 |
|
|
|
3,957 |
|
|
|
Acquisition costs deferred
|
|
|
(93,383 |
) |
|
|
(65,733 |
) |
|
|
(59,330 |
) |
|
|
Amortization of deferred acquisition costs
|
|
|
73,532 |
|
|
|
69,343 |
|
|
|
43,948 |
|
|
|
Depreciation and amortization
|
|
|
29,392 |
|
|
|
18,404 |
|
|
|
16,178 |
|
|
|
Deferred income tax (benefit) change
|
|
|
(153 |
) |
|
|
121 |
|
|
|
783 |
|
|
|
Increase in policy liabilities
|
|
|
79,999 |
|
|
|
158,869 |
|
|
|
148,739 |
|
|
|
Increase in other liabilities and accrued expenses
|
|
|
30,898 |
|
|
|
41,466 |
|
|
|
34,573 |
|
|
|
Stock appreciation expense (benefit)
|
|
|
14,307 |
|
|
|
(459 |
) |
|
|
16,312 |
|
|
|
Other items, net
|
|
|
6,274 |
|
|
|
(4,065 |
) |
|
|
(915 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash Provided by Continuing Operations
|
|
|
261,670 |
|
|
|
257,987 |
|
|
|
260,485 |
|
|
|
|
Cash Provided by (Used in) Discontinued Operations
|
|
|
(17,815 |
) |
|
|
33,238 |
|
|
|
5,552 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Cash Provided by Operating Activities
|
|
|
243,855 |
|
|
|
291,225 |
|
|
|
266,037 |
|
|
|
|
|
|
|
|
|
|
|
Investing Activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Securities available-for-sale
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases
|
|
|
(425,209 |
) |
|
|
(664,905 |
) |
|
|
(725,270 |
) |
|
|
Sales
|
|
|
181,103 |
|
|
|
249,316 |
|
|
|
450,458 |
|
|
|
Maturities, calls and redemptions
|
|
|
130,543 |
|
|
|
178,847 |
|
|
|
129,389 |
|
|
Student loans
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases and originations
|
|
|
(11,279 |
) |
|
|
(19,384 |
) |
|
|
(20,010 |
) |
|
|
Maturities
|
|
|
8,798 |
|
|
|
7,579 |
|
|
|
5,452 |
|
|
Short-term and other investments net
|
|
|
(43,256 |
) |
|
|
40,632 |
|
|
|
33,624 |
|
|
Purchase of subsidiaries and life and health business net of
cash acquired of $0, $0 and $2,649 in 2004, 2003 and 2002,
respectively
|
|
|
(53,100 |
) |
|
|
(4,951 |
) |
|
|
(23,693 |
) |
|
Decrease (increase) in restricted cash
|
|
|
3,022 |
|
|
|
13,270 |
|
|
|
(39,996 |
) |
|
Proceeds from subsidiaries sold, net of cash disposed of $0 in
2004; $0 in 2003 and $550 in 2002
|
|
|
|
|
|
|
|
|
|
|
1,208 |
|
|
Additions to property and equipment
|
|
|
(25,424 |
) |
|
|
(33,316 |
) |
|
|
(33,523 |
) |
|
Minority interest purchased
|
|
|
|
|
|
|
(863 |
) |
|
|
(1,948 |
) |
|
Decrease (increase) in agents receivables
|
|
|
(4,882 |
) |
|
|
10,556 |
|
|
|
(7,105 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash Used in Continuing Operations
|
|
|
(239,684 |
) |
|
|
(223,219 |
) |
|
|
(231,414 |
) |
|
|
|
Cash Provided by (Used in) Discontinued Operations
|
|
|
25,365 |
|
|
|
(116,653 |
) |
|
|
(224,931 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Cash Used in Investing Activities
|
|
|
(214,319 |
) |
|
|
(339,872 |
) |
|
|
(456,345 |
) |
|
|
|
|
|
|
|
|
|
|
Financing Activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repayment of notes payable
|
|
|
(18,951 |
) |
|
|
(3,971 |
) |
|
|
(15,589 |
) |
|
Proceeds from student loan credit facilities
|
|
|
|
|
|
|
|
|
|
|
50,000 |
|
|
Change in cash overdraft
|
|
|
8,749 |
|
|
|
|
|
|
|
|
|
|
Net proceeds from issuance of trust securities
|
|
|
14,570 |
|
|
|
|
|
|
|
|
|
|
Deposits from investment products
|
|
|
17,809 |
|
|
|
14,975 |
|
|
|
13,407 |
|
|
Withdrawals from investment products
|
|
|
(24,121 |
) |
|
|
(22,489 |
) |
|
|
(24,538 |
) |
|
Exercising of stock options
|
|
|
7,524 |
|
|
|
10,966 |
|
|
|
12,616 |
|
|
Purchase of treasury stock
|
|
|
(37,946 |
) |
|
|
(19,596 |
) |
|
|
(42,515 |
) |
|
Dividends paid
|
|
|
(11,477 |
) |
|
|
|
|
|
|
|
|
|
Other
|
|
|
293 |
|
|
|
2,318 |
|
|
|
6,469 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash Used in Continuing Operations
|
|
|
(43,550 |
) |
|
|
(17,797 |
) |
|
|
(150 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash Provided by Discontinued Operations
|
|
|
|
|
|
|
25,542 |
|
|
|
194,597 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Cash Provided by (Used in) Financing Activities
|
|
|
(43,550 |
) |
|
|
7,745 |
|
|
|
194,447 |
|
|
|
|
|
|
|
|
|
|
|
|
Net Increase (Decrease) in Cash
|
|
|
(14,014 |
) |
|
|
(40,902 |
) |
|
|
4,139 |
|
|
Cash and cash equivalents at Beginning of Period
|
|
|
14,014 |
|
|
|
54,916 |
|
|
|
50,777 |
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at End of Period
|
|
|
|
|
|
|
14,014 |
|
|
|
54,916 |
|
|
|
Less cash and cash equivalents at End of Period in discontinued
operations
|
|
|
|
|
|
|
|
|
|
|
38,660 |
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at End of Period in continuing
operations
|
|
$ |
|
|
|
$ |
14,014 |
|
|
$ |
16,256 |
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-7
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Note A Significant Accounting Policies
|
|
|
Principles of Consolidation |
The consolidated financial statements include the accounts of
UICI and its subsidiaries (the Company). All
significant intercompany accounts and transactions have been
eliminated in consolidation.
UICI is a holding company, and the Company conducts its
insurance businesses through its wholly owned insurance company
subsidiaries, The MEGA Life and Health Insurance Company
(MEGA), Mid-West National Life Insurance Company of
Tennessee (Mid-West) and The Chesapeake Life
Insurance Company (Chesapeake). MEGA is an insurance
company domiciled in Oklahoma and is licensed to issue health,
life and annuity insurance policies in all states except New
York. Mid-West is an insurance company domiciled in Tennessee
and is licensed to issue health, life and annuity insurance
policies in Puerto Rico and all states except Maine, New
Hampshire, New York, and Vermont. Chesapeake is an insurance
company domiciled in Oklahoma and is licensed to issue health
and life insurance policies in all states except New Jersey, New
York and Vermont.
The Company offers insurance (primarily health and life) to
niche consumer and institutional markets. The Company issues
primarily health insurance policies, covering individuals and
families, to the self-employed, association group, voluntary
employer group and student markets. Information on the
Companys operations by segment is included in Note O.
Through its Self-Employed Agency Division (SEA
Division), the Company offers a broad range of health
insurance products for self-employed individuals and individuals
who work for small businesses. The Companys basic
hospital-medical and catastrophic hospital expense plans are
designed to accommodate individual needs and include both
traditional fee-for-service indemnity (choice of doctor) plans
and preferred provider organization plans, as well as other
supplemental types of coverage. The Company markets these higher
deductible products to the self-employed and individual markets
through independent contractor agents associated with
UGA-Association Field Services and Cornerstone America, the
Companys dedicated agency sales forces that
primarily sell the Companys products.
Through its Student Insurance Division, UICI offers tailored
health insurance programs that generally provide single school
year coverage to individual students at colleges and
universities. The Company also provides an accident policy for
students at public and private schools in pre-kindergarten
through grade 12. In the student market, the Company sells
its products through in-house account executives that focus on
colleges and universities on a national basis.
The Companys Star HRG Division specializes in the design,
marketing and administration of limited benefit health insurance
plans for entry level, high turnover, and hourly employees. The
Company markets and sells these products directly to its
employer clients through a sales force consisting of Company
employees.
Through its Life Insurance Division the Company also issues
universal life, whole life and term life insurance products to
individuals in the self-employed market, the middle income
market; the Hispanic market and the senior market. The Company
distributes its life insurance products directly to individuals
in the self-employed market through agents associated with
UGA-Association Field Services and Cornerstone America and
through marketing relationships with two independent managing
general agents (MGAs).
During 2003, through a newly formed company, ZON Re USA LLC (an
82.5%-owned subsidiary), the Company began to underwrite,
administer and issue accidental death, accidental death and
dismemberment (AD&D), accident medical and accident
disability insurance products, both on a primary and on a
reinsurance basis. The Company distributes these products
through professional reinsurance intermediaries
F-8
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
and a network of independent commercial insurance agents,
brokers and third party administrators. To date, the results of
this business have not been material to our consolidated results
of operations.
In October 2004, the Company completed the acquisition of
substantially all of the operating assets of HealthMarket, Inc.,
a Norwalk, Connecticut-based provider of consumer driven health
plans (CDHPs) to the small business (2 to 200 employees)
marketplace. Subject to receipt of applicable regulatory
approvals, the Company intends to market and sell
HealthMarkets CDHP products to the individual and small
employer group markets through its subsidiaries MEGA, Mid-West
and Chesapeake. In addition, the Company will continue to
utilize HealthMarkets existing network of independent
agents and brokers to distribute the consumer driven health
plans designed and administered by HealthMarket.
The Companys business segments for financial reporting
purposes include (a) the Insurance segment, which includes
the businesses of the Companys Self-Employed Agency
Division, Student Insurance Division, Star HRG Division, Life
Insurance Division and Other Insurance (consisting of the
Companys accident insurance/reinsurance business, which
commenced operations in the third quarter of 2003); and
(b) its Other Key Factors segment, which includes
investment income not allocated to the Insurance segment,
realized gains or losses on sale of investments, interest
expense on corporate debt, general expenses relating to
corporate operations, minority interest, variable stock-based
compensation and operations that do not constitute reportable
operating segments (including the Companys investment in
Healthaxis, Inc. until sold on September 30, 2003).
For purposes of segment reporting, the Company had previously
reported the results of its Student Insurance Division and Star
HRG Division as one business unit referred to as its Group
Insurance Division. Effective October 1, 2004, the
Company began separately reporting the results of the Student
Insurance Division and Star HRG Division.
The Company has reflected as discontinued operations for
financial reporting purposes the results of its former AMS
subsidiary, its former Senior Market division and its Special
Risk Division operations. See Note Q.
Basis
of Presentation
The consolidated financial statements have been prepared on the
basis of accounting principles generally accepted in the United
States of America (GAAP). The more significant
variances between GAAP and statutory accounting practices
prescribed or permitted by regulatory authorities for insurance
companies are: fixed maturities are carried at fair value for
investments classified as available for sale for GAAP rather
than generally at amortized cost; the deferral of new business
acquisition costs, rather than expensing them as incurred; the
determination of the liability for future policyholder benefits
based on realistic assumptions, rather than on statutory rates
for mortality and interest; the recording of reinsurance
receivables as assets for GAAP rather than as reductions of
liabilities; and the exclusion of non-admitted assets for
statutory purposes. See Note J for
stockholders equity and net income from insurance
subsidiaries as determined using statutory accounting practices.
The preparation of the consolidated financial statements in
accordance with GAAP requires management to make estimates and
assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities
at the date of the consolidated financial statements and the
reported amounts of revenues and expenses during the reporting
period. Management periodically reviews its estimates and
F-9
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
assumptions. Actual results may differ from the estimates and
assumptions used in preparing the consolidated financial
statements.
Fixed maturities consist of bonds and notes issued by
governments, businesses, or other entities, mortgage and asset
backed securities and similar securitized loans. All fixed
maturity investments classified as available for
sale are reported at fair value. Equity securities consist
of common and non-redeemable preferred stocks and are carried at
fair value. Mortgage loans are carried at unpaid balances, less
allowance for losses. Policy loans are carried at the aggregate
unpaid balance. Short-term investments are generally carried at
cost which approximates fair value. Premiums and discounts on
mortgage-backed securities are amortized over a period based on
estimated future principal payments, including prepayments.
Prepayment assumptions are reviewed periodically and adjusted to
reflect actual prepayments changes in expectations. The most
significant determinant of prepayments are the differences
between interest rates of the underlying mortgages and current
mortgage loan rates and the structure of the security. Other
factors affecting prepayments include the size, type and age of
underlying mortgages, the geographic location of the mortgaged
properties and the creditworthiness of the borrowers. Variations
from anticipated prepayments will affect the life and yield of
these securities.
Prior to its disposition in September 2003, the Company
accounted for its investment in Healthaxis, Inc. on the equity
method, and, accordingly, the Companys investment in
Healthaxis, Inc. was stated at the Companys cost, as
adjusted for contributions or distributions and the
Companys share of Healthaxis, Inc.s income or loss.
Realized gains and losses on sales of investments are recognized
in net income on the specific identification basis and include
write downs on those investments deemed to have an
other-than-temporary decline in fair values. Unrealized
investment gains or losses on securities carried at fair value,
net of applicable deferred income tax, are reported in
accumulated other comprehensive income (loss) as a separate
component of stockholders equity and accordingly have no
effect on net income (loss).
Purchases and sales of short-term financial instruments are part
of investing activities and not necessarily a part of the cash
management program. Short-term financial instruments are
classified as investments in the Consolidated Balance Sheets and
are included as investing activities in the Consolidated
Statements of Cash Flows.
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.
Management monitors investments where two or more of the above
indicators exist and investments are identified by the Company
in economically challenged industries. If investments are
determined to be impaired, a loss is recognized at the date of
determination.
Cash
and Cash Equivalents
The Company classifies as cash and cash equivalents unrestricted
cash on deposit in banks and invested temporarily in various
instruments with maturities of three months or less at the time
of purchase.
F-10
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Student loans (consisting of student loans originated under the
Companys former College First Alternative Loan program)
are carried at their unpaid principal balances (less any
applicable allowance for losses).
|
|
|
Deferred Acquisition Costs |
|
|
|
Health Policy Acquisition Costs |
The Company incurs various costs in connection with the
origination and initial issuance of its health insurance
policies, including underwriting and policy issuance costs,
costs associated with lead generation activities and
distribution costs (i.e., sales commissions paid to
agents). The Company defers those costs that vary with
production. The Company defers commissions paid to agents and
premium taxes with respect to the portion of health premium
collected but not yet earned, and the Company amortizes the
deferred expense over the period as and when the premium is
earned. Costs associated with generating sales leads with
respect to the health business issued through the SEA Division
are capitalized and amortized over a two-year period, which
approximates the average life of a policy. For financial
reporting purposes, underwriting and policy issuance costs
(which the Company estimates are more fixed than variable) with
respect to health policies issued through the Companys
SEA, Student Insurance and Star HRG Divisions are expensed as
incurred.
With respect to health policies sold through the Companys
SEA Division, commissions paid to agents with respect to first
year policies are higher than commissions paid to agents with
respect to policies in renewal years. Accordingly, during
periods of increasing first year premium revenue (such as
occurred during 2002), the SEA Divisions overall operating
profit margin will be negatively impacted by the higher
commission expense associated with first year premium revenue.
|
|
|
Life Policy Acquisition Costs |
The Company incurs various costs in connection with the
origination and initial issuance of its life insurance policies,
including underwriting and policy issuance costs. The Company
defers those costs that vary with production. The Company
capitalizes commission and issue costs primarily associated with
the new business of its Life Insurance Division. Deferred
acquisition costs consist primarily of sales commissions and
other underwriting costs of new life insurance sales. Policy
acquisition costs associated with traditional life business are
capitalized and amortized over the estimated premium-paying
period of the related policies, in proportion to the ratio of
the annual premium revenue to the total premium revenue
anticipated. Such anticipated premium revenue, which is modified
to reflect actual lapse experience, is estimated using the same
assumptions as are used for computing policy benefits. For
universal life-type and annuity contracts, capitalized costs are
amortized at a constant rate based on the present value of the
estimated gross profits expected to be realized on the book of
contracts.
The cost of business acquired through acquisition of
subsidiaries or blocks of business is determined based upon
estimates of the future profits inherent in the business
acquired. Such costs are capitalized and amortized over the
estimated premium-paying period. Anticipated investment income
is considered in determining whether a premium deficiency
exists. The amortization period is adjusted when estimates of
current or future gross profits to be realized from a group of
products are revised.
The Company monitors and assesses the recoverability of deferred
health and life policy acquisition costs on a quarterly basis.
F-11
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is an analysis of cost of policies acquired and
deferred acquisition costs of policies issued:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Costs of policies acquired:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Beginning of year
|
|
$ |
7,563 |
|
|
$ |
3,376 |
|
|
$ |
4,226 |
|
|
|
Additions(1)
|
|
|
|
|
|
|
4,951 |
|
|
|
|
|
|
|
Amortization(2)
|
|
|
(2,572 |
) |
|
|
(764 |
) |
|
|
(850 |
) |
|
|
|
|
|
|
|
|
|
|
|
End of year
|
|
|
4,991 |
|
|
|
7,563 |
|
|
|
3,376 |
|
Deferred costs of policies issued
|
|
|
105,511 |
|
|
|
83,088 |
|
|
|
85,934 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
110,502 |
|
|
$ |
90,651 |
|
|
$ |
89,310 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Effective December 31, 2003, the Company terminated a
coinsurance arrangement (see Note G
Reinsurance), and the Company settled the purchase price for the
novation of the remaining coinsured policies to the Company. The
net effect of the transaction resulted in cost of policies
acquired in the amount of $5.0 million. |
|
(2) |
The discount rate used in the amortization of the costs of
policies acquired ranges from 7% to 20% based on a variety of
assumptions including the type of policies acquired. |
Set forth below is an analysis of deferred costs of policies
issued at each of December 31, 2004, 2003 and 2002 and the
related deferral and amortization in each of the years then
ended:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Deferred costs of policies issued:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Beginning of year
|
|
$ |
83,088 |
|
|
$ |
85,934 |
|
|
$ |
69,702 |
|
|
|
Additions
|
|
|
93,383 |
|
|
|
65,733 |
|
|
|
59,330 |
|
|
|
Amortization
|
|
|
(70,960 |
) |
|
|
(68,579 |
) |
|
|
(43,098 |
) |
|
|
|
|
|
|
|
|
|
|
|
End of year
|
|
$ |
105,511 |
|
|
$ |
83,088 |
|
|
$ |
85,934 |
|
|
|
|
|
|
|
|
|
|
|
The amortization for the next five years and thereafter of
capitalized costs of policies acquired at December 31, 2004
is estimated to be as follows:
|
|
|
|
|
|
|
(In thousands) | |
2005
|
|
$ |
1,767 |
|
2006
|
|
|
1,325 |
|
2007
|
|
|
992 |
|
2008
|
|
|
270 |
|
2009
|
|
|
250 |
|
2010 and thereafter
|
|
|
387 |
|
|
|
|
|
|
|
$ |
4,991 |
|
|
|
|
|
At December 31, 2004 and 2003, the Company held restricted
cash in the amount of $39.5 million and $42.5 million,
respectively. Restricted cash consisted primarily of cash and
cash equivalents securing student
F-12
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
loan credit facilities held by a bankruptcy-remote, special
purpose entity in the amount of $37.4 million and
$40.4 million as of December 31, 2004 and 2003,
respectively, which cash may be used only for repayment of
associated borrowings and/or acquisitions of additional student
loans. See Note H.
|
|
|
Allowance for Doubtful Accounts |
The Company establishes an allowance for potential losses that
could result from defaults or write-downs on various assets. The
allowance is maintained at a level that the Company believes is
adequate to absorb estimated losses.
The Companys allowance for losses is as follows:
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Agents receivables
|
|
$ |
2,967 |
|
|
$ |
3,143 |
|
Mortgage loans
|
|
|
324 |
|
|
|
324 |
|
Student loans
|
|
|
3,608 |
|
|
|
1,676 |
|
Real estate
|
|
|
|
|
|
|
2,434 |
|
|
|
|
|
|
|
|
|
|
$ |
6,899 |
|
|
$ |
7,577 |
|
|
|
|
|
|
|
|
Property and equipment includes buildings, leasehold
improvements, furniture, software and equipment, all of which
are reported at depreciated cost that is computed using straight
line and accelerated methods based upon the estimated useful
lives of the assets (generally 3 to 7 years for furniture,
software and equipment and 30 to 39 years for buildings).
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Land and improvements
|
|
$ |
2,731 |
|
|
$ |
3,069 |
|
Buildings and leasehold improvements
|
|
|
31,015 |
|
|
|
31,955 |
|
Real estate held for sale
|
|
|
|
|
|
|
500 |
|
Software
|
|
|
80,714 |
|
|
|
50,535 |
|
Furniture, software and equipment
|
|
|
49,068 |
|
|
|
48,910 |
|
|
|
|
|
|
|
|
|
|
|
163,528 |
|
|
|
134,969 |
|
Less accumulated depreciation
|
|
|
65,665 |
|
|
|
56,893 |
|
|
|
|
|
|
|
|
Property and equipment (net)
|
|
$ |
97,863 |
|
|
$ |
78,076 |
|
|
|
|
|
|
|
|
The increase in software from 2003 to 2004 in the amount of
$30.2 million was primarily due to the acquisition of the
HealthMarket consumer driven health plans (CDHP)
software platform.
|
|
|
Goodwill and Other Intangibles |
Effective January 1, 2002, the Company adopted Financial
Accounting Standards Board Statement 142, Goodwill and
Other Intangible Assets. Statement 142 requires that
goodwill and other intangible assets with indefinite useful
lives no longer be amortized, but instead be tested for
impairment at least annually. Statement 142 also requires
that intangible assets with estimable useful lives be amortized
over their respective estimated useful lives to their estimated
residual values and reviewed for impairment. Prior to the
F-13
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
adoption of Statement 142, goodwill was amortized using the
straight-line method, generally 20 to 25 years. The Company
amortizes its intangible assets with estimable useful lives over
a period ranging from one to ten years. The Company has
determined that it will review goodwill and other intangible
assets for impairment as of November 1 of each year or more
frequently if certain indicators arise. An impairment loss would
be recorded in the period such determination was made. The
Companys annual review in 2004 of the goodwill and other
intangible assets related to continuing operations indicated no
impairment.
As a result of the transitional impairment testing completed
during the quarter ended June 30, 2002, the Company
determined that goodwill recorded in connection with the
acquisition of former subsidiaries, Academic Management Services
Corp. (AMS) and Barron Risk Management Services
(Barron) was impaired in the aggregate amount of
$6.9 million ($5.1 million net of tax). The Company
reflected this impairment charge in its financial statements as
a cumulative effect of a change in accounting principle as of
January 1, 2002 in accordance with Statement No. 142.
During 2003 and 2002, the Company sold AMS and Barron,
respectively.
|
|
|
Future Policy and Contract Benefits and Claim
Liabilities |
With respect to accident and health insurance, future policy
benefits are primarily attributable to a
return-of-premium (ROP) rider that the Company
has issued with certain health policies. Pursuant to this rider,
the Company undertakes to return to the policyholder on or after
age 65 all premiums paid less claims reimbursed under the
policy. The ROP rider also provides that the policyholder may
receive a portion of the benefit prior to age 65. The
Company records an ROP liability to fund longer-term obligations
associated with the ROP rider. The future policy benefits for
the ROP are computed using the net level premium method using
assumptions with respect to current investment yield, mortality
and withdrawal rates, and annual increases in future gross
premiums determined to be appropriate at the time the business
was first acquired by the Company, with an implicit margin for
adverse deviations. A claim offset for actual benefits paid
through the reporting date is applied to the ROP liability for
all policies on a contract-by-contract basis.
The remainder of the future policy benefits for accident and
health are principally contract reserves on issue-age rated
policies, reserves for other riders providing future benefits,
and reserves for the refund of a portion of premium as required
by state law. These liabilities are typically calculated as the
present value of future benefits less the present value of
future net premiums, computed on a net level premium basis using
assumptions determined to be appropriate as of the date the
business was acquired by the Company. These assumptions may
include current investment yield, mortality, withdrawal rates,
or other assumptions determined to be appropriate.
Traditional life insurance future policy benefit liabilities are
computed on a net level premium method using assumptions with
respect to current investment yield, mortality, withdrawal
rates, and other assumptions determined to be appropriate as of
the date the business was issued or purchased by the Company.
Future contract benefits related to universal life-type and
annuity contracts are generally based on policy account values.
Claim liabilities represent the estimated liabilities for claims
reported plus claims incurred but not yet reported. The
liabilities are subject to the impact of actual payments and
future changes in claim factors; as adjustments become necessary
they are reflected in current operations.
The Company uses the developmental method to estimate claim
liabilities. This method applies completion factors to claim
payments in order to estimate the ultimate amount of the claim.
These completion factors are derived from historical experience
and are dependent on the incurred dates of the claim payments.
See Note F Policy Liabilities for a
discussion of claim liabilities.
F-14
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
|
|
|
Recognition of Premium Revenues and Costs |
Premiums on traditional life insurance are recognized as revenue
when due. Benefits and expenses are matched with premiums so as
to result in recognition of income over the term of the
contract. This matching is accomplished by means of the
provision for future policyholder benefits and expenses and the
deferral and amortization of acquisition costs. Revenues for
universal life-type and annuity contracts consist of charges for
the cost of insurance, policy administration and surrender
charges assessed during the year. Contract benefits that are
charged to expense include benefit claims incurred in the period
in excess of related contract balances, and interest credited to
contract balances.
Premiums on health insurance contracts are recognized as earned
over the period of coverage on a pro rata basis. The Company
records as a liability the portion of premiums unearned.
Other income consists primarily of income derived by the SEA
Division from ancillary services and membership marketing and
administrative services provided to the membership associations
that make available to their members the Companys health
insurance products and fee income derived by the Company from
its AMLI Realty Co. subsidiary. Income is recognized as services
are provided.
|
|
|
Underwriting, Policy Acquisition Costs and Insurance
Expenses |
Underwriting, policy acquisition costs and insurance expenses
consist of direct expenses incurred across all insurance lines
in connection with issuance, maintenance and administration of
in-force insurance policies, including amortization of deferred
policy acquisition costs, commissions paid to agents,
administrative expenses and premium taxes.
Other expenses consist primarily of direct expenses incurred by
the Company in connection with generating other income at the
SEA Division.
|
|
|
Stock Appreciation Expense (Benefit) |
The Company sponsors a series of stock accumulation plans
established for the benefit of the independent insurance agents
and independent sales representatives associated with its
independent agent field forces, including UGA
Association Field Services and Cornerstone America. In
connection with these plans, the Company has from time to time
recorded and will continue to record non-cash variable
stock-based compensation expense (benefit) in amounts that
depend and fluctuate based upon the market performance of the
Companys common stock. See Note M of Notes to
Consolidated Financial Statements.
Insurance liabilities are reported before the effects of ceded
reinsurance. Reinsurance receivables and prepaid reinsurance
premiums are reported as assets. The cost of reinsurance is
accounted for over the terms of the underlying reinsured
policies using assumptions consistent with those used to account
for the policies.
The cost of advertising is expensed as incurred. The Company
incurred $10.2 million, $9.9 million and
$11.9 million in advertising costs in continuing operations
in 2004, 2003 and 2002, respectively. These
F-15
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
amounts are reflected in the Companys consolidated
statement of operations under the caption Underwriting,
policy acquisition costs and insurance expenses.
Deferred income taxes are recorded to reflect the tax
consequences of differences between the tax bases of assets and
liabilities and their financial reporting amounts at each
year-end. In the event that the Company were to determine that
it would not be able to realize all or part of its net deferred
tax asset in the future, a valuation allowance would be recorded
to reduce its deferred tax assets to the amount that it believes
is more likely than not to be realized. Recording a valuation
allowance would result in a charge to income in the period such
determination was made. The Company considers future taxable
income and ongoing prudent and feasible tax planning strategies
in assessing the continued need for the recorded valuation
allowance. In the event the Company determines that it would be
able to realize its deferred tax assets in the future in excess
of its net recorded amount, an adjustment to the deferred tax
asset would increase income in the period such determination was
made.
Included in comprehensive income is the reclassification
adjustments for realized gain (losses) included in net income of
$4.3 million, ($2.8 million net of tax),
$42.8 million, ($27.8 million net of tax) and
$(8.3) million ($(5.4) million net of tax), for the
years ended December 31, 2004, 2003 and 2002, respectively.
|
|
|
Guaranty Funds and Similar Assessments |
The Company is assessed amounts by state guaranty funds to cover
losses of policyholders of insolvent or rehabilitated insurance
companies, by state insurance oversight agencies to cover the
operating expenses of such agencies and by other similar
legislative entities. The Company is also assessed for other
health related expenses of high-risk and health reinsurance
pools maintained in the various states. These mandatory
assessments may be partially recovered through a reduction in
future premium taxes in certain states. At December 31,
2004 and 2003, the Company had accrued $3.7 million and
$1.9 million, respectively, to cover the cost of these
assessments. The Company expects to pay these assessments over a
period of up to five years, and the Company expects to realize
the allowable portion of the premium tax offsets and/or policy
surcharges over a period of up to 10 years. The Company
incurred guaranty fund and other health related assessments in
the amount of $4.2 million, $1.7 million and
$1.3 million in 2004, 2003 and 2002, respectively.
|
|
|
New Accounting Pronouncements |
On December 16, 2004, the Financial Accounting Standards
Board (the FASB) issued Statement 123R,
Share-Based Payment, which requires all companies to
recognize compensation cost for all share-based payments to
employees at fair value. The Statement is effective for public
companies (except small business issuers, as defined in SEC
Regulation S-B) for interim or annual periods beginning
after June 15, 2005. The FASB also concluded that
retroactive application of the requirements of
Statement 123 (not Statement 123R) to the beginning of
the fiscal year that includes the effective date would be
permitted, but not required. The Company therefore will be
required to apply Statement 123R beginning July 1,
2005 and could choose to apply Statement 123 retroactively
from January 1, 2005 to June 30, 2005. The cumulative
effect of adoption, if any, would be measured and recognized on
July 1, 2005. The Company believes the adoption of this
pronouncement will not have a material effect upon the financial
condition or results of operations.
Emerging Issue Task Force (EITF) Issue No. 03-1
provides guidance on the meaning of the phrase
other-than-temporary impairment and its application
to several types of investments, including debt
F-16
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
securities classified as held-to-maturity and available-for-sale
under FASB Statement No. 115, Accounting for Certain
Investments in Debt and Equity Securities. On
September 30, 2004, the FASB issued FASB Staff Position
(FSP) Issue 03-1-1, which delayed the effective
date of paragraphs 10-20 of EITF Issue No. 03-1.
Paragraphs 10-20 of EITF Issue No. 03-1 give guidance
on how to evaluate and recognize impairment loss that is other
than temporary (i.e., steps 2 and 3 of the impairment
model). Application of those paragraphs is deferred pending
issuance of proposed FSP EITF Issue No. 03-1-a. EITF Issue
No. 03-1-a addresses the application of EITF Issue
No. 03-1 to debt securities that are impaired solely
because of interest-rate and/or sector-spread increases and that
are analyzed for impairment under paragraph 16 of EITF
Issue No. 03-1. The guidance in paragraphs 6-9 of EITF
Issue No. 03-1 (i.e., step 1 of the impairment model),
as well as the disclosure requirements in paragraphs 21
and 22, have not been deferred and should be applied based
on the transition provisions in EITF Issue No. 03-1. The
Company believes the adoption of this pronouncement will not
have a material effect upon the financial condition or results
of operations of the Company.
In December 2003, the FASB issued FASB Interpretation
No. 46 (revised December 2003), Consolidation of
Variable Interest Entities, which addresses how a business
enterprise should evaluate whether it has a controlling
financial interest in an entity through means other than voting
rights and accordingly should consolidate the entity. FASB
Interpretation No. 46 provides that, when voting interests
are not effective in identifying whether an entity is controlled
by another party, the economic risks and rewards inherent in the
entitys assets and liabilities and the way in which the
various parties that have involvement with the entity share in
those economic risks and rewards should be used to determine
whether the entity should be consolidated. Effective
January 1, 2004, the Company adopted this pronouncement.
Adoption of this pronouncement did not have a material effect
upon the financial condition or results of operations of the
Company.
On July 7, 2003, the AICPA issued SOP 03-1,
Accounting and Reporting by Insurance Enterprises for Certain
Nontraditional Long-Duration Contracts and for Separate
Accounts. This SOP provides guidance on accounting and
reporting by insurance enterprises for certain non-traditional
long-duration contracts and for separate accounts. This SOP
requires, among other things, the following: separate account
presentation, interest in separate accounts, gains and losses on
the transfer of assets from the general account to a separate
account, liability valuation return based on a contractually
referenced pool of assets or index, determining the significance
of mortality and morbidity risk and classification of contracts
that contain death or other insurance benefit features,
accounting for contracts that contain death or other insurance
benefit features, accounting for reinsurance and other similar
contracts, accounting for annuitization benefits, sales
inducements to contract holders and related disclosures.
Effective January 1, 2004, the Company adopted this
pronouncement. Adoption of this pronouncement did not have a
material effect upon the financial condition or results of
operations of the Company.
On March 14, 2003, the AICPAs Accounting Standards
Executive Committee issued an exposure draft Statement of
Position (SOP), Accounting by Insurance Enterprises for
Deferred Acquisition Costs on Internal Replacements Other Than
Those Specifically Described in FASB Statement No. 97.
The exposure draft provides guidance on accounting by insurance
enterprises for deferred acquisition costs on internal
replacements other than those specifically described in FASB
Statement No. 97, including definition of an internal
replacement, determining not substantially different
internal replacements, accounting for internal replacements that
are substantially different, accounting for internal
replacements that are not substantially different, sales
inducements offered in conjunction with an internal replacement,
costs and assessments related to internal replacements, and
recoverability.
A final SOP would be effective for internal replacements
occurring in fiscal years beginning after December 15,
2004, with earlier adoption encouraged. Restatement of
previously issued annual financial statements is not permitted.
Initial application of this SOP should be as of the beginning of
an entitys fiscal year (that is, if the SOP is adopted
prior to the effective date and during an interim period, all
prior interim
F-17
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
periods of the year of adoption should be restated). The impact
of implementation of the SOP, Accounting by Insurance
Enterprises for Deferred Acquisition Costs on Internal
Replacements Other Than Those Specifically Described in FASB
Statement No. 97 on the Companys financial
position or results of operations is not expected to be material.
On January 1, 2003, the Company adopted Statement
No. 123 for all employee awards granted or modified on or
after January 1, 2003, and began measuring the compensation
cost of stock-based awards under the fair value method. The
Company adopted the transition provisions that require expensing
options prospectively in the year of adoption. The Company will
continue to follow the intrinsic value method prescribed by
APB 25 for awards existing at January 1, 2003.
The following table illustrates the effect on net income as if
the fair-value-based method had been applied to all outstanding
and unvested option awards in each period.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share | |
|
|
amounts) | |
Net income, as reported
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
Add: stock-based employee compensation expense included in
reported net income, net of tax
|
|
|
93 |
|
|
|
6 |
|
|
|
167 |
|
(Deduct)/ Add total stock-based employee compensation
(expense) benefit determined under fair-value-based method
for all awards, net of tax
|
|
|
160 |
|
|
|
(367 |
) |
|
$ |
(3,068 |
) |
|
|
|
|
|
|
|
|
|
|
|
Pro forma net income
|
|
$ |
161,811 |
|
|
$ |
13,973 |
|
|
$ |
43,962 |
|
|
|
|
|
|
|
|
|
|
|
Earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic as reported
|
|
$ |
3.50 |
|
|
$ |
0.31 |
|
|
$ |
0.99 |
|
|
Basic-pro forma
|
|
$ |
3.51 |
|
|
$ |
0.30 |
|
|
$ |
0.93 |
|
|
Diluted as reported
|
|
$ |
3.40 |
|
|
$ |
0.30 |
|
|
$ |
0.96 |
|
|
Diluted-pro forma
|
|
$ |
3.41 |
|
|
$ |
0.29 |
|
|
$ |
0.90 |
|
Certain amounts in the 2003 and 2002 financial statements have
been reclassified to conform to the 2004 financial statement
presentation.
Note B Acquisitions and Dispositions
On October 8, 2004, the Company completed the acquisition,
for a cash purchase price of $53.1 million, of
substantially all of the operating assets of HealthMarket, Inc.,
a Norwalk, Connecticut-based provider of consumer driven health
plans (CDHPs) to the small business (2 to 200 employees)
marketplace. In the acquisition, MEGA acquired
HealthMarkets administrative platform and substantially
all of HealthMarkets CDHP technology, fixed assets and
personnel. In the transaction, HealthMarket retained ownership
of American Travelers Assurance Company (ATAC), a
wholly owned insurance subsidiary of HealthMarket. Subject to
applicable regulatory approvals, UICI intends to market and sell
HealthMarkets Consumer Driven Health Plan products to the
individual and small employer group markets through MEGA,
Mid-West and Chesapeake.
F-18
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
As part of the acquisition, Chesapeake entered into an
assumption reinsurance agreement with HealthMarket and its
wholly owned insurance subsidiary, American Travelers Assurance
Company (ATAC), pursuant to which Chesapeake agreed
to pay a contingent renewal fee to HealthMarket. This renewal
fee has been and will be recorded as goodwill and/or other
intangibles as and when Chesapeake issues a renewal policy to a
former ATAC policyholder.
In connection with the HealthMarket acquisition agreement and
assumption reinsurance agreement, the Company had recorded
goodwill and other intangibles in the aggregate amount of
$31.3 million at December 31, 2004.
Effective December 31, 2003, the Company terminated a
coinsurance arrangement and the Company settled the purchase
price for the novation of certain coinsured policies to the
Company. The net effect of the transaction resulted in cost of
policies acquired in the amount of $5.0 million.
Effective February 28, 2002, the Company acquired all of
the outstanding capital stock of Star Human Resources Group,
Inc. and STAR Administrative Services, Inc. (collectively
referred to by the Company as its Star HRG unit), a
Phoenix, Arizona based business specializing in the marketing
and administration of limited benefit plans for entry level,
high turnover, hourly employees. Commencing March 1, 2002,
health insurance policies offered under the Star HRG program
have been issued by The MEGA Life and Health Insurance Company,
a wholly-owned subsidiary of UICI. UICI acquired Star HRG for an
initial cash purchase price of $25.0 million, plus
additional contingent consideration based on the future
annualized performance of Star HRG measured over the three-month
period ending May 31, 2003. In full payment of all
contingent consideration payable in connection with UICIs
February 2002 acquisition of Star HRG, on November 10, 2003
UICI delivered to the sellers UICIs 6% convertible
subordinated notes in the aggregate principal amount of
$15.0 million, together with cash interest in the aggregate
amount of approximately $1.5 million. See
Note H.
On January 17, 2002, the Company completed the purchase,
for a cash purchase price of $8.0 million, of a 50%
interest in an agency specializing in the sale of long-term care
and Medicare supplement insurance products. In connection with
the acquisition, the Company recorded non-amortizable goodwill
in the amount of $6.1 million and amortizable intangible
assets in the amount of $1.6 million. On May 30, 2003,
the Company adopted a plan to close by sale or wind-down this
operation. See Note Q.
For financial reporting purposes, each of the acquisitions
described above was accounted for using the purchase method of
accounting, and, as a result, the assets and liabilities
acquired were recorded at fair value on the dates acquired. The
Consolidated Statement of Operations includes the results of
operations from their respective date of acquisition. The effect
of these acquisitions on the Companys results of
operations was not material. Accordingly, pro forma financial
information has not been presented.
On November 18, 2003, the Company completed the sale of its
former Academic Management Services Corp. (AMS)
unit. The sale of AMS generated net cash proceeds to UICI of
approximately $27.8 million. At closing, UICI also received
uninsured student loan assets formerly held by AMS special
purpose financing subsidiaries with a face amount of
approximately $44.3 million (including accrued interest).
In anticipation of the sale of AMS, in the third quarter of 2003
the Company wrote down the carrying value of these loans to fair
value, which was significantly less than the face amount of the
loans. As part of the transaction, the purchaser agreed to
assume responsibility for liquidating and terminating the
remaining special purpose financing facilities through which AMS
previously securitized student loans.
On March 31, 2004, the Company completed the sale of all of
the remaining uninsured student loan assets that had been
retained by the Company at the November 18, 2003 sale of
AMS and reflected as held-
F-19
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
for-sale assets on the Companys consolidated balance sheet
at December 31, 2003. The sale in 2004 of the uninsured
student loans generated gross cash proceeds in the amount of
approximately $25.0 million.
At December 31, 2002, the Company beneficially held
approximately 45% of the issued and outstanding shares of
Healthaxis, Inc. (HAXS: Nasdaq) (HAI). Effective
September 30, 2003, the Company sold to HAI its entire
equity interest in HAI for a total sale price of
$3.9 million, of which $500,000 was paid in cash at
closing, and the balance was paid by delivery of a promissory
note payable to the Company in the amount of $3.4 million.
The Company recognized a nominal loss for financial reporting
purposes in connection with the sale. Prior to the disposition
in September 2003 of its equity stake in HAI, the Company
accounted for its investment in HAI utilizing the equity method
and recognized its ratable share of HAI income and loss. See
Note K for a discussion of various transactions between
the Company and HAI prior to its disposition in September 2003.
On September 30, 2002, the Company sold to an unaffiliated
third party all of the capital stock of a company engaged in the
business of administration of workers compensation and
non-subscriber plans and the sole remaining component of the
Companys former third party administration unit. For
financial reporting purposes the Company recognized a nominal
gain in connection with the transaction.
Note C Investments
A summary of net investment income is set forth below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Fixed maturities
|
|
$ |
73,453 |
|
|
$ |
60,479 |
|
|
$ |
62,098 |
|
Equity securities
|
|
|
535 |
|
|
|
2,310 |
|
|
|
2,582 |
|
Mortgage loans
|
|
|
367 |
|
|
|
503 |
|
|
|
556 |
|
Policy loans
|
|
|
1,184 |
|
|
|
1,190 |
|
|
|
1,234 |
|
Short-term and other investments
|
|
|
1,797 |
|
|
|
4,785 |
|
|
|
6,170 |
|
Agent debit balances
|
|
|
3,583 |
|
|
|
3,799 |
|
|
|
3,996 |
|
College Fund Life Division student loans
|
|
|
6,689 |
|
|
|
6,174 |
|
|
|
5,877 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
87,608 |
|
|
|
79,240 |
|
|
|
82,513 |
|
Less investment expenses
|
|
|
1,740 |
|
|
|
1,579 |
|
|
|
1,682 |
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
85,868 |
|
|
$ |
77,661 |
|
|
$ |
80,831 |
|
|
|
|
|
|
|
|
|
|
|
F-20
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Realized gains and (losses) and the change in unrealized
investment gains and (losses) on fixed maturity and equity
security investments are summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gains | |
|
|
Fixed | |
|
Equity | |
|
Other | |
|
(Losses) on | |
|
|
Maturities | |
|
Securities | |
|
Investments | |
|
Investments | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Year Ended December 31:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Realized
|
|
$ |
731 |
|
|
$ |
3,570 |
|
|
$ |
2,370 |
|
|
$ |
6,671 |
|
|
Change in unrealized
|
|
|
(3,972 |
) |
|
|
(2,905 |
) |
|
|
|
|
|
|
(6,877 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined
|
|
$ |
(3,241 |
) |
|
$ |
665 |
|
|
$ |
2,370 |
|
|
$ |
(206 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
2003
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Realized
|
|
$ |
1,033 |
|
|
$ |
41,783 |
|
|
$ |
(3,105 |
) |
|
$ |
39,711 |
|
|
Change in unrealized
|
|
|
(1,417 |
) |
|
|
(25,856 |
) |
|
|
|
|
|
|
(27,273 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined
|
|
$ |
(384 |
) |
|
$ |
15,927 |
|
|
$ |
(3,105 |
) |
|
$ |
12,438 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Realized
|
|
$ |
(8,692 |
) |
|
$ |
376 |
|
|
$ |
2,718 |
|
|
$ |
(5,598 |
) |
|
Change in unrealized
|
|
|
31,834 |
|
|
|
(13,311 |
) |
|
|
|
|
|
|
18,523 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined
|
|
$ |
23,142 |
|
|
$ |
(12,935 |
) |
|
$ |
2,718 |
|
|
$ |
12,925 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross unrealized investment gains pertaining to equity
securities were $28,000, $2.9 million, and
$33.1 million at December 31, 2004, 2003, and 2002,
respectively. Gross unrealized investment losses pertaining to
equity securities were $75,000, $-0-, and $4.4 million at
December 31, 2004, 2003, and 2002, respectively.
The amortized cost and fair value of investments in fixed
maturities are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
|
| |
|
|
|
|
Gross | |
|
Gross | |
|
|
|
|
Amortized | |
|
Unrealized | |
|
Unrealized | |
|
|
|
|
Cost | |
|
Gains | |
|
Losses | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
U.S. Treasury and U.S. Government agency obligations
|
|
$ |
59,067 |
|
|
$ |
618 |
|
|
$ |
(335 |
) |
|
$ |
59,350 |
|
Mortgage-backed securities issued by U.S. Government
agencies and authorities
|
|
|
328,416 |
|
|
|
3,985 |
|
|
|
(684 |
) |
|
|
331,717 |
|
Other mortgage and asset backed
Securities
|
|
|
196,678 |
|
|
|
3,618 |
|
|
|
(1,474 |
) |
|
|
198,822 |
|
Other corporate bonds
|
|
|
916,043 |
|
|
|
31,226 |
|
|
|
(5,927 |
) |
|
|
941,342 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total fixed maturities
|
|
$ |
1,500,204 |
|
|
$ |
39,447 |
|
|
$ |
(8,420 |
) |
|
$ |
1,531,231 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-21
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2003 | |
|
|
| |
|
|
|
|
Gross | |
|
Gross | |
|
|
|
|
Amortized | |
|
Unrealized | |
|
Unrealized | |
|
|
|
|
Cost | |
|
Gains | |
|
Losses | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
U.S. Treasury and U.S. Government agency obligations
|
|
$ |
56,301 |
|
|
$ |
1,651 |
|
|
$ |
(32 |
) |
|
$ |
57,920 |
|
Mortgage-backed securities issued by U.S. Government
agencies and authorities
|
|
|
243,581 |
|
|
|
4,246 |
|
|
|
(460 |
) |
|
|
247,367 |
|
Other mortgage and asset backed securities
|
|
|
183,280 |
|
|
|
3,224 |
|
|
|
(3,546 |
) |
|
|
182,958 |
|
Other corporate bonds
|
|
|
886,931 |
|
|
|
37,526 |
|
|
|
(7,610 |
) |
|
|
916,847 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total fixed maturities
|
|
$ |
1,370,093 |
|
|
$ |
46,647 |
|
|
$ |
(11,648 |
) |
|
$ |
1,405,092 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fair values for fixed maturity securities are based on quoted
market prices, where available. For fixed maturity securities
not actively traded, fair values are estimated using values
obtained from quotation services.
The amortized cost and fair value of fixed maturities at
December 31, 2004, by contractual maturity, are shown
below. Fixed maturities subject to early or unscheduled
prepayments have been included based upon their contractual
maturity dates. Actual maturities will differ from contractual
maturities because borrowers may have the right to call or
prepay obligations with or without call or prepayment penalties.
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
|
| |
|
|
Amortized | |
|
|
|
|
Cost | |
|
Fair Value | |
|
|
| |
|
| |
|
|
(In thousands) | |
Maturity
|
|
|
|
|
|
|
|
|
One year or less
|
|
$ |
27,880 |
|
|
$ |
28,293 |
|
Over 1 year through 5 years
|
|
|
417,791 |
|
|
|
425,011 |
|
Over 5 years through 10 years
|
|
|
340,719 |
|
|
|
352,512 |
|
Over 10 years
|
|
|
188,720 |
|
|
|
194,876 |
|
|
|
|
|
|
|
|
|
|
|
975,110 |
|
|
|
1,000,692 |
|
Mortgage and asset backed securities
|
|
|
525,094 |
|
|
|
530,539 |
|
|
|
|
|
|
|
|
|
Total fixed maturities
|
|
$ |
1,500,204 |
|
|
$ |
1,531,231 |
|
|
|
|
|
|
|
|
Proceeds from the sale and call of investments in fixed
maturities were $177.4 million, $200.3 million, and
$452.8 million for 2004, 2003, and 2002, respectively.
Gross gains of $5.4 million, $9.3 million, and
$17.8 million, and gross losses of $1.1 million,
$4.3 million, and $11.9 million were realized on the
sale and call of fixed maturity investments during 2004, 2003,
and 2002, respectively.
Proceeds from the sale of equity investments were
$17.3 million, $81.3 million and $15.7 million
for 2004, 2003 and 2002, respectively. Gross gains of
$3.6 million, $43.7 million and $1.1 million and
gross losses of $-0-, $803,000 and $681,000 were realized on
sales of equity investments during 2004, 2003 and 2002,
respectively.
F-22
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is a summary of the Companys equity
securities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
December 31, 2003 | |
|
|
| |
|
| |
|
|
|
|
Fair | |
|
|
|
Fair | |
|
|
Cost | |
|
Value | |
|
Cost | |
|
Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Common stocks non-affiliate
|
|
$ |
1,508 |
|
|
$ |
1,461 |
|
|
$ |
11,625 |
|
|
$ |
13,932 |
|
Non-redeemable preferred stocks
|
|
|
|
|
|
|
|
|
|
|
2,129 |
|
|
|
2,680 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,508 |
|
|
$ |
1,461 |
|
|
$ |
13,754 |
|
|
$ |
16,612 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prior to the Companys sale of its stake in AMLI
Residential Properties Trust (AMLI Residential)
during the three months ended December 31, 2003, the
Company classified its investment in AMLI Residential as an
affiliated stock. The Companys remaining investment in
AMLI Residential is included in the Common
stocks non-affiliate and Non-redeemable
preferred stocks captions at December 31, 2003. The
Company recognized pre-tax gains in 2004 and 2003 in the amounts
of $3.6 million and $40.4 million, respectively, which
were associated with the sale of the Companys entire stake
in AMLI Residential. The Company effected such sales to
diversify its portfolio and to generate taxable capital gains
that could be used to offset capital losses from other
investments.
The fair value, which represents carrying amounts of equity
securities, is based on quoted market prices.
The carrying amounts of the Companys investments in
mortgage and policy loans approximate fair value, which is
estimated using a discounted cash flow analysis, at a rate
currently being offered for similar loans to borrowers with
similar credit ratings.
The carrying values for mortgage loans are net of allowance of
$324,000 for each of 2004 and 2003.
The Company minimizes its credit risk associated with its fixed
maturities portfolio by investing primarily in investment grade
securities. Included in fixed maturities is a concentration of
mortgage and asset backed securities. At December 31, 2004,
the Company had a carrying amount of $530.5 million of
mortgage and asset backed securities, of which
$331.7 million were government backed, $172.6 million
were rated AAA, $11.6 million were rated A,
$5.6 million were rated BBB, and $9.0 million were
rated below investment grade by external rating agencies. At
December 31, 2003, the Company had a carrying amount of
$430.3 million of mortgage and asset backed securities, of
which $247.4 million were government-backed,
$157.2 million were rated AAA, $2.3 million were rated
AA, $9.3 million were rated A, $8.3 million were rated
BBB, and $5.8 million were rated below investment grade by
external rating agencies.
During 2004, 2003, and 2002, the Company recorded impairment
charges for certain fixed maturities and equity securities in
the amount of $3.6 million related to fixed maturities,
$5.1 million ($4.0 million for fixed maturities and
$1.1 million for equity securities), and $14.7 million
related to fixed maturities, respectively. The Companys
2002 impairment charge included a $6.1 million impairment
charge associated with the Companys WorldCom, Inc. bond
holdings. The impairment charges are reflected in the
Companys consolidated statement of operations under the
caption Gains (losses) on sale of investments.
F-23
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is a summary of the Companys gross
unrealized losses in its fixed maturities as of
December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized Loss Less | |
|
Unrealized Loss | |
|
|
|
|
Than 12 Months | |
|
12 Months or Longer | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
|
|
Unrealized | |
|
|
|
Unrealized | |
|
|
|
Unrealized | |
Description of Securities |
|
Fair Value | |
|
Losses | |
|
Fair Value | |
|
Losses | |
|
Fair Value | |
|
Losses | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
US Treasury obligations and direct obligations of US Government
agencies
|
|
$ |
10,889 |
|
|
$ |
182 |
|
|
$ |
2,887 |
|
|
$ |
153 |
|
|
$ |
13,776 |
|
|
$ |
335 |
|
Mortgage backed securities issued by U.S. Government
agencies and authorities
|
|
|
66,191 |
|
|
|
319 |
|
|
|
37,621 |
|
|
|
365 |
|
|
|
103,812 |
|
|
|
684 |
|
Other mortgage and asset backed securities
|
|
|
44,138 |
|
|
|
480 |
|
|
|
56,802 |
|
|
|
994 |
|
|
|
100,940 |
|
|
|
1,474 |
|
Corporate bonds
|
|
|
144,427 |
|
|
|
1,533 |
|
|
|
151,190 |
|
|
|
4,394 |
|
|
|
295,617 |
|
|
|
5,927 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total securities
|
|
$ |
265,645 |
|
|
$ |
2,514 |
|
|
$ |
248,500 |
|
|
$ |
5,906 |
|
|
$ |
514,145 |
|
|
$ |
8,420 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, 2004, the Company had $8.4 million of
unrealized losses in its fixed maturities portfolio. Of the
$2.5 million in unrealized losses of less than twelve
(12) months, only one security had an unrealized loss in
excess of 10%. The amount of unrealized loss attributed to the
security in excess of 10% was $371,000. The $5.9 million in
unrealized losses of more than twelve (12) months is
attributable to numerous securities with unrealized losses of
less than 10%.
The Company continually monitors these investments and believes
that, as of December 31, 2004, the unrealized loss in these
investments is temporary.
The Company regularly monitors its investment portfolio to
attempt to minimize its concentration of credit risk in any
single issuer. Set forth in the table below is a schedule of all
investments representing greater than 1% of the Companys
aggregate investment portfolio at December 31, 2004 and
2003, excluding U.S. Government securities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
|
|
% of Total | |
|
|
|
% of Total | |
|
|
Carrying | |
|
Carrying | |
|
Carrying | |
|
Carrying | |
|
|
Amount | |
|
Value | |
|
Amount | |
|
Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Fixed Maturities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Federal National Mortgage Corporation
|
|
$ |
18,038 |
|
|
|
1.0 |
% |
|
$ |
|
|
|
|
|
|
Equity investments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
AMLI Residential Properties Trust
|
|
$ |
|
|
|
|
|
|
|
$ |
16,584 |
|
|
|
1.1 |
% |
Short-term investments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fidelity Institutional Money Market Fund
|
|
$ |
122,793 |
|
|
|
7.1 |
% |
|
$ |
91,392 |
|
|
|
5.8 |
% |
The Fidelity Institutional Money Market Fund is a diversified
institutional money market fund that invests solely in the
highest quality United States dollar denominated money market
securities of domestic and foreign issuers.
At December 31, 2002, the Company beneficially held
approximately 45% of the issued and outstanding shares of
Healthaxis, Inc. (HAI). Effective September 30,
2003, the Company sold to HAI its entire 48.27% equity interest
in HAI for a total sale price of $3.9 million, of which
$500,000 was paid in cash at
F-24
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
closing and the balance was paid by delivery of a promissory
note payable to the Company in the amount of $3.4 million.
The Company recognized a nominal loss for financial reporting
purposes in connection with the sale. See Note K for
a discussion of various transactions between the Company and HAI
prior to its disposition in September 2003.
Under the terms of various reinsurance agreements (see
Note G), the Company is required to maintain assets in
escrow with a fair value equal to the statutory reserves assumed
under the reinsurance agreements. Under these agreements, the
Company had on deposit, securities with a fair value of
approximately $64.4 million and $75.6 million as of
December 31, 2004 and 2003, respectively. In addition,
domestic insurance subsidiaries had securities with a fair value
of $17.0 million and $18.3 million on deposit with
insurance departments in various states at December 31,
2004 and 2003, respectively.
Note D Student Loans
The Company holds alternative (i.e., non-federally
guaranteed) student loans extended to students at selected
colleges and universities. These loans were initially generated
under the Companys College First Alternative Loan program.
The student loans guaranteed by private insurers are guaranteed
100% as to principal and accrued interest.
At closing of the sale of Academic Management Services Corp. in
November 2003, UICI received uninsured student loan assets
formerly held by AMS special purpose financing
subsidiaries, which were carried as other assets on
the Companys consolidated 2003 balance sheet and not
included in this table. Those loans were subsequently sold in
the first quarter of 2004. See Note Q for the
discussion of AMS discontinued operations.
Set forth below is a summary of the student loans held by the
Company at December 31, 2004 and 2003:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
December 31, 2003 | |
|
|
| |
|
| |
|
|
Carrying | |
|
Estimated | |
|
Carrying | |
|
Estimated | |
|
|
Amount | |
|
Fair Value | |
|
Amount | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Student loans guaranteed by private insurers
|
|
$ |
83,437 |
|
|
$ |
83,437 |
|
|
$ |
78,986 |
|
|
$ |
78,986 |
|
Student loans non-guaranteed
|
|
|
29,459 |
|
|
|
28,281 |
|
|
|
28,031 |
|
|
|
26,910 |
|
Allowance for losses
|
|
|
(3,608 |
) |
|
|
|
|
|
|
(1,676 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total student loans
|
|
$ |
109,288 |
|
|
$ |
111,718 |
|
|
$ |
105,341 |
|
|
$ |
105,896 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Of the aggregate $109.3 million and $105.3 million
carrying amount of student loans held by the Company at
December 31, 2004 and 2003, $109.1 million and
$105.1 million, respectively, were pledged to secure
payment of secured student loan indebtedness. See
Note H.
The Company estimates the fair value of student loans based on
values of recent sales of student loans from the Company into
the secured student loan credit facility (see
Note H).
The Companys provision for losses on student loans is
summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance at beginning of year
|
|
$ |
1,676 |
|
|
$ |
941 |
|
|
$ |
1,039 |
|
Change in provision for losses
|
|
|
1,932 |
|
|
|
735 |
|
|
|
(98 |
) |
|
|
|
|
|
|
|
|
|
|
Balance at end of year
|
|
$ |
3,608 |
|
|
$ |
1,676 |
|
|
$ |
941 |
|
|
|
|
|
|
|
|
|
|
|
F-25
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The Company recognized interest income from continuing
operations from the student loans of $6.7 million,
$6.2 million and $5.9 million in 2004, 2003 and 2002,
respectively, which is included in the investment income
category on the Companys consolidated statements of
operations.
Note E Goodwill and Other Intangible
Assets
Set forth in the table below is a summary of the goodwill and
other intangible assets by operating division at the dates
indicated:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
|
| |
|
|
|
|
Other | |
|
|
|
|
|
|
Intangible | |
|
Accumulated | |
|
|
|
|
Goodwill | |
|
Assets | |
|
Amortization | |
|
Net | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Insurance:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
39,489 |
|
|
$ |
1,238 |
|
|
$ |
(4,024 |
) |
|
$ |
36,703 |
|
|
Star HRG Division
|
|
|
33,640 |
|
|
|
8,858 |
|
|
|
(4,160 |
) |
|
|
38,338 |
|
|
Life Insurance Division
|
|
|
552 |
|
|
|
|
|
|
|
(193 |
) |
|
|
359 |
|
Other Key Factors
|
|
|
225 |
|
|
|
|
|
|
|
|
|
|
|
225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
73,906 |
|
|
$ |
10,096 |
|
|
$ |
(8,377 |
) |
|
$ |
75,625 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2003 | |
|
|
| |
|
|
|
|
Other | |
|
|
|
|
|
|
Intangible | |
|
Accumulated | |
|
|
|
|
Goodwill | |
|
Assets | |
|
Amortization | |
|
Net | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Insurance:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
9,405 |
|
|
$ |
|
|
|
$ |
(3,972 |
) |
|
$ |
5,433 |
|
|
Star HRG Division
|
|
|
33,640 |
|
|
|
8,858 |
|
|
|
(2,891 |
) |
|
|
39,607 |
|
|
Life Insurance Division
|
|
|
552 |
|
|
|
|
|
|
|
(193 |
) |
|
|
359 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
43,597 |
|
|
$ |
8,858 |
|
|
$ |
(7,056 |
) |
|
$ |
45,399 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other intangible assets consist of customer lists, trademark and
non-compete agreements related to the acquisitions of
HealthMarket (completed in October 2004) and of Star HRG
(completed February 28, 2002). See Note B.
The Company recorded amortization expense associated with other
intangibles in continuing operations in the amount of
$1.3 million, $1.5 million and $1.4 million in
2004, 2003 and 2002, respectively.
Set forth in the table below is a summary of the estimated
amortization expense for the next five years and thereafter for
other intangible assets:
|
|
|
|
|
|
|
(In thousands) | |
2005
|
|
$ |
1,437 |
|
2006
|
|
|
1,166 |
|
2007
|
|
|
940 |
|
2008
|
|
|
813 |
|
2009
|
|
|
682 |
|
2010 and thereafter
|
|
|
846 |
|
|
|
|
|
|
|
$ |
5,884 |
|
|
|
|
|
F-26
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Note F Policy Liabilities
As more fully described below, policy liabilities consist of
future policy and contract benefits, claim liabilities, unearned
premiums and other policy liabilities.
|
|
|
Future Policy and Contract Benefits |
Liability for future policy and contract benefits consisted of
the following at December 31, 2004 and 2003:
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Accident & Health
|
|
$ |
93,252 |
|
|
$ |
86,048 |
|
Life
|
|
|
233,531 |
|
|
|
217,128 |
|
Annuity
|
|
|
117,445 |
|
|
|
135,977 |
|
|
|
|
|
|
|
|
|
|
$ |
444,228 |
|
|
$ |
439,153 |
|
|
|
|
|
|
|
|
Set forth below is a detailed summary of benefits, claims and
settlement expenses net of reinsurance for the each of the years
ended December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Future liability and contract benefits
|
|
$ |
21,551 |
|
|
$ |
26,034 |
|
|
$ |
18,532 |
|
Claims benefits
|
|
|
1,105,507 |
|
|
|
1,013,559 |
|
|
|
755,960 |
|
|
|
|
|
|
|
|
|
|
|
|
Total benefits, claims and settlement expenses
|
|
$ |
1,127,058 |
|
|
$ |
1,039,593 |
|
|
$ |
774,492 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accident and Health Policies |
With respect to accident and health insurance, future policy
benefits are primarily attributable to a
return-of-premium (ROP) rider that the Company
has issued with certain health policies. Pursuant to this rider,
the Company undertakes to return to the policyholder on or after
age 65 all premiums paid less claims reimbursed under the
policy. The ROP rider also provides that the policyholder may
receive a portion of the benefit prior to age 65. The
Company records an ROP liability to fund longer-term obligations
associated with the ROP rider. The future policy benefits for
the ROP are computed using the net level premium method using
assumptions with respect to current investment yield, mortality
and withdrawal rates, and annual increases in future gross
premiums determined to be appropriate at the time the business
was first acquired by the Company, with an implicit margin for
adverse deviations. A claim offset for actual benefits paid
through the reporting date is applied to the ROP liability for
all policies on a contract-by-contract basis. The ROP
liabilities reflected in future policy and contract benefits on
the Companys consolidated balance sheet were
$86.0 million and $83.4 million at December 31,
2004 and 2003, respectively.
The remainder of the future policy benefits for accident and
health are principally contract reserves on issue-age rated
policies, reserves for other riders providing future benefits,
and reserves for the refund of a portion of premium as required
by state law. These liabilities are typically calculated as the
present value of future benefits less the present value of
future net premiums, computed on a net level premium basis using
assumptions determined to be appropriate as of the date the
business was acquired by the Company. These assumptions may
include current investment yield, mortality, withdrawal rates,
or other assumptions determined to be appropriate. Substantially
all accident and health insurance future policy benefit
liability interest assumptions range from 4.0% to 5.0%.
F-27
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
|
|
|
Life Policies and Annuity Contracts |
With respect to traditional life insurance, future policy
benefits are computed on a net level premium method using
assumptions with respect to current investment yield, mortality
and withdrawal rates determined to be appropriate as of the date
the business was acquired by the Company. Substantially all
liability interest assumptions range from 3.0% to 5.5%. Such
liabilities are graded to equal statutory values or cash values
prior to maturity.
Interest rates credited to future contract benefits related to
universal life-type contracts approximated 4.6%, 4.6% and 5.0%
during 2004, 2003 and 2002, respectively. Interest rates
credited to the liability for future contract benefits related
to direct annuity contracts generally ranged from 3.0% to 5.5%
during 2004 and 2003 and 4.0% to 5.5% during 2002.
The Company has assumed certain life and annuity business from a
company, utilizing the same actuarial assumptions as the ceding
company. The liability for future policy benefits related to
life business has been calculated using an interest rate of 9%
graded to 5% over twenty years for life policies. Mortality and
withdrawal rates are based on published industry tables or
experience of the ceding company and include margins for adverse
deviation. Interest rates credited to the liability for future
contract benefits related to these annuity contracts generally
ranged from 3.0% to 4.5% during 2004, 3.0% to 5.5% during 2003
and 3.8% to 5.5% during 2002.
The carrying amounts and fair values of the Companys
liabilities for investment-type contracts (included in future
policy and contract benefits and other policy liabilities in the
consolidated balance sheets) at December 31, 2004 and 2003
were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
December 31, 2003 | |
|
|
| |
|
| |
|
|
Carrying | |
|
|
|
Carrying | |
|
|
|
|
Amount | |
|
Fair Value | |
|
Amount | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Direct annuities
|
|
$ |
64,389 |
|
|
$ |
62,837 |
|
|
$ |
79,365 |
|
|
$ |
76,587 |
|
Assumed annuities
|
|
|
53,056 |
|
|
|
53,053 |
|
|
|
56,612 |
|
|
|
56,609 |
|
Supplemental contracts without life contingencies
|
|
|
1,342 |
|
|
|
1,342 |
|
|
|
1,413 |
|
|
|
1,413 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
118,787 |
|
|
$ |
117,232 |
|
|
$ |
137,390 |
|
|
$ |
134,609 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fair values under investment-type contracts consisting of direct
annuities and supplemental contracts without life contingencies
are estimated using the assumption-reinsurance pricing method,
based on estimating the amount of profits or losses an assuming
company would realize, and then discounting those amounts at a
current market interest rate. Fair values for the Companys
liabilities under assumed annuity investment-type contracts are
estimated using the cash surrender value of the annuity.
The Company establishes liabilities for benefit claims that have
been reported but not paid and claims that have been incurred
but not reported under health and life insurance contracts.
Consistent with overall company philosophy, a single best
estimate claim liability is determined which is expected to be
adequate under most circumstances. This estimate is developed
using actuarial principles and assumptions that consider a
number of items as appropriate, including but not limited to
historical and current claim payment patterns, product
variations, the timely implementation of appropriate rate
increases and seasonality. The Company does not develop ranges
in the setting of the claims liability reported in the financial
statements. However, to the extent not already reflected in the
actuarial analyses, management also considers qualitative
factors that
F-28
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
may affect the ultimate benefit levels to determine its best
estimate of the claims liability. These qualitative
considerations include, among others, the impact of medical
inflation, utilization of health services, exposure levels,
product mix, pending claim levels and other relevant factors.
Effective January 1, 2003, the Company implemented a new
incurred date coding definition to establish incurred dates
under the developmental method in the SEA Division. See
discussion below under the caption 2003 Change in Claims
and Future Benefit Liability Estimates Self-Employed Agency
Division Claims Liability Changes.
The SEA Division also makes various refinements to the claim
liabilities as appropriate. These refinements estimate
liabilities for circumstances, such as an excess pending claims
inventory (i.e., inventories of pending claims in excess
of historical levels) and disputed claims. For example, the
Company closely monitors the level of claims that are pending.
When the level of pending claims appears to be in excess of
normal levels, the Company typically establishes a
liability for excess pending claims. The Company believes that
such an excess pending claims liability is
appropriate under such circumstances because of the operation of
the developmental method used by the Company to calculate the
principal claim liability, which method develops or
completes paid claims to estimate the claim
liability. When the pending claims inventory is higher than
would ordinarily be expected, the level of paid claims is
correspondingly lower than would ordinarily be expected. This
lower level of paid claims, in turn, results in the
developmental method yielding a smaller claim liability than
would have been yielded with a normal level of paid claims,
resulting in the need for augmented claim liabilities.
With respect to its Student Insurance and Star HRG businesses,
the Company assigns incurred dates based on the date of service.
This definition estimates the liability for all medical services
received by the insured prior to the end of the applicable
financial period. Appropriate adjustments are made in the
completion factors to account for pending claim inventory
changes and contractual continuation of coverage beyond the end
of the financial period.
|
|
|
2003 Change in Claim and Future Benefit Liability
Estimates Self-Employed Agency Division |
Effective January 1, 2003, the Companys SEA Division
made certain refinements to its claim and future policy benefit
liability calculations, the net effect of which decreased claim
and future policy benefit liabilities and correspondingly
increased operating income reported by the SEA Division in the
amount of $4.8 million in the first quarter of 2003. Set
forth below is a summary of the adjustments and changes in
accounting estimates made in 2003 by the Company.
The Company has issued certain health policies with a
return-of-premium (ROP) rider, pursuant to
which the Company undertakes to return to the policyholder on or
after age 65 all premiums paid less claims reimbursed under
the policy. The ROP rider also provides that the policyholder
may receive a portion of the benefit prior to age 65. Prior
to January 1, 2003, the Company established a liability for
future ROP benefits, which liability was calculated by applying
mid-terminal reserve factors (calculated on two-year preliminary
term basis, using 5% interest, 1958 CSO mortality terminations,
and level future gross premiums) to the current premium on a
contract-by-contract basis. A claim offset was applied, on a
contract-by-contract basis, solely with respect to an older
closed block of policies, utilizing only claims paid to date,
with no assumption of future claims.
The Company records an ROP liability to fund longer-term
obligations associated with the ROP rider. This liability is
impacted both by the techniques utilized to calculate the
liability and the many assumptions underlying the calculation,
including interest rates, policy lapse rates, premium rate
increases on policies and assumptions with regard to claims
paid. The Company had previously utilized a simplified estimation
F-29
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
technique (described above) that it believed generated an
appropriate ROP liability in the aggregate. However, the Company
reviewed its ROP estimation technique in order to determine if
refinements to the technique were appropriate. As a result of
such review, and as more particularly described below, effective
January 1, 2003, the ROP estimation technique was refined
to utilize new mid-terminal reserve factors (calculated on a net
level basis, using 4.5% interest, 1958 CSO mortality, and
primarily 10% annual increases in future gross premiums) and to
apply these factors to the historical premium payments on a
contract-by-contract basis.
The net premium assumption was revised from two-year preliminary
term to net level in order to produce a more appropriate accrual
for the liability of the ROP benefits in relation to the
premiums. The interest rate assumption was reduced from 5% to
4.5% to reflect current investment yields. Since the ROP rider
is primarily attached to attained-age rated health insurance
products that are subject to periodic rate adjustment, the
Company has determined as part of its ongoing review of the ROP
estimation technique to increase its ROP liability to cover
reasonably foreseeable changes to the future gross premium.
Based on Company experience, the revised reserve factors
incorporate an assumption of a 10% average annual increase in
future gross premiums on such products. The estimation technique
was also refined to use historical premiums and anticipated
future premium increases in the calculation of future benefits
rather than calculating the liability only from the current
gross premium. Finally, a claim offset for actual benefits paid
through the reporting date is applied to the ROP liability for
all policies on a contract-by-contract basis. In the original
simplified estimation technique, the intent was to balance the
offsetting effects of applying the two-year preliminary term
factors to the current gross premiums since the historical
premium information was not available. Changes to the technique
were made in 2003 when sufficient historical premium information
was available to refine the estimation calculation.
Substantially all of the effect of this change in estimating the
liability for future ROP benefits was attributable to the
refinement of adding the assumption of a 10% average annual
increase in the level of future gross premiums for attained-age
rated health insurance products.
As a result of these changes, the liability for future ROP
benefits increased, and operating income correspondingly
decreased, by $12.9 million during the first quarter of
2003.
Assumptions used in the estimation of the Companys ROP
liability, such as interest or the annual increases in future
gross premiums, will continue to be used in subsequent
accounting periods for those benefits already issued, including
the future gross premiums anticipated by the reserve factors.
Changes in assumptions may be applied to newly issued policies
as well as for adjustments in the level of premium for existing
policies other than those already anticipated. The new
assumptions used will be those appropriate at the time the
change is made.
The ROP liabilities in the amount of $86.0 million and
$83.4 million at December 31, 2004 and 2003,
respectively, are reflected in future policy and contract
benefits on the Companys consolidated balance sheet.
The SEA Division utilizes the developmental method to estimate
claims liabilities. Under the developmental method, completion
factors are applied to claim payments in order to estimate the
ultimate claim payments. These completion factors are derived
from historical experience and are dependent on the
incurred dates of the claim payments.
Prior to January 1, 2003, the Company utilized the original
incurred date coding definition to establish the date a policy
claim is incurred under the developmental method. Under the
original incurred date coding definition, prior to the end of
the period in which a health policy claim was made, the Company
estimated and recorded a liability for the cost of all medical
services related to the accident or sickness relating to the
claim, even though the medical services associated with such
accident or sickness might not be rendered to the insured until
a later financial reporting period.
F-30
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Due to the anticipation of a future increase in the level of
favorable development associated with the growth in business,
the SEA Division undertook an analysis of the liability
estimation process. The Company believes that the developmental
method is the standard methodology within the health insurance
industry and therefore re-evaluated the key assumptions utilized
under this method. As the Company gained more experience with
the older blocks of business, the original incurred date coding
assumption was re-examined. This re-examination resulted in the
decision to utilize a new incurred date definition instead of
the original incurred date definition for purposes of
establishing claim liabilities at the SEA Division.
Effective January 1, 2003, the Company implemented a new
incurred date coding definition to establish incurred dates
under the developmental method in the SEA Division. Under this
new incurred date coding definition, a break in service of more
than six months will result in the establishment of a new
incurred date for subsequent services. In addition, under this
new incurred date coding definition, claim payments continuing
more than thirty-six months without a six month break in service
will result in the establishment of a new incurred date. This
change in the incurred date definition assumption resulted in a
reduction in the estimated claim liabilities at the SEA
Division, and a corresponding increase in operating income, in
the amount of $12.3 million during the first quarter of
2003.
|
|
|
Other Changes in Estimate |
Several refinements in the claims liability calculation, all of
which were treated as changes in accounting estimates, resulted
in a further reduction of the claims liability, and
corresponding increase in operating income, in the amount of
$5.4 million during the first quarter of 2003. This
reduction in the claims liability was attributable primarily to
the effects of a change in estimate of the liability for excess
pending claims. This change was necessary to maintain
consistency with the historical data underlying the calculation
of the new completion factors used in the claim development
calculation. These completion factors are based on more recent
experience with claims payments than the previous factors. This
more recent experience has a greater number of pending claims.
As a result, the new completion factors have built in a higher
level of liability for pending claims. The release of a portion
of the excess pending claims liability reflects the additional
pending claims included in the completion factors.
F-31
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Activity in the claims liability is summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Claims liability at beginning of year, net of related
reinsurance recoverables
|
|
$ |
563,045 |
|
|
$ |
440,895 |
|
|
$ |
322,989 |
|
Add:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims liability on acquired business
|
|
|
|
|
|
|
12,783 |
|
|
|
|
|
|
Incurred losses, net of reinsurance, occurring during:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
1,196,421 |
|
|
|
1,067,951 |
|
|
|
787,444 |
|
|
|
Prior years
|
|
|
(90,914 |
) |
|
|
(54,392 |
) |
|
|
(31,484 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
1,105,507 |
|
|
|
1,013,559 |
|
|
|
755,960 |
|
|
|
|
|
|
|
|
|
|
|
|
Deduct payments for claims, net of reinsurance, occurring during:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
714,361 |
|
|
|
616,939 |
|
|
|
410,365 |
|
|
|
Prior years
|
|
|
343,412 |
|
|
|
287,253 |
|
|
|
227,689 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,057,773 |
|
|
|
904,192 |
|
|
|
638,054 |
|
|
|
|
|
|
|
|
|
|
|
|
Claims liability at end of year, net of related reinsurance
recoverables (2004 $11,808; 2003
$12,428; 2002 $25,400)
|
|
$ |
610,779 |
|
|
$ |
563,045 |
|
|
$ |
440,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims Liability Development Experience |
Inherent in the Companys claim liability estimation
practices is the desire to establish liabilities that are more
likely to be redundant than deficient. Furthermore, the
Companys philosophy is to price its insurance products to
make an underwriting profit, not to increase written premiums.
While management continually attempts to improve its loss
estimation process by refining its ability to analyze loss
development patterns, claim payments and other information,
uncertainty remains regarding the potential for adverse
development of estimated ultimate liabilities.
Set forth in the table below is a summary of the claims
liability development experience (favorable) unfavorable by
business unit in the Companys Insurance segment for each
of the years ended December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Self-Employed Agency Division
|
|
$ |
(91,720 |
) |
|
$ |
(54,009 |
) |
|
$ |
(30,729 |
) |
Student Insurance Division
|
|
|
4,733 |
|
|
|
(581 |
) |
|
|
(3,753 |
) |
Star HRG Division
|
|
|
(3,002 |
) |
|
|
(1,753 |
) |
|
|
|
|
Life Insurance Division
|
|
|
(926 |
) |
|
|
1,951 |
|
|
|
2,998 |
|
Other Insurance
|
|
|
1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total favorable
|
|
$ |
(90,914 |
) |
|
$ |
(54,392 |
) |
|
$ |
(31,484 |
) |
|
|
|
|
|
|
|
|
|
|
F-32
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The above table shows incurred losses developed at the SEA
Division in amounts less than originally anticipated due to
better-than-expected experience on the health business in the
SEA Division in 2004, 2003, and 2002.
The favorable claims liability development experience at the SEA
Division in 2004 reflects the effect of $47.8 million in
claim liabilities established during 2003 in response to a rapid
pay down during 2003 of an excess pending claims inventory. In
particular, during 2003 the Company observed a change in the
distribution of paid claims by incurred date; more paid claims
were assigned to recent incurred dates than had been the case on
paid claims in prior years. Assignment of paid claims with more
recent incurred dates typically results in an understatement of
the claim development liability, resulting in the need for
augmented claim liabilities. The Company believes that the
deviation from historical experience in incurred date assignment
was a natural consequence of the effort required to reduce a
claims backlog, which the Company was experiencing at the SEA
Division during the course of 2003. However, as the actual
claims experience developed in 2004, these augmented claim
liabilities in the amount of $47.8 million proved to be
redundant. These claim liabilities were released during 2004
and, as a result, will not influence the level of claim
liabilities redundancies in future periods.
The total favorable claims liability development experience for
2004 in the amount of $91.7 million represented 20.2% of
total claim liabilities established for the SEA Division at
December 31, 2003. Excluding the impact of the augmented
claim liabilities established at December 31, 2003 in
response to the rapid pay down during 2003 of an excess pending
claims inventory, the favorable experience in 2004 in the claims
liability was $43.9 million, or 9.6% of total claim
liabilities established for the SEA Division at
December 31, 2003.
The total favorable claims liability development experience for
2003 in the amount of $54.0 million represented 14.9% of
total claim liabilities established for the SEA Division at
December 31, 2002. The favorable experience in the SEA
Division for 2003 included the effect of the $17.7 million
decrease in claims liability due to the refinements made
effective January 1, 2003 to the claims liability
calculation ($12.3 million) and changes in estimate
($5.4 million). See the discussion above under the
caption 2003 Change in Claim and Future Benefit Liability
Estimates Self-Employed Agency Division.
Excluding the impact of these refinements and changes in
estimate, the favorable experience in 2003 in the claims
liability was $36.3 million, or 10.0% of the total claim
liabilities established for the SEA Division at
December 31, 2002.
The total favorable claims liability development experience for
2002 in the amount of $30.7 million represented 11.6% of
total claim liabilities established for the SEA Division at
December 31, 2002.
Over time, the developmental method replaces anticipated
experience with actual experience, resulting in an ongoing
re-estimation of the claims liability. Since the greatest degree
of estimation is used for more recent periods, the most recent
prior year is subject to the greatest change. Recent actual
experience has produced lower levels of claims payment
experience than originally expected.
|
|
|
Student Insurance Division and Star HRG Division |
The products of the Student Insurance and Star HRG Divisions
consist principally of medical insurance. In general, medical
insurance business, for which incurred dates are assigned based
on date of service, has a short tail, which means
that a favorable development or unfavorable development shown
for prior years relates primarily to actual experience in the
most recent prior year.
The unfavorable claims liability development experience at the
Student Insurance Division in 2004 in the amount of
$4.7 million reflects the effects of a delay in processing
of prior-year claims and higher-than-
F-33
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
expected claim experience associated with the business written
for the 2003-2004 school year. The Student Insurance Division
experienced favorable claims liability development for 2003 and
2002.
The favorable claims liability development experience at the
Star HRG Division in 2004 includes the effects of claims in 2004
developing more favorably than indicated by the loss trends in
2003 used to determine the claim liability at December 31,
2003. The Star HRG Division also experienced favorable claims
liability development for 2003. Since the Star HRG business was
new to the Company (acquired in 2002), an expected loss ratio
was used to set the claims liability at December 31, 2002.
The adverse experience for the Life Insurance Division during
2003 and 2002 was attributable to development of its closed
block of workers compensation business. The Life Insurance
Division previously wrote workers compensation insurance
and similar group accident coverage for employers in a limited
geographical market. In May 2001, the Company made the decision
to terminate this operation, and all existing policies were
terminated as the policies came up for renewal over the
succeeding twelve months. The closing of new and renewal
business starting in July of 2001 had the effect of
concentrating the claims experience into existing policies and
eliminating any benefits that might accrue from improved
underwriting of new business or liabilities released on newer
claims that might settle more quickly. The effect of closing a
block of this type of business is difficult to estimate at the
date of closing, due to the longer claims tail usually
experienced with workers compensation coverage, the tendency of
claims to concentrate in severity but without an associated
degree of predictability as the number of cases decreases, and
the unpredictable costs of protracted litigation often
associated with the adjudication of claims under workers
compensation policies.
Note G Reinsurance
The Companys insurance subsidiaries, in the ordinary
course of business, reinsure certain risks with other insurance
companies. These arrangements provide greater diversification of
risk and limit the maximum net loss potential to the Company
arising from large risks. To the extent that reinsurance
companies are unable to meet their obligations under the
reinsurance agreements, the Company remains liable.
The reinsurance receivable included in the consolidated
financial statements at December 31, 2004 and 2003 was as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Paid losses recoverable
|
|
$ |
1,250 |
|
|
$ |
2,752 |
|
Unpaid losses recoverable
|
|
|
22,396 |
|
|
|
21,698 |
|
Other net
|
|
|
891 |
|
|
|
32,797 |
|
|
|
|
|
|
|
|
|
Total reinsurance receivable
|
|
$ |
24,537 |
|
|
$ |
57,247 |
|
|
|
|
|
|
|
|
At December 31, 2003, reinsurance receivable (included in
Other-net caption in table above) included a
$32.6 million reinsurance receivable due from another
insurer related to the termination of the agreement effective
December 31, 2003. See discussion below under the
caption Prior Coinsurance Arrangement.
F-34
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The effects of reinsurance transactions reflected in the
consolidated financial statements are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums Written:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct
|
|
$ |
1,862,042 |
|
|
$ |
1,616,370 |
|
|
$ |
1,230,925 |
|
|
Assumed
|
|
|
25,277 |
|
|
|
30,904 |
|
|
|
31,289 |
|
|
Ceded
|
|
|
(12,712 |
) |
|
|
(39,062 |
) |
|
|
(42,933 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net Written
|
|
$ |
1,874,607 |
|
|
$ |
1,608,212 |
|
|
$ |
1,219,281 |
|
|
|
|
|
|
|
|
|
|
|
Premiums Earned:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct
|
|
$ |
1,832,895 |
|
|
$ |
1,587,777 |
|
|
$ |
1,210,274 |
|
|
Assumed
|
|
|
31,364 |
|
|
|
31,470 |
|
|
|
30,319 |
|
|
Ceded
|
|
|
(13,359 |
) |
|
|
(42,041 |
) |
|
|
(47,663 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net Earned
|
|
$ |
1,850,900 |
|
|
$ |
1,577,206 |
|
|
$ |
1,192,930 |
|
|
|
|
|
|
|
|
|
|
|
Ceded benefits and settlement expenses
|
|
$ |
10,321 |
|
|
$ |
29,011 |
|
|
$ |
28,940 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prior Coinsurance Arrangement |
Prior to 1996, a substantial portion of the health insurance
policies sold by UGA agents were issued by AEGON USA, Inc.
(AEGON) and coinsured by the Company. Under the
terms of the coinsurance agreement, AEGON agreed to cede (i.e.,
transfer), and the Company agreed to coinsure, 60% of the risk
associated with health insurance policies sold by UGA agents and
issued by AEGON.
Commencing in May 2001, and in accordance with an Assumption
Reinsurance Agreement with AEGON, the Company began novating the
remaining policies (i.e., canceling the AEGON policies and
rewriting as Company policies) as approvals were received from
state regulatory authorities. On the policies that had been
novated, the Company ceded 40% of the health insurance business
back to AEGON in accordance with the terms of the Assumption
Reinsurance Agreement.
Effective December 31, 2003, (a) the Company cancelled
the 40% coinsurance agreement with AEGON on the policies that
had been previously novated and (b) the Company assumed
from AEGON all of the risk previously borne by AEGON associated
with the in-force policies that had not been novated. As a
result of this transaction, UICI has reflected on its books 100%
of the business originally issued by AEGON.
F-35
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Note H Debt and Student Loan Credit
Facility
Set forth below is a summary of the Companys long-term
indebtedness outstanding at December 31, 2004 and 2003
(including outstanding indebtedness that is secured by student
loans generated by the College Fund Life Division):
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Long-term debt:
|
|
|
|
|
|
|
|
|
|
Trust Securities
|
|
$ |
15,470 |
|
|
$ |
|
|
|
8.75% Senior Notes
|
|
|
|
|
|
|
3,951 |
|
|
CFLD student loan credit facility
|
|
|
150,000 |
|
|
|
150,000 |
|
|
6% Convertible Subordinated notes
|
|
|
|
|
|
|
15,000 |
|
|
|
|
|
|
|
|
|
|
|
165,470 |
|
|
|
168,951 |
|
|
Less: current portion of long-term debt
|
|
|
|
|
|
|
3,951 |
|
|
|
|
|
|
|
|
|
|
Total long-term debt
|
|
|
165,470 |
|
|
|
165,000 |
|
|
|
|
|
|
|
|
|
|
Total short and long term debt
|
|
$ |
165,470 |
|
|
$ |
168,951 |
|
|
|
|
|
|
|
|
|
|
|
Student Loan Credit Facility |
At each of December 31, 2004 and 2003, the Company had an
aggregate of $150.0 million of indebtedness outstanding
under a secured student loan credit facility, which indebtedness
is represented by Student Loan Asset-Backed Notes (the
SPE Notes) issued by a bankruptcy-remote special
purpose entity (the SPE). At December 31, 2004
and 2003, indebtedness outstanding under the secured student
loan credit facility was secured by alternative (i.e.,
non-federally guaranteed) student loans and accrued interest in
the carrying amount of $114.9 million and
$111.8 million, respectively, and by a pledge of cash, cash
equivalents and other qualified investments in the amount of
$37.4 million and $40.4 million, respectively. At
December 31, 2004, $29.7 million of such cash, cash
equivalents and other qualified investments was available to
fund the purchase from the Company of additional student loans
generated under the Companys College First Alternative
Loan program, which purchases may be made in accordance with the
terms of the agreements governing the securitization until
February 1, 2006.
All indebtedness issued under the secured student loan credit
facility is reflected as student loan indebtedness on the
Companys consolidated balance sheet; all such student
loans and accrued investment income pledged to secure such
facility are reflected as student loan assets and accrued
investment income, respectively, on the Companys
consolidated balance sheet; and all such cash, cash equivalents
and qualified investments specifically pledged under the student
loan credit facility are reflected as restricted cash on the
Companys consolidated balance sheet. The SPE Notes
represent obligations solely of the SPE and not of the Company
or any other subsidiary of the Company. For financial reporting
and accounting purposes the student loan credit facility has
been classified as a financing. Accordingly, in connection with
the financing the Company has recorded and will in the future
record no gain on sale of the assets transferred to the SPE.
The SPE Notes were issued by the SPE in three tranches
($50.0 million of Series 2001A-1 Notes and
$50.0 million of Series 2001A-2 Notes issued on
April 27, 2001, and $50.0 million of Series 2002A
Notes issued on April 10, 2002). The interest rate on each
series of SPE Notes resets monthly in a Dutch auction process.
At December 31, 2004, the Series 2001A-1 Notes, the
Series 2001A-2 Notes and the Series 2002A Notes bore
interest at the per annum rate of 2.52%, 2.42% and 2.41%,
respectively.
F-36
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The Series 2001A-1 Notes and Series 2001A-2 Notes have
a final stated maturity of July 1, 2036; the
Series 2002A Notes have a final stated maturity of
July 1, 2037. However, the SPE Notes are subject to
mandatory redemption in whole or in part (a) on the first
interest payment date which is at least 45 days after
February 1, 2006, from any monies then remaining on deposit
in the acquisition fund not used to purchase additional student
loans and (b) on the first interest payment date which is
at least 45 days after July 1, 2005, from any monies
then remaining on deposit in the acquisition fund received as a
recovery of the principal amount of any student loan securing
payment of the SPE Notes, including scheduled, delinquent and
advance payments, payouts or prepayments. After July 1,
2005, the SPE Notes are also subject to mandatory redemption in
whole or in part on each interest payment date from any monies
received as a recovery of the principal amount of any student
loan securing payment of the SPE Notes, including scheduled,
delinquent and advance payments, payouts or prepayments.
The SPE and the secured student loan credit facility were
structured with an expectation that interest and recoveries of
principal to be received with respect to the underlying student
loans securing payment of the SPE Notes would be sufficient to
pay principal of and interest on the SPE Notes when due,
together with operating expenses of the SPE. This expectation
was based upon analysis of cash flow projections, and
assumptions regarding the timing of the financing of the
underlying student loans to be held by the SPE, the future
composition of and yield on the financed student loan portfolio,
the rate of return on monies to be invested by the SPE in
various funds and accounts established under the indenture
governing the SPE Notes, and the occurrence of future events and
conditions. There can be no assurance, however, that the student
loans will be financed as anticipated, that interest and
principal payments from the financed student loans will be
received as anticipated, that the reinvestment rates assumed on
the amounts in various funds and accounts will be realized, or
other payments will be received in the amounts and at the times
anticipated.
|
|
|
Trust Preferred Securities |
On April 29, 2004, the Company through a newly formed
Delaware statutory business trust (the 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
Trust Preferred Securities). The Trust invested
the $15.0 million proceeds from the sale of the
Trust Preferred Securities, together with the proceeds from
the issuance to the Company by the Trust of its floating rate
common securities in the amount of $470,000 (the Common
Securities and, collectively with the Trust Preferred
Securities, the Trust Securities), in an
equivalent face amount of the Companys Floating Rate
Junior Subordinated Notes due 2034 (the Notes). The
Notes will mature on April 29, 2034, which date may be
accelerated to a date not earlier than April 29, 2009. The
Notes may be prepaid prior to April 29, 2009, at 107.5% of
the principal amount thereof, upon the occurrence of certain
events, and thereafter at 100.0% of the principal amount
thereof. The Notes, which constitute the sole assets of the
Trust, are subordinate and junior in right of payment to all
senior indebtedness (as defined in the Indenture, dated
April 29, 2004, governing the terms of the Notes) of the
Company. The Notes accrue interest at a floating rate equal to
three-month LIBOR plus 3.50%, payable quarterly on
February 15, May 15, August 15, and November 15
of each year. At December 31, 2004, the Notes bore interest
at an annual rate of 5.79%. The quarterly distributions on the
Trust Securities are paid at the same interest rate paid on
the Notes.
The Company has fully and unconditionally guaranteed the payment
by the Trust of distributions and other amounts payable under
the Trust Preferred Securities. The Trust must redeem the
Trust Securities when the Notes are paid at maturity or
upon any earlier prepayment of the Notes. Under the provisions
of the Notes, the Company has the right to defer payment of the
interest on the Notes at any time, or from time to time, for up
to twenty consecutive quarterly periods. If interest payments on
the Notes are deferred, the distributions on the
Trust Securities will also be deferred.
F-37
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The Company received proceeds from the transaction in the amount
of $14.6 million, net of issuance costs in the amount of
$423,500, which cost is carried in other assets on
the Companys consolidated balance sheet and is being
amortized over five years as interest expense.
In accordance with FASB Interpretation No. 46R,
Consolidation of Variable Interest Entities, the accounts
of the Trust have not been consolidated with those of the
Company and its consolidated subsidiaries. The Companys
$470,000 investment in the common equity of the Trust has been
reflected on the Companys consolidated balance sheet as
short term and other investments, and the income
paid to the Company by the Trust with respect to the Common
Securities, and interest received by the Trust from the Company
with respect to the $15.5 million principal amount of the
Notes, has been reflected in the Companys consolidated
statement of income as interest income and interest expense,
respectively. The amount of interest income and interest expense
was $16,000 and $537,000, respectively, for the 2004 period
April 29, 2004 through December 31, 2004.
Effective November 1, 2004, the Company terminated a
$30.0 million bank credit facility that was otherwise
scheduled to mature in January 2005. At the time the facility
was terminated, the Company had no borrowings outstanding under
the facility.
In full payment of all contingent consideration payable in
connection with UICIs February 2002 acquisition of Star
HRG, on November 10, 2003 UICI delivered to the sellers
UICIs 6% convertible subordinated notes in the
aggregate principal amount of $15.0 million, together with
cash interest in the aggregate amount of approximately
$1.5 million. The subordinated notes were scheduled to
mature in February 2012. The subordinated notes were convertible
into UICI Common Stock at a conversion price of $20.06 per
common share. On April 19, 2004, the Company paid off in
full the outstanding convertible subordinated notes in the
aggregate amount of $15.0 million and accrued interest
thereon to the date of prepayment.
On June 1, 2004, the Company paid in full the final payment
due in the amount of $4.0 million plus interest of
$173,000, on its 8.75% Senior Notes due June 2004, which
the Company had issued on June 22, 1994, in the original
aggregate issuance amount of $27.7 million. The Company
incurred $144,000 of interest expense in 2004 through date of
repayment, and $490,000 and $835,000 of interest expense on the
notes in the years ended December 31, 2003 and 2002,
respectively. At December 31, 2003, the senior notes were
outstanding in the aggregate principal amount of
$4.0 million.
Principal payments required for the Companys corporate
debt and indebtedness outstanding under the Companys
secured student loan funding facility in each of the next five
years and thereafter are as follows:
|
|
|
|
|
|
|
|
|
|
|
Corporate | |
|
Student Loan | |
|
|
Debt | |
|
Credit Facility | |
|
|
| |
|
| |
|
|
(In thousands) | |
2005
|
|
$ |
|
|
|
$ |
|
|
2006
|
|
|
|
|
|
|
29,800 |
|
2007
|
|
|
|
|
|
|
10,650 |
|
2008
|
|
|
|
|
|
|
12,550 |
|
2009
|
|
|
|
|
|
|
12,900 |
|
2010 and thereafter
|
|
|
15,470 |
|
|
|
84,100 |
|
|
|
|
|
|
|
|
|
|
$ |
15,470 |
|
|
$ |
150,000 |
|
|
|
|
|
|
|
|
F-38
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The fair value of the Companys long-term debt (exclusive
of outstanding indebtedness that is secured by student loans
generated by the College Fund Life Division) was
$15.5 million and $18.8 million at December 31,
2004 and 2003, respectively. The fair value of such long-term
debt is estimated using discounted cash flow analyses, based on
the Companys current incremental borrowing rates for
similar types of borrowing arrangements.
The carrying amount of the outstanding indebtedness that is
secured by student loans generated by the College Fund Life
Division approximates fair value, since interest rates on such
indebtedness reset monthly.
Total interest paid was $3.4 million, $2.9 million and
$5.7 million in the years ended December 31, 2004,
2003 and 2002, respectively, including $2.3 million,
$1.9 million and $2.7 million, respectively, payable
with respect to outstanding indebtedness under the
Companys secured student loan credit facility.
Note I Federal Income Taxes
Deferred income taxes for 2004 and 2003 reflect the impact of
temporary differences between the financial statement carrying
amounts and tax bases of assets and liabilities. Deferred tax
liabilities and assets consist of the following:
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Deferred tax liabilities:
|
|
|
|
|
|
|
|
|
|
Deferred policy acquisition and loan origination
|
|
$ |
31,542 |
|
|
$ |
24,171 |
|
|
Unrealized gain on securities
|
|
|
10,843 |
|
|
|
13,250 |
|
|
Difference between financial and tax bases
|
|
|
6,380 |
|
|
|
3,540 |
|
|
Other
|
|
|
2,004 |
|
|
|
7,662 |
|
|
|
|
|
|
|
|
|
|
Total gross deferred tax liabilities
|
|
|
50,769 |
|
|
|
48,623 |
|
|
|
|
|
|
|
|
Deferred tax assets:
|
|
|
|
|
|
|
|
|
|
Litigation accruals
|
|
|
8,156 |
|
|
|
8,750 |
|
|
Policy liabilities
|
|
|
41,574 |
|
|
|
41,190 |
|
|
Operating loss carryforwards
|
|
|
596 |
|
|
|
826 |
|
|
Capital losses
|
|
|
14,013 |
|
|
|
20,703 |
|
|
Invested assets
|
|
|
5,528 |
|
|
|
5,306 |
|
|
Stock compensation accrual
|
|
|
14,513 |
|
|
|
5,613 |
|
|
|
|
|
|
|
|
|
|
Total gross deferred tax assets
|
|
|
84,380 |
|
|
|
82,388 |
|
Less: valuation allowance
|
|
|
17,042 |
|
|
|
19,756 |
|
|
|
|
|
|
|
|
|
|
Deferred tax assets
|
|
|
67,338 |
|
|
|
62,632 |
|
|
|
|
|
|
|
|
Net deferred tax asset
|
|
$ |
16,569 |
|
|
$ |
14,009 |
|
|
|
|
|
|
|
|
The Company establishes a valuation allowance when management
believes, based on the weight of the available evidence, that it
is more likely than not that some portion of the deferred tax
asset will not be realized. Realization of the net deferred tax
asset is dependent on generating sufficient future taxable
income. The amount of the deferred tax asset considered
realizable, however, could be reduced in the near term if
estimates of future taxable income during the carryforward
period are reduced.
During 2003, the Company realized $59.3 million of net
capital losses for federal tax purposes. The capital losses were
generated in 2003 primarily from the sale of AMS, the sale of
its interest in Healthaxis and
F-39
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
the sale of an agency specializing in the sale of long-term care
and Medicare supplement insurance products and were partially
offset by the gain from the sale of a substantial portion of the
Companys equity stake in AMLI Residential. To the extent
not utilized to offset capital gains generated in prior years,
the net capital losses generated in 2003 will be carried forward
to future years, with the ability to utilize the remaining
capital losses generated in 2003 expiring in 2008. During 2003
the Company determined that it was more likely than not that it
would not be able to realize its deferred tax assets related to
a portion of the capital loss carryforwards generated in 2003
and certain investment impairments that would likely result in
capital losses in the short term. Accordingly, the Company
established a valuation allowance of $19.8 million
associated with the carryforwards and certain investment
impairments at December 31, 2003. As of December 31,
2004, the balance of the valuation allowance was
$17.0 million; the reduction of $2.8 million from the
valuation allowance at December 31, 2003, was attributable
primarily to realization of tax capital gains during 2004. At
this time, the Company does not anticipate selling appreciated
assets and reinvesting the proceeds at lower interest rates
solely for the purpose of generating capital gains to utilize
the capital loss carryover before its expiration. In the current
interest rate environment, the Company does not view current
unrealized gains in its investment portfolio as positive
evidence of recoverability of the deferred tax asset on the
capital loss carryover.
The provision for income tax expense (benefit) consisted of the
following:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
From operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
Continuing operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current tax expense
|
|
$ |
69,987 |
|
|
$ |
53,495 |
|
|
$ |
31,134 |
|
|
Deferred tax expense (benefit)
|
|
|
5,281 |
|
|
|
(8,903 |
) |
|
|
(5,429 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Total from continuing operations
|
|
|
75,268 |
|
|
|
44,592 |
|
|
|
25,705 |
|
|
|
|
|
|
|
|
|
|
|
Discontinued operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current tax expense (benefit)
|
|
|
4,350 |
|
|
|
(18,715 |
) |
|
|
(10,598 |
) |
|
Deferred tax expense (benefit)
|
|
|
(5,434 |
) |
|
|
2,193 |
|
|
|
7,323 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total from discontinued operations
|
|
|
(1,084 |
) |
|
|
(16,522 |
) |
|
|
(3,275 |
) |
|
|
|
|
|
|
|
|
|
|
From cumulative effect of accounting change:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current tax expense
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deferred tax benefit
|
|
|
|
|
|
|
|
|
|
|
(1,742 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Total from cumulative effect of accounting change
|
|
|
|
|
|
|
|
|
|
|
(1,742 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
74,184 |
|
|
$ |
28,070 |
|
|
$ |
20,688 |
|
|
|
|
|
|
|
|
|
|
|
F-40
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
The Companys effective income tax rates applicable to
continuing operations varied from the maximum statutory federal
income tax rate as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
Statutory federal income tax rate
|
|
|
35.0 |
% |
|
|
35.0 |
% |
|
|
35.0 |
% |
Small life insurance company deduction
|
|
|
|
|
|
|
(0.1 |
) |
|
|
(0.4 |
) |
Low income housing credit
|
|
|
(0.5 |
) |
|
|
(0.8 |
) |
|
|
(1.4 |
) |
Tax on policyholder surplus account
|
|
|
|
|
|
|
0.5 |
|
|
|
|
|
Nondeductible compensation expenses
|
|
|
0.5 |
|
|
|
0.2 |
|
|
|
2.6 |
|
Reduction of tax accrual
|
|
|
(0.7 |
) |
|
|
(0.9 |
) |
|
|
(1.2 |
) |
Other items, net
|
|
|
(0.3 |
) |
|
|
(0.1 |
) |
|
|
(1.1 |
) |
|
|
|
|
|
|
|
|
|
|
Effective income tax rate applicable to continuing operations
|
|
|
34.0 |
% |
|
|
33.8 |
% |
|
|
33.5 |
% |
|
|
|
|
|
|
|
|
|
|
Under pre-1984 federal income tax laws, a portion of a life
insurance companys gain from operations was
not subject to current income taxation but was accumulated for
tax purposes in a memorandum account designated as
policyholders surplus account. These amounts
are not taxable unless (a) the life insurance company fails
to qualify as a life insurance company for federal income tax
purposes for two consecutive years, (b) these amounts are
distributed to the Company or (c) these amounts exceed
certain statutory limitations. The aggregate accumulation in
this account for the Companys life insurance subsidiaries
was approximately $1.6 million at December 31, 2004.
At December 31, 2004, MEGA had an aggregate federal tax
loss carryforward from certain acquired subsidiaries of
$1.7 million for use to offset future taxable income, under
certain circumstances, with expiration dates ranging between
2005 and 2007. The maximum amounts of federal tax loss
carryforwards available are $657,000 per year from 2005
through 2006, and $388,000 in 2007.
Total federal income taxes paid in prior years and recovered
were $8.5 million during 2002. Total federal income taxes
paid were $87.6 million, $15.9 million and
$20.6 million for 2004, 2003 and 2002, respectively.
The Company and all of its corporate subsidiaries (other than
two offshore life insurance companies that have not met the
5-year affiliation rule to join a life/non-life consolidation)
file a consolidated federal income tax return.
Note J Stockholders Equity
On August 18, 2004, the Companys Board of Directors
adopted a policy of issuing a regular semi-annual cash dividend
on shares of its common stock. The amount of the dividend,
record date and payment date will be subject to approval every
six months by the Companys Board of Directors. Subject to
future analyses of the Companys cash resources and
projected cash needs, the Board of Directors intends to continue
in the future to consider and reassess from time to time the
Companys dividend policy. In accordance with the new
dividend policy, on August 18, 2004, the Companys
Board of Directors declared a regular semi-annual cash dividend
of $0.25 on each share of Common Stock, which dividend was paid
on September 15, 2004 to shareholders of record at the
close of business on September 1, 2004. On February 9,
2005, the Companys Board of Directors declared a regular
semi-annual cash dividend of $0.25 per share and a special
cash dividend of $0.25 per share. The regular and special
dividend will be payable on March 15, 2005 to shareholders
of record at the close of business on February 21, 2005.
At its April 28, 2004 quarterly meeting, the UICI Board of
Directors reconfirmed the Companys 1998 share
repurchase program, in which it initially authorized the
repurchase of up to 4,500,000 shares of
F-41
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
UICI common stock from time to time in open market or private
transactions, and granted management authority to repurchase up
to an additional 1,000,000 shares. Through
December 31, 2004, the Company had purchased under the
program an aggregate of 4,571,000 shares (at an aggregate
cost of $64.1 million; average cost per share of $14.03),
of which 1,043,400 shares (at an aggregate cost of
$16.3 million; average cost per share of $15.67) were
purchased during 2004. The Company now has remaining authority
pursuant to the program as reauthorized to repurchase up to an
additional 929,000 shares. The timing and extent of
additional repurchases, if any, will depend on market conditions
and the Companys evaluation of its financial resources at
the time of purchase.
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 the Company. The Agent Plans
generally combine an agent-contribution feature and a
Company-match feature. For financial reporting purposes, the
Company accounts for the Company-match feature of its Agent
Plans by recognizing compensation expense over the vesting
period in an amount equal to the fair market value of vested
shares at the date of their vesting and distribution to the
participants. The Company estimates its current liability for
unvested matching credits by reference to the number of unvested
credits, the current market price of the Companys common
stock, and the Companys estimate of the percentage of the
vesting period that has elapsed up to the current quarter end.
Changes in the liability from one quarter to the next are
accounted for as an increase in, or decrease to, compensation
expense, as the case may be. Upon vesting, the Company reduces
the accrued liability (equal to the market value of the vested
shares at date of vesting) with a corresponding increase to
equity. See Note M.
In August 1998, Ronald L. Jensen (the Companys Chairman)
and his wife established an incentive program (the BOB
Program), pursuant to which they agreed to distribute to
eligible participants on August 15, 2002, in
cash an aggregate of the dollar equivalent value of 100,000 UICI
shares. See Note K Related Party
Transactions Funding of BOB Program.
Generally, the total stockholders equity of domestic
insurance subsidiaries (as determined in accordance with
statutory accounting practices) in excess of minimum statutory
capital requirements is available for transfer to the parent
company, subject to the tax effects of distribution from the
policyholders surplus account described in
Note I of Notes to Consolidated Financial Statements. The
minimum aggregate statutory capital and surplus requirements of
the Companys principal domestic insurance subsidiaries was
$96.1 million at December 31, 2004, of which minimum
surplus requirements for MEGA, Mid-West and Chesapeake were
$67.9 million, $20.2 million and $8.0 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. During 2004 and 2003, Mid-West paid dividends in the
amount of $23.0 million and $5.0 million,
respectively, to the holding company. During 2005, the
Companys domestic insurance companies could pay aggregate
dividends to the parent company of approximately
$146.9 million without prior approval by statutory
authorities.
Combined net income and stockholders equity for the
Companys domestic insurance subsidiaries determined in
accordance with statutory accounting practices and as reported
in regulatory filings are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Net income
|
|
$ |
142,292 |
|
|
$ |
37,028 |
|
|
$ |
16,749 |
|
Statutory surplus
|
|
$ |
448,468 |
|
|
$ |
364,816 |
|
|
$ |
281,940 |
|
F-42
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Note K Related Party Transactions
Historically, the Company and its subsidiaries have engaged from
time to time in transactions and joint investments with
executive officers and entities controlled by executive
officers, particularly Mr. Jensen (the Companys
Chairman) and entities in which Mr. Jensen and his adult
children have an interest (Jensen Affiliates).
Under the Companys by-laws, any contract or other
transaction between the Company and any director (or company in
which a director is interested) is valid for all purposes if the
interest of such director is disclosed or known and such
transaction is authorized by a majority of directors not
interested in the transaction. The Board of Directors has
adopted a policy requiring the prospective review and approval
by a majority of the Disinterested Outside Directors
of any contract or transaction with a related party involving
payments of $250,000 or more in any twelve-month period or
$1.0 million over the life of the contract. For purposes of
the policy, a related-party is a person or entity
that is an affiliate of the Company or any entity in
which any officer or director of the Company has a 5% or greater
equity interest, and a Disinterested Outside
Director is any director of UICI who is an employee of
neither the Company nor any affiliate of the Company and
otherwise holds no interest in any person or entity with which
the Company proposes to enter into a transaction in question.
The Company believes that the terms of all such transactions
with all related parties, including all Jensen Affiliates, are
and have been on terms no less favorable to the Company than
could have been obtained in arms length transactions with
unrelated third parties. Mr. Jensen has never voted with
respect to any matter in which he or his children have or have
had an interest.
|
|
|
Transactions with Mr. Jensen and Jensen
Affiliates |
|
|
|
Special Investment Risks, Ltd. |
From the Companys inception through 1996, Special
Investment Risks, Ltd. (SIR) (formerly United Group
Association, Inc. (UGA)) sold health insurance
policies that were issued by AEGON USA and coinsured by the
Company or policies issued directly by the Company. SIR is owned
by Mr. Jensen. Effective January 1, 1997, the Company
acquired the agency force of SIR.
In accordance with the terms of the asset sale to the Company,
SIR retained the right to receive all commissions on policies
written prior to January 1, 1997, including the policies
previously issued by AEGON and coinsured by the Company and the
policies previously issued directly by the Company. The
commissions paid to SIR on the coinsured policies issued by
AEGON are based on commission rates negotiated and agreed to by
AEGON and SIR at the time the policies were issued prior to
1997, and the commission rates paid on policies issued directly
by the Company are commensurate with the AEGON renewal
commission rates. The Company expenses its proportionate share
of commissions payable to SIR on co-insured policies issued by
AEGON. During 2004, 2003 and 2002, SIR received insurance
commissions of $176,000, $559,000 and $630,000, respectively, on
the policies previously issued by AEGON prior to January 1,
1997 and coinsured by the Company. During 2004, 2003 and 2002,
SIR received commissions of $3.1 million, $2.7 million
and $3.3 million, respectively, on policies issued prior to
January 1, 1997 and issued directly by the Company.
In accordance with the terms of an amendment, dated
July 22, 1998, to the terms of the sale of the UGA assets
to the Company, SIR was granted the right to retain 10% of net
renewal commissions (computed at the UGA Association
Field Services agency level) on any new business written by the
UGA agency force after January 1, 1997. In an effort to
simplify the calculation of the payments to be made to
Mr. Jensen and to clarify with specificity the business
subject to this override arrangement, effective October 1,
2003 the Company and SIR entered into an amendment to the asset
sale agreement, the principal effect of which is to
F-43
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
change the basis of the override calculation from a multiple of
renewal commissions received by UGA Association
Field Services to a multiple of commissionable renewal premium
received. Based on managements projections of future
business, the Company estimates that the absolute amount of
future override commission to be paid to SIR pursuant to the
amendment will not vary in any material respect from that
expected to be paid in accordance with the prior arrangement.
During the years ended December 31, 2004, 2003 and 2002,
the Company paid to SIR the amount of $3.9 million,
$3.7 million and $1.9 million, respectively, pursuant
to this arrangement.
During 2002, the Company received $2,000 from SIR as
reimbursement of office supply and occupancy expenses.
In 2004 and 2003, Mr. Jensen (through SIR) paid to the
Company $66,000 and $303,000, respectively, to fund obligations
of SIR owing to the Companys agent stock accumulation
plans. Mr. Jensen incurred this obligation prior to the
Companys purchase of the UGA agency in 1997. See
Note M.
Richland State Bank (RSB) is a state-chartered bank
in which Mr. Jensen holds a 100% equity interest. In
accordance with the terms of a loan origination agreement with
Academic Management Services Corp. (the Companys former
student finance subsidiary), RSB historically provided to AMS
certain loan origination and underwriting services with respect
to an AMS student loan program for students in post-secondary
education (primarily graduate health curricula). In accordance
with the origination agreement, RSB originated the student loans
and resold such loans to AMS at par plus an origination fee of
31 basis points (0.31%). In addition, the agreement
provided that AMS was required to prefund all loans originated
by RSB by depositing on account at RSB cash sufficient to fund
the loans.
Following announcement of collateral deficiencies at AMS in July
2003, AMS terminated the uninsured alternative student loan
program for which RSB acts as originator. However, loans and
loan commitments in process prior to July 16, 2003
continued to be funded. In an effort to free up cash to be used
for operations at AMS, on September 25, 2003, AMS and RSB
entered into an amendment to the loan origination agreement,
pursuant to which RSB agreed to release to AMS restricted cash
on deposit (approximately $2.0 million) and hold the
student loans until December 31, 2003 (in the case of fully
funded loans) and May 20, 2004 (in the case of second
disbursements).
All obligations of AMS under the loan origination agreement with
RSB, as amended by the agreement dated September 25, 2003,
were guaranteed by UICI. On November 18, 2003, UICI sold
all of its equity interest in AMS to an unaffiliated third party
and, in connection with such sale, the purchaser agreed to
indemnify and hold UICI harmless from any future liability
associated with UICIs guaranty.
During 2002, RSB originated $77.6 million aggregate
principal amount of student loans for AMS, for which it received
$241,000 in origination fees. During 2003, RSB originated
$26.3 million aggregate principal amount of student loans
for AMS, for which it received $82,000 in origination fees.
RSB also provides student loan origination services for the
Companys former College Fund Life Insurance Division
of MEGA and Mid-West. Pursuant to a Loan Origination and
Purchase Agreement, dated June 12, 1999 and as amended, RSB
originates student loans and resells such loans to UICI Funding
Corp. 2 (Funding) (a wholly owned subsidiary of
UICI) at par (plus accrued interest). During 2004, 2003 and
2002, RSB originated $11.6 million, $15.7 million and
$17.7 million aggregate principal amount plus accrued
interest, respectively, of student loans for the College
Fund Life Division.
During 2004, 2003 and 2002, RSB collected on behalf of, and paid
to, Funding $1.1 million, $1.4 million and
$1.6 million, respectively, in guarantee fees paid by
student borrowers in connection with the origination of student
loans. During 2004, 2003 and 2002, RSB collected on behalf of
and collectively paid to the College
F-44
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Fund Life Division $289,000, $390,000 and $442,000,
respectively, representing origination fees paid by student
borrowers in connection with the origination of student loans.
In June 1999, RSB entered into a service agreement with the
Companys College Fund Life Division, pursuant to
which College Fund Life Division provides underwriting
services to permit RSB to approve prospective student loans.
During 2004, 2003 and 2002, Funding received from RSB interest
income in the amount of $2,000, $3,000 and $4,000, respectively,
on money market accounts maintained at RSB by the Company.
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Specialized Association Services, Inc. |
Pursuant to an agreement entered into in July 1998 and
terminated effective December 31, 2002 (the July 1998
Agreement), Specialized Association Services, Inc.
(SAS) (which is controlled by Mr. Jensens
adult children) paid UICI Marketing for certain benefits
provided to association members. UICI Marketing, in turn,
purchased such benefits from third parties (including National
Motor Club of America, which is controlled by Mr. Jensen).
During 2002, SAS paid to UICI Marketing $14.4 million
pursuant to the terms of the July 1998 Agreement. At
December 31, 2002, SAS owed to UICI Marketing the amount of
$887,000 pursuant to the July 1998 Agreement (which amount was
subsequently paid). Of the amounts paid by SAS to UICI Marketing
during 2002 under the July 1998 Agreement for association
membership benefits, UICI Marketing in turn paid to National
Motor Club of America (the parent company of which is owned and
controlled by Ronald L. Jensen and members of his family)
(NMCA) $161,000 for association membership benefits.
Included in the 2002 amount paid to UICI Marketing was
$3.3 million that was in turn remitted to another
non-insurance subsidiary of the Company that provides
subscribers with a benefit consisting of educational materials
describing the tax deductibility of health premiums and costs.
Upon termination of the July 1998 Agreement effective
December 31, 2002, SAS and Benefit Administration for the
Self-Employed, LLC (BASE 105) (an 80% owned
subsidiary of the Company) entered into a new agreement
effective January 1, 2003 (the January 2003
Agreement), which January 2003 Agreement automatically
renews each year unless notice of termination is given to either
party on or before October 1 of such year. The January 2003
Agreement has been renewed for 2005. Pursuant to the January
2003 Agreement, in 2004 and 2003 SAS paid BASE 105 the amount of
$3.1 million and $2.8 million, respectively.
The Impact Creative Group (ICG), a division of UICI
Marketing, provides various printing and video services. During
2004, 2003 and 2002, SAS paid ICG $95,000, $221,000 and
$227,000, respectively, for various printing and video services.
During 2002, SAS began purchasing directly from MEGA certain
ancillary benefit products (including accidental death, hospital
confinement and emergency room benefits) for the benefit of the
membership associations that make available to their members the
Companys health insurance products. The aggregate amount
paid by SAS to MEGA for these benefit products was
$12.5 million, $10.9 million and $6.4 million in
2004, 2003 and 2002, respectively.
SAS reimburses MEGA for certain billing and collection services
that MEGA provides to membership associations members per an
agreement entered into in January 1, 1998. The aggregate
amount paid by SAS to MEGA for this reimbursement of services
was $274,000, $267,000 and $221,000 in 2004, 2003 and 2002,
respectively.
During 2004, 2003 and 2002, the Company paid to SAS $8,000,
$24,000 and $441,000, respectively, for various services and
reimbursement of expenses. The Company received from SAS $4,000,
$2,000 and $136,000 during 2004, 2003 and 2002, respectively,
for reimbursement of expenses. During 2004, 2003 and 2002, SAS
paid to MEGA $0, $246,000 and $347,000, respectively, for leased
office facilities.
F-45
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
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NetLojix Communications, Inc. (formerly AvTel Communications,
Inc.) |
At December 31, 2002, Mr. Jensen and his adult
children beneficially held in the aggregate approximately 59%,
respectively, of the issued capital stock of NetLojix
Communications, Inc (NetLojix). In June 2003,
NetLojix ceased being a related party as a result of a decrease
in ownership by the Jensen family.
Until November 2002, NetLojix provided long distance voice
telecommunications services to the Company and its subsidiaries,
pursuant to a series of agreements originally executed in 1998.
The Companys last agreement with NetLojix (which expired
on October 31, 2002) required UICI to purchase a minimum of
$86,000 in service per month at a rate of $0.0299 per
minute for interstate calls and $0.070 per minute, or
$0.075 per minute, depending on the state, for intrastate
calls. The Company paid NetLojix $161,000 and $2.5 million
in 2003 and 2002, respectively, in the for long distance
telecommunications and transition services pursuant to the terms
of the agreement.
On August 23, 2002, UICI and NetLojix entered into a
one-year master services agreement, pursuant to which NetLojix
provided to UICI and its subsidiaries certain technical support
services. During the six months ended June 30, 2003 and
year ended December 31, 2002, the Company paid to NetLojix
$16,000 and $40,000, respectively, pursuant to this agreement.
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Onward and Upward, Inc. and Other Entities Owned by the
Jensen Adult Children |
Mr. Jensens five adult children hold in the aggregate
100% of the equity interest in Onward & Upward, Inc.
(OUI), the holder of approximately 5.9% of the
Companys outstanding Common Stock.
On July 1, 2002, pursuant to the terms of a Put/ Call
Agreement, effective September 15, 1999, the Company
discharged an obligation to purchase from OUI
369,174 shares of Common Stock at the then effective put
price of $32.25 per share, or $11.9 million in the
aggregate. For financial reporting purposes, the Company treated
the transaction as a repurchase of Company common stock in the
amount of $10.1 million (which represented the fair market
value of 369,174 shares of Common Stock of the Company at
September 15, 1999) and a discharge of a liability in the
amount of $1.8 million (which represented accrued interest
expense previously recorded over the term of the put/call
arrangement), resulting in an overall decrease in consolidated
stockholders equity in the amount of $11.9 million.
OUI formerly held a 21% equity interest in U.S. Managers
Life Insurance Company, Ltd., (merged into United Group
Reinsurance Company effective December 31, 2003) a Turks
and Caicos Islands domiciled insurer
(U.S. Managers). UICI held the remaining 79%
majority interest in U.S. Managers. The shares held by OUI
were subject to the terms of a Stock Agreement, dated as of
January 3, 1992, as amended (the Stock
Agreement), between UICI and OUI, pursuant to which OUI
had a put, and UICI had a corresponding obligation to purchase,
the minority interest in U.S. Managers at a formula price
generally equal to the cost of such minority interest plus (or
minus) cumulative earnings (losses) of U.S. Managers.
OUI notified UICI of its intent to exercise its put and sell its
21% minority interest in U.S. Managers at the formula price
calculated as of July 31, 2003, and UICI and OUI entered
into a Purchase Agreement governing the terms of the exercise of
the put and sale to UICI of the minority interest. In accordance
with the terms of the Purchase Agreement, on August 26,
2003, UICI purchased the 21% minority interest in
U.S. Managers from OUI for a purchase price of $863,000,
representing the formula price at July 31, 2003.
In 2004, 2003 and 2002, the Company paid $248,000, $259,000 and
$257,000, respectively, to Small Business Ink (a division of
Specialized Association Services, in which the adult children of
Mr. Jensen own 99%) for printing services.
In 2004, the Company received $17,000 for printing services
provided to a charitable foundation, of which an adult child of
Mr. Jensen served as grantor and currently serves as sole
trustee.
F-46
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
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Sun Communications, Inc. Litigation |
On May 13, 2003, the Company, Mr. Jensen and the
plaintiffs reached agreement on a full and final settlement of
litigation (Sun Communications, Inc. v. SunTech
Processing Systems, LLC, UICI, Ronald L. Jensen, et al)
concerning the distribution of the cash proceeds from the sale
and liquidation of SunTech Processing Systems, LLC
(STP) assets in February 1998 (the Sun
Litigation).
Effective April 2, 2002, the Company and Mr. Jensen
entered into an Assignment and Release Agreement, which, among
other things, transferred UICIs financial and other rights
and obligations in STP to Mr. Jensen and effectively
terminated the Companys active participation in, and
limited the Companys financial exposure associated with,
the Sun Litigation. In accordance with the terms of the
Assignment and Release Agreement, on April 2, 2002
Mr. Jensen made a total payment to UICI of
$15.6 million and granted to UICI various indemnities
against possible losses which UICI might incur resulting from
the Sun Litigation. In addition, as part of the terms of the
Assignment and Release Agreement UICI granted to Mr. Jensen
an irrevocable option to purchase and to receive an assignment
of UICIs membership interests, including without
limitation all of UICIs Class A Interests and
Class B Interests (constituting an 80% economic interest)
in STP for an exercise price of $100.
Following settlement of the Sun Litigation, and pursuant to the
terms of an agreement dated as of June 17, 2003, by and
between UICI and Mr. Jensen, Mr. Jensen exercised his
option to purchase UICIs membership interests in STP, and
UICI assigned and transferred to Mr. Jensen all of the
Companys right, title and interest in and to such STP
membership interests. For financial reporting purposes the
Company recognized no gain or loss in connection with this
transaction.
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Release of Ronald L. Jensen |
As previously disclosed, on June 1, 1999, the Company was
named as a nominal defendant in a shareholder derivative action
captioned Richard Schappel v. UICI, Ronald Jensen,
Richard Estell, Vernon Woelke, J. Michael Jaynes, Gary Friedman,
John Allen, Charles T. Prater, Richard Mockler and Robert B.
Vlach, which was filed in the District Court of Dallas
County, Texas (the Shareholder Derivative
Litigation).
On December 21, 2001, the District Court of Dallas County,
Texas, approved the terms of a Settlement Agreement and Mutual
Release between UICI and each of Richard J. Estell, Vernon
Woelke, J. Michael Jaynes, Gary L. Friedman,
John E. Allen, Charles T. Prater, Richard T.
Mockler, and Robert B. Vlach (collectively, the
Individual Defendants), on the one hand, and Richard
Schappel and Mr. Schappels counsel, on the other
hand. Pursuant to the Settlement Agreement, the parties reached
agreement with respect to the payment of attorneys fees
and expenses on termination of the Shareholder Derivative
Action, and the Court also entered a Modified Final Judgment in
the case, vacating certain findings of fact that formed a part
of an earlier ruling by the Court rendered on October 14,
2001. The Settlement Agreement and the Modified Final Judgment
had the effect of fully and finally resolving the matters in
dispute in the Shareholder Derivative Litigation between UICI
and the Individual Defendants, on the one hand, and
Mr. Schappel, on the other hand. The terms of the
settlement did not have a material effect on the results of
operations or financial condition of UICI.
In accordance with the terms of a Release Agreement, dated as of
April 2, 2002, the Company agreed to release
Mr. Jensen from any and all claims that the derivative
plaintiff in the Shareholder Derivative Litigation brought or
could have brought against Mr. Jensen on behalf of UICI in
the Shareholder Derivative Litigation, and Mr. Jensen
agreed to waive and release UICI from any obligation to
indemnify Mr. Jensen for any future costs and/or
out-of-pocket expenses associated with any claims that the
derivative plaintiff brought or could have brought against
Mr. Jensen in the Shareholder Derivative Litigation.
F-47
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
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Transactions with National Motor Club |
Members of the family of Mr. Jensen (including
Mr. Jensen) and William J. Gedwed (a director and the
President and Chief Executive of the Company) currently hold a
94.7% and 5.3% equity interest, respectively, in NMC Holdings,
Inc. (NMC), the parent company of National Motor
Club of America (NMCA).
In July 2000, MEGA and NMCA entered into an administrative
service agreement for a two-year term ended in December 31,
2002, pursuant to which MEGA agreed to issue life, accident and
health insurance polices to NMCA for the benefit of NMCA members
in selected states. NMCA, in turn, agreed to provide to
Chesapeake certain administrative and record keeping services in
connection with the NMCA members for whose benefit the policies
have been issued. During 2002, NMCA paid to MEGA insurance
premiums in the amount of $1.7 million pursuant to such
arrangements. Effective January 1, 2003, MEGA and NMCA
entered into a new administrative services agreement for a term
ending on December 31, 2004, pursuant to which NMCA paid to
MEGA in 2004 and 2003 the amount of $2.1 million and
$1.3 million, respectively. Effective January 1, 2005,
MEGA and NMCA entered into a new three-year administrative
agreement for a term ending on December 31, 2007 on terms
similar to those contained in the agreement that terminated on
December 31, 2004.
During 2004, 2003 and 2002, NMCA paid the Company $202,000,
$236,000 and $231,000, respectively, for printing and various
other services. During 2004, subsidiaries of NMCA paid the
Company an aggregate of $123,000 for printing and other services.
In August 1998, Mr. Jensen and his wife established an
incentive program (the BOB Program), pursuant to
which they agreed to distribute to eligible
participants on August 15, 2002, in cash an aggregate
of the dollar equivalent value of 100,000 UICI shares. Eligible
participants in the BOB Program consisted of full-time employees
of UICI and its subsidiaries and independent agents associated
with UICIs insurance subsidiaries who were employed by or
contracted with UICI, as the case may be, at the close of
business on August 14, 1998, and who remain employed by or
contracted with UICI at the close of business on August 14,
2002. In accordance with the BOB Program, each eligible
participant was entitled to receive his or her portion of the
aggregate cash payment determined by reference to a formula
based on, among other things, such eligible participants
tenure with UICI and level of compensation.
For financial reporting purposes, UICI incurred non-cash
variable compensation expense associated with the BOB Program
over the four-year vesting period, which expense included
adjustments due to periodic changes in the value of UICI common
stock. The Company established a corresponding liability
associated with the future benefits payable under the BOB
Program. At August 15, 2002 (the date of vesting of
benefits under the BOB Program), UICI had recorded a liability
for the benefits associated with the BOB Program in the amount
of $1.8 million. For the year ended December 31, 2002,
the Company recorded expense in continuing and discontinued
operations compensation associated with this program in the
amount of $759,000.
In a series of celebrations occurring in August 2002,
Mr. and Mrs. Jensen distributed cash in the aggregate
amount of $1.8 million to the eligible participants in the
BOB Program. In connection with the funding of the BOB Program,
UICI extinguished the liability in the amount of
$1.8 million at August 15, 2002 and credited an
equivalent amount ($1.2 million net of tax) to the
Companys additional paid-in capital account.
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Transaction with AMLI Residential Properties Trust |
At December 31, 2004, 2003 and 2002, the Company held a
-0-%, 2.3% and 10.5% fully diluted interest, respectively, in
AMLI Residential Properties Trust, a publicly-traded real estate
investment trust (AMLI Residential).
Mr. Gregory T. Mutz, who until December 31, 2003,
served as a director of the Company, and
F-48
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
until July 1, 2003, served as the president and chief
executive officer of the Company, also serves as Chairman of the
Board and, effective February 2, 2004, as chief executive
officer, of AMLI Residential. Pursuant to the terms of a
Purchase Agreement, dated as of December 16, 2002, in
exchange for aggregate consideration of $700,000 in cash payable
to the Company, (a) an affiliate of AMLI Residential
purchased the Companys minority economic interests in each
of four service affiliates of AMLI Residential and (b) the
transfer to AMLI Residential of the Companys rights to the
service mark AMLI and the right to use the name
AMLI, which rights a subsidiary of the Company
formerly held and licensed to AMLI Residential and certain AMLI
Residential affiliates. In connection with this transaction, the
Board of Directors of UICI received an independent opinion,
utilizing the methodology and subject to the limitations and
assumptions set forth in the opinion, that the transaction
contemplated by the Purchase Agreement was fair from a financial
point of view.
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Transactions with Healthaxis, Inc. |
At December 31, 2002, the Company held
24,224,904 shares of common stock of Healthaxis, Inc.
(HAXS: Nasdaq) (HAI), which at such date represented
approximately 45% of the issued and outstanding shares of HAI.
The Company also held (a) a warrant to
purchase 12,291 shares of HAI common stock at an
exercise price of $3.01 per HAI share; (b) a warrant
to purchase 200,100 shares of HAI common stock at an
exercise price of $4.40 per HAI share; (c) a warrant
to purchase 10,005 shares of HAI common stock at an
exercise price of $12.00 per share; and
(d) 1,424 shares of HAI 2% convertible preferred
stock, which preferred stock has a stated liquidation value of
$1,000 per share and is convertible into
542,476 shares of HAI common stock at a conversion price
per HAI share of $2.625. On July 31, 2002, UICI acquired
the shares of HAI 2% convertible preferred stock and cash
in the amount of $243,000 in exchange for $1.67 million
principal amount of HAI 2% convertible debentures (which
were convertible into an aggregate of 185,185 shares of HAI
common stock). In 2003, the Company received dividends totaling
$43,000 from HAI.
Effective September 30, 2003, the Company sold to HAI its
entire equity interest in HAI (including all common and
preferred stock and warrants) for a sale price of
$3.9 million, of which $500,000 was paid in cash at
closing, and the balance was paid by an unsecured promissory
note issued by HAI to the Company in the principal amount of
$3.4 million. The note is amortized by credits against
amounts otherwise payable by UICI for data and imaging services
provided from time to time by Healthaxis Imaging Services (a
subsidiary of HAI), to MEGA, in accordance with an existing
service agreement. The note has a three year term and is payable
monthly in the amount of 50% of the service fees due pursuant to
the service agreement or $65,000 per month, whichever is
greater. At December 31, 2004, HAI had outstanding
$2.7 million of principal and accrued interest under the
note. The Company recognized a nominal loss for financial
reporting purposes in connection with the sale.
Pursuant to the terms of an information technology services
agreement, amended and restated as of January 3, 2000 (the
Services Agreement), HAI formerly provided
information systems and software development services (including
administration of the Companys computer data center) to
the Company and its insurance company affiliates at HAIs
cost of such services (including direct costs of HAI personnel
dedicated to providing services to the Company plus a portion of
HAIs overhead costs) plus a 10% mark-up. The Services
Agreement had an initial five-year term scheduled to end on
January 3, 2005, which was subject to extension by the
Company. The Services Agreement was terminable by the Company or
HAI at any time upon not less than 180 days notice to
the other party. The Services Agreement did not constitute a
requirements contract, did not prevent UICI from obtaining from
other third parties (or providing to itself) any or all of the
services currently provided by HAI, and did not limit
UICIs right or ability to decrease the demand for services
from HAI.
Effective June 15, 2002, UICI and HAI terminated the
Services Agreement. As part of the termination arrangement, UICI
made a one-time payment to HAI in the amount of
$6.5 million and tendered
F-49
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
500,000 shares of HAI common stock to HAI. Because UICI
then constituted a significant shareholder of HAI, the aggregate
amount of consideration paid to HAI by UICI for the early
termination of the Services Agreement was reflected for
financial reporting purposes as a contribution by UICI to the
capital of HAI, the effect of which was to increase the
Companys carrying value of its investment in HAI.
Effective June 30, 2002, UICI determined that the carrying
value in its investment in HAI was impaired in the amount of
$6.5 million and therefore the investment was written down
to its estimated realizable value.
Pursuant to the terms of the Services Agreement, UICI paid to
HAI $8.1 million in 2002. In addition, HAI has provided to
the Company and its affiliates certain other information
technology services, including claims imaging and
software-related services, for which UICI paid to HAI
$1.3 million and $2.7 million in 2003 (through
September 30, 2003) and 2002, respectively.
The aggregate amounts paid by UICI to HAI in the nine months
ended September 30, 2003 represented 8% of HAIs total
gross revenues of $16.2 million in that period. The
aggregate amounts paid by UICI to HAI in 2002 represented 38% of
HAIs total gross revenues of $28.1 million in such
year.
HAI formerly leased certain facilities from the Company. In
2002, rents of approximately $153,000 were offset against HAI
invoices for services HAI provided to the Company. In addition,
in 2002 HAI paid to the Company for medical administration fees
the amount of $2,000 for various shared expenses.
Effective January 25, 2001, the Company entered into a
license agreement with HAI, pursuant to which it licensed from
HAI the right to use HAIs proprietary
Insur-Webtm
and Insur
Enrolltm
software for a perpetual term for a one-time license fee of
$1.8 million plus an annual maintenance fee in the amount
of $276,000, payable commencing on the date of the first
successful implementation of the system at UICI. UICI had the
right for two years to cease the use of the software and put the
software back to HAI for a refund of a prorated portion of the
license fee. Effective November 1, 2002, the Company
terminated the Insur-Web agreement.
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Other Transactions with Certain Members of
Management |
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Transactions with Former Chief Executive Officer |
Set forth below is a summary of certain transactions between
Mr. Gregory T. Mutz (who until December 31, 2003,
served as a director of the Company, and until July 1,
2003, served as the president and chief executive officer of the
Company) and certain parties related to the Company:
AMLI Residential Properties Trust. At December 31,
2004, 2003 and 2002, the Company held a -0-%, 2.3% and 10.5%
fully diluted interest, respectively, in AMLI Residential
Properties Trust, a publicly-traded real estate investment trust
(AMLI Residential). During 2003 and 2002,
Mr. Mutz also served as Chairman of the Board and,
effective February 2, 2004, as chief executive officer, of
AMLI Residential. As Chairman of the Board of AMLI Residential,
Mr. Mutz received certain compensation and participated in
various option and deferred compensation programs, all of which
were described in the AMLI Residential proxy statement. In
addition, as of December 31, 2003 and 2002, AMLI had
outstanding secured and unsecured loans owing from Mr. Mutz
in the aggregate amount of $270,000 and $763,000, the proceeds
of which had been used to purchase 108,891 shares of
AMLI Residential beneficial interest.
UICI Executive Stock Purchase Program. In accordance with
the Companys Executive Stock Purchase Program (the
ESPP), in December 1998 the Company extended a loan
to Mr. Mutz in the amount of $3.3 million, the
proceeds of which were used to purchase 200,000 shares
of Common Stock of the Company at a purchase price of
$19.50 per share. The loan bore interest at the rate of
5% per annum, payable quarterly, had a six-year term, and
was full recourse to Mr. Mutz. In June 1999, the Company
extended an additional loan to Mr. Mutz pursuant to the
ESPP in the amount of $429,000, the proceeds of which were used
to purchase 20,000 shares of Company Common Stock at a
purchase price of $24.45 per share. The loan bore
F-50
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
interest at a rate of 5.37% per annum, payable quarterly,
had a six-year term, and was full recourse to Mr. Mutz.
As part of modifications to the ESPP adopted by the
Companys Board of Directors on January 2, 2001, the
Company granted to Mr. Mutz 107,104 shares of UICI
common stock, discharged $1.5 million principal amount of
the ESPP loan, and paid to Mr. Mutz a one-time cash bonus
in the amount of $1.1 million (which was calculated to
reimburse Mr. Mutz for income and other taxes payable upon
receipt of the UICI stock and discharge of the portion of the
ESPP loan). The terms of the ESPP loans were modified to extend
the maturity date to January 1, 2007. The amount
outstanding under Mr. Mutz ESPP loans at each of
December 31, 2002 and 2001 was $1.3 million. The loan
was paid off in May 2003 with a portion of the proceeds of
Mr. Mutz sale to the Company of shares of UICI common
stock. See Sale of Shares by Mr. Mutz
below.
Termination of Split Dollar Life Insurance Arrangement.
As a long-term incentive for continued employment, in
1985 AMLI Realty Co. (a wholly owned subsidiary of the
Company acquired by the Company in 1996) entered into a split
dollar life insurance arrangement with Mr. Mutz, who then
served as Chairman of AMLI Realty Co. (ARC). Under
the arrangement, Mr. Mutz and/or trusts affiliated with
Mr. Mutz purchased and held a life insurance policy on his
life. ARC agreed to pay a substantial portion of the annual
premium on such policies in exchange for Mr. Mutz
assigning an interest in the policy death benefit and cash value
equal to the cumulative premiums paid by ARC. ARC was to be paid
its interest at Mr. Mutz death, or earlier if
(a) Mr. Mutz prematurely terminated his employment, or
(b) the policy cash values were sufficient to withdraw the
amount due ARC. The amount of the annual premium paid by
Mr. Mutz was calculated according to a formula based on his
age, the net amount of death benefit, and the basic term
insurance rates of the carrier.
In 2002, the total annual premiums on the policies were $20,000,
of which UICI (through ARC) paid premiums pursuant to the
arrangement in the amount of $20,000. At December 31, 2001
and September 30, 2002, the Company had reflected on its
books a receivable in an amount of $183,000 and $203,000,
respectively, which receivable corresponded to the cumulative
premium paid by ARC pursuant to the arrangement.
In accordance with the terms of an agreement, dated
December 19, 2002, Mr. Mutz and the Company terminated
the split dollar arrangement. In exchange for a cash payment by
Mr. Mutz made to the Company in the amount of $11,000
(which amount was calculated actuarially as the present value of
ARCs future right to collect on the policies),
Mr. Mutz discharged ARC from all future obligation to pay
premiums and ARC released its interest in the policies.
Following the transaction, Mr. Mutz owned the three
policies outright and became fully responsible for all future
required premium payments, and ARC no longer held any interest
in or any obligations with respect to the policies. In
connection with the transaction, UICI recognized for financial
accounting purposes a charge against pre-tax earnings in the
amount of $191,000.
Purchase of Real Estate Interest. Prior to its
acquisition by UICI in 1996, AMLI Realty Co. (ARC)
from time to time sponsored limited partnerships to raise
capital and to acquire, develop and sell real estate. The
limited partners in these partnerships included ARC officers and
affiliates of ARC officers, including Mr. Mutz and entities
affiliated with Mr. Mutz. To eliminate the nuisance and
cost to the investors and to ARC of partnership administration
for substantially completed investment programs, ARC has from
time to time purchased limited partnership interests of its
investors.
On October 22, 2002, ARC purchased the interest held by
Mr. Mutz and all other 41 limited partners in AMLI Augusta
Properties L.P., which was originally formed on July 8,
1985 to acquire, develop and sell 162 acres of vacant land
in Augusta, Georgia. Mr. Mutz received $13,000 in exchange
for one-eightieth
(1/80)
of the economic interests of all the limited partners in the
partnership.
F-51
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Sale of Shares by Mr. Mutz. On May 6, 2003, the
Company completed the purchase of 207,104 shares of UICI
common stock from Mr. Mutz. The shares were purchased for a
total purchase price of $2.8 million, or $13.67 per
share, which was the closing price of UICI shares on the New
York Stock Exchange on May 5, 2003. A portion of the
proceeds from the sale was used to repay in full
Mr. Mutz ESPP loans in the amount of
$1.3 million.
In a separate transaction, on May 8, 2003, Mr. Mutz
sold 265,507 shares of UICI common stock to
Mr. Jensen. All of the proceeds of such sale were used by
Mr. Mutz to pay in full indebtedness owing to
Mr. Jensen, which indebtedness had initially been incurred
to acquire shares of UICI stock in 1998.
Separation Agreement. Pursuant to the terms of an
agreement, dated as of February 11, 2004, Mr. Mutz
agreed to resign from the Board of Directors of the Company
effective December 31, 2003 and the Company agreed, among
other things, to pay to Mr. Mutz the amount of $510,000,
payable in equal monthly installments of $42,500 over the twelve
month period ending December 31, 2004.
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Other Loans to Management |
At December 31, 2003, Mr. Gedwed had a loan payable to
the Company in the outstanding principal amount of $139,000. The
loan bore interest at 5.37% per annum, was scheduled to
mature on May 26, 2005, was full recourse to the borrower
and was payable in full upon the occurrence of certain events,
including the termination of employment. On November 8,
2004, Mr. Gedwed repaid in full the note payable to the
Company in the amount of $139,000.
On June 5, 2002, Glenn W. Reed (the Companys
Executive Vice President and General Counsel) repaid in full a
loan payable to the Company in the principal amount of $120,000,
which loan bore interest at 5.37% per annum and was
otherwise scheduled to mature on January 1, 2007. The loan
was full recourse to the borrower and was otherwise payable in
full upon the occurrence of certain events, including the
termination of employment.
On April 1, 2002, the Company through a subsidiary entered
into a Loan Servicing Agreement (as amended, the Servicing
Agreement) with Affiliated Computer Services (formerly
known as AFSA Data Corporation) (ACS), pursuant to
which ACS provides computerized origination, billing, record
keeping, accounting, reporting and loan management services with
respect to a portion of the Companys CFLD-I student loan
portfolio. Mr. Dennis McCuistion, who became a director of
UICI effective May 19, 2004, is also a director of ACS.
With respect to the period from May 19, 2004 through
December 31, 2004, the Company paid ACS $397,000 pursuant
to the terms of the Servicing Agreement.
The Company formerly received investment management services
from investment advisory firms affiliated with former directors
of the Company. During 2004 (until January 27, 2004), 2003
and 2002, the Company paid advisory fees in the amount of $0,
$199,000 and $186,000, respectively, to Emerald Capital Group,
Ltd., for which Mr. Patrick J. McLaughlin (who resigned as
a director of the Company effective January 27, 2004)
serves as a managing director and owner. The Company terminated
its agreement with Emerald Capital Group, Ltd. with respect to
the provision of investment advisory services effective
September 1, 2004. During 2004 (until May 19, 2004),
2003 and 2002, the Company also paid investment advisory fees in
the amount of $268,000, $440,000 and $405,000, respectively, to
The Chicago Trust Company. Mr. Stuart D. Bilton (a
director of the Company until May 19, 2004) serves as Vice
Chairman of ABN AMRO Asset Management Holdings, Inc., which in
2001 acquired The Chicago Trust Company.
From time to time the Company has also retained Emerald Capital
Group, Ltd. to perform investment banking and insurance advisory
services. In accordance with the terms of a Consulting Agreement
dated September 14, 1999, as amended, the Company formally
retained the services of Emerald Capital Group, Ltd.
F-52
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
for an annual fee of $400,000 plus expenses, payable in monthly
installments. During 2004 (until January 27, 2004), 2003
and 2002, the Company paid an aggregate of $103,000, $458,000
and $557,000, respectively, in fees and expenses to Emerald
Capital Group, Ltd. for such services. The Company terminated
its agreement with Emerald Capital Group, Ltd. with respect to
the provision of investment banking and insurance advisory
services effective December 31, 2004.
In May 2002, the Company entered into an agreement with a former
executive officer, pursuant to which the former officer resigned
as an officer of the Company and various UICI affiliates
effective June 1, 2002. In accordance with the agreement,
the former officer received a one-time severance payment of
$15,000, and the former officer agreed to provide consulting
services to UICI for a term that expired on May 31, 2003
for an aggregate fee of $151,000.
In September 2003, the Company entered into an agreement with a
former executive officer, pursuant to which the former officer
resigned as an executive officer of the Company and as an
officer of various UICI affiliates effective September 26,
2003. In accordance with the agreement, the Company agreed,
among other things, to pay to the executive severance in the
amount of $419,000, of which $109,000 was paid in a lump sum and
$310,000 was payable in twelve equal monthly installments over
the period ending on September 1, 2004.
In accordance with the terms of the Companys ESPP, in June
2000 Mr. Mockler (a director of the Company), purchased
2,000 shares of UICI common stock in exchange for cash in
the amount of $6,000 and a promissory note in the amount of
$8,000. At each of December 31, 2004 and 2003, the amount
outstanding on Mr. Mocklers note was $8,000. This
note was repaid on February 1, 2005.
Note L Commitments and Contingencies
The Company is a party to the following material legal
proceedings:
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Delaware Books and Records Litigation |
UICI has been named a defendant in an action filed on
November 23, 2004 (Amalgamated Bank, as Trustee, v
UICI, pending in the Court of Chancery of the State of
Delaware, New Castle County, C.A. No. 884-N), in which
plaintiff seeks to enforce its right to inspect certain
corporate books and records of UICI pursuant to Section 220
of the Delaware General Corporation Act. UICI has produced
certain initial documents pursuant to a confidentiality
agreement and answered the complaint. A hearing on the matter
was held on February 22, 2005, and the Company awaits
disposition of the matter by the Court. With respect to
documents not already provided by the Company to the plaintiff,
UICI believes this demand is without merit.
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Academic Management Services Corp. Related
Litigation |
UICI and certain of its current and former directors and
officers have been named as defendants in multiple lawsuits
arising out of UICIs announcement in July 2003 of a
shortfall in the type and amount of collateral supporting
securitized student loan financing facilities of Academic
Management Services Corp. (AMS), formerly a wholly
owned subsidiary of UICI until its disposition in November 2003.
In May and June 2004, UICI and certain officers and current and
former directors of UICI were named as defendants in four
separate class action suits filed in federal court in Texas, and
on October 18, 2004, the four separate cases were
consolidated as a single action (In re UICI Securities
Litigation, Case No. 3-04-CV-1149-P, pending in the
United States District Court for the Northern District of Texas,
Dallas Division). On January 18, 2005, plaintiffs, on
behalf of themselves and a purported class of similarly situated
individuals who purchased UICI common stock during the period
February 7, 2002 and July 21, 2003, filed a
Consolidated Amended Complaint, alleging, among other things,
that UICI, AMS, the Companys former chief executive
officer, and AMS former president failed to disclose all
material facts relating to the condition
F-53
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
of AMS, in violation of Section 10(b) of the Securities
Exchange Act of 1934 and Rule 10b-5 thereunder. UICI will
move, answer, or otherwise respond to the Consolidated Complaint
on or before March 28, 2005.
UICI has also been named as a nominal defendant in two
shareholder derivative suits arising out of the July
2003 AMS announcement (Bodenhorn v. Gregory T.
Mutz, Ronald L. Jensen et al., filed June 15,
2004 in the District Court of Tarrant County, Texas, Case
No. 048-206108-04, and Suprina v. Gregory T. Mutz,
Ronald L. Jensen et al., filed June 15, 2004 in
the District Court of Tarrant County, Texas, Case
No. 352-206106-04). In both derivative cases, the
plaintiffs seek a recovery on behalf of UICI and have alleged
that the individual defendants violated Texas state law by
concealing the true condition of AMS before the July 2003
announcement. UICI filed answers to these pleadings and attacked
the deficiency of the pleadings through special exceptions due
to plaintiffs failure to make a demand. UICI has also
filed objections to certain discovery requests in the Suprina
matter on the basis that, among other things, discovery is
not proper in light of the federal securities actions.
Based upon the Companys initial reading of the complaints,
the Company believes that the allegations are without merit, and
the Company intends to conduct a vigorous defense in the
matters. UICI has agreed to advance the expenses of the
individual defendants incurred in connection with the defense of
the cases, subject to the defendants undertaking to repay
such advances unless it is ultimately determined that they are
or would have been entitled to indemnification by UICI under the
terms of the Companys bylaws.
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Association Group Litigation |
The health insurance products issued by the Companys
insurance subsidiaries in the self-employed market are primarily
issued to members of various membership associations that make
available to their members the health insurance and other
insurance products issued by the Companys insurance
subsidiaries. The associations provide their membership with a
number of benefits and products, including the opportunity to
apply for health insurance underwritten by the Companys
health insurance subsidiaries. The Company and/or its insurance
company subsidiaries have been a party to several lawsuits that,
among other things, challenge the nature of the relationship
between the Companys insurance companies and the
associations that have made available to their members the
insurance companies health insurance products.
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Nationwide Class Action Litigation |
As previously disclosed, on May 14, 2004, the Company, The
MEGA Life and Health Insurance Company (MEGA),
Mid-West National Life Insurance Company of Tennessee
(Mid-West), and UICI Marketing, Inc. settled a
nationwide class action lawsuit and a representative lawsuit
purportedly brought on behalf of the California general public,
both of which suits involved allegations of improper relations
and/or a failure to disclose certain relationships between UICI,
MEGA, and Mid-West and the certain membership associations that
make MEGA and Mid-West insurance products available to their
members. Upon motion of the Company to the Federal Judicial
Panel on Multi-District Litigation (MDL), these
lawsuits, Eugene A. Golebiowski, individually and on
behalf of others similarly situated, v. MEGA, UICI,
National Association for the Self-Employed et al., Case
No. 3:04-cv-00831-G and Lacy v. The MEGA Life and
Health Insurance Company et al., Case
No. 3:04-cv-00470-G, were consolidated in the United States
District Court for the Northern District of Texas, Dallas
Division, as part of the In re UICI
Association-Group Insurance Litigation, MDL
Docket No. 1578.
Pursuant to the terms of the settlement, MEGA and Mid-West
agreed to include enhanced disclosures in their marketing and
sales materials with respect to the contractual relationships
between UICI and the insurance companies, on the one hand, and
the associations, on the other hand, and MEGA and Mid-West
agreed to enter into an injunction with respect to certain
business practices. In addition, members of a
F-54
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
nationwide class consisting of current and former MEGA and
Mid-West insureds are entitled to relief in the form of free
insurance coverage for a period of months under a personal
accident policy to be issued by a UICI subsidiary, and members
of a nationwide class consisting of current and former members
of the associations will be eligible to receive discounts on
association membership fees. The settlement also provides for
the payment of attorneys fees to counsel for the
settlement class. The settlement does not provide for a release
of specific claims by individuals for insurance coverage
benefits or of any claims of any member who opted out of the
settlement class.
Following a final approval hearing held on October 15,
2004, the United States District Court for the Northern District
of Texas issued a final order and judgment certifying a
nationwide settlement class of current and former MEGA and
Mid-West insureds and current and former members of the
associations. The Court also approved the terms of the
previously announced settlement as fair, reasonable and adequate
and in the best interest of the settlement class, dismissed the
cases with prejudice, and entered an injunction with respect to
certain business practices. Certain class members subsequently
filed an appeal to the final order and judgment with the United
States Court of Appeals for the Fifth Circuit. On
December 17, 2004, the parties to the settlement reached an
agreement with the objecting class members, pursuant to which
MEGA and Mid-West agreed to (i) extend the deadline for
class members to apply for the free accident coverage,
(ii) maintain the settlement website until October 15,
2005, and (iii) send a notice, within six months of
December 10, 2004, to all insured class members that the
Settlement has been enhanced and directing them to the
settlement website for additional information. On
January 3, 2005, the United States Court of Appeals for the
Fifth Circuit issued an order dismissing the appeal, and on
January 18, 2005, the United States District Court for the
Northern District of Texas issued a final order withdrawing with
prejudice all objections to the class settlement. On
January 21, 2005, the District Court issued an order
approving the payment of attorneys fees to counsel for the
settlement class and to counsel for the objectors.
The Company believes that the terms of the settlement as finally
approved by the Court will not have a material adverse effect
upon the financial condition or results of operations of the
Company.
As previously disclosed, UICI and MEGA were named as defendants
in a suit filed on August 31, 2004 (Merriam,
individually and as Trustee v. UICI, The MEGA Life and
Health Insurance Company et al.) in the Superior Court
for the State of California, County of Los Angeles, Case
No. BC320850. Plaintiff asserted statutory and common law
causes of action for both monetary and injunctive relief based
on a series of allegations concerning marketing and claims
handling practices. On November 8, 2004, MEGA removed the
matter to the United States District Court for the Central
District of California. On December 3, 2004, the Company
agreed, without admitting liability, to finally and fully settle
the Merriam matter on terms that did not have a material
adverse effect on the Companys financial condition or
results of operations. On January 27, 2005, the District
Court signed an agreed order of dismissal dismissing the case
with prejudice.
As previously disclosed, UICI and MEGA were named as defendants
in a suit filed on April 26, 2004 (Jung v. UICI,
The MEGA Life and Health Insurance Company et al.) in
the Superior Court for the State of California, County of
Nevada, Case No. 69745. Plaintiffs asserted statutory and
common law causes of action for both monetary and injunctive
relief based on a series of allegations concerning marketing and
claims handling practices. On October 22, 2004, MEGA
removed the matter to the United States District Court for the
Eastern District of California. The Company subsequently agreed,
without admitting liability, to finally and fully settle the
Jung matter on terms that did not have a material adverse
effect on the Companys financial condition or results of
operations. On December 6, 2004, the case was voluntarily
dismissed by plaintiffs.
As previously disclosed, MEGA was named as a defendant in a suit
filed on May 20, 2003 (Christensen v. The MEGA Life
and Health Insurance Company et al.) in the Superior
Court for the State of California,
F-55
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
County of Los Angeles, Case No. BC 295972. Plaintiff
asserted statutory and common law causes of action for both
monetary and injunctive relief based on a series of allegations
concerning marketing and claims handling practices. Trial was
set in this matter for February 21, 2005. On
January 7, 2005, the Company agreed, without admitting
liability, to finally and fully settle the Christensen
matter on terms that did not have a material adverse effect
on the Companys financial condition or results of
operations.
As previously disclosed, UICI and MEGA were named as defendants
in a suit filed on May 13, 2004 (Armistead
et al. v. The MEGA Life and Health Insurance Company
UICI et al.) in the Superior Court for the State of
California, County of San Bernardino, Case
No. SCVSS 115480. Plaintiffs asserted statutory and
common law causes of action for both monetary and injunctive
relief based on a series of allegations concerning marketing and
claims handling practices. On July 29, 2004, the case was
removed to the United States District Court for the Central
District of California. On September 3, 2004, the Judicial
Panel on Multidistrict Litigation issued a conditional transfer
order transferring the Armistead matter to the United
States District Court for the Northern District of Texas for
coordinated pretrial proceedings (In re UICI
Association-Group Insurance Litigation, MDL
Docket No. 1578). On September 29, 2004, the
conditional transfer order became final and the case was
subsequently transferred to the Northern District of Texas.
Effective December 3, 2004, the Company agreed, without
admitting liability, to finally and fully settle the
Armistead matter on terms that did not have a material
adverse effect on the Companys financial condition or
results of operations. A stipulation and agreed order of
dismissal is on file and awaiting the Courts disposition.
As previously disclosed, UICI and Mid-West were named as
defendants in a lawsuit filed on July 25, 2003 (Portune
et al. v. UICI et al.) in the Superior Court
of the State of California, County of San Bernardino, Case
No. RCV 074062. Plaintiffs asserted statutory and
common law causes of action for both monetary and injunctive
relief based on a series of allegations concerning marketing and
claims handling practices. On February 20, 2004, the
Judicial Panel on Multidistrict Litigation transferred the
Portune matter to the United States District Court for
the Northern District of Texas for coordinated pretrial
proceedings (In re UICI Association-Group
Insurance Litigation, MDL Docket No. 1578). Effective
December 3, 2004, the Company agreed, without admitting
liability, to finally and fully settle the Portune matter
on terms that did not have a material adverse effect on the
Companys financial condition or results of operations. A
stipulation and agreed order of dismissal is on file and
awaiting the Courts disposition.
As previously disclosed, UICI and MEGA were named as defendants
in a purported class action suit filed on May 6, 2004
(Diaz v. The MEGA Life and Health Insurance Company,
UICI et al.) in the Superior Court for the State of
California, County of San Bernardino, Rancho, Case
No. RCV-080379. Plaintiffs alleged, on behalf of themselves
and as representatives of all other policyholders of MEGA in
California, that the defendants are engaged in an illegal and
fraudulent marketing scheme in violation of California common
law and the California Business and Professions Code
§ 17200. Plaintiffs also have alleged that defendants
(i) maintain NASE to illegally avoid premium rate
regulation, (ii) fail to issue insurance coverage to
members of the NASE on a guaranteed issue basis in violation of
California law, (iii) and rescind certificates in violation
of California law. Plaintiffs seek injunctive relief and
monetary damages in an unspecified amount. On December 10,
2004, the Judicial Panel on Multidistrict Litigation issued an
order transferring the Diaz matter to the United States
District Court for the Northern District of Texas for
coordinated pretrial proceedings (In re UICI
Association Group Insurance Litigation,
MDL Docket No. 1578). On December 10, 2004, MEGA
filed a counterclaim for rescission of the named
plaintiffs insurance certificate.
As previously disclosed, UICI and MEGA were named as defendants
in a purported class action filed on May 14, 2004 (Joyce
et al. v. UICI, MEGA, National Association for the
Self-Employed et al.) in the Superior Court for the
State of California, County of Los Angeles, Case
No. BC315580. Plaintiffs have alleged that defendants
breached the implied covenant of good faith and fair dealing and
committed fraud, professional negligence, and negligent
misrepresentation. In addition, plaintiffs have alleged, on
behalf of themselves and persons similarly situated in the state
of California, that defendants violated the unfair competition
restrictions
F-56
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
of California Business and Professions Code § 17200.
Plaintiffs seek injunctive relief and monetary damages in an
unspecified amount. On June 21, 2004, defendants removed
the Joyce case to the United States District Court for
the Central District of California. On December 10, 2004,
the Judicial Panel on Multidistrict Litigation issued a transfer
order transferring the Joyce matter to the United States
District Court for the Northern District of Texas for
coordinated pretrial proceedings (In re UICI
Association-Group Insurance Litigation, MDL
Docket No. 1578).
As previously disclosed, UICI and MEGA were named as defendants
in a suit filed on August 6, 2004 (Martin v. UICI,
The MEGA Life and Health Insurance Company, et al.) in
the Superior Court for the State of California, County of Los
Angeles, Case No. BC319669. Plaintiffs alleged that the
defendants are engaged in an illegal marketing scheme in
violation of California common law and have asserted several
causes of action, including breach of contract, violation of
California Business and Professions Code § 17200,
false advertising, and negligent and intentional
misrepresentation. Plaintiffs seek injunctive relief and
monetary damages in an unspecified amount.
As previously disclosed, UICI and Mid-West were named in a
lawsuit filed on May 28, 2003 (Startup
et al. v. UICI et al.) in the Superior Court
for the State of California, County of Los Angeles, Case
No. BC296476. Plaintiffs have alleged, among other things,
that UICI and Mid-West breached their duty of good faith and
fair dealing in failing to pay medical claims submitted under a
Mid-West policy issued to plaintiffs. Plaintiffs also alleged
that the relationship between the Alliance for Affordable
Services (the Alliance) and Mid-West constitutes an
illegal marketing scheme and asserted several causes
of action, including breach of contract, violation of California
Business and Professions Code § 17200, false
advertising, and negligent and intentional misrepresentation.
Plaintiffs seek injunctive relief and monetary damages in an
unspecified amount. On October 28, 2003, the Court granted
defendants motion to compel arbitration and stayed the
case pending arbitration. Upon reconsideration, the Court
subsequently denied defendants motion to compel
arbitration and stay litigation.
As previously disclosed, on September 26, 2003, UICI and
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 have asserted several causes of
action, including breach of the implied covenant of good faith
and fair dealing, fraud, violation of California Business and
Professions Code § 17200, and negligent
misrepresentation. Cross-plaintiffs seek injunctive relief and
monetary damages in an unspecified amount. On September 2,
2004, the Court issued an order dismissing plaintiff Darlene
Hendersons claim for breach of the implied covenant of
good faith and fair dealing. On October 15, 2004, MEGA and
UICI filed an answer to the complaint, in which they denied all
allegations. Discovery is ongoing in the matter.
As previously disclosed, UICI and Mid-West were named as
defendants in an action filed on December 30, 2003
(Montgomery v. UICI et al.) in the Superior
Court of the State of California, County of Los Angeles, Case
No. BC308471. Plaintiff asserted statutory and common law
causes of action for both monetary and injunctive relief based
on a series of allegations concerning marketing and claims
handling practices. On March 1, 2004, UICI and Mid-West
removed the matter to the United States District Court for the
Central District of California, Western Division. On
May 11, 2004, the Judicial Panel on Multidistrict
Litigation issued a transfer order transferring the
Montgomery matter to the United States District Court for
the Northern District of Texas for coordinated pretrial
proceedings (In re UICI Association-Group
Insurance Litigation, MDL Docket No. 1578).
As previously disclosed, UICI and MEGA were named as defendants
in an action filed on January 2, 2004 (Orallo v.
UICI et al.) in the Superior Court of the State of
California, County of Los Angeles, Case No. BC308683.
Plaintiff has alleged that the undisclosed relationship between
MEGA and the NASE constituted fraudulent and deceptive
sales and advertising practices and asserted several
causes of action, including breach of contract, breach of the
duty of good faith and fair dealing, violation of California
Business
F-57
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
and Professions Code § 17200, fraud, and negligent and
intentional misrepresentation. Plaintiff seeks injunctive relief
and monetary damages in an unspecified amount.
As previously disclosed, UICI and MEGA were named as defendants
in an action filed on January 20, 2004 (Springer
et al. v. UICI et al.) in the Superior Court
of the State of California, County of Monterey, Case
No. M68493. Plaintiff has alleged that the undisclosed
relationship between MEGA and the NASE constituted
fraudulent and deceptive sales and advertising
practices and asserted several causes of action, including
breach of contract, breach of the duty of good faith and fair
dealing, violation of California Business and Professions Code
§ 17200, fraud, and negligent misrepresentation.
Plaintiff seeks injunctive relief and monetary damages in an
unspecified amount. The Springer matter was removed to
the United States District Court for the Northern District of
California, San Jose Division, on May 12, 2004. On
May 19, 2004, UICI and MEGA filed motions to dismiss,
strike, and for a more definite statement. On July 1, 2004,
the Judicial Panel on Multidistrict Litigation issued an order
transferring the Springer matter to the United States
District Court for the Northern District of Texas for
coordinated pretrial proceedings (In re UICI
Association-Group Insurance Litigation, MDL
Docket No. 1578).
As previously disclosed, UICI and MEGA were named as defendants
in an action filed on January 22, 2004 (Mendoza
et al. v. UICI et al.) in the Superior Court
for the State of California, County of Kern, Case
No. S-1500-CV-251813-RJA. Plaintiffs have alleged breach of
contract, breach of implied covenant of good faith and fair
dealing, fraud, violation of California Business and Professions
Code § 17200, professional negligence, and negligent
misrepresentation. Plaintiffs seek injunctive relief and
monetary damages in an unspecified amount.
As previously disclosed, UICI and MEGA were named as defendants
in an action filed on December 5, 2003
(Valenzuela v. UICI, MEGA, the National Association for
the Self-Employed et al.) in the Superior Court for the
State of California, County of San Diego, Case
No. GINO34307. Plaintiff has alleged breach of contract,
breach of implied covenant of good faith and fair dealing,
fraud, violation of California Business and Professions Code
§ 17200, professional negligence, and negligent
misrepresentation. Plaintiff seeks injunctive relief and
monetary damages in an unspecified amount. On August 5,
2004, the Judicial Panel on Multidistrict Litigation issued an
order transferring the matter to the United States District
Court for the Northern District of Texas for coordinated
pretrial purposes (In re UICI Association-Group
Insurance Litigation, MDL Docket No. 1578).
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Other Association Group Litigation |
As previously disclosed, the Company and Mid-West were named as
defendants in Skinner et al. v. Mid-West, UICI
et al., and Hansen v. Mid-West, UICI
et al., each filed on August 22, 2002 in the
District Court for the County of Lemhi, Idaho. Plaintiffs in the
Skinner and Hansen cases alleged that the
insurance products they purchased were more expensive and
provided less coverage than represented by the agent who sold
the policies, and that they had not been paid on health claims
submitted pursuant to those certificates. Plaintiffs in
Skinner and Hansen claimed damages, including
punitive damages, and attorneys fees. On November 17,
2004 and November 22, 2004, the Company agreed, without
admitting liability, to finally and fully settle the
Skinner and Hansen matters, respectively, on terms
that did not have a material adverse effect on the
Companys financial condition or results of operations.
As previously disclosed, the Company and Mid-West were named as
defendants in Petersen et al. v. Mid-West
et al., filed on August 2, 2002, Murphy
et al. v. Mid-West et al., filed
January 25, 2002, and Graybeal et al. v.
Mid-West et al., filed December 20, 2002, each in
the District Court for the County of Twin Falls, Idaho.
Plaintiffs in Petersen, Murphy, and Graybeal
alleged, among other things, that the Mid-West certificates
that they purchased were of a lesser quality than represented,
and that they were not paid for certain claims submitted under
the certificates. Plaintiffs in Petersen purport to
represent a class of similarly situated persons. Plaintiffs in
each of the actions claim damages, including punitive damages,
and attorneys
F-58
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
fees. The trial in Petersen is scheduled to begin in July
2005, and the trial in Graybeal is scheduled to begin in
January 2006. On November 24, 2004, the Company agreed,
without admitting liability, to finally and fully settle the
Murphy matter on terms that did not have a material
adverse effect on the Companys financial condition or
results of operations.
The Company and Mid-West were named as defendants in
Taylor v. Mid-West et al., filed
August 16, 2004 in the District Court for the County of
Teton, Idaho and removed to the United States District Court for
the District of Idaho. The plaintiff in Taylor alleged,
among other things, that the health insurance coverage she
purchased was expensive and of lesser quality than the insurance
policy she previously held. The plaintiff further contended that
she was not paid for a claim submitted under her certificate of
health insurance coverage. On October 27, 2004, the Company
agreed, without admitting liability, to finally and fully settle
the Taylor matter on terms that did not have a material
adverse effect on the Companys financial condition or
results of operations. The Court entered an order of dismissal
with prejudice in Taylor on November 5, 2004.
As previously disclosed, MEGA was named as a defendant in a
lawsuit filed on April 22, 2004 (Verrill
et al. v. The MEGA Life and Health Insurance Company
et al.) in the District Court of Cleveland County, Oklahoma,
Case No. CJ-04-670W. Plaintiffs alleged that defendants
breached a duty of good faith owed to plaintiffs, and that
defendants engaged in fraudulent, deceptive, or predatory
practices in the marketing of health insurance and association
memberships. Plaintiffs seek monetary relief for alleged actual,
exemplary, and punitive damages. The Court dismissed
plaintiffs fraud claim on June 28, 2004.
As previously disclosed, on January 21, 2004, MEGA, UICI,
and UICI Marketing Inc. were named as defendants in a purported
class action suit (Tremor v. The MEGA Life and Health
Insurance Company et al.) filed in the Circuit Court of
Saline County, Arkansas, Case No. CV 2004-41-3. The suit
alleges that the defendants knowingly misrepresented, among
other things, the relationships of the defendants, and brings
claims for fraudulent concealment, breach of contract, common
law liability for actual and punitive damages for
non-disclosure, breach of fiduciary and trust duties, civil
conspiracy, unjust enrichment, violation of the Arkansas
Deceptive Trade Practices Act, and declaratory and injunctive
relief. On April 23, 2004, the Judicial Panel on
Multidistrict Litigation issued an order transferring the matter
to the United States District Court for the Northern District of
Texas for coordinated pretrial proceedings (In re UICI
Association Group Insurance Litigation, MDL
Docket No. 1578).
As previously disclosed, in an action filed on April 5,
2004, MEGA, UICI, and UICI Marketing Inc. were named as
defendants in a purported class action suit (Jessie
Powell v. The MEGA Life and Health Insurance Company
et al.) pending in the Circuit Court of Phillips
County, Arkansas, Case No. CV 2004-106. The suit
alleges that the defendants knowingly misrepresented, among
other things, the relationships of defendants, and brings claims
for fraudulent concealment, breach of contract, common law
liability for actual and punitive damages for non-disclosure,
breach of fiduciary and trust duties, civil conspiracy, unjust
enrichment, violation of the Arkansas Deceptive Trade Practices
Act, and declaratory and injunctive relief. On July 1,
2004, the Judicial Panel on Multidistrict Litigation issued an
order transferring the matter to the United States District
Court for the Northern District of Texas for coordinated
pretrial proceedings (In re UICI
Association-Group Insurance Litigation, MDL
Docket No. 1578).
As previously disclosed, UICI and MEGA were named as defendants
in an action filed on February 11, 2002 (Martha R.
Powell and Keith P. Powell v. UICI, MEGA, the National
Association for the Self-Employed et al.) pending in
the Second Judicial District Court for the County of Bernalillo,
New Mexico, Cause No. CV-2 002-1156. Plaintiffs have
alleged breach of contract, fraud, negligent misrepresentation,
civil conspiracy breach of third-party beneficiary contract,
breach of the duty of good faith and fair dealing, breach of
fiduciary duty, negligence, and violations of the New Mexico
Insurance Practices Act, the New Mexico Insurance Code, and the
New Mexico Unfair Practices Act. Plaintiff seeks injunctive
relief and monetary damages in an unspecified amount.
F-59
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
As previously disclosed, Mid-West has been named as a defendant
in a suit filed on October 5, 2004 (Tanner v.
Mid-West et al.) in the State Court of Fulton County,
Georgia, Case No. 04ES073111D. Plaintiff has asserted
several causes of action, including breach of fiduciary duties,
fraudulent suppression, unjust enrichment, civil conspiracy,
fraud, breach of an implied contract to procure insurance,
negligence, negligence per se, wantonness, conversion, and
breach of contract. Plaintiff seeks monetary damages in an
unspecified amount.
The Company currently believes that resolution of the above
proceedings will not have a material adverse effect on the
Companys financial condition or results of operations.
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 financial condition or results of operations.
On March 8, 2005, the Office of the Insurance Commissioner
of the State of Washington issued a cease and desist order that
prohibits MEGA from selling a previously approved health
insurance product to consumers in the State of Washington. Since
October 2004, representatives of MEGA have been engaged in
discussions with the Washington Department of Insurance in an
effort to resolve issues with respect to use of a policy form
that was initially approved by the Washington Department of
Insurance in 1997. UICI has also voluntarily terminated sales of
a similar product issued by Mid-West, pending resolution of the
open issues with the State of Washington Department of
Insurance. MEGA and Mid-West have issued certificates covering
approximately 60,000 insureds in the State of Washington.
UICI currently does not believe that the issuance of the cease
and desist order by the Washington Insurance Commissioner will
have a material adverse effect upon its results of operations or
its financial condition.
|
|
|
Other Commitments and Contingencies |
The Company and its subsidiaries lease office space and data
processing equipment under various lease agreements with initial
lease periods of three to ten and one-half years. Minimum lease
commitments, at December 31, 2004 were $9.2 million in
2005, $7.8 million in 2006, $7.2 million in 2007,
$5.7 million in 2008, and $5.6 million in 2009 and
$8.9 million thereafter. Rent expense was
$8.1 million, $7.5 million and $4.9 million for
the years ended December 31, 2004, 2003 and 2002,
respectively.
In conjunction with its former College Fund Life Division
life insurance operations, the Company has committed to assist
in funding the higher education of its insureds with student
loans. As of December 31, 2004, the Company through its
College Fund Life Insurance Division had outstanding
commitments to fund student loans for the years 2005 through
2025. The Company has historically funded its College
Fund Life Division student loan commitments with the
proceeds of indebtedness issued by a bankruptcy-remote special
purpose entity (the SPE). At December 31, 2004,
$29.7 million of cash, cash equivalents and other qualified
investments held by the SPE were available to fund the purchase
from the Company of additional student loans generated under the
Companys College First Alternative Loan program. The
indenture governing the terms of the SPE Notes provides,
however, that the proceeds of such SPE Notes may be used to fund
the student loan commitments only until February 1, 2006,
after which monies then remaining on deposit in the acquisition
fund created by the indenture not used to purchase additional
student loans must be used to redeem the SPE Notes. See
Note H of Notes to Consolidated Financial Statements.
F-60
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Loans issued to students under the College Fund Life
Division program are limited to the cost of school or prescribed
maximums. These loans are generally guaranteed as to principal
and interest by an appropriate guarantee agency and are also
collateralized by either the related insurance policy or the
co-signature of a parent or guardian.
The total commitment for the next five school years and
thereafter as well as the amount the Company expects to fund
considering utilization rates and lapses are as follows:
|
|
|
|
|
|
|
|
|
|
|
Total | |
|
Expected | |
|
|
Commitment | |
|
Funding | |
|
|
| |
|
| |
|
|
(In thousands) | |
2005
|
|
$ |
76,976 |
|
|
$ |
8,368 |
|
2006
|
|
|
73,221 |
|
|
|
7,120 |
|
2007
|
|
|
70,979 |
|
|
|
5,820 |
|
2008
|
|
|
63,889 |
|
|
|
4,673 |
|
2009
|
|
|
59,804 |
|
|
|
3,733 |
|
2010 and thereafter
|
|
|
183,540 |
|
|
|
6,837 |
|
|
|
|
|
|
|
|
Total
|
|
$ |
528,409 |
|
|
$ |
36,551 |
|
|
|
|
|
|
|
|
Interest rates on the above commitments are principally variable
(prime plus 2%).
At each of December 31, 2004 and 2003, the Company had
$5.0 million and $7.1 million, respectively, of
letters of credit outstanding relating to its insurance
operations.
Note M Employee and Agent Stock Plans
|
|
|
UICI Employee Stock Ownership and Savings Plan |
The Company maintains for the benefit of its and its
subsidiaries employees the UICI Employee Stock Ownership
and Savings Plan (the Employee Plan). The Employee
Plan through its 401(k) feature enables eligible employees to
make pre-tax contributions to the Employee Plan (subject to
overall limitations) and to direct the investment of such
contributions among several investment options, including UICI
common stock. A second feature of the Employee Plan constitutes
an employee stock ownership plan (the ESOP),
contributions to which are invested primarily in shares of UICI
common stock. The ESOP feature allows participants to receive
from UICI and its subsidiaries discretionary matching
contributions and to share in certain supplemental contributions
made by UICI and its subsidiaries. Contributions by UICI and its
subsidiaries to the Employee Plan under the ESOP feature
currently vest in prescribed increments over a six-year period.
The ESOP shares are considered outstanding for purposes of the
computation of earnings per share.
In 2004, 2003 and 2002, the Company made supplemental
contributions to the Employee Plan in accordance with its terms
in the amount of $3.5 million, $3.5 million and
$2.8 million, respectively. In 2004, 2003 and 2002, the
Company made matching contributions to the Employee Plan in
accordance with its terms in the amount of $2.2 million,
$2.1 million and $1.7 million, respectively.
On August 11, 2000, the Company issued to the Employee Plan
1,610,000 shares of UICI common stock at a purchase price
of $5.25 per share, or $8.5 million in the aggregate.
The purchase price for the shares was paid by delivery to UICI
of the Employee Plans $8.5 million promissory note
(the Plan Note), which was scheduled to mature in
three years and was secured by a pledge of the purchased shares.
The shares of UICI common stock purchased with the Plan Note
(the $5.25 ESOP Shares) were held in a suspense
account for allocation among participants as and when the
Companys matching and supplemental contributions to the
ESOP were made. The Plan Note was extinguished over a period of
approximately two years ended in
F-61
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
November 2002 by crediting the Companys matching and
supplemental contribution obligations under the ESOP feature of
the Employee Plan against principal and interest due on the Plan
Note. As of December 31, 2002, the note was extinguished.
The Company recorded compensation expense in continuing
operations associated with contributions to the Employee Plan in
the amount of $9.2 million for the year ended
December 31, 2002, of which $5.7 million was recorded
as non-cash variable stock-based compensation expense. When the
Company made matching and supplemental contributions to the ESOP
by allocating to participants accounts these $5.25 ESOP
Shares, the Company recorded additional non-cash compensation
expense in continuing operations equal to the excess, if any,
between the fair value of the shares allocated and
$5.25 per share. As of December 31, 2002, all $5.25
ESOP Shares had been allocated to participants accounts
and the related Plan Note had been extinguished.
|
|
|
Agent Stock Accumulation Plans |
The Company sponsors a series of stock accumulation plans (the
Agent Plans) established for the benefit of the
independent insurance agents and independent sales
representatives associated with UGA Association
Field Services, New United Agency and Cornerstone America.
The Agent Plans generally combine an agent-contribution feature
and a Company-match feature. The agent-contribution feature
generally provides that eligible participants are permitted to
allocate a portion (subject to prescribed limits) of their
commissions or other compensation earned on a monthly basis to
purchase shares of UICI common stock at the fair market value of
such shares at the time of purchase. Under the Company-match
feature of the Agent Plans, participants are eligible to have
posted to their respective Agent Plan accounts book credits in
the form of equivalent shares based on the number of shares of
UICI common stock purchased by the participant under the
agent-contribution feature of the Agent Plans. The
matching credits vest over time (generally in
prescribed increments over a ten-year period, commencing the
plan year following the plan year during which contributions are
first made under the agent-contribution feature), and vested
matching credits in a participants plan account in January
of each year are converted from book credits to an equivalent
number of shares of UICI common stock. Matching credits
forfeited by participants no longer eligible to participate in
the Agent Plans are reallocated each year among eligible
participants and credited to eligible participants Agent
Plan accounts.
The Agent Plans do not constitute qualified plans under
Section 401(a) of the Internal Revenue Code of 1986 or
employee benefit plans under the Employee Retirement Income
Security Act of 1974, and the Agent Plans are not subject to the
vesting, funding, nondiscrimination and other requirements
imposed on such plans by the Internal Revenue Code and ERISA.
For financial reporting purposes, the Company accounts for the
Company-match feature of its Agent Plans by recognizing
compensation expense over the vesting period in an amount equal
to the fair market value of vested shares at the date of their
vesting and distribution to the participants. The Company
estimates its current liability for unvested matching credits by
reference to the number of unvested credits, the current market
price of the Companys common stock, and the Companys
estimate of the percentage of the vesting period that has
elapsed up to the current quarter end. Changes in the liability
from one quarter to the next are accounted for as an increase
in, or decrease to, compensation expense, as the case may be.
Upon vesting, the Company reduces the accrued liability (equal
to the market value of the vested shares at date of vesting)
with a corresponding increase to equity. Unvested matching
credits are considered share equivalents outstanding for
purposes of the computation of earnings per share. At
December 31, 2004 and 2003, the Companys liability
for future unvested benefits payable under the Agent Plans was
$41.5 million and $16.6 million, respectively.
It is the policy of the Company to from time to time purchase
UICI shares in the open market on or about the time that
unvested matching credits are granted under the Agent Plans. The
Company accounts for
F-62
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
the shares purchased in the open market as treasury shares. The
cash paid for such shares is reflected as compensation expense
associated with the Agent Plans and the Company includes all
such cash stock-based compensation in the results of the SEA
Division. All other stock-based compensation associated with the
Agent Plans is included in the results of the Companys
Other Key Factors business segment.
Set forth in the table below is the total compensation expense
associated with the Companys Agent Plans for each of the
years ended December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
SEA Division stock-based compensation expense(1)
|
|
$ |
21,206 |
|
|
$ |
10,409 |
|
|
$ |
7,037 |
|
Other Key Factors variable non-cash stock-based compensation
expense (benefit)(2)
|
|
|
14,307 |
|
|
|
(459 |
) |
|
|
9,249 |
|
|
|
|
|
|
|
|
|
|
|
|
Total Agent Plan compensation expense
|
|
$ |
35,513 |
|
|
$ |
9,950 |
|
|
$ |
16,286 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Represents cost of shares purchased by the Company in the open
market on or about the time that unvested matching credits are
granted to participants in the Agent Plan. |
|
(2) |
Represents the total stock-based compensation expense (income)
associated with the Agent Plans less the cost of shares
purchased by the Company on or about the time that unvested
matching credits are granted to participants in the Agent Plan. |
At December 31, 2004, the Company had recorded 1,904,526
unvested matching credits associated with the Agent Plans, of
which 622,559 vested in January 2005.
The accounting treatment of the Companys Agent Plans have
resulted and will continue to result in unpredictable
stock-based compensation charges, dependent upon fluctuations in
the quoted price of UICI common stock. These unpredictable
fluctuations in stock based compensation charges may result in
material non-cash fluctuations in the Companys results of
operations. In periods of general decline in the quoted price of
UICI common stock, if any, the Company will recognize less
non-cash stock based compensation expense than in periods of
general appreciation in the quoted price of UICI common stock.
In addition, in circumstances where increases in the quoted
price of UICI common stock are followed by declines in the
quoted price of UICI common stock, negative non-cash
compensation expense may result as the Company adjusts the
cumulative liability for unvested stock-based compensation
expense. Stock-based compensation expense is non-cash and will
accordingly have no impact on the Companys cash flows or
liquidity.
In accordance with the terms of the Companys 1987 Stock
Option Plan, as amended (the 1987 Plan),
4,000,000 shares of common stock of the Company have been
reserved for issuance upon exercise of options that may be
granted to officers, key employees, and certain eligible
non-employees at an exercise price equal to the fair market
value at the date of grant. The options generally vest in 20%
annual increments every twelve months, subject to continuing
employment, provided that an option will vest 100% upon death,
permanent disability, or change of control of the Company. All
options under the 1987 Plan are exercisable over a five-year
period. For years ended December 31, 2004, 2003 and 2002,
the Company recognized compensation expense in connection with
options granted under the 1987 Plan in the amount of $143,000,
$262,000 and $-0-, respectively.
In accordance with the terms of the Companys 1998 Employee
Stock Option Plan and the Companys 1998 Agent Stock Option
Plan, each effective August 15, 1998, the Company granted
agents and employees of the Company options to purchase an
aggregate of 8,100,000 shares of Company common stock at an
exercise
F-63
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
price of $15 per share. The options vested in 20%
increments in each year, commencing on August 15, 1999 and
ended August 15, 2001, and the remaining 40% vested on
August 15, 2002. For years ended December 31, 2003 and
2002, the Company recognized no compensation expense in
connection with the 1998 Plans. All unexercised options granted
under the 1998 Plans lapsed in January 2003 and the 1998 Plans
have expired.
In connection with the Companys acquisition of AMLI Realty
Co. (ARC) in 1996, options previously outstanding
under the ARC employee stock option plan (the 1996 Special
Stock Option Plan) were converted into the right to
receive shares of the Companys common stock. In January
2004, all then-outstanding options under the plan were exercised
and the plan expired. For years ended December 31, 2004,
2003 and 2002, the Company recognized no compensation expense in
connection with the ARC plan.
The Company has historically accounted for the stock-based
compensation plans under Accounting Principles Board
(APB) Opinion No. 25, Accounting for Stock Issued to
Employees. Under APB 25, because the exercise price of the
Companys employee stock options has been equal to the
market price of underlying stock on the date of grant, no
compensation expense has to date been recognized. On
January 1, 2003, the Company adopted Statement No. 123
for all employee awards granted or modified on or after
January 1, 2003, and began measuring the compensation cost
of stock-based awards under the fair value method. The Company
adopted Statement No. 148, Accounting for Stock-Based
Compensation Transition and Disclosure, on
January 1, 2003 and has adopted the transition provisions
that require expensing options prospectively in the year of
adoption. Existing awards will continue to follow the intrinsic
value method prescribed by APB 25.
F-64
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is a summary of stock option transactions:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1998 Stock Option | |
|
1996 Special Stock | |
|
|
1987 Stock Option Plan | |
|
Plans | |
|
Option Plan | |
|
|
| |
|
| |
|
| |
|
|
|
|
Average | |
|
|
|
Average | |
|
|
|
Average | |
|
|
|
|
Option | |
|
|
|
Option | |
|
|
|
Option | |
|
|
Number of | |
|
Price per | |
|
Number of | |
|
Price per | |
|
Number | |
|
Price per | |
|
|
Shares | |
|
Share($) | |
|
Shares | |
|
Share($) | |
|
of Shares | |
|
Share($) | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Outstanding options at
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
January 1, 2002
|
|
|
1,057,585 |
|
|
|
8.34 |
|
|
|
2,156,766 |
|
|
|
15.00 |
|
|
|
60,591 |
|
|
|
12.72 |
|
|
Granted
|
|
|
319,914 |
|
|
|
14.05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Canceled
|
|
|
(72,021 |
) |
|
|
8.00 |
|
|
|
(707,831 |
) |
|
|
15.00 |
|
|
|
(2,065 |
) |
|
|
20.87 |
|
|
Exercised
|
|
|
(36,263 |
) |
|
|
6.55 |
|
|
|
(711,960 |
) |
|
|
15.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding options at
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2002
|
|
|
1,269,215 |
|
|
|
9.76 |
|
|
|
736,975 |
|
|
|
15.00 |
|
|
|
58,526 |
|
|
|
12.43 |
|
|
Granted
|
|
|
204,748 |
|
|
|
11.57 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Canceled
|
|
|
(69,196 |
) |
|
|
10.49 |
|
|
|
(146,512 |
) |
|
|
15.00 |
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(121,346 |
) |
|
|
6.70 |
|
|
|
(590,463 |
) |
|
|
15.00 |
|
|
|
(32,778 |
) |
|
|
12.43 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding options at
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2003
|
|
|
1,283,421 |
|
|
|
10.30 |
|
|
|
|
|
|
|
|
|
|
|
25,748 |
|
|
|
12.43 |
|
|
Granted
|
|
|
12,716 |
|
|
|
17.14 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Canceled
|
|
|
(264,949 |
) |
|
|
10.15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(538,700 |
) |
|
|
9.71 |
|
|
|
|
|
|
|
|
|
|
|
(25,748 |
) |
|
|
12.43 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding options at December 31, 2004
|
|
|
492,488 |
|
|
|
11.21 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options exercisable at December 31,
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2002
|
|
|
619,053 |
|
|
|
10.50 |
|
|
|
736,975 |
|
|
|
15.00 |
|
|
|
58,526 |
|
|
|
12.43 |
|
2003
|
|
|
680,236 |
|
|
|
10.64 |
|
|
|
|
|
|
|
|
|
|
|
25,748 |
|
|
|
12.43 |
|
2004
|
|
|
238,481 |
|
|
|
11.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Set forth below is a summary of stock options outstanding and
exercisable at December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding | |
|
Options Exercisable | |
|
|
|
|
| |
|
| |
|
|
Outstanding | |
|
Weighted- | |
|
Weighted- | |
|
Exercisable | |
|
Weighted- | |
|
|
Options | |
|
Average | |
|
Average | |
|
Options | |
|
Average | |
Range of |
|
December 31, | |
|
Remaining | |
|
Exercise | |
|
December 31, | |
|
Exercise | |
Exercise Prices |
|
2004 | |
|
Contractual Life | |
|
Price | |
|
2004 | |
|
Price | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
$5.94-$7.00
|
|
|
118,407 |
|
|
|
0.4 |
|
|
$ |
6.50 |
|
|
|
71,185 |
|
|
$ |
6.61 |
|
$7.01-$10.50
|
|
|
12,845 |
|
|
|
1.2 |
|
|
$ |
8.83 |
|
|
|
3,806 |
|
|
$ |
8.80 |
|
$10.51-$14.00
|
|
|
240,346 |
|
|
|
2.7 |
|
|
$ |
11.88 |
|
|
|
63,014 |
|
|
$ |
11.83 |
|
$14.01-$17.50
|
|
|
114,238 |
|
|
|
2.5 |
|
|
$ |
14.43 |
|
|
|
100,431 |
|
|
$ |
14.05 |
|
$17.51-$21.00
|
|
|
6,114 |
|
|
|
2.6 |
|
|
$ |
19.30 |
|
|
|
45 |
|
|
$ |
20.10 |
|
$25.07
|
|
|
538 |
|
|
|
4.7 |
|
|
$ |
25.07 |
|
|
|
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
492,488 |
|
|
|
2.1 |
|
|
$ |
11.21 |
|
|
|
238,481 |
|
|
$ |
11.16 |
|
Pro forma information regarding net income and earnings per
share, as required by Financial Accounting Standards Board
Statement No. 123, has been determined as if the Company
had accounted for its employee stock options under the fair
value method of that Statement. The fair value for these options
was estimated at
F-65
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
the date of grant using a Black-Scholes option pricing model
with the following weighted-average assumptions for 2004, 2003
and 2002: risk-free interest rate of 2.66%, 2.09% and 3.53%,
respectively; dividend yield of 0.09%, -0-% and -0-%,
respectively; volatility factor of the expected market price of
the Companys common stock of 0.55, 0.58 and 0.65,
respectively; and a weighted-average expected life of the option
of 3.0 years, 3.0 years and 4.26 years for 2004,
2003 and 2002, respectively. The weighted average grant date
fair value per share of stock options issued in 2004, 2003 and
2002 was $6.48, $4.55 and $4.46, respectively.
The following table illustrates the effect on net income as if
the fair-value-based method had been applied to all outstanding
and unvested option awards in each period.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share | |
|
|
amounts) | |
Net income, as reported
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
Add: stock-based employee compensation expense included in
reported net income, net of tax
|
|
|
93 |
|
|
|
6 |
|
|
|
167 |
|
(Deduct)/ Add total stock-based employee compensation
(expense) benefit determined under fair-value-based method
for all awards, net of tax
|
|
|
160 |
|
|
|
(367 |
) |
|
$ |
(3,068 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Pro forma net income
|
|
$ |
161,811 |
|
|
$ |
13,973 |
|
|
$ |
43,962 |
|
|
|
|
|
|
|
|
|
|
|
Earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic as reported
|
|
$ |
3.50 |
|
|
$ |
0.31 |
|
|
$ |
0.99 |
|
|
Basic-pro forma
|
|
$ |
3.51 |
|
|
$ |
0.30 |
|
|
$ |
0.93 |
|
|
Diluted as reported
|
|
$ |
3.40 |
|
|
$ |
0.30 |
|
|
$ |
0.96 |
|
|
Diluted-pro forma
|
|
$ |
3.41 |
|
|
$ |
0.29 |
|
|
$ |
0.90 |
|
In 2004, 2003 and 2002, the Company issued an aggregate of
16,000, 61,182 and 3,500 shares of restricted stock,
respectively, to selected officers and key employees with a
weighted average price per share on the date of issuance of
$17.40, $11.50 and $13.79, respectively. Until the lapse of
certain restrictions generally extending over a two-year period,
all of such shares are subject to forfeiture if a grantee ceases
to provide material services to the Company as an employee for
any reason other than death. Upon death or a Change in Control
(as defined) of the Company, the shares of restricted stock are
no longer subject to forfeiture. For the years ended
December 31, 2004, 2003 and 2002, the Company recorded
compensation expense associated with these awards in the amount
of $346,000, $359,000 and $559,000 respectively.
In August 2002, the Company established an incentive program
(the BOB II Program), pursuant to which the
Company agreed to distribute to eligible
participants on August 15, 2006, in cash an aggregate
of the dollar equivalent value of 200,000 UICI shares. Eligible
participants in the BOB II Program consisted of full-time
employees of UICI and its subsidiaries and independent agents
associated with UICIs insurance subsidiaries who were
employed by or contracted with UICI, as the case may be, at the
close of business on August 15, 2002 and who remain
employed by or contracted with UICI at the close of business on
August 15, 2006. In accordance with the BOB II
Program, each eligible participant is entitled to receive his or
her portion of the aggregate cash payment determined by
reference to a formula based on, among other things, such
eligible participants tenure with UICI and level of
compensation.
F-66
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
For financial reporting purposes, UICI will incur compensation
expense associated with the BOB II Program over the
four-year vesting period, which expense included adjustments due
to periodic changes in the value of UICI common stock. The
Company has established a corresponding liability associated
with the future benefits payable under the BOB II Program.
At December 31, 2004 and 2003, the Companys liability
for future benefits payable under this plan was
$4.1 million and $913,000, respectively. For the years
ended December 31, 2004, 2003 and 2002, the Company
recorded compensation expense associated with the BOB II
Program in the amount of $3.2 million, $621,000 and
$271,000 respectively.
In August 1998, Mr. Jensen and his wife established an
incentive program (the BOB Program), pursuant to
which they agreed to distribute to eligible
participants on August 15, 2002, in cash an aggregate
of the dollar equivalent value of 100,000 UICI shares.
See Note K of Notes to Consolidated Financial
Statements Related Party Transactions
Funding of BOB Program.
During 2004, the Company established incentive plans for the
benefit of certain employees, pursuant to which 25% of the cash
equivalent value of 250,000 shares of UICI common stock
will be distributed to eligible employees in each of 2005, 2006,
2007 and 2008. At December 31, 2004, the Companys
liability for future benefits payable under these plans was
$3.2 million. For the year ended December 31, 2004,
the Company recorded compensation expense associated with these
plans in the amount of $3.2 million.
In January 2000, the Company established a plan, pursuant to
which 25% of the cash equivalent value of 100,000 shares of
UICI common stock was distributed to eligible employees in each
of January 2001, 2002, 2003 and 2004. At December 31, 2003,
the Companys liability for future benefits payable under
this plan was $332,000. For the years ended December 31,
2004, 2003 and 2002 the Company recorded compensation expense
(income) associated with this plan in the amount of $(11,000),
$38,000 and $192,000, respectively.
Note N Investment Annuity Segregated
Accounts
The Company had deferred investment annuity policies which have
segregated account assets and liabilities amounting to
$222.9 million and $226.4 million at December 31,
2004 and 2003, respectively, which are funded by specific assets
held in segregated custodian accounts for the purposes of
providing policy benefits and paying applicable premiums, taxes
and other charges as due. Because investment decisions with
respect to these segregated accounts are made by the
policyholders, these assets and liabilities are not presented in
these financial statements. The assets are held in individual
custodian accounts, from which the Company has received hold
harmless agreements and indemnification.
Note O Segment Information
The Companys business segments for financial reporting
purposes include (a) the Insurance segment, which includes
the businesses of the Companys Self-Employed Agency
Division, the Student Insurance Division, the Star HRG Division,
the Life Insurance Division and Other Insurance; and
(b) Other Key Factors, which includes investment income not
allocated to the Insurance segment, realized gains or losses on
sale of investments, interest expense on corporate debt, general
expenses relating to corporate operations, minority interest,
variable stock-based compensation and operations that do not
constitute reportable operating segments (including the
Companys investment in Healthaxis, Inc. until sold on
September 30, 2003).
For purposes of segment reporting, the Company had previously
reported the results of its Student Insurance Division and Star
HRG Division as one business unit referred to as its Group
Insurance Division. Effective October 1, 2004, the
Company began separately reporting the results of the Student
Insurance Division and Star HRG Division.
Allocations among segments 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
F-67
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
allocation methods were applied. Certain assets are not
individually identifiable by segment and, accordingly, have been
allocated by formulas. Segment revenues include premiums and
other policy charges and considerations, net investment income,
and fees and other income. Operations that do not constitute
reportable operating segments have been combined with Other Key
Factors. Depreciation expense and capital expenditures are not
considered material. Management does not allocate income taxes
to segments. Transactions between reportable operating segments
are accounted for under respective agreements, which provide for
such transactions generally at cost.
Revenues from continuing operations, income from continuing
operations before federal income taxes, and assets by operating
segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenues
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
1,492,839 |
|
|
$ |
1,332,437 |
|
|
$ |
1,035,907 |
|
|
Student Insurance Division
|
|
|
306,325 |
|
|
|
249,071 |
|
|
|
167,427 |
|
|
Star HRG Division
|
|
|
150,463 |
|
|
|
118,213 |
|
|
|
84,175 |
|
|
Life Insurance Division
|
|
|
68,146 |
|
|
|
62,212 |
|
|
|
74,419 |
|
|
Other Insurance
|
|
|
14,388 |
|
|
|
172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,032,161 |
|
|
|
1,762,105 |
|
|
|
1,361,928 |
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors
|
|
|
26,343 |
|
|
|
51,660 |
|
|
|
13,776 |
|
Intersegment Eliminations
|
|
|
(598 |
) |
|
|
(560 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
$ |
2,057,906 |
|
|
$ |
1,813,205 |
|
|
$ |
1,375,704 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before federal income
taxes:
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
260,745 |
|
|
$ |
109,079 |
|
|
$ |
84,195 |
|
|
Student Insurance Division
|
|
|
(49,482 |
) |
|
|
(9,783 |
) |
|
|
5,585 |
|
|
Star HRG Division
|
|
|
3,320 |
|
|
|
1,910 |
|
|
|
7,570 |
|
|
Life Insurance Division
|
|
|
4,362 |
|
|
|
(2,350 |
) |
|
|
8,097 |
|
|
Other Insurance
|
|
|
1,415 |
|
|
|
(705 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
220,360 |
|
|
|
98,151 |
|
|
|
105,447 |
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investment income on equity, realized gains and losses, general
corporate expenses and other (including interest on corporate
debt)
|
|
|
15,096 |
|
|
|
33,306 |
|
|
|
(12,376 |
) |
|
Variable stock-based compensation
|
|
|
(14,307 |
) |
|
|
459 |
|
|
|
(16,312 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
789 |
|
|
|
33,765 |
|
|
|
(28,688 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Total income from continuing operations before federal income
taxes
|
|
$ |
221,149 |
|
|
$ |
131,916 |
|
|
$ |
76,759 |
|
|
|
|
|
|
|
|
|
|
|
F-68
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Assets |
Insurance:
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
891,054 |
|
|
$ |
827,269 |
|
|
Student Insurance Division
|
|
|
265,695 |
|
|
|
207,989 |
|
|
Star HRG Division
|
|
|
78,341 |
|
|
|
76,815 |
|
|
Life Insurance Division
|
|
|
642,530 |
|
|
|
609,073 |
|
|
Other Insurance
|
|
|
8,854 |
|
|
|
1,011 |
|
|
|
|
|
|
|
|
|
|
|
1,886,474 |
|
|
|
1,722,157 |
|
Other Key Factors:
|
|
|
|
|
|
|
|
|
|
General corporate and other
|
|
|
459,184 |
|
|
|
404,802 |
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$ |
2,345,658 |
|
|
$ |
2,126,959 |
|
|
|
|
|
|
|
|
F-69
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Note P Earnings (loss) per Share
The following table sets forth the computation of basic and
diluted earnings (loss) per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands except per share | |
|
|
amounts) | |
Income (loss) available to common shareholders:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations available to common
shareholders
|
|
$ |
145,881 |
|
|
$ |
87,324 |
|
|
$ |
51,054 |
|
|
Income (loss) from discontinued operations
|
|
|
15,677 |
|
|
|
(72,990 |
) |
|
|
953 |
|
|
|
|
|
|
|
|
|
|
|
|
Income before cumulative effect of accounting change
|
|
|
161,558 |
|
|
|
14,334 |
|
|
|
52,007 |
|
|
Cumulative effect of accounting change
|
|
|
|
|
|
|
|
|
|
|
(5,144 |
) |
|
|
|
|
|
|
|
|
|
|
Net income for basic earnings per share
|
|
|
161,558 |
|
|
|
14,334 |
|
|
|
46,863 |
|
Effect of dilutive securities:
|
|
|
|
|
|
|
|
|
|
|
|
|
6% Convertible Note interest(1)
|
|
|
176 |
|
|
|
82 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income for diluted earnings per share
|
|
$ |
161,734 |
|
|
$ |
14,416 |
|
|
$ |
46,863 |
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding (thousands)
basic earnings (loss) per share
|
|
|
46,131 |
|
|
|
46,438 |
|
|
|
47,366 |
|
Effect of dilutive securities:
|
|
|
|
|
|
|
|
|
|
|
|
|
Employee stock options and other (see Note M)
|
|
|
1,379 |
|
|
|
1,497 |
|
|
|
1,491 |
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding dilutive
earnings (loss) per share
|
|
|
47,510 |
|
|
|
47,935 |
|
|
|
48,857 |
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (loss) per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
3.16 |
|
|
$ |
1.88 |
|
|
$ |
1.08 |
|
|
Income (loss) from discontinued operations
|
|
|
0.34 |
|
|
|
(1.57 |
) |
|
|
0.02 |
|
|
|
|
|
|
|
|
|
|
|
|
Income before cumulative effect of accounting change
|
|
|
3.50 |
|
|
|
0.31 |
|
|
|
1.10 |
|
|
Cumulative effect of accounting change
|
|
|
|
|
|
|
|
|
|
|
(0.11 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
3.50 |
|
|
$ |
0.31 |
|
|
$ |
0.99 |
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (loss) per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
3.07 |
|
|
$ |
1.82 |
|
|
$ |
1.05 |
|
|
Income (loss) from discontinued operations
|
|
|
0.33 |
|
|
|
(1.52 |
) |
|
|
0.02 |
|
|
|
|
|
|
|
|
|
|
|
|
Income before cumulative effect of accounting change
|
|
|
3.40 |
|
|
|
0.30 |
|
|
|
1.07 |
|
|
Cumulative effect of accounting change
|
|
|
|
|
|
|
|
|
|
|
(0.11 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
3.40 |
|
|
$ |
0.30 |
|
|
$ |
0.96 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Applied to continuing operations |
Note Q Discontinued Operations
Over the past two years the Company has actively endeavored to
simplify its business by closing and/or disposing of assets and
operations not otherwise related to its core health and life
insurance operations, including the operations of the
Companys former Academic Management Services Corp.
(AMS)
F-70
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
subsidiary (which UICI sold in November 2003), the
Companys former Senior Market Division, and the
Companys former Special Risk Division.
Set forth below is a summary of the Companys reported
results from discontinued operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Income (loss) by business unit:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
AMS
|
|
$ |
9,872 |
|
|
$ |
(64,191 |
) |
|
$ |
5,274 |
|
|
Senior Market
|
|
|
|
|
|
|
(9,150 |
) |
|
|
(4,974 |
) |
|
Special Risk
|
|
|
5,805 |
|
|
|
(4,037 |
) |
|
|
(4,239 |
) |
|
Other
|
|
|
|
|
|
|
4,388 |
|
|
|
4,892 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from discontinued operations net of tax
|
|
$ |
15,677 |
|
|
$ |
(72,990 |
) |
|
$ |
953 |
|
|
|
|
|
|
|
|
|
|
|
Set forth below is a summary of the Companys net
liabilities from discontinued operations:
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Net liabilities by business unit:
|
|
|
|
|
|
|
|
|
|
AMS
|
|
$ |
5,540 |
|
|
$ |
(13,291 |
) |
|
Special Risk
|
|
|
3,653 |
|
|
|
30,611 |
|
|
|
|
|
|
|
|
|
|
Net liabilities from discontinued operations
|
|
$ |
9,193 |
|
|
$ |
17,320 |
|
|
|
|
|
|
|
|
|
|
|
Academic Management Services Corp. |
Results from discontinued operations for the full year 2004
reflected a pre-tax gain recorded in the first quarter of 2004
in the amount of $7.7 million generated from the sale of
the remaining uninsured student loan assets formerly held by the
Companys former AMS (which the Company disposed of in
November 2003), a tax benefit associated with the reduction of a
tax accrual and the release of a portion of the valuation
allowance on the capital loss carryover due to the realization
of capital gains during 2004. These favorable factors were
offset in part by the recording in the second quarter of 2004 of
a loss accrual with respect to multiple lawsuits that were filed
arising out of UICIs announcement in July 2003 of a
shortfall in the type and amount of collateral supporting
securitized student loan financing facilities of the
Companys former AMS subsidiary. The sale of the uninsured
student loans generated gross cash proceeds in the amount of
approximately $25.0 million.
In July 2003, the Company announced that it had uncovered
collateral shortfalls in the type and amount of collateral
supporting two of the securitized student loan financing
facilities of Academic Management Service Corp. (our former
subsidiary engaged in the student loan origination and funding
business, student loan servicing business, and tuition
installment payment plan business) and the failure to comply
with reporting obligations under the financing documents at
seven of those facilities. The Company subsequently entered into
waiver and release agreements requiring us in July 2003 to
contribute $48.25 million in cash to the capital of AMS.
Following the collateral issues at AMS, the Company determined
to dispose of its interest in AMS, and on November 18, 2003
the Company completed the sale of its entire equity interest in
AMS. The sale of AMS generated net cash proceeds to UICI of
approximately $27.8 million. At closing, UICI also received
uninsured student loan assets formerly held by AMS special
purpose financing subsidiaries with a face amount of
approximately $44.3 million (including accrued interest).
In anticipation of the sale of AMS, in the third
F-71
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
quarter of 2003 the Company wrote down the carrying value of
these loans to fair value, which was significantly less than the
face amount of the loans.
As part of the transaction, the purchaser agreed to assume
responsibility for liquidating and terminating the remaining
special purpose financing facilities through which AMS
previously securitized student loans.
AMS results in 2003 incurred a $68.5 million pre-tax
expense reflecting the estimated loss on disposal recorded in
the third quarter of 2003.
Set forth below is a summary of the operating results of AMS as
reflected in the consolidated financial statements of the
Company for each of the three most recent fiscal years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004(2) | |
|
2003(1) | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest income
|
|
$ |
|
|
|
$ |
47,422 |
|
|
$ |
66,232 |
|
|
Investment income
|
|
|
|
|
|
|
2,003 |
|
|
|
4,040 |
|
|
Other income
|
|
|
8,820 |
|
|
|
57,320 |
|
|
|
31,385 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
8,820 |
|
|
|
106,745 |
|
|
|
101,657 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense
|
|
|
|
|
|
|
32,593 |
|
|
|
39,410 |
|
|
Other operating expenses
|
|
|
3,158 |
|
|
|
81,609 |
|
|
|
56,920 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
3,158 |
|
|
|
114,202 |
|
|
|
96,330 |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from operations before income taxes and loss on
disposal
|
|
|
5,662 |
|
|
|
(7,457 |
) |
|
|
5,327 |
|
|
Loss from disposal
|
|
|
|
|
|
|
(68,518 |
) |
|
|
|
|
|
Federal income tax expense (benefit)
|
|
|
(4,210 |
) |
|
|
(11,784 |
) |
|
|
53 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from AMS discontinued operations
|
|
$ |
9,872 |
|
|
$ |
(64,191 |
) |
|
$ |
5,274 |
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Reflects operations for the period ended on the date of sale
(November 18, 2003). |
|
(2) |
Reflects sale of uninsured loan portfolio in March 2004 and
recording of loss accrual related to litigation. |
On May 30, 2003, UICI announced that its Board of
Directors, at a meeting held on May 29, 2003, adopted a
plan to close by sale or wind-down the Senior Market Division,
which the Company established in 2001 to develop long-term care
and Medicare supplement insurance products for the senior
market. For the year ended December 31, 2003 and 2002, the
Companys Senior Market Division reported a loss (net of
tax) in the amount of $(9.2) million and
$(5.0) million, respectively. Losses in 2003 includes a
write off of impaired assets, operating losses incurred at the
Senior Market Division through the close-down date and costs
associated with the wind down and closing of the operations,
including a loss in the amount of $(5.5) million (net of
tax) recognized upon transfer, effective June 30, 2003, of
the Companys interest in Seniors First LLC (an agency
through which the Company formerly marketed and distributed
insurance products to the senior market). The Company completed
its closedown of its Senior Market Division during 2003.
F-72
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is a summary of the operating results of the
Senior Market Division for each of the years ended
December 31, 2003 and 2002, respectively:
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Revenue:
|
|
|
|
|
|
|
|
|
|
Premiums
|
|
$ |
943 |
|
|
$ |
149 |
|
|
Other income
|
|
|
1,781 |
|
|
|
1,925 |
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
2,724 |
|
|
|
2,074 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
Underwriting, acquisition and insurance expenses
|
|
|
8,127 |
|
|
|
9,243 |
|
|
Goodwill impairment
|
|
|
7,400 |
|
|
|
|
|
|
Other expenses
|
|
|
1,274 |
|
|
|
484 |
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
16,801 |
|
|
|
9,727 |
|
|
|
|
|
|
|
|
|
Loss from operations before income taxes
|
|
|
(14,077 |
) |
|
|
(7,653 |
) |
|
Federal income tax benefit
|
|
|
(4,927 |
) |
|
|
(2,679 |
) |
|
|
|
|
|
|
|
|
|
Loss from Senior Market discontinued operations
|
|
$ |
(9,150 |
) |
|
$ |
(4,974 |
) |
|
|
|
|
|
|
|
In December 2001, the Company determined to exit the businesses
of its Special Risk Division by sale; abandonment or wind-down
and the Company designated and has classified its Special Risk
Division as a discontinued operation for financial reporting
purposes. The Companys Special Risk Division formerly
specialized in certain niche health-related products (including
stop loss, marine crew accident, organ transplant
and international travel accident products), various insurance
intermediary services and certain managed care services.
Special Risk results for the year ended December 31, 2004
reflected a favorable resolution of a dispute, which resulted in
pre-tax operating income in the amount of $10.7 million.
In 2005 the Company will continue the wind-down of its former
Special Risk Division.
F-73
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is a summary of the operating results of the
Special Risk Division for each of the years ended
December 31, 2004, 2003 and 2002, respectively:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums
|
|
$ |
(3,954 |
) |
|
$ |
36 |
|
|
$ |
2,355 |
|
|
Investment and other income
|
|
|
1,507 |
|
|
|
2,040 |
|
|
|
3,067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
(2,447 |
) |
|
|
2,076 |
|
|
|
5,422 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims and settlement expenses
|
|
|
(13,788 |
) |
|
|
6,633 |
|
|
|
4,974 |
|
|
Underwriting, acquisition and insurance expenses
|
|
|
2,410 |
|
|
|
1,633 |
|
|
|
6,953 |
|
|
Other expenses
|
|
|
|
|
|
|
21 |
|
|
|
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
(11,378 |
) |
|
|
8,287 |
|
|
|
11,943 |
|
|
|
|
|
|
|
|
|
|
|
|
Gain (loss) from operations before income taxes
|
|
|
8,931 |
|
|
|
(6,211 |
) |
|
|
(6,521 |
) |
|
Federal income taxes
|
|
|
3,126 |
|
|
|
(2,174 |
) |
|
|
(2,282 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from Special Risk discontinued operations
|
|
$ |
5,805 |
|
|
$ |
(4,037 |
) |
|
$ |
(4,239 |
) |
|
|
|
|
|
|
|
|
|
|
Other
The Companys former sub-prime credit card business was
designated as a discontinued operation for financial reporting
purposes effective December 31, 1999. In 2003 and 2002, the
sub-prime credit card business reported income after tax of
$4.4 million and $4.8 million, respectively, which
income has been reflected in results from discontinued
operations. The sub-prime credit card business results in
2003 and 2002 reflected the release of accruals resulting from
the Companys assessment of certain favorable events
related to credit card litigation matters and ultimate
resolution and settlement of ongoing litigation. At
December 31, 2003, there were no remaining assets or
liabilities associated with the Companys former sub-prime
credit card business.
F-74
UICI AND SUBSIDIARIES
NOTES TO CONSOLIDATED
FINANCIAL STATEMENTS (Continued)
Set forth below is a summary of the operating results of the
sub-prime credit card business for each of the years ended
December 31, 2003 and 2002, respectively.
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended | |
|
|
December 31, | |
|
|
| |
|
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Revenue:
|
|
|
|
|
|
|
|
|
|
Interest and other income
|
|
$ |
14 |
|
|
$ |
1,602 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
Operating expenses
|
|
|
6,074 |
|
|
|
9,417 |
|
|
Depreciation and amortization
|
|
|
|
|
|
|
5,728 |
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
6,074 |
|
|
|
15,145 |
|
Loss from operations before amounts charged to loss on
|
|
|
|
|
|
|
|
|
|
Disposal
|
|
|
(6,060 |
) |
|
|
(13,543 |
) |
Amounts charged to loss on disposal
|
|
|
6,060 |
|
|
|
13,543 |
|
Release of accruals
|
|
|
6,751 |
|
|
|
7,423 |
|
|
|
|
|
|
|
|
|
Income from operations before income taxes
|
|
|
6,751 |
|
|
|
7,423 |
|
Federal income taxes
|
|
|
2,363 |
|
|
|
2,598 |
|
|
|
|
|
|
|
|
|
Income from the sub-prime credit card business discontinued
operations
|
|
$ |
4,388 |
|
|
$ |
4,825 |
|
|
|
|
|
|
|
|
Note R Supplemental Financial Statement
Data
Set forth below is certain supplemental information concerning
underwriting, policy acquisition costs and insurance expenses
for the years ended December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Amortization of deferred policy acquisition costs
|
|
$ |
73,532 |
|
|
$ |
69,343 |
|
|
$ |
43,948 |
|
Commissions
|
|
|
138,949 |
|
|
|
136,483 |
|
|
|
109,228 |
|
Administrative expenses
|
|
|
368,997 |
|
|
|
318,180 |
|
|
|
249,879 |
|
Premium taxes
|
|
|
49,333 |
|
|
|
38,105 |
|
|
|
27,985 |
|
Intangible asset amortization
|
|
|
1,321 |
|
|
|
1,463 |
|
|
|
1,428 |
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
632,132 |
|
|
$ |
563,574 |
|
|
$ |
432,468 |
|
|
|
|
|
|
|
|
|
|
|
F-75
SCHEDULE II
CONDENSED FINANCIAL INFORMATION OF REGISTRANT
UICI (HOLDING COMPANY)
BALANCE SHEETS
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
ASSETS |
Investments in and advances to subsidiaries*
|
|
$ |
701,319 |
|
|
$ |
607,325 |
|
Cash and cash equivalents
|
|
|
39,573 |
|
|
|
37,840 |
|
Refundable income taxes
|
|
|
2,115 |
|
|
|
|
|
Investments in bonds, stocks and other
|
|
|
10,612 |
|
|
|
|
|
Goodwill
|
|
|
16,352 |
|
|
|
16,127 |
|
Deferred income tax
|
|
|
16,143 |
|
|
|
474 |
|
Other
|
|
|
2,678 |
|
|
|
5,944 |
|
|
|
|
|
|
|
|
|
|
$ |
788,792 |
|
|
$ |
667,710 |
|
|
|
|
|
|
|
|
|
LIABILITIES |
Accrued expenses and other liabilities
|
|
$ |
8,517 |
|
|
$ |
9,914 |
|
Agent plan liability
|
|
|
41,467 |
|
|
|
16,627 |
|
Income tax liability
|
|
|
|
|
|
|
17,330 |
|
Short-term debt
|
|
|
|
|
|
|
3,951 |
|
Long-term debt
|
|
|
15,470 |
|
|
|
15,000 |
|
Net liabilities of discontinued operations
|
|
|
9,193 |
|
|
|
17,320 |
|
|
|
|
|
|
|
|
|
|
|
74,647 |
|
|
|
80,142 |
|
|
STOCKHOLDERS EQUITY |
Common stock
|
|
|
476 |
|
|
|
481 |
|
Additional paid-in capital
|
|
|
202,139 |
|
|
|
210,320 |
|
Accumulated other comprehensive income
|
|
|
20,137 |
|
|
|
24,607 |
|
Retained earnings
|
|
|
528,447 |
|
|
|
378,366 |
|
Treasury stock
|
|
|
(37,054 |
) |
|
|
(26,206 |
) |
|
|
|
|
|
|
|
|
|
|
714,145 |
|
|
|
587,568 |
|
|
|
|
|
|
|
|
|
|
$ |
788,792 |
|
|
$ |
667,710 |
|
|
|
|
|
|
|
|
|
|
* |
Eliminated in consolidation. |
The condensed financial statements should be read in conjunction
with the consolidated financial statements and notes thereto of
UICI and Subsidiaries.
See report of Independent Registered Public Accounting Firm.
F-76
CONDENSED FINANCIAL INFORMATION OF REGISTRANT
UICI (HOLDING COMPANY)
CONDENSED STATEMENTS OF OPERATIONS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dividends from continuing operations*
|
|
$ |
30,690 |
|
|
$ |
52,394 |
|
|
$ |
26,460 |
|
|
Interest and other income (includes amounts received from
related parties of $7, $32 and $0 in 2004, 2003 and 2002,
respectively)
|
|
|
3,437 |
|
|
|
5,185 |
|
|
|
2,673 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
34,127 |
|
|
|
57,579 |
|
|
|
29,133 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General and administrative expenses (includes amounts paid to
related parties of $462, $692 and $1,669 in 2004, 2003 and 2002,
respectively)
|
|
|
17,017 |
|
|
|
14,029 |
|
|
|
12,531 |
|
|
Variable stock compensation (benefit)
|
|
|
14,307 |
|
|
|
(459 |
) |
|
|
9,277 |
|
|
Losses in Healthaxis, Inc. investment
|
|
|
|
|
|
|
2,211 |
|
|
|
9,639 |
|
|
Interest expense
|
|
|
1,083 |
|
|
|
1,103 |
|
|
|
1,454 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
32,407 |
|
|
|
16,884 |
|
|
|
32,901 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before equity in undistributed earnings of
subsidiaries and federal income tax expense
|
|
|
1,720 |
|
|
|
40,695 |
|
|
|
(3,768 |
) |
Federal income tax benefit (expense)
|
|
|
13,551 |
|
|
|
(143 |
) |
|
|
9,573 |
|
|
|
|
|
|
|
|
|
|
|
Income before equity in undistributed earnings of subsidiaries
|
|
|
15,271 |
|
|
|
40,552 |
|
|
|
5,805 |
|
Equity in undistributed earnings of continuing operations*
|
|
|
130,610 |
|
|
|
46,772 |
|
|
|
45,249 |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
|
145,881 |
|
|
|
87,324 |
|
|
|
51,054 |
|
Dividends from discontinued operations*
|
|
|
25,230 |
|
|
|
17,289 |
|
|
|
8,176 |
|
Equity in undistributed earnings from discontinued operations*
|
|
|
(9,553 |
) |
|
|
(90,279 |
) |
|
|
(7,223 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) from discontinued operations
|
|
|
15,677 |
|
|
|
(72,990 |
) |
|
|
953 |
|
Cumulative effect of accounting change (net of tax benefit of
$0, $0 and $1,742 in 2004, 2003 and 2002, respectively)
|
|
|
|
|
|
|
|
|
|
|
(5,144 |
) |
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
Eliminated in consolidation. |
The condensed financial statements should be read in conjunction
with the consolidated financial statements and notes thereto of
UICI and Subsidiaries.
See report of Independent Registered Public Accounting Firm.
F-77
CONDENSED FINANCIAL INFORMATION OF REGISTRANT
UICI (HOLDING COMPANY)
CONDENSED STATEMENTS OF CASH FLOWS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Operating Activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Income
|
|
$ |
161,558 |
|
|
$ |
14,334 |
|
|
$ |
46,863 |
|
|
Adjustments to reconcile net income to net cash (used in)
provided by operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in undistributed loss of subsidiaries of discontinued
operations*
|
|
|
9,553 |
|
|
|
90,279 |
|
|
|
7,223 |
|
|
|
Equity in undistributed earnings of continuing operations*
|
|
|
(130,610 |
) |
|
|
(46,772 |
) |
|
|
(45,249 |
) |
|
|
Gains on sale of investments
|
|
|
(2,169 |
) |
|
|
(3,976 |
) |
|
|
(117 |
) |
|
|
Decrease (increase) in other receivables
|
|
|
5,574 |
|
|
|
(2,171 |
) |
|
|
2,344 |
|
|
|
Stock appreciation expense (benefit)
|
|
|
14,307 |
|
|
|
(459 |
) |
|
|
9,277 |
|
|
|
Increase in accrued expenses and other liabilities
|
|
|
19,811 |
|
|
|
14,433 |
|
|
|
17,361 |
|
|
|
Increase (decrease) in SunTech liability
|
|
|
|
|
|
|
(15,600 |
) |
|
|
15,600 |
|
|
|
Deferred income tax (benefit) change
|
|
|
(15,644 |
) |
|
|
9,961 |
|
|
|
534 |
|
|
|
Change in federal income tax payable
|
|
|
(19,445 |
) |
|
|
13,127 |
|
|
|
5,709 |
|
|
|
Operating loss of Healthaxis, Inc
|
|
|
|
|
|
|
2,211 |
|
|
|
3,139 |
|
|
|
Other items, net
|
|
|
660 |
|
|
|
8,730 |
|
|
|
(4,768 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash Provided by continuing operations
|
|
|
43,595 |
|
|
|
84,097 |
|
|
|
57,916 |
|
|
|
Amounts Used in discontinued operations
|
|
|
2,796 |
|
|
|
(16,016 |
) |
|
|
(28,515 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash Provided by Operating Activities
|
|
|
46,391 |
|
|
|
68,081 |
|
|
|
29,401 |
|
|
|
|
|
|
|
|
|
|
|
Investing Activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase of subsidiaries and assets net of cash acquired
|
|
|
|
|
|
|
|
|
|
|
(23,693 |
) |
|
Investments in bonds and stocks
|
|
|
(10,490 |
) |
|
|
|
|
|
|
|
|
|
Repayment of bonds
|
|
|
327 |
|
|
|
|
|
|
|
|
|
|
Sale of subsidiaries and assets
|
|
|
|
|
|
|
|
|
|
|
1,319 |
|
|
Purchase of minority interest
|
|
|
|
|
|
|
(863 |
) |
|
|
(1,882 |
) |
|
Decrease (increase) of investments in and advances to
subsidiaries
|
|
|
11,717 |
|
|
|
(19,403 |
) |
|
|
4,053 |
|
|
Net change in other investments
|
|
|
(225 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash Provided by (Used in) continuing operations
|
|
|
1,329 |
|
|
|
(20,266 |
) |
|
|
(20,203 |
) |
|
Amounts Used in discontinued operations
|
|
|
|
|
|
|
(20,485 |
) |
|
|
(8,094 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash Provided by (Used in) Investing Activities
|
|
|
1,329 |
|
|
|
(40,751 |
) |
|
|
(28,297 |
) |
|
|
|
|
|
|
|
|
|
|
Financing Activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repayment of notes payable
|
|
|
(18,951 |
) |
|
|
(3,951 |
) |
|
|
(11,450 |
) |
|
Proceeds of notes payable
|
|
|
14,570 |
|
|
|
|
|
|
|
|
|
|
Exercise of stock options
|
|
|
7,524 |
|
|
|
10,966 |
|
|
|
12,616 |
|
|
Purchase of treasury stock
|
|
|
(37,946 |
) |
|
|
(19,596 |
) |
|
|
(42,515 |
) |
|
Payments of dividends to shareholders
|
|
|
(11,477 |
) |
|
|
|
|
|
|
|
|
|
Other changes in equity
|
|
|
293 |
|
|
|
662 |
|
|
|
5,397 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash Used in Financing Activities
|
|
|
(45,987 |
) |
|
|
(11,919 |
) |
|
|
(35,952 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Increase (decrease) in Cash
|
|
|
1,733 |
|
|
|
15,411 |
|
|
|
(34,848 |
) |
|
|
|
Cash and cash equivalents at Beginning of Period
|
|
|
37,840 |
|
|
|
22,429 |
|
|
|
57,277 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at End of Period
|
|
$ |
39,573 |
|
|
$ |
37,840 |
|
|
$ |
22,429 |
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
Eliminated in consolidation. |
The condensed financial statements should be read in conjunction
with the consolidated financial statements and notes thereto of
UICI and Subsidiaries.
See report of Independent Registered Public Accounting Firm.
F-78
SCHEDULE III
UICI
AND SUBSIDIARIES
SUPPLEMENTARY INSURANCE INFORMATION
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Col. A |
|
Col. B | |
|
Col. C | |
|
Col. D | |
|
Col. E | |
|
|
| |
|
| |
|
| |
|
| |
|
|
|
|
Future Policy | |
|
|
|
|
|
|
Deferred | |
|
Benefits | |
|
|
|
|
|
|
Policy | |
|
Losses, Claims, | |
|
|
|
|
|
|
Acquisition | |
|
and Loss | |
|
Unearned | |
|
Policyholder | |
|
|
Costs | |
|
Expenses | |
|
Premiums | |
|
Funds | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
47,950 |
|
|
$ |
589,564 |
|
|
$ |
76,850 |
|
|
$ |
6,390 |
|
|
Student Insurance Division
|
|
|
10,505 |
|
|
|
88,584 |
|
|
|
91,706 |
|
|
|
|
|
|
Star HRG Division
|
|
|
|
|
|
|
16,203 |
|
|
|
|
|
|
|
|
|
|
Life Insurance Division
|
|
|
51,960 |
|
|
|
367,320 |
|
|
|
8,175 |
|
|
|
8,060 |
|
|
Other Insurance
|
|
|
87 |
|
|
|
5,144 |
|
|
|
675 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
110,502 |
|
|
$ |
1,066,815 |
|
|
$ |
177,406 |
|
|
$ |
14,450 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2003:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
49,054 |
|
|
$ |
598,091 |
|
|
$ |
76,018 |
|
|
$ |
8,200 |
|
|
Student Insurance Division
|
|
|
6,971 |
|
|
|
82,229 |
|
|
|
72,145 |
|
|
|
|
|
|
Star HRG Division
|
|
|
|
|
|
|
16,715 |
|
|
|
|
|
|
|
|
|
|
Life Insurance Division
|
|
|
34,626 |
|
|
|
317,531 |
|
|
|
5,536 |
|
|
|
8,459 |
|
|
Other Insurance
|
|
|
|
|
|
|
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
90,651 |
|
|
$ |
1,014,626 |
|
|
$ |
153,699 |
|
|
$ |
16,659 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See report of Independent Registered Public Accounting Firm.
F-79
SCHEDULE III
UICI
AND SUBSIDIARIES
SUPPLEMENTARY INSURANCE INFORMATION
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Col. F | |
|
Col. G | |
|
Col. H | |
|
Col. I | |
|
Col. J | |
|
Col. K | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
|
|
|
|
Benefits, | |
|
Amortization | |
|
|
|
|
|
|
|
|
|
|
Claims | |
|
of Deferred | |
|
|
|
|
|
|
|
|
|
|
Losses, and | |
|
Policy | |
|
Other | |
|
|
|
|
Premium | |
|
Investment | |
|
Settlement | |
|
Acquisition | |
|
Operating | |
|
Premiums | |
|
|
Revenue | |
|
Income* | |
|
Expenses | |
|
Costs | |
|
Expenses*(1) | |
|
Written | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
1,355,328 |
|
|
$ |
33,640 |
|
|
$ |
736,678 |
|
|
$ |
52,655 |
|
|
$ |
338,890 |
|
|
|
|
|
|
Student Insurance Division
|
|
|
297,036 |
|
|
|
6,089 |
|
|
|
265,698 |
|
|
|
6,971 |
|
|
|
79,938 |
|
|
|
|
|
|
Star HRG Division
|
|
|
145,749 |
|
|
|
817 |
|
|
|
92,754 |
|
|
|
|
|
|
|
50,492 |
|
|
|
|
|
|
Life Insurance Division
|
|
|
38,660 |
|
|
|
27,625 |
|
|
|
25,770 |
|
|
|
13,906 |
|
|
|
22,247 |
|
|
|
|
|
|
Other Insurance
|
|
|
14,127 |
|
|
|
114 |
|
|
|
6,158 |
|
|
|
|
|
|
|
6,668 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,850,900 |
|
|
$ |
68,285 |
|
|
$ |
1,127,058 |
|
|
$ |
73,532 |
|
|
$ |
498,235 |
|
|
$ |
1,874,607 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2003:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
1,192,688 |
|
|
$ |
31,230 |
|
|
$ |
736,101 |
|
|
$ |
52,944 |
|
|
$ |
325,794 |
|
|
|
|
|
|
Student Insurance Division
|
|
|
239,574 |
|
|
|
5,008 |
|
|
|
200,510 |
|
|
|
5,897 |
|
|
|
47,958 |
|
|
|
|
|
|
Star HRG Division
|
|
|
114,428 |
|
|
|
695 |
|
|
|
75,951 |
|
|
|
|
|
|
|
37,262 |
|
|
|
|
|
|
Life Insurance Division
|
|
|
30,366 |
|
|
|
30,610 |
|
|
|
26,971 |
|
|
|
10,502 |
|
|
|
25,854 |
|
|
|
|
|
|
Other Insurance
|
|
|
150 |
|
|
|
|
|
|
|
60 |
|
|
|
|
|
|
|
795 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,577,206 |
|
|
$ |
67,543 |
|
|
$ |
1,039,593 |
|
|
$ |
69,343 |
|
|
$ |
437,663 |
|
|
$ |
1,608,212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division
|
|
$ |
911,318 |
|
|
$ |
26,978 |
|
|
$ |
571,814 |
|
|
$ |
30,726 |
|
|
$ |
251,561 |
|
|
|
|
|
|
Student Insurance Division
|
|
|
161,292 |
|
|
|
3,844 |
|
|
|
122,391 |
|
|
|
2,961 |
|
|
|
34,199 |
|
|
|
|
|
|
Star HRG Division
|
|
|
81,763 |
|
|
|
578 |
|
|
|
47,549 |
|
|
|
|
|
|
|
27,222 |
|
|
|
|
|
|
Life Insurance Division
|
|
|
38,557 |
|
|
|
34,207 |
|
|
|
32,738 |
|
|
|
10,261 |
|
|
|
21,668 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,192,930 |
|
|
$ |
65,607 |
|
|
$ |
774,492 |
|
|
$ |
43,948 |
|
|
$ |
334,650 |
|
|
$ |
1,219,281 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
Allocations of Net Investment Income and Other Operating
Expenses are based on a number of assumptions and estimates, and
the results would change if different methods were applied. |
|
|
(1) |
Other operating expenses include underwriting, policy
acquisition costs, and insurance expenses and other income and
expenses allocable to the respective division. |
See report of Independent Registered Public Accounting Firm.
F-80
SCHEDULE IV
UICI
AND SUBSIDIARIES
REINSURANCE
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percentage | |
|
|
|
|
|
|
|
|
|
|
of Amount | |
|
|
Gross | |
|
|
|
|
|
|
|
Assumed | |
|
|
Amount | |
|
Ceded | |
|
Assumed | |
|
Net Amount | |
|
to Net | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Year Ended December 31, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life insurance in force
|
|
$ |
7,194,680 |
|
|
$ |
1,757,889 |
|
|
$ |
111,488 |
|
|
$ |
5,548,279 |
|
|
|
2.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life insurance
|
|
$ |
43,870 |
|
|
$ |
9,306 |
|
|
$ |
3,444 |
|
|
$ |
38,008 |
|
|
|
9.1% |
|
|
Health insurance
|
|
|
1,789,025 |
|
|
|
4,053 |
|
|
|
27,920 |
|
|
|
1,812,892 |
|
|
|
1.5% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,832,895 |
|
|
$ |
13,359 |
|
|
$ |
31,364 |
|
|
$ |
1,850,900 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2003
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life insurance in force
|
|
$ |
4,267,521 |
|
|
$ |
1,074,569 |
|
|
$ |
139,889 |
|
|
$ |
3,332,841 |
|
|
|
4.2% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life insurance
|
|
$ |
33,641 |
|
|
$ |
7,159 |
|
|
$ |
3,491 |
|
|
$ |
29,973 |
|
|
|
11.6% |
|
|
Health insurance
|
|
|
1,554,136 |
|
|
|
34,882 |
|
|
|
27,979 |
|
|
|
1,547,233 |
|
|
|
1.8% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,587,777 |
|
|
$ |
42,041 |
|
|
$ |
31,470 |
|
|
$ |
1,577,206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life insurance in force
|
|
$ |
3,919,440 |
|
|
$ |
921,482 |
|
|
$ |
470,388 |
|
|
$ |
3,468,346 |
|
|
|
13.6% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life insurance
|
|
$ |
36,423 |
|
|
$ |
7,832 |
|
|
$ |
2,958 |
|
|
$ |
31,549 |
|
|
|
9.4% |
|
|
Health insurance
|
|
|
1,173,851 |
|
|
|
39,831 |
|
|
|
27,361 |
|
|
|
1,161,381 |
|
|
|
2.4% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
1,210,274 |
|
|
$ |
47,663 |
|
|
$ |
30,319 |
|
|
$ |
1,192,930 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See report of Independent Registered Public Accounting Firm.
F-81
SCHEDULE V
UICI
AND SUBSIDIARIES
VALUATION AND QUALIFYING ACCOUNTS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Increase |
|
Recoveries/ | |
|
Deductions/ | |
|
|
Balance at | |
|
Additions | |
|
in |
|
Amounts | |
|
Balance at | |
|
|
Beginning | |
|
Cost and | |
|
Carrying |
|
Charged | |
|
End of | |
|
|
of Period | |
|
Expenses | |
|
Value |
|
Off | |
|
Period | |
|
|
| |
|
| |
|
|
|
| |
|
| |
|
|
(In thousands) | |
Allowance for losses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year ended December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agents receivables
|
|
$ |
3,143 |
|
|
$ |
2,759 |
|
|
$ |
|
|
|
$ |
(2,935 |
) |
|
$ |
2,967 |
|
|
Mortgage loans
|
|
|
324 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
324 |
|
|
Student loans
|
|
|
1,676 |
|
|
|
3,163 |
|
|
|
|
|
|
|
(1,231 |
) |
|
|
3,608 |
|
|
Real estate
|
|
|
2,434 |
|
|
|
|
|
|
|
|
|
|
|
(2,434 |
) |
|
|
|
|
Year ended December 31, 2003:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agents receivables
|
|
$ |
3,557 |
|
|
$ |
1,944 |
|
|
$ |
|
|
|
$ |
(2,358 |
) |
|
$ |
3,143 |
|
|
Mortgage loans
|
|
|
324 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
324 |
|
|
Student loans
|
|
|
941 |
|
|
|
1,912 |
|
|
|
|
|
|
|
(1,177 |
) |
|
|
1,676 |
|
|
Real estate
|
|
|
2,434 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,434 |
|
Year ended December 31, 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agents receivables
|
|
$ |
1,954 |
|
|
$ |
3,002 |
|
|
$ |
|
|
|
$ |
(1,399 |
) |
|
$ |
3,557 |
|
|
Mortgage
|
|
|
1,201 |
|
|
|
|
|
|
|
|
|
|
|
(877 |
) |
|
|
324 |
|
|
Student loans
|
|
|
1,039 |
|
|
|
1,199 |
|
|
|
|
|
|
|
(1,297 |
) |
|
|
941 |
|
|
Real estate
|
|
|
1,083 |
|
|
|
1,351 |
|
|
|
|
|
|
|
|
|
|
|
2,434 |
|
See report of Independent Registered Public Accounting Firm.
F-82
EXHIBIT INDEX
|
|
|
|
|
|
|
Exhibit |
|
|
|
|
Number |
|
|
|
Description of Exhibit |
|
|
|
|
|
|
2 |
|
|
|
|
Plan of Reorganization of United Group Insurance Company, as
subsidiary of United Group Companies, Inc. and Plan and
Agreement of Merger of United Group Companies, Inc. into United
Insurance Companies, Inc., filed as Exhibit 2-1 to the
Registration Statement on Form S-1, File No. 33-2998,
filed with the Securities and Exchange Commission on
January 30, 1986 and incorporated by reference herein. |
|
3 |
.1(A) |
|
|
|
Certificate of Incorporation of UICI, as amended, filed as
Exhibit 4.1 (a) to Registration Statement on
Form S-8, File No. 333-85113, filed with the
Securities and Exchange Commission on August 13, 1999 and
incorporated by reference herein. |
|
3 |
.2(A) |
|
|
|
Restated By-Laws, as amended, of the Company, filed as
Exhibit 3.2 to the Form 10-Q dated June 30, 2003,
File No. 001-14953 and incorporated by reference herein. |
|
10 |
.1(B) |
|
|
|
Reinsurance Agreement between AEGON USA Companies and UICI
Companies effective January 1, 1995, as amended through
November 21, 1995 and incorporated by reference herein. |
|
10 |
.1(C) |
|
|
|
Amendment No. 3 to Reinsurance Agreement between AEGON USA
Companies and UICI Companies effective April 1, 1996, and
filed as Exhibit 10.1 to the Companys Current Report
on Form 8-K dated April 1, 1996 (File
No. 0-14320), and incorporated by reference herein. The
Amendment No. 3 amends the Reinsurance Agreement between
AEGON USA Companies and UICI Companies effective January 1,
1995, as amended through November 21, 1995, filed as
Exhibit 10.1(B) on Annual Report on Form 10-K for year
ended December 31, 1995, (File No. 0-14320), filed on
March 29, 1996, and incorporated by reference herein. |
|
10 |
.2 |
|
|
|
Agreements Relating to United Group Association Inc., filed as
Exhibit 10-2 to the Registration Statement on
Form S-18, File No. 2-99229, filed with the
Securities and Exchange Commission on July 26, 1985 and
incorporated by reference herein. |
|
10 |
.3 |
|
|
|
Agreement for acquisition of capital stock of Mark Twain Life
Insurance Corporation by Mr. Ronald L. Jensen, filed as
Exhibit 10-4 to the Registration Statement on
Form S-1, File No. 33-2998, filed with the Securities
and Exchange Commission on January 30, 1986 and
incorporated by reference herein. |
|
10 |
.3(A) |
|
|
|
Assignment Agreement among Mr. Ronald L. Jensen, the
Company and Onward and Upward, Inc. dated February 12, 1986
filed as Exhibit 10-4(A) to Amendment No. 1 to
Registration Statement on Form S-1,
File No. 33-2998, filed with the Securities and
Exchange Commission on February 13, 1986 and incorporated
by reference herein. |
|
10 |
.4 |
|
|
|
Agreement for acquisition of capital stock of Mid-West National
Life Insurance Company of Tennessee by the Company filed as
Exhibit 2 to the Report on Form 8-K of the Company,
File No. 0-14320, dated August 15, 1986 and
incorporated by reference herein. |
|
10 |
.5(A) |
|
|
|
Stock Purchase Agreement, dated July 1, 1986, among the
Company, Charles E. Stuart and Stuart Holding Company, as
amended July 7, 1986, filed as Exhibit 11(c)(1) to
Statement on Schedule 14D-1 and Amendment No. 1 to
Schedule 13D, filed with the Securities and Exchange Commission
on July 14, 1986 and incorporated by reference herein. |
|
10 |
.5(B) |
|
|
|
Acquisition Agreement, dated July 7, 1986 between
Associated Companies, Inc. and the Company, together with
exhibits |
|
|
|
|
|
|
thereto, filed as Exhibit (c)(2) to Statement on
Schedule 14D-1 and Amendment No. 1 to
Schedule 13D, filed with the Securities and Exchange
Commission on July 14, 1986 and incorporated by reference
herein. |
|
10 |
.5(C) |
|
|
|
Offer to Purchase, filed as Exhibit (a)(1) to Statement on
Schedule 14D-1 and Amendment No. 1 to
Schedule 13D, filed with the Securities and Exchange
Commission on July 14, 1986 and incorporated by reference
herein. |
|
10 |
.6 |
|
|
|
Agreement for acquisition of capital stock of Life Insurance
Company of Kansas, filed as Exhibit 10.6 to the 1986 Annual
Report on Form 10-K, File No. 0-14320, filed with the
Securities and Exchange Commission on March 27, 1987 and
incorporated by reference herein. |
F-83
|
|
|
|
|
|
|
Exhibit | |
|
|
|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
10 |
.7 |
|
|
|
Agreement Among Certain Stockholders of the Company, filed as
Exhibit 10-6 to the Registration Statement on
Form S-18, File No. 2-99229, filed with the Securities
and Exchange Commission on July 26, 1985 and incorporated
by reference herein. |
|
10 |
.8 |
|
|
|
Form of Subscription Agreement for 1985 Offering, filed as
Exhibit 10-7 to the Registration Statement on
Form S-1, File No. 33-2998, filed with the Securities
and Exchange Commission on January 30, 1986 and
incorporated by reference herein. |
|
10 |
.9 |
|
|
|
Repurchase Agreement between Life Investors Inc., UGIC, Ronald
Jensen and Keith Wood dated January 6, 1984, filed as
Exhibit 10-8 to Registration Statement on Form S-1,
File No. 33-2998, filed with the Securities and Exchange
Commission on January 30, 1986 and incorporated by
reference herein. |
|
10 |
.10 |
|
|
|
Treaty of Assumption and Bulk Reinsurance Agreement for
acquisition of certain assets and liabilities of Keystone Life
Insurance Company, filed as Exhibit 10.10 to the 1987
Annual Report on Form 10-K, File No. 0-14320, filed
with the Securities and Exchange Commission on March 28,
1988 and incorporated by reference herein. |
|
10 |
.11 |
|
|
|
Acquisition and Sale-Purchase Agreements for the acquisition of
Orange State Life and Health Insurance Company and certain other
assets, filed as Exhibit 10.11 to the 1987 Annual Report on
Form 10-K, File No. 0-14320, filed with the Securities
and Exchange Commission on March 28, 1988 and incorporated
by reference herein. |
|
10 |
.12* |
|
|
|
United Insurance Companies, Inc. 1987 Stock Option Plan,
included with the 1988 Proxy Statement filed with the Securities
and Exchange Commission on April 25, 1988 and incorporated
by reference herein, filed as Exhibit 10.12 to the 1988
Annual Report on Form 10-K, File No. 0-14320, filed with
the Securities and Exchange Commission on March 30, 1989
and incorporated by reference herein. |
|
10 |
.13* |
|
|
|
Amendment to the United Insurance Companies, Inc. 1987 Stock
Option Plan, filed as Exhibit 10.13 to the 1988 Annual
Report on Form 10-K, File No. 0-14320, filed with the
Securities and Exchange Commission on March 30, 1989 and
incorporated by reference herein. |
|
10 |
.14* |
|
|
|
UICI Restated and Amended 1987 Stock Option Plan as amended and
restated March 16, 1999 filed as Exhibit 10.1 to
Form 10-Q dated March 31, 1999,
(File No. 0-14320), and incorporated by reference
herein. |
|
10 |
.15 |
|
|
|
Amendment to Stock Purchase Agreement between American Capital
Insurance Company and United Insurance Companies, Inc., filed as
Exhibit 10.15 to the 1988 Annual Report on Form 10-K,
File No. 0-14320, filed with the Securities and Exchange
Commission on March 30, 1989 and incorporated by reference
herein. |
|
10 |
.16 |
|
|
|
Agreement of Substitution and Assumption Reinsurance dated as of
January 1, 1991 by and among Farm and Home Life |
|
|
|
|
|
|
Insurance Company, the Arizona Life and Disability Insurance
Guaranty Fund and United Group Insurance Company, as modified by
a Modification Agreement dated August 26, 1991, together
with schedules and exhibits thereto, filed as Exhibit 2 to
Schedule 13D, filed with the Securities and Exchange
Commission on September 3, 1991 and incorporated by
reference herein. |
|
10 |
.17 |
|
|
|
Stock Purchase Agreement dated as of August 26, 1991 by and
among Farm and Home Life Insurance Company, First United, Inc.
and The MEGA Life and Health Insurance Company, filed as
Exhibit 3 to Schedule 13D, filed with the Securities
and Exchange Commission on September 3, 1991 and
incorporated by reference herein. |
|
10 |
.18 |
|
|
|
Stock Purchase Agreement dated as of August 26, 1991 by and
among Farm and Home Life Insurance Company, The Chesapeake Life
Insurance Company and Mid-West National Life Insurance Company
of Tennessee, filed as Exhibit 4 to Schedule 13D, File
No. 0-14320 filed with the Securities and Exchange
Commission on September 3, 1991 and incorporated by
reference herein. |
F-84
|
|
|
|
|
|
|
Exhibit | |
|
|
|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
10 |
.19 |
|
|
|
Second Agreement of Modification to Agreement of Substitution
and Assumption Reinsurance dated as of November 15, 1991
among Farm and Home Life Insurance Company, United Group
Insurance Company, and the Arizona Life and Disability Insurance
Guaranty Fund, filed as Exhibit 1 to Amendment No. 1
to Schedule 13D, File No. 0-14320 filed with the
Securities and Exchange Commission on February 5, 1992 and
incorporated by reference herein. This agreement refers to a
Modification Agreement dated September 12, 1991. The
preliminary agreement included in the initial statement was
originally dated August 26, 1991. |
|
10 |
.20 |
|
|
|
Addendum to Agreement of Substitution and Assumption Reinsurance
dated as of November 22, 1991 among United Group Insurance
Company, Farm and Home Life Insurance Company, and the Arizona
Life and Disability Insurance Guaranty Fund, filed as
Exhibit 2 to Amendment No. 1 to Schedule 13D,
File No. 0-14320 filed with the Securities and Exchange
Commission on February 5, 1992 and incorporated by
reference herein. |
|
10 |
.21 |
|
|
|
Modification Agreement dated November 15, 1991 between
First United, Inc., Underwriters National Assurance Company, and
Farm and Home Life Insurance Company, The MEGA Life and Health
Insurance Company, and the Insurance Commissioner of the State
of Indiana, and filed as Exhibit 3 to Amendment No. 1 to
Schedule 13D, File No. 0-14320 filed with the Securities
and Exchange Commission on February 5, 1992 and
incorporated by reference herein. |
|
10 |
.22 |
|
|
|
Agreement of Reinsurance and Assumption dated December 14,
1992 by and among Mutual Security Life Insurance Company, in
Liquidation, National Organization of Life and Health Insurance
Guaranty Associations, and The MEGA Life and Health Insurance
Company, and filed as Exhibit 2 to the Companys
Report on Form 8-K dated March 29, 1993, (File
No. 0-14320), and incorporated by reference herein. |
|
10 |
.23 |
|
|
|
Acquisition Agreement dated January 15, 1993 by and between
United Insurance Companies, Inc. and Southern Educators Life
Insurance Company, and filed as Exhibit 2 to the
Companys Report on Form 8-K dated March 29,
1993, (File No. 0-14320), and incorporated by reference
herein. |
|
10 |
.24 |
|
|
|
Stock Exchange Agreement effective January 1, 1993 by and
between Onward and Upward, Inc. and United Insurance Companies,
Inc. and filed as Exhibit 2 to the Companys Report on
Form 8-K dated March 29, 1993, (File
No. 0-14320), and incorporated by reference herein. |
|
10 |
.25 |
|
|
|
Stock Purchase Agreement by and among United Insurance
Companies, Inc. and United Group Insurance Company and Landmark
Land Company of Oklahoma, Inc. dated January 6, 1994, and
filed as Exhibit 10.27 to Form 10-Q dated
March 31, 1994, (File No. 0-14320), and incorporated
by reference herein. |
|
10 |
.26 |
|
|
|
Private Placement Agreement dated June 1, 1994 of
8.75% Senior Notes Payable due June 2004 in the aggregate
amount of $27,655,000, and filed as Exhibit 28.1 to the
Companys Report on Form 8-K dated June 22, 1994,
(File No. 0-14320), and incorporated by reference herein. |
|
10 |
.27 |
|
|
|
Asset Purchase Agreement between UICI Companies and PFL Life
Insurance Company, Bankers United Life Assurance Company, Life
Investors Insurance Company of America and Monumental Life
Insurance Company and Money Services, Inc. effective
April 1, 1996, as filed as Exhibit 10.2 to the
Companys Report on Form 8-K dated April 1, 1996
(File No. 0-14320) and incorporated by reference herein. |
|
10 |
.28 |
|
|
|
General Agents Agreement between Mid-West National Life
Insurance Company of Tennessee and United Group Association,
Inc. effective April 1, 1996, and filed as
Exhibit 10.3 to the Companys Report on Form 8-K
dated April 1, 1996 (File No. 0-14320), and
incorporated by reference herein. |
|
10 |
.29 |
|
|
|
General Agents Agreement between The MEGA Life and Health
Insurance Company and United Group Association, Inc. Effective
April 1, 1996, and filed as Exhibit 10.4 to the
Companys Report on Form 8-K dated April 1, 1996
(File No. 0-14320) and incorporated by reference herein. |
|
10 |
.30 |
|
|
|
Agreement between United Group Association, Inc. and Cornerstone
Marketing of America effective April 1, 1996, and filed as
Exhibit 10.5 to the Companys Current Report on
Form 8-K dated April 1, 1996 (File No. 0-14320)
and incorporated by reference herein. |
F-85
|
|
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|
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|
Exhibit | |
|
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|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
10 |
.31 |
|
|
|
Stock exchange agreement dated October 1996 by and between AMLI
Realty Co. and UICI, as amended by that first amendment stock
exchange agreement dated November 4, 1996 filed as
Exhibit 10.31 to the Registration Statement on
Form S-3 File No. 333-23899 filed with the Securities
and Exchange Commission on April 25, 1997 and incorporated
by reference herein. |
|
10 |
.32 |
|
|
|
Agreement dated December 6, 1997 by and between UICI, UICI
Acquisition Corp., ELA Corp., and Marcus A. Katz, Cary S. Katz,
Ryan D. Katz and RK Trust #2 filed as Exhibit 10.32 to
the Registration Statement on Form S-3 File
No. 333-42937 filed with the Securities and Exchange
Commission on December 22, 1997 and incorporated by
reference herein. |
|
10 |
.33 |
|
|
|
Repurchase Agreement dated as of March 27, 1998 as amended
between Lehman Commercial Paper, Inc. and Educational Finance
Group, Inc. filed as Exhibit 10.1 to Form 10-Q dated
September 30, 1999, (File No. 0-14320), and
incorporated by reference herein. |
|
10 |
.34 |
|
|
|
Loan Agreement among UICI, Bank of America, as administrative
agent, The First National Bank of Chicago as documentation
agent, and Fleet National Bank as co-agent dated May 17,
1999 filed as Exhibit 10.2 to Form 10-Q dated
September 30, 1999, (File No. 0-14320), and
incorporated by reference herein. |
|
10 |
.35 |
|
|
|
Indenture Agreement dated as of August 5, 1999 between
EFG-III, LP, as Issuer and The First National Bank of Chicago,
as Indenture Trustee and Eligible Lender Trustee filed as
Exhibit 10.3 to Form 10-Q dated September 30,
1999, (File No. 0-14320), and incorporated by reference
herein. |
|
10 |
.36 |
|
|
|
Indenture Agreement dated as of June 14, 1999 between
EFG-II, LP, as Issuer and The First National Bank of |
|
|
|
|
|
|
Chicago, as Indenture Trustee and Eligible Lender Trustee filed
as Exhibit 10.4 to Form 10-Q dated September 30,
1999, (File No. 0-14320), and incorporated by reference
herein. |
|
10 |
.44 |
|
|
|
Stock Purchase Agreement dated, July 27, 2000, between UICI
and C&J Investments, LLC filed as Exhibit 10.44 to
Form 10-Q dated June 30, 2000, (File
No. 0-14320), and incorporated by reference herein. |
|
10 |
.45* |
|
|
|
Management Agreement, dated December 31, 2000 between UICI,
The Mega Life and Health Insurance Company and William J.
Gedwed, filed as Exhibit 10.45 to the Companys 2000
Annual Report on Form 10-K, File No. 001-14953, filed
with the Securities and Exchange Commission on March 16,
2001 and incorporated by reference herein. |
|
10 |
.46* |
|
|
|
UICI 2000 Restricted Stock Plan effective January 1, 2000,
filed as Exhibit 10.46 to the Companys 2000 Annual
Report on Form 10-K, File No. 001-14953, filed with
the Securities and Exchange Commission on March 16, 2001
and incorporated by reference herein. |
|
10 |
.47* |
|
|
|
UICI 2001 Restricted Stock Plan effective January 1, 2001,
filed as Exhibit 10.47 to the Companys 2000 Annual
Report on Form 10-K, File No. 001-14953, filed with
the Securities and Exchange Commission on March 16, 2001
and incorporated by reference herein. |
|
10 |
.48 |
|
|
|
Termination Agreement, dated April 13, 2000 between UICI,
UICI Acquisition Co., UICI Capital Trust I, and HealthPlan
Services Corporation, filed as Exhibit 10.48 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.49 * |
|
|
|
Management Agreement dated October 13, 2000 between UICI
and William P. Benac, filed as Exhibit 10.49 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.50 |
|
|
|
Information Technology Services Agreement by and between UICI
and Insurdata Incorporated (now HealthAxis, Inc.), dated
January 3, 2000, filed as Exhibit 10.50 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.51 |
|
|
|
Management Agreement between NMC Holdings, Inc. and UICI dated
July 27, 2000, filed as Exhibit 10.51 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
F-86
|
|
|
|
|
|
|
Exhibit | |
|
|
|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
10 |
.52 |
|
|
|
Administrative Service Agreement dated July 27,2000 between The
MEGA Life and Health Insurance Company and National Motor Club
of America, Inc. filed as Exhibit 10.52 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.53 |
|
|
|
Stock Purchase Agreement dated May 12, 2000 between UICI
and The Mega Life and Health Insurance Company with respect to
all of the outstanding capital stock of The Chesapeake Life
Insurance Company, filed as Exhibit 10.53 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.54 |
|
|
|
Promissory Note dated June 29, 2000 between UICI and
Columbus Bank and Trust maturing June 30, 2005, filed as
Exhibit 10.54 to the Companys 2000 Annual Report on
Form 10-K, File No. 001-14953, filed with the
Securities and Exchange Commission on March 16, 2001 and
incorporated by reference herein. |
|
10 |
.55 |
|
|
|
Stock Purchase Agreement dated June 20, 2000 between UICI
and The MEGA Life and Health Insurance Company with respect to
all of the Outstanding capital stock of AMLI Realty Co., filed
as Exhibit 10.55 to the Companys 2000 Annual Report
on Form 10-K, File No. 001-14953, filed with the
Securities and Exchange Commission on March 16, 2001 and
incorporated by reference herein. |
|
10 |
.56 |
|
|
|
Agreement dated September 15, 1999 between UICI and Onward
and Upward, Inc. (Put/ Call Agreement) with respect to the
TOP Plan Funding Obligation, together with extension agreements
dated August 15, 2000, October 16, 2000, and
February 7, 2001, filed as Exhibit 10.56 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.57 |
|
|
|
Promissory Note and Loan Agreement dated July 19, 2000
between United Group Reinsurance, Inc. and Money Services, Inc.,
maturing August 1, 2001, filed as Exhibit 10.57 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.58 |
|
|
|
Promissory Note and Loan Agreement dated July 19, 2000
between Financial Services Reinsurance Ltd. and Money Services,
Inc., maturing August 1, 2001, filed as Exhibit 10.58
to the Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.59 |
|
|
|
Promissory Note and Loan Agreement dated July 19, 2000
between U.S. Managers Life Insurance Company Ltd. and Money
Services, Inc., maturing August 1, 2001, filed as
Exhibit 10.59 to the Companys 2000 Annual Report on
Form 10-K, File No. 001-14953, filed with the
Securities and Exchange Commission on March 16, 2001 and
incorporated by reference herein. |
|
10 |
.60 |
|
|
|
Asset Purchase and Transfer Agreement dated August 4, 2000
between Specialized Card Services, Inc., United Credit National
Bank, UICI Receivables Funding Corporation, and UICI and
Household Bank (SB), N.A. and Household Credit Services, Inc.,
together with Amendment No. 1, filed as Exhibit 10.60
to the Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.61 |
|
|
|
Lease Agreement dated September 30, 2000 between Household
Credit Services, Inc. (tenant) and Specialized Card Services,
Inc. (Landlord), filed as Exhibit 10.61 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.62 |
|
|
|
Sublease Agreement dated July 27, 2000 between The Mega
Life and Health Insurance and National Motor Club of America,
Inc., filed as Exhibit 10.62 to the Companys 2000
Annual Report on Form 10-K, File No. 001-14953, filed
with the Securities and Exchange Commission on March 16,
2001 and incorporated by reference herein. |
F-87
|
|
|
|
|
|
|
Exhibit | |
|
|
|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
10 |
.63 |
|
|
|
Software License Agreement dated January 30, 2001 between
UICI and HealthAxis.com, filed as Exhibit 10.63 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with the Securities and Exchange
Commission on March 16, 2001 and incorporated by reference
herein. |
|
10 |
.64* |
|
|
|
Agreement, dated March 14, 2001, between UICI, MEGA and
Charles Prater, filed as Exhibit 10.64 to the
Companys 2000 Annual Report on Form 10-K, File
No. 001-14953, filed with |
|
|
|
|
|
|
the Securities and Exchange Commission on March 16, 2001
and incorporated by reference herein. |
|
10 |
.65 |
|
|
|
Loan agreement dated January 25, 2002 between UICI and Bank
of America, N. A. and La Salle Bank National Association,
filed as Exhibit 10.65 to the Companys 2001 Annual
Report on Form 10-K, File No. 001-14953, filed with
the Securities and Exchange Commission on March 22, 2002
and incorporated by reference herein. |
|
10 |
.66 |
|
|
|
General and First Supplemental Indenture between CLFD-I, Inc.
and Zions First National Bank, as Trustee relating to the
Student Loan Asset Backed Notes dated as of April 1,
2001, filed as Exhibit 10.66 to the Companys 2001
Annual Report on Form 10-K, File No. 001-14953, filed
with the Securities and Exchange Commission on March 22,
2002 and incorporated by reference herein. |
|
10 |
.67 |
|
|
|
Indenture agreement dated January 30, 2002 between
AMS-12002, LP as Issuer and Bank One, National Association, as
Indenture Trustee and Eligible Lender Trustee filed as
Exhibit 10.67 to the Companys 2001 Annual Report on
Form 10-K, File No. 001-14953, filed with the
Securities and Exchange Commission on March 22, 2002 and
incorporated by reference herein. |
|
10 |
.68 |
|
|
|
Stock purchase agreement dated February 28, 2002 among The
S.T.A.R. Human Resource Group, Inc., STAR Administrative
Services, Inc. and certain Shareholders and UICI filed as
Exhibit 10.68 to the Form 10-Q dated March 31,
2002, File No. 001-14953 and incorporated by reference
herein. |
|
10 |
.69 |
|
|
|
Second Supplemental Indenture, dated as of April 1, 2002,
between CFLD-I, Inc. and Zions First National Bank, as Trustee,
relating to $50,000,000 CFLD-I, Inc. Student Loan Asset
Backed Notes, Senior Series 2002A-1 (Auction Rate Certificates)
filed as Exhibit 10.69 to the Form 10-Q dated
June 30, 2002, File No. 001-14953 and incorporated by
reference herein. |
|
10 |
.70 |
|
|
|
Third Supplemental Indenture, dated as of April 1, 2002,
between CFLD-I, Inc. and Zions First National Bank, as Trustee,
amending General Indenture, dated as of April 1, 2001,
relating to CFLD-I, Inc. Student Loan Asset Backed Notes
filed as Exhibit 10.70 to the Form 10-Q dated
June 30, 2002, File No. 001-14953 and incorporated by
reference herein. |
|
10 |
.71 |
|
|
|
Indenture Agreement dated August 21, 2002 among AMS-2 2002,
LP, as Issuer, and BankOne, National Association, as Indenture
Trustee and Eligible Lenders Trustee filed as Exhibit 10.71
to the Form 10-Q dated September 30, 2002, File
No. 001-14953 and incorporated by reference herein |
|
10 |
.72 |
|
|
|
EFG-II Waiver dated July 24, 2003, entered into by MBIA
Insurance Corporation, Bank One, National Association, as
successor to The First National Bank of Chicago, not in its
individual capacity but solely as Indenture Trustee, Eligible
Lender Trustee and EFG Eligible Lender Trustee, EFG-II, LP, and
Academic Management Services Corp. filed as Exhibit 10.72
to the Form 10-Q dated June 30, 2003, File
No. 001-14953 and incorporated by reference herein. |
|
10 |
.73 |
|
|
|
EFG-III Waiver dated July 24, 2003, entered into by MBIA
Insurance Corporation, Fleet National Bank, Bank of America,
N.A., Bank One, National Association, as successor to The First
National Bank of Chicago, not in its individual capacity but
solely as Indenture Trustee and Eligible Lender Trustee, EFG-II
SPC-I, Inc., Academic Management Services Corp., and EFG Funding
LLC filed as Exhibit 10.73 to the Form 10-Q dated
June 30, 2003, File No. 001-14953 and incorporated by
reference herein. |
|
10 |
.74 |
|
|
|
EFG-IV Waiver dated July 24, 2003, entered into by MBIA |
F-88
|
|
|
|
|
|
|
Exhibit | |
|
|
|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
|
|
|
|
|
Insurance Corporation, Bank One, National Association, EFG-IV,
LP, and Academic Management Services Corp. filed as
Exhibit 10.74 to the Form 10-Q dated June 30,
2003, File No. 001-14953 and incorporated by reference
herein. |
|
10 |
.75 |
|
|
|
AMS-I Waiver dated July 24, 2003, entered into by MBIA
Insurance Corporation, AMS-1 2002, LP, and Academic Management
Services Corp. filed as Exhibit 10.75 to the Form 10-Q
dated June 30, 2003, File No. 001-14953 and
incorporated by reference herein. |
|
10 |
.76 |
|
|
|
Indenture Agreement dated May 8, 2003 among AMS-3 2003, LP,
as Issuer, and Bank One, National Association, as Indenture
Trustee and Eligible Lender Trustee filed as Exhibit 10.76
to the Form 10-Q dated June 30, 2003, File
No. 001-14953 and incorporated by reference herein. |
|
10 |
.77 |
|
|
|
Master Repurchase Agreement, dated as of August 7, 2003,
between Lehman Brothers Bank, FSB, and Academic Management
Services Corp. filed as Exhibit 10.77 to the Form 10-Q
dated June 30, 2003, File No. 001-14953 and
incorporated by reference herein. |
|
10 |
.78 |
|
|
|
Guaranty and Warranty Agreement, dated as of August 7, 2003
made by UICI in favor of Lehman Brothers Bank, FSB filed as
Exhibit 10.78 to the Form 10-Q dated June 30,
2003, File No. 001-14953 and incorporated by reference
herein. |
|
10 |
.79 |
|
|
|
Agreement between Student Loan Marketing Association, Fleet
National Bank (solely in its capacity as Trustee for the AMS
Education Loan Trust), and Academic Management Services, Inc.
dated July 1, 2000 and as amended June 25, 2003 and
July 29, 2003 filed as Exhibit 10.79 to the
Form 10-Q dated June 30, 2003, File No. 001-14953
and incorporated by reference herein. |
|
10 |
.80* |
|
|
|
Stock purchase agreement between Ronald L. Jensen and
Gregory T. Mutz filed as Exhibit 10.80 to the
Form 10-Q dated June 30, 2003, File No. 001-14953
and incorporated by reference herein. |
|
10 |
.81* |
|
|
|
Stock purchase agreement between UICI and Gregory T. Mutz
filed as Exhibit 10.81 to the Form 10-Q dated
June 30, 2003, File No. 001-14953 and incorporated by
reference herein. |
|
10 |
.82 |
|
|
|
Amendment No. 1 dated October 17, 2003 to EFG-IV
Waiver dated July 24, 2003, entered into by MBIA Insurance
Corporation, Bank One, National Association, EFG-IV, LP, and
Academic Management Services Corp. filed as Exhibit 10.82
to the Form 10-Q dated September 30, 2003, File
No. 001-14953 and incorporated by reference herein. |
|
10 |
.83 |
|
|
|
Amendment No. 1 dated October 17, 2003 to AMS-I Waiver
dated July 24, 2003, entered into by MBIA Insurance
Corporation, AMS-1 2002, LP, and Academic Management Services
Corp. filed as Exhibit 10.83 to the Form 10-Q dated
September 30, 2003, File No. 001-14953 and
incorporated by reference herein. |
|
10 |
.84 |
|
|
|
Amendment dated October 2, 2003 to Master Repurchase
Agreement dated August 7, 2003, between Lehman Brothers
Bank, FSB, and Academic Management Services Corp. filed as
Exhibit 10.84 to the Form 10-Q dated
September 30, 2003, File No. 001-14953 and
incorporated by reference herein. |
|
10 |
.85 |
|
|
|
Stock Purchase Agreement, dated October 29, 2003, between
UICI and SLM Corporation, contemplating the sale by UICI, and
the purchase by SLM Corporation, of all issued and outstanding
shares of Academic Management Services Corp. filed as
Exhibit 10.85 to the Current Report on Form 8-K dated
November 18, 2003, File No. 001-14953 and incorporated
by reference herein. |
|
10 |
.86 |
|
|
|
Amendment to Stock Purchase Agreement, dated November 18,
2003, between UICI and SLM Corporation filed as
Exhibit 10.86 to the Current Report on Form 8-K dated
November 18, 2003, File No. 001-14953 and incorporated
by reference herein. |
|
10 |
.87* |
|
|
|
Agreement, dated as of February 11, 2004, between the
Company and Gregory T. Mutz filed as Exhibit 10.87 to the
Form 10-K dated December 31, 2003, File
No. 001-14953 and incorporated by reference herein. |
|
10 |
.88 |
|
|
|
Amended and Restated Trust Agreement among UICI, JP Morgan
Chase Bank, Chase Manhattan Bank USA, National Association, and
The Administrative Trustees dated April 29, 2004 |
|
10 |
.89* |
|
|
|
Form of Grant Letter Pursuant to 1987 UICI Non-Qualified Stock
Option Agreement |
|
10 |
.90* |
|
|
|
Form of Stock Grant under UICIs 2000 and 2001 Restricted
Stock Agreement |
|
21 |
|
|
|
|
Subsidiaries of UICI |
F-89
|
|
|
|
|
|
|
Exhibit | |
|
|
|
|
Number | |
|
|
|
Description of Exhibit |
| |
|
|
|
|
|
23 |
|
|
|
|
Consent of Independent Registered Public Accounting Firm-KPMG LLP |
|
24 |
|
|
|
|
Power of Attorney |
|
31 |
.1 |
|
|
|
Certification of William J. Gedwed, Chief Executive Officer
of the Registrant, required by Rule 13a-14(a) or
Rule 15d-14(a) of the Securities Exchange Act of 1934 |
|
31 |
.2 |
|
|
|
Certification of Mark D. Hauptman, Chief Financial Officer
of the Registrant, required by Rule 13a-14(a) or
Rule 15d-14(a) of the Securities Exchange Act of 1934 |
|
32 |
.1 |
|
|
|
Certification of William J. Gedwed, Chief Executive Officer
of the Registrant, pursuant to §906 of the Sarbanes-Oxley
Act of 2002 |
|
32 |
.2 |
|
|
|
Certification of Mark D. Hauptman, Chief Financial Officer
of the Registrant, pursuant to §906 of the Sarbanes-Oxley
Act of 2002 |
|
|
* |
Indicates that exhibit constitutes an Executive Compensation
Plan or Arrangement |
F-90