e10vq
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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þ |
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QUARTER REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended September 30, 2007
OR
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o |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to .
Commission file number: 001-14953
HEALTHMARKETS, INC.
(Exact name of registrant as specified in its charter)
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Delaware
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75-2044750 |
(State or other jurisdiction of
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(I.R.S. Employer |
incorporation or organization)
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Identification Number) |
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9151 Boulevard 26, North Richland Hills, Texas 76180
(Address of principal executive offices, zip code)
(817) 255-5200
(Registrants phone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated
filer or a non-accelerated filer. (See definition of accelerated filer and large accelerated
filer in Rule 12b-2 of the Exchange Act).
Large accelerated filer o Accelerated filer o Non-accelerated filer þ
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
On October 26, 2007 the registrant had 26,816,670 outstanding shares of Class A-1 Common
Stock, $.01 Par Value, and 3,758,559 outstanding shares of Class A-2 Common Stock, $.01 Par Value.
HEALTHMARKETS, INC.
and Subsidiaries
Third Quarter 2007 Form 10-Q
TABLE OF CONTENTS
PART 1. FINANCIAL INFORMATION
ITEM 1. Financial Statements
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED BALANCE SHEETS
(In thousands, except per share data)
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September 30, |
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December 31, |
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2007 |
|
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2006 |
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|
(Unaudited) |
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|
ASSETS |
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Investments: |
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Securities available for sale |
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|
|
|
|
|
|
Fixed
maturities, at fair value (cost: 2007$1,348,980 ; 2006$1,391,275) |
|
$ |
1,326,701 |
|
|
$ |
1,374,403 |
|
Equity
securities, at fair value (cost: 2007$312 ; 2006$283) |
|
|
351 |
|
|
|
318 |
|
Policy loans |
|
|
14,336 |
|
|
|
14,625 |
|
Short-term and other investments |
|
|
167,122 |
|
|
|
412,498 |
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|
|
|
|
|
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|
Total investments |
|
|
1,508,510 |
|
|
|
1,801,844 |
|
Cash and cash equivalents |
|
|
|
|
|
|
32,756 |
|
Student loans |
|
|
97,365 |
|
|
|
105,846 |
|
Restricted cash |
|
|
9,464 |
|
|
|
16,238 |
|
Investment income due and accrued |
|
|
20,964 |
|
|
|
22,633 |
|
Due premiums |
|
|
3,879 |
|
|
|
3,299 |
|
Reinsurance receivables |
|
|
75,618 |
|
|
|
155,283 |
|
Agents and other receivables |
|
|
51,071 |
|
|
|
39,232 |
|
Deferred acquisition costs |
|
|
200,000 |
|
|
|
197,757 |
|
Property and equipment, net |
|
|
72,411 |
|
|
|
64,436 |
|
Goodwill and other intangible assets |
|
|
85,585 |
|
|
|
86,871 |
|
Recoverable federal income taxes |
|
|
|
|
|
|
23,929 |
|
Other assets |
|
|
36,454 |
|
|
|
38,205 |
|
|
|
|
|
|
|
|
Total assets |
|
$ |
2,161,321 |
|
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$ |
2,588,329 |
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|
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LIABILITIES AND STOCKHOLDERS EQUITY |
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Policy liabilities: |
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Future policy and contract benefits |
|
$ |
463,643 |
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$ |
453,715 |
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Claims |
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|
457,803 |
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|
517,132 |
|
Unearned premiums |
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|
92,691 |
|
|
|
151,758 |
|
Other policy liabilities |
|
|
10,808 |
|
|
|
12,569 |
|
Accounts payable and accrued expenses |
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|
56,883 |
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|
48,363 |
|
Cash overdraft |
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|
2,132 |
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Other liabilities |
|
|
98,536 |
|
|
|
128,018 |
|
Federal Income tax payable |
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|
2,514 |
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|
|
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|
Deferred federal income tax |
|
|
75,438 |
|
|
|
73,575 |
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Debt |
|
|
481,070 |
|
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|
556,070 |
|
Student loan credit facility |
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|
101,800 |
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|
|
118,950 |
|
Net liabilities of discontinued operations |
|
|
2,708 |
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|
3,794 |
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|
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|
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Total liabilities |
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|
1,846,026 |
|
|
|
2,063,944 |
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Commitments and contingencies |
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Stockholders Equity: |
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Preferred stock, par value $0.01 per share |
|
|
|
|
|
|
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|
Common stock, par value $0.01 per share |
|
|
309 |
|
|
|
300 |
|
Additional paid-in capital |
|
|
52,543 |
|
|
|
12,529 |
|
Accumulated other comprehensive loss |
|
|
(17,581 |
) |
|
|
(12,552 |
) |
Retained earnings |
|
|
290,519 |
|
|
|
527,978 |
|
Treasury stock, at cost |
|
|
(10,495 |
) |
|
|
(3,870 |
) |
|
|
|
|
|
|
|
Total stockholders equity |
|
|
315,295 |
|
|
|
524,385 |
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|
|
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|
Total liabilities and stockholders equity |
|
$ |
2,161,321 |
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$ |
2,588,329 |
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
1
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF INCOME
(In thousands, except per share data)
(Unaudited)
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Three Months Ended |
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Nine Months Ended |
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September 30, |
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September 30, |
|
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2007 |
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|
2006 |
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|
2007 |
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2006 |
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Health premiums |
|
$ |
330,742 |
|
|
$ |
395,557 |
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|
$ |
999,008 |
|
|
$ |
1,286,587 |
|
Life premiums and other considerations |
|
|
18,165 |
|
|
|
16,664 |
|
|
|
51,990 |
|
|
|
49,144 |
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
348,907 |
|
|
|
412,221 |
|
|
|
1,050,998 |
|
|
|
1,335,731 |
|
Investment income |
|
|
25,231 |
|
|
|
25,699 |
|
|
|
77,963 |
|
|
|
77,012 |
|
Other income |
|
|
25,561 |
|
|
|
25,456 |
|
|
|
78,768 |
|
|
|
76,790 |
|
Gains (losses) on sales of investments |
|
|
(458 |
) |
|
|
99,192 |
|
|
|
(1,210 |
) |
|
|
101,733 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
399,241 |
|
|
|
562,568 |
|
|
|
1,206,519 |
|
|
|
1,591,266 |
|
|
|
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|
|
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|
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BENEFITS AND EXPENSES |
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|
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|
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Benefits, claims, and settlement expenses |
|
|
188,755 |
|
|
|
226,881 |
|
|
|
600,599 |
|
|
|
755,403 |
|
Underwriting, acquisition, and insurance expenses |
|
|
126,791 |
|
|
|
140,332 |
|
|
|
380,682 |
|
|
|
451,567 |
|
Other expenses |
|
|
21,374 |
|
|
|
27,782 |
|
|
|
67,833 |
|
|
|
130,193 |
|
Interest expense |
|
|
11,826 |
|
|
|
13,421 |
|
|
|
37,671 |
|
|
|
27,759 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
348,746 |
|
|
|
408,416 |
|
|
|
1,086,785 |
|
|
|
1,364,922 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
Income from continuing operations before income taxes |
|
|
50,495 |
|
|
|
154,152 |
|
|
|
119,734 |
|
|
|
226,344 |
|
Federal income taxes |
|
|
17,240 |
|
|
|
64,278 |
|
|
|
40,888 |
|
|
|
91,944 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations |
|
|
33,255 |
|
|
|
89,874 |
|
|
|
78,846 |
|
|
|
134,400 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations, net of income tax |
|
|
226 |
|
|
|
301 |
|
|
|
689 |
|
|
|
20,663 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
33,481 |
|
|
$ |
90,175 |
|
|
$ |
79,535 |
|
|
$ |
155,063 |
|
|
|
|
|
|
|
|
|
|
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|
|
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|
Basic earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations |
|
$ |
1.08 |
|
|
$ |
3.01 |
|
|
$ |
2.59 |
|
|
$ |
3.68 |
|
Income from discontinued operations |
|
|
0.01 |
|
|
|
0.01 |
|
|
|
0.03 |
|
|
|
0.57 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share, basic |
|
$ |
1.09 |
|
|
$ |
3.02 |
|
|
$ |
2.62 |
|
|
$ |
4.25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations |
|
$ |
1.05 |
|
|
$ |
2.94 |
|
|
$ |
2.52 |
|
|
$ |
3.60 |
|
Income from discontinued operations |
|
|
0.01 |
|
|
|
0.01 |
|
|
|
0.02 |
|
|
|
0.56 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share, diluted |
|
$ |
1.06 |
|
|
$ |
2.95 |
|
|
$ |
2.54 |
|
|
$ |
4.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
2
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
Net income |
|
$ |
33,481 |
|
|
$ |
90,175 |
|
|
$ |
79,535 |
|
|
$ |
155,063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (loss): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized gains (losses) on securities available for sale |
|
|
13,523 |
|
|
|
31,609 |
|
|
|
(6,093 |
) |
|
|
(7,518 |
) |
Reclassification for investment gains (losses) included in net income |
|
|
42 |
|
|
|
(679 |
) |
|
|
690 |
|
|
|
(187 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect on other comprehensive income from investment securities |
|
|
13,563 |
|
|
|
30,930 |
|
|
|
(5,403 |
) |
|
|
(7,705 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized losses on derivatives used in cash flow hedging during the period |
|
|
(4,788 |
) |
|
|
(5,092 |
) |
|
|
(2,050 |
) |
|
|
(2,568 |
) |
Reclassification adjustment for losses included in net income |
|
|
(30 |
) |
|
|
(27 |
) |
|
|
(303 |
) |
|
|
(47 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect on other comprehensive income from hedging activities |
|
|
(4,818 |
) |
|
|
(5,119 |
) |
|
|
(2,353 |
) |
|
|
(2,615 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (losses) before tax |
|
|
8,747 |
|
|
|
25,811 |
|
|
|
(7,756 |
) |
|
|
(10,320 |
) |
Income tax expense (benefit) related to items of other comprehensive income (loss) |
|
|
3,051 |
|
|
|
9,033 |
|
|
|
(2,727 |
) |
|
|
(3,613 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (loss) net of tax |
|
|
5,696 |
|
|
|
16,778 |
|
|
|
(5,029 |
) |
|
|
(6,707 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income |
|
$ |
39,177 |
|
|
$ |
106,953 |
|
|
$ |
74,506 |
|
|
$ |
148,356 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
3
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
Operating Activities: |
|
|
|
|
|
|
|
|
Net income |
|
$ |
79,535 |
|
|
$ |
155,063 |
|
Income from discontinued operations |
|
|
(689 |
) |
|
|
(20,663 |
) |
Adjustments to reconcile net income to cash provided by operating activities: |
|
|
|
|
|
|
|
|
Gains (losses) on sales of investments |
|
|
1,210 |
|
|
|
(101,733 |
) |
Change in deferred income taxes |
|
|
4,592 |
|
|
|
1,348 |
|
Depreciation and amortization |
|
|
19,327 |
|
|
|
17,349 |
|
Equity based compensation expense |
|
|
4,046 |
|
|
|
3,076 |
|
Variable non-cash stock-based compensation |
|
|
2,547 |
|
|
|
3,024 |
|
Changes in assets and liabilities, net of effects from acquisitions: |
|
|
|
|
|
|
|
|
Investment income due and accrued |
|
|
(1,418 |
) |
|
|
(2,642 |
) |
Due premiums |
|
|
(580 |
) |
|
|
123 |
|
Reinsurance receivables |
|
|
79,665 |
|
|
|
(20,985 |
) |
Other receivables |
|
|
(15,847 |
) |
|
|
3,894 |
|
Deferred acquisition costs |
|
|
(2,243 |
) |
|
|
2,371 |
|
Prepaid monitoring fees |
|
|
(3,125 |
) |
|
|
|
|
Current income tax payable |
|
|
26,443 |
|
|
|
40,623 |
|
Policy liabilities |
|
|
(104,840 |
) |
|
|
(2,816 |
) |
Other liabilities and accrued expenses |
|
|
(2,900 |
) |
|
|
14,377 |
|
Other items, net |
|
|
70 |
|
|
|
(479 |
) |
|
|
|
|
|
|
|
Cash provided by continuing operations |
|
|
85,797 |
|
|
|
91,930 |
|
Cash (used in) provided by discontinued operations |
|
|
(397 |
) |
|
|
19,825 |
|
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
85,396 |
|
|
|
111,755 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing Activities: |
|
|
|
|
|
|
|
|
Decrease in investment assets |
|
|
287,780 |
|
|
|
34,896 |
|
Decrease in student loans |
|
|
9,915 |
|
|
|
6,210 |
|
Decrease in restricted cash |
|
|
6,774 |
|
|
|
2,996 |
|
Purchase of property and equipment |
|
|
(22,584 |
) |
|
|
(9,601 |
) |
Intangible asset acquired |
|
|
|
|
|
|
(47,500 |
) |
Distribution from investment in Grapevine Finance LLC |
|
|
581 |
|
|
|
71,929 |
|
Decrease (increase) in agents receivables |
|
|
3,700 |
|
|
|
(6,835 |
) |
Decrease in other investing activities |
|
|
|
|
|
|
10,321 |
|
|
|
|
|
|
|
|
Net cash used in investing activities |
|
|
286,166 |
|
|
|
62,416 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing Activities: |
|
|
|
|
|
|
|
|
Increase in investment products |
|
|
(5,387 |
) |
|
|
(7,038 |
) |
Repayment of student loan credit facility |
|
|
(17,150 |
) |
|
|
(8,000 |
) |
Debt proceeds (proceeds received for merger) |
|
|
|
|
|
|
603,100 |
|
Repayment of debt |
|
|
(75,000 |
) |
|
|
(62,500 |
) |
Purchase of treasury stock |
|
|
(30,318 |
) |
|
|
(1,618,103 |
) |
Dividends paid |
|
|
(316,996 |
) |
|
|
|
|
Change in cash overdraft |
|
|
2,132 |
|
|
|
(3,736 |
) |
Capitalized debt issuance costs |
|
|
|
|
|
|
(32,539 |
) |
Equity costs related to Merger |
|
|
|
|
|
|
(31,650 |
) |
Excess tax benefits from equity-based compensation |
|
|
126 |
|
|
|
1,289 |
|
Contributions from private equity investors |
|
|
|
|
|
|
985,000 |
|
Proceeds from issuance of common stock, net of expenses |
|
|
404 |
|
|
|
2,449 |
|
Proceeds from sale of shares to agent plans |
|
|
37,822 |
|
|
|
6,356 |
|
Other |
|
|
49 |
|
|
|
621 |
|
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(404,318 |
) |
|
|
(164,751 |
) |
|
|
|
|
|
|
|
Net change in cash and cash equivalents |
|
|
(32,756 |
) |
|
|
9,420 |
|
Cash and cash equivalents at beginning of period |
|
|
32,756 |
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period in continuing operations |
|
$ |
|
|
|
$ |
9,420 |
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
4
HEALTHMARKETS, INC.
and Subsidiaries
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited)
1. BASIS OF PRESENTATION
The accompanying unaudited consolidated condensed financial statements for HealthMarkets, Inc.
(the Company or HealthMarkets) and its subsidiaries have been prepared in accordance with
United States generally accepted accounting principles (GAAP) for interim financial information
and the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, such financial
statements do not include all of the information and notes required by GAAP for complete financial
statements. In the opinion of management, these financial statements include all adjustments,
consisting of normal recurring adjustments and accruals, necessary for a fair presentation of the
consolidated balance sheets, statements of income, statements of comprehensive income and
statements of cash flows for the periods presented. Operating results for the three and nine month
periods ended September 30, 2007 are not necessarily indicative of the results that may be expected
for the full year ending December 31, 2007. For further information, refer to the consolidated
financial statements and notes thereto included in the Companys Annual Report on Form 10-K for the
year ended December 31, 2006.
Claim Liability Estimates Self-Employed Agency Division
As more particularly described below, results at the SEA Division for the nine months ended
September 30, 2007 reflected benefits associated with refinements in the Companys estimate of its
claim liability. For financial reporting purposes, these refinements are considered to be changes
in estimates resulting from additional information.
During the second and third quarters of 2007, the Company experienced a reduction to the claim
liability of $5.0 million and $4.5 million, respectively. The decrease in the third quarter is
attributable to an update of the completion factors used in estimating the claim liability for the
Accumulated Covered Expense (ACE) rider, an optional benefit available with certain
scheduled/basic health insurance products. The reduction in the second quarter reflects an
increasing reliance on actual historical data for the ACE rider in lieu of large claim data derived
from other products. Also, during the third quarter of 2007, the claim liability was reduced by
$12.4 million resulting from a refinement to the estimate of unpaid claim liability specifically
for the most recent incurral months. In particular, the Company reassessed its claim liability
estimates among product lines between the more mature scheduled benefit products that have more
historical data and are more predictable, and the newer products that are less mature, have less
historical data and are more susceptible to adverse deviation.
Recent Accounting Pronouncements
In February 2007, the Financial Accounting Standards Board (FASB) issued FAS No. 159, The
Fair Value Option for Financial Assets and Financial Liabilities (FAS 159). FAS 159 permits an
entity to elect fair value as the initial and subsequent measurement attribute for many financial
assets and liabilities. Entities electing the fair value option would be required to recognize
changes in fair value in earnings. Entities electing the fair value option are required to
distinguish on the face of the statement of financial position, the fair value of assets and
liabilities for which the fair value option has been elected and similar assets and liabilities
measured using another measurement attribute. FAS 159 is effective for fiscal year 2008. The
adjustment to reflect the difference between the fair value and the carrying amount would be
accounted for as a cumulative-effect adjustment to retained earnings as of the date of initial
adoption. The Company is currently evaluating the impact, if any, of FAS 159 on the Consolidated
Condensed Financial Statements.
In September 2006, the FASB issued Statement No. 157, Fair Value Measurement (FAS 157), which
defines fair value as the price that would be received to sell an asset or that would be paid to
transfer a liability in an orderly transaction between market participants at the measurement date.
FAS 157 establishes a framework for measuring fair value and expands disclosures about fair value
measurements. FAS 157 will be effective for financial statements issued for fiscal year 2008. The
Company is currently evaluating the impact, if any, of FAS 157 on the Consolidated Condensed
Financial Statements.
5
In 2005, the American Institute of Certified Public Accountants issued Statement of Position
(SOP) 05-1, Accounting by Insurance Enterprises for Deferred Acquisition Costs in Connection With
Modifications or Exchanges of Insurance Contracts, for implementation in the first quarter of 2007.
The SOP requires that deferred acquisition costs be expensed in full when the original contract is
substantially changed by election or amendment of an existing contract feature or by replacement
with a new contract. The Company implemented the SOP for contract changes beginning in the first
quarter of 2007 with no material effects to the financial statements at implementation.
2. DEBT
In connection with the Merger completed on April 5, 2006, HealthMarkets, LLC, a direct
wholly-owned subsidiary of the Company, entered into a credit agreement, providing for a $500.0
million term loan facility and a $75.0 million revolving credit facility, which includes a $35.0
million letter of credit sub-facility. The full amount of the term loan was drawn at closing, and
the proceeds were used to fund a portion of the consideration paid in the Merger. At September 30,
2007, the Company had an aggregate of $362.5 million of indebtedness outstanding under the term
loan facility, which indebtedness bore interest at the London inter-bank offered rate (LIBOR)
plus a borrowing margin of 1.00%. The Company has not drawn on the $75.0 million revolving credit
facility.
The revolving credit facility will mature on April 5, 2011, and the term loan facility will
mature on April 5, 2012. The term loan requires nominal quarterly installments (not exceeding
0.25% of the aggregate principal amount at the date of issuance) until the maturity date at which
time the remaining principal amount is due. Borrowings under the credit agreement may be subject to
certain mandatory prepayments. At HealthMarkets, LLCs election, the interest rates per annum
applicable to borrowings under the credit agreement will be based on a fluctuating rate of interest
measured by reference to either (a) LIBOR plus a borrowing margin, or (b) a base rate plus a
borrowing margin. HealthMarkets, LLC will pay (a) fees on the unused loan commitments of the
lenders, (b) letter of credit participation fees for all letters of credit issued, plus fronting
fees for the letter of credit issuing bank, and (c) other customary fees in respect of the credit
facility. Borrowings and other obligations under the credit agreement are secured by a pledge of
HealthMarkets, LLCs interest in substantially all of its subsidiaries, including the capital stock
of The MEGA Life and Health Insurance Company (MEGA), Mid-West National Life Insurance Company of
Tennessee (Mid-West) and The Chesapeake Life Insurance Company (Chesapeake).
On April 5, 2006, HealthMarkets Capital Trust I and HealthMarkets Capital Trust II (two newly
formed Delaware statutory business trusts, collectively the Trusts) issued $100.0 million of
floating rate trust preferred securities (the Trust Securities) and $3.1 million of floating rate
common securities. The Trusts invested the proceeds from the sale of the Trust Securities,
together with the proceeds from the issuance to HealthMarkets, LLC by the Trusts of the common
securities, in $100.0 million principal amount of HealthMarkets, LLCs Floating Rate Junior
Subordinated Notes due June 15, 2036 (the Notes), of which $50.0 million principal amount accrue
interest at a floating rate equal to three-month LIBOR plus 3.05% and $50.0 million principal
amount accrue interest at a fixed rate of 8.367% through but excluding June 15, 2011 and thereafter
at a floating rate equal to three-month LIBOR plus 3.05%. Distributions on the Trust Securities
will be paid at the same interest rates paid on the Notes.
The Notes, which constitute the sole assets of the Trusts, are subordinate and junior in right
of payment to all senior indebtedness of HealthMarkets, LLC. The Company has fully and
unconditionally guaranteed the payment by the Trusts of distributions and other amounts payable
under the Trust Securities. The guarantee is subordinated to the same extent as the Notes.
The Trusts are obligated to redeem the Trust Securities when the Notes are paid at maturity or
upon any earlier prepayment of the Notes. Prior to June 15, 2011, the Notes may be redeemed only
upon the occurrence of certain tax or investment company events at 105.0% of the principal amount
thereof in the first year reducing by 1.25% per year until it reaches 100.0%. On and after June
15, 2011 the Notes are redeemable, in whole or in part, at the option of the Company at 100.0% of
the principal amount thereof.
6
On April 29, 2004, UICI Capital Trust I (a newly formed Delaware statutory business trust, the
2004 Trust) completed the private placement of $15.0 million aggregate issuance amount of
floating rate trust preferred securities with an aggregate liquidation value of $15.0 million (the
2004 Trust Preferred Securities). The 2004 Trust invested the $15.0 million proceeds from the
sale of the 2004 Trust Preferred Securities, together with the proceeds from the issuance to the
Company by the 2004 Trust of its floating rate common securities in the amount of $470,000 (the
Common Securities and, collectively with the 2004 Trust Preferred Securities, the 2004 Trust
Securities), in an equivalent face amount of the Companys Floating Rate Junior Subordinated Notes
due 2034 (the 2004 Notes). The 2004 Notes will mature on April 29, 2034, which date may be
accelerated to a date not earlier than April 29, 2009. The 2004 Notes may be prepaid prior to April
29, 2009, at 107.5% of the principal amount thereof, upon the occurrence of certain events, and
thereafter at 100.0% of the principal amount thereof. The 2004 Notes, which constitute the sole
assets of the 2004 Trust, are subordinate and junior in right of payment to all senior indebtedness
(as defined in the Indenture, dated April 29, 2004, governing the terms of the 2004 Notes) of the
Company. The 2004 Notes accrue interest at a floating rate equal to three-month LIBOR plus 3.50%,
payable quarterly on February 15, May 15, August 15, and November 15 of each year. The quarterly
distributions on the 2004 Trust Securities are paid at the same interest rate paid on the 2004
Notes.
The following table sets forth detail of the Companys debt and interest expense (dollars in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Expense |
|
|
|
Principal Amount |
|
|
|
|
|
|
Three Months |
|
|
Nine Months |
|
|
|
at |
|
|
Interest rate at |
|
|
Ended |
|
|
Ended |
|
|
|
September 30, 2007 |
|
|
September 30, 2007 |
|
|
September 30, 2007 |
|
|
September 30, 2007 |
|
|
|
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
$ |
362,500 |
|
|
|
6.36 |
% |
|
$ |
5,617 |
|
|
$ |
18,861 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
N/A |
|
|
|
40 |
|
|
|
121 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
9.06 |
% |
|
|
355 |
|
|
|
1,044 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
8.74 |
% |
|
|
1,115 |
|
|
|
3,294 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
8.37 |
% |
|
|
1,102 |
|
|
|
3,271 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest on Deferred Tax |
|
|
|
|
|
|
8.0 |
% |
|
|
1,065 |
|
|
|
3,219 |
|
Student loan credit facility |
|
|
101,800 |
|
|
|
6.52 |
% |
|
|
1,465 |
|
|
|
4,430 |
|
Amortization of financing fees |
|
|
|
|
|
|
N/A |
|
|
|
1,067 |
|
|
|
3,431 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
582,870 |
|
|
|
|
|
|
$ |
11,826 |
|
|
$ |
37,671 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal payments required for the Companys non-student loan debt for the remainder of 2007
and each of the next five years and thereafter are as follows (in thousands):
|
|
|
|
|
Remainder of 2007 |
|
$ |
|
|
2008 |
|
|
|
|
2009 |
|
|
|
|
2010 |
|
|
|
|
2011 |
|
|
|
|
2012 |
|
|
362,500 |
|
2013 and thereafter |
|
|
118,570 |
|
|
|
|
|
|
|
$ |
481,070 |
|
|
|
|
|
Management uses derivative instruments to protect against the risk of changes in prevailing
interest rates adversely affecting future cash flows associated with the term loan credit facility
discussed above. The derivative instrument used by the Company to protect against such risk is the
interest rate swap. The Company accounts for its interest rate swaps in accordance with FAS 133,
Accounting for Derivative Instruments and Hedging Activities.
As with any financial instrument, derivative instruments have inherent risks, primarily market
and credit risk. Market risk associated with changes in interest rates is managed as part of the
Companys overall market risk monitoring process by establishing and monitoring limits as to the
degree of risk that may be undertaken. Credit risk occurs when a counterparty to a derivative
contract in which the Company has an unrealized gain fails to perform according to the terms of the
agreement. The Company minimizes its credit risk by entering into transactions with counterparties
that maintain high credit ratings.
7
For a derivative instrument designated as a cash flow hedge, the effective portion of changes
in the fair value of the derivative instrument is recorded under the caption Unrealized gains
(losses) on securities and hedging activities in the Companys Consolidated Condensed Statement of
Comprehensive Income and is recognized in the income statement when the hedged item affects results
of operations. If it is determined that (i) an interest rate swap is not highly effective in
offsetting changes in the cash flows of a hedged item, (ii) the derivative expires or is sold,
terminated or exercised, or (iii) the derivative is undesignated as a hedge instrument because it
is unlikely that a forecasted transaction will occur, the Company discontinues hedge accounting
prospectively.
If hedge accounting is discontinued, the derivative instrument will continue to be carried at
fair value, with changes in the fair value of the derivative instrument recognized in the current
periods results of operations. When hedge accounting is discontinued because it is probable that a
forecasted transaction will not occur, the accumulated gains and losses included in accumulated
other comprehensive income will be recognized immediately in results of operations. When hedge
accounting is discontinued because the derivative instrument has not been or will not continue to
be highly effective as a hedge, hedge accounting is discontinued and the remaining amount in
accumulated other comprehensive income is amortized into earnings over the remaining life of the
derivative.
At the effective date of the Merger, an affiliate of The Blackstone Group assigned to the
Company three interest rate swap agreements with an aggregate notional amount of $300.0 million.
The terms of the swaps are 3, 4 and 5 years beginning on April 11, 2006. The Company presents the
fair value of the interest rate swap agreements at the end of the period in either Other assets
or Other liabilities, as applicable, on its consolidated condensed balance sheet. At September
30, 2007, the interest rate swaps had an aggregate fair value of approximately $2.6 million, which
is reflected under the caption Other Liabilities. The Company redesignated the hedging
relationship in February 2007 to hedge the risk of changes in the Companys cash flow attributable
to changes in the LIBOR rate applicable to its variable-rate term loan. The Company assesses, on a
quarterly basis, the ineffectiveness of the hedging relationship and any gains or losses related to
the ineffectiveness are recorded in Other investment income on its consolidated condensed
statement of income. During the three and nine months ended September 30, 2007, the Company
incurred a loss of $78,000 and $24,000, respectively, related to the ineffectiveness of the
interest rate swap. The Company does not expect the ineffectiveness related to its hedging activity
to be material to the Companys financial results in the future. There were no components of the
derivative instruments that were excluded from the assessment of hedge effectiveness.
During the quarter ended September 30, 2007, pretax income of $273,000 ($177,000 net of tax)
was reclassified into interest expense from accumulated other comprehensive income as adjustments
to interest payments on variable rate debt. In addition, $165,000 ($107,000 net of tax) was
reclassified into earnings associated with the previous termination of the hedging relationship in
the fourth quarter of 2006.
During the nine months ended September 30, 2007, pretax income of $816,000 ($530,000 net of
tax) was reclassified into interest expense from accumulated other comprehensive income as
adjustments to interest payments on variable rate debt. In addition, $489,000 ($318,000 net of tax)
was reclassified into earnings associated with the previous termination of the hedging relationship
in the fourth quarter of 2006. At September 30, 2007, accumulated other comprehensive income
included a deferred after-tax net loss of $3.1 million related to the interest rate swaps of which
$2.0 million ($1.3 million net of tax) is the remaining amount of loss associated with the previous
terminated hedging relationship. This amount is expected to be reclassified into earnings in
conjunction with the interest payments on the variable rate debt through April 2011.
The Company uses regression analysis to assess the hedge effectiveness in achieving the
offsetting cash flows attributable to the risk being hedged. In addition, the Company utilizes the
hypothetical derivative methodology for the measurement of ineffectiveness. Derivative gains and
losses not effective in hedging the expected cash flows will be recognized immediately in earnings.
3. FEDERAL INCOME TAXES
In June 2006, the FASB issued FASB Interpretation 48, Accounting for Uncertainty in Income
Taxes, an interpretation of FAS No. 109 Accounting for Income Taxes. The Interpretation prescribes
a recognition threshold and measurement attribute for the financial statement recognition and
measurement of the tax benefits from the tax position taken or expected to be taken in a tax
return. Adoption of this pronouncement did not effect the Companys financial position and no
cumulative effect adjustment was required to the January 1, 2007 balance of retained earnings.
8
As of January 1, 2007, the Company maintained a liability for uncertain tax positions in the
amount of $1.1 million which consists solely of accrued interest related to a tax position that
involves the uncertain timing of a deduction claimed on a tax return. Accrued interest and
applicable penalties, if any, on uncertain tax positions are recorded as a component of income
taxes but is not significant for the quarter ended September 30, 2007. The uncertain tax position
is currently under examination. The years that remain subject to federal tax examination are all
years after 2002.
4. NET INCOME PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands, except per share amounts) |
|
Income from continuing operations |
|
$ |
33,255 |
|
|
$ |
89,874 |
|
|
$ |
78,846 |
|
|
$ |
134,400 |
|
Income from discontinued operations |
|
|
226 |
|
|
|
301 |
|
|
|
689 |
|
|
|
20,663 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income available to common shareholders |
|
$ |
33,481 |
|
|
$ |
90,175 |
|
|
$ |
79,535 |
|
|
$ |
155,063 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, basic |
|
|
30,675 |
|
|
|
29,825 |
|
|
|
30,398 |
|
|
|
36,466 |
|
Dilutive effect of stock options and other shares |
|
|
951 |
|
|
|
748 |
|
|
|
858 |
|
|
|
764 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, dilutive |
|
|
31,626 |
|
|
|
30,573 |
|
|
|
31,256 |
|
|
|
37,230 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
1.08 |
|
|
$ |
3.01 |
|
|
$ |
2.59 |
|
|
$ |
3.68 |
|
From discontinued operations |
|
|
0.01 |
|
|
|
0.01 |
|
|
|
0.03 |
|
|
|
0.57 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share, basic |
|
$ |
1.09 |
|
|
$ |
3.02 |
|
|
$ |
2.62 |
|
|
$ |
4.25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
1.05 |
|
|
$ |
2.94 |
|
|
$ |
2.52 |
|
|
$ |
3.60 |
|
From discontinued operations |
|
|
0.01 |
|
|
|
0.01 |
|
|
|
0.02 |
|
|
|
0.56 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share, diluted |
|
$ |
1.06 |
|
|
$ |
2.95 |
|
|
$ |
2.54 |
|
|
$ |
4.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of September 30, 2007, 26,917,310 shares of Class A-1 common stock were issued, of which
26,816,670 were outstanding and 100,640 shares were held in treasury and 3,952,204 shares of Class
A-2 common stock were issued, of which 3,795,268 shares were outstanding and 156,936 shares were
held in treasury.
5. COMMITMENTS AND CONTINGENCIES
The Company is a party to the following material legal proceedings:
Academic Management Services Corp. Related Litigation
As previously disclosed, in May and June 2004, HealthMarkets and certain officers and current
and former directors of HealthMarkets were named as defendants in four separate class action suits
arising out of HealthMarkets 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., formerly a wholly-owned subsidiary of HealthMarkets until its disposition in November 2003.
On October 18, 2004, the four separate cases were consolidated as a single action, in HealthMarkets
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 May 27, 2005, plaintiffs on behalf of the
purported class of similarly situated individuals who purchased HealthMarkets common stock during
the period commencing February 7, 2002 and ending on July 21, 2003, filed a First Amended
Consolidated Complaint alleging among other things that HealthMarkets, AMS, the Companys former
chief financial officer, the Companys former chief executive officer and AMS former president
failed to disclose all material facts relating to the condition of AMS, in violation of Section
10(b) of the Securities Exchange Act of 1934 and Rule 10b-5 thereunder. On October 4, 2007, the
parties executed a settlement agreement and, on October 11, 2007, the Court entered an order
preliminarily approving the settlement. The final settlement hearing has been scheduled for
January 23, 2008. The Company currently believes that resolution of this matter will not have a
material adverse effect on the Companys consolidated financial condition or results of operations.
HealthMarkets has agreed to advance the expenses of the individual defendants incurred in
connection with the defense of the case, 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 HealthMarkets under the terms of the Companys bylaws.
9
Association Group Litigation
The health insurance products issued by the Companys insurance subsidiaries in the
self-employed market are primarily issued to members of various membership associations that make
available to their members the health insurance and other insurance products issued by the
Companys insurance subsidiaries. The associations provide their membership with a number of
benefits and products, including the opportunity to apply for health insurance underwritten by the
Companys health insurance subsidiaries. As previously disclosed, the Company and/or its insurance
company subsidiaries have been named as defendants in numerous cases in California and in other
jurisdictions challenging, among other things, the manner in which the defendants market health
insurance products in the self-employed market and the nature of the relationship between the
Companys insurance companies and the associations that have made available to their members the
insurance companies health insurance products. Plaintiffs in such cases generally seek injunctive
relief and monetary damages in an unspecified amount. Reference is made to the discussion of these
cases contained in the Companys Annual Report on Form 10-K for the year ended December 31, 2006
under the caption Item 3 Legal Proceedings and in Note P of Notes to the Companys Consolidated
Financial Statements included in such report.
As previously disclosed, the Company 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. On November 8, 2007, the parties completed the
negotiation of definitive settlement documentation and are in the
process of obtaining signatures of all parties to the settlement
agreement. Final resolution of this case is subject to approval by
the Court. The Company currently believes that the terms of the
settlement as contemplated by the settlement agreement will not have
a material adverse effect on the Companys consolidated financial
condition or results of operation.
As previously disclosed, the Company and MEGA were named as defendants in an action filed on
June 25, 2006 (Christopher Closson, individually, and as Successor in interest to Kathy Closson,
deceased v. HealthMarkets, MEGA, National Association for the Self-Employed, et al.) pending in the
Superior Court for the County of Riverside, California, Case No. RIC453741. Plaintiff has alleged
several causes of action, including breach of fiduciary duty, negligent failure to obtain
insurance, fraud by concealment, promissory fraud, civil conspiracy, professional negligence,
negligence, intentional infliction of emotional distress, and violation of the California Consumer
Legal Remedies Act. Plaintiff seeks injunctive relief, and general and punitive monetary damages
in an unspecified amount. On September 8, 2006, the Company and MEGA filed a motion in the United
States District Court for the Northern District of Texas, Dallas Division (the Texas Court), to
enjoin plaintiff from pursuing claims that were the subject of a previous class action settlement. As part of the previous settlement,
the Texas Court barred and permanently enjoined class members from reasserting, in another
proceeding, claims that were the subject of the settlement. On August 2, 2007, the Texas Court
denied the motion to enjoin and on August 16, 2007, the Company and MEGA filed a motion for
clarification with the Texas Court. The Company currently believes that resolution of this matter will not have a material
adverse effect on the Companys consolidated financial condition or results of operations.
Commonwealth of Massachusetts Litigation
On October 23, 2006, MEGA was named as a defendant in an action filed by the Commonwealth of
Massachusetts (Commonwealth of Massachusetts v. The MEGA Life and Health Insurance Company),
pending in the Superior Court of Suffolk County, Massachusetts, Case Number 06-4411. Plaintiff has
alleged that MEGA engaged in unfair and deceptive practices by issuing policies that contained
exclusions of, or otherwise failed to cover, certain benefits mandated under Massachusetts law. In
addition, plaintiff has alleged that MEGA violated Massachusetts laws that (i) require health
insurance policies to provide coverage for outpatient contraceptive services to the extent the
policies provide coverage for other outpatient services and (ii) limit exclusions of coverage for
pre-existing conditions. By agreement of the parties, the suit was stayed through August 7, 2007
while the Attorney General continued its investigation. On August 22, 2007, the Attorney General
filed an amended complaint which added the Company and Mid-West as defendants in the action and
broadened Plaintiffs original allegations. The amended complaint includes allegations that the
defendants engaged in unfair and deceptive trade practices and illegal association membership
practices, imposed illegal waiting periods and restrictions on coverage of pre-existing conditions
and failed to comply with Massachusetts law regarding certain mandatory benefits. The Company
currently believes that the resolution of this proceeding will not have a material adverse effect
on the Companys financial condition or results of operation.
10
Other Litigation Matters
The Company and its subsidiaries are parties to various other pending and threatened legal
proceedings, claims, demands, disputes and other matters arising in the ordinary course of
business, including some asserting significant liabilities arising from claims, demands, disputes
and other matters with respect to insurance policies, relationships with agents, relationships with
former or current employees, and other matters. From time to time, some such matters, where
appropriate, may be the subject of internal investigation by management, the Board of Directors, or
a committee of the Board of Directors. The Company currently believes that the liability, if any,
resulting from the disposition of such proceedings, claims, demands, disputes or matters would not
be material to the Companys financial condition or results of operations.
Regulatory Matters
On March 22, 2005, HealthMarkets received notification that the Market Analysis Working Group
of the National Association of Insurance Commissioners had chosen the states of Washington and
Alaska to lead a multi-state market conduct examination of HealthMarkets principal insurance
subsidiaries. The Company believes that 36 states have elected to participate in the examination,
which commenced in May 2005 and is ongoing. The examiners have completed the onsite phases of the
examination. The Company received a draft of the examination report on July 31, 2007 and responded
to it on September 14, 2007. The lead states are evaluating the Companys response. The Companys
insurance subsidiaries are subject to various other pending market conduct examinations arising in
the ordinary course of business. State insurance regulatory agencies have authority to levy
monetary fines and penalties and require remedial action resulting from findings made during the
course of such market conduct examinations. The Company currently believes that the liability, if
any, resulting from the disposition of the multi-state market conduct examination or other market
conduct examinations would not be material to the Companys financial condition or results of
operations.
6. SEGMENT INFORMATION
The Company operates three business segments, the Insurance segment, Other Key Factors and
Disposed Operations. The Insurance segment includes the Companys Self-Employed Agency Division
(SEA), the Life Insurance Division and Other Insurance Division. Other Key Factors includes
investment income not allocated to the Insurance segment, realized gains or losses on sale of
investments, interest expense on corporate debt, general expenses relating to corporate operations,
merger transaction expenses, variable non-cash stock-based compensation and operations that do not
constitute reportable operating segments. Disposed Operations includes the Companys former Star
HRG Division and former Student Insurance Division.
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business segments reported operating results would change if
different methods were applied. Certain assets are not individually identifiable by segment and,
accordingly, have been allocated by formulas. Segment revenue includes premiums and other policy
charges and considerations, net investment income, fees and other income. Management does not
allocate income taxes to segments. Transactions between reportable operating segments are
accounted for under respective agreements, which provide for such transactions generally at cost.
11
Revenue from continuing operations, income (loss) from continuing operations before income
taxes, and assets by operating segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
355,497 |
|
|
$ |
365,599 |
|
|
$ |
1,078,117 |
|
|
$ |
1,095,369 |
|
Life Insurance Division |
|
|
23,751 |
|
|
|
21,973 |
|
|
|
68,011 |
|
|
|
65,801 |
|
Other Insurance Division |
|
|
8,145 |
|
|
|
8,006 |
|
|
|
23,653 |
|
|
|
27,327 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
387,393 |
|
|
|
395,578 |
|
|
|
1,169,781 |
|
|
|
1,188,497 |
|
Other Key Factors |
|
|
12,179 |
|
|
|
9,746 |
|
|
|
38,038 |
|
|
|
34,227 |
|
Gain on sale of Star HRG |
|
|
|
|
|
|
101,015 |
|
|
|
|
|
|
|
101,015 |
|
Intersegment Eliminations |
|
|
178 |
|
|
|
(275 |
) |
|
|
(800 |
) |
|
|
(854 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
399,750 |
|
|
|
506,064 |
|
|
|
1,207,019 |
|
|
|
1,322,885 |
|
Disposed Operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
|
|
|
|
57,171 |
|
|
|
|
|
|
|
193,085 |
|
Star HRG |
|
|
(509 |
) |
|
|
(667 |
) |
|
|
(500 |
) |
|
|
75,296 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(509 |
) |
|
|
56,504 |
|
|
|
(500 |
) |
|
|
268,381 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
399,241 |
|
|
$ |
562,568 |
|
|
$ |
1,206,519 |
|
|
$ |
1,591,266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income from continuing operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
63,072 |
|
|
$ |
67,670 |
|
|
$ |
148,002 |
|
|
$ |
186,908 |
|
Life Insurance Division |
|
|
559 |
|
|
|
1,865 |
|
|
|
1,076 |
|
|
|
4,021 |
|
Other Insurance Division |
|
|
1,807 |
|
|
|
682 |
|
|
|
3,568 |
|
|
|
3,429 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
65,438 |
|
|
|
70,217 |
|
|
|
152,646 |
|
|
|
194,358 |
|
Other Key Factors: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investment income on equity, interest expense, realized
gains and losses, general corporate expenses and other
items |
|
|
(12,012 |
) |
|
|
(17,080 |
) |
|
|
(30,485 |
) |
|
|
(30,784 |
) |
Merger transaction expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(48,019 |
) |
Gain on sale of Star HRG |
|
|
|
|
|
|
101,015 |
|
|
|
|
|
|
|
101,015 |
|
Variable stock-based compensation expense |
|
|
(2,552 |
) |
|
|
(2,294 |
) |
|
|
(2,547 |
) |
|
|
(3,024 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Other Key Factors |
|
|
(14,564 |
) |
|
|
81,641 |
|
|
|
(33,032 |
) |
|
|
19,188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income excluding disposed operations |
|
|
50,874 |
|
|
|
151,858 |
|
|
|
119,614 |
|
|
|
213,546 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
106 |
|
|
|
2,534 |
|
|
|
436 |
|
|
|
9,743 |
|
Star HRG Division |
|
|
(485 |
) |
|
|
(240 |
) |
|
|
(316 |
) |
|
|
3,055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(379 |
) |
|
|
2,294 |
|
|
|
120 |
|
|
|
12,798 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income from continuing operations before taxes |
|
$ |
50,495 |
|
|
$ |
154,152 |
|
|
$ |
119,734 |
|
|
$ |
226,344 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
Assets |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
892,725 |
|
|
$ |
930,856 |
|
Life Insurance Division |
|
|
540,965 |
|
|
|
552,723 |
|
Other Insurance Division |
|
|
16,015 |
|
|
|
20,419 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
1,449,705 |
|
|
|
1,503,998 |
|
Other Key Factors |
|
|
657,899 |
|
|
|
943,360 |
|
|
|
|
|
|
|
|
Total Assets excluding disposed operations |
|
|
2,107,604 |
|
|
|
2,447,358 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
53,669 |
|
|
|
124,738 |
|
Star HRG Division |
|
|
48 |
|
|
|
16,233 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
53,717 |
|
|
|
140,971 |
|
|
|
|
|
|
|
|
|
|
$ |
2,161,321 |
|
|
$ |
2,588,329 |
|
|
|
|
|
|
|
|
The Student Insurance Division assets of $53.7 million at September 30, 2007 represent a
reinsurance receivable associated with a coinsurance agreement entered into with an insurance
affiliate of UnitedHealth Group, Incorporated.
12
7. AGENT AND EMPLOYEE STOCK PLANS
Agent Stock Accumulation Plans
The Company sponsors a series of stock accumulation plans (the Agent Plans) established for
the benefit of the independent insurance agents and independent sales representatives associated
with UGA Association Field Services, New United Agency, and Cornerstone America.
The Agent Plans generally combine an agent-contribution feature and a Company-match feature.
The agent-contribution feature generally provides that eligible participants are permitted to
allocate a portion (subject to prescribed limits) of their commissions or other compensation earned
on a monthly basis to purchase shares of HealthMarkets Class A-2 common stock at the fair market
value of such shares at the time of purchase. Under the Company-match feature of the Agent Plans,
participants are eligible to have posted to their respective Agent Plan accounts book credits in
the form of equivalent shares based on the number of shares of HealthMarkets Class A-2 common stock
purchased by the participant under the agent-contribution feature of the Agent Plans. The matching
credits vest over time, generally in prescribed increments over a ten-year period, commencing the
plan year following the plan year during which contributions are first made under the
agent-contribution feature. Vested matching credits in a participants plan account in January of
each year are converted from book credits to an equivalent number of shares of HealthMarkets common
stock. Matching credits forfeited by participants no longer eligible to participate in the Agent
Plans are reallocated each year among eligible participants and credited to eligible participants
Agent Plan accounts. Share requirements of the Agent Plans may be met from either unissued or
treasury shares.
The Agent Plans do not constitute qualified plans under Section 401(a) of the Internal Revenue
Code of 1986 or employee benefit plans under the Employee Retirement Income Security Act of 1974
(ERISA), and the Agent Plans are not subject to the vesting, funding, nondiscrimination and other
requirements imposed on such plans by the Internal Revenue Code and ERISA.
For financial reporting purposes, the Company accounts for the Company-match feature of its
Agent Plans by recognizing compensation expense over the vesting period in an amount equal to the
fair market value of vested shares at the date of their vesting and distribution to the
participants. The Company estimates its current liability for unvested matching credits by
reference to the number of unvested credits, the prevailing fair market value (as determined by
the Companys Board of Directors) of the Companys common stock, and the Companys estimate of the
percentage of the vesting period that has elapsed up to the current quarter end. Changes in the
liability from one quarter to the next are accounted for as an increase in, or decrease to,
compensation expense, as the case may be. Upon vesting, the Company reduces the accrued liability
in an amount equal to the market value of the vested shares at date of vesting with a corresponding
increase to equity. Unvested matching credits are considered share equivalents outstanding for
purposes of the computation of earnings per share.
The portion of compensation expense associated with the Agent Plans reflected in the results
of the SEA Division is based on the prevailing fair value of Class A-2 common stock (as determined
by the Board of Directors of the Company since the Merger or, prior to the Merger, by reference to
the fair value of the Companys common stock) on or about the time the unvested matching credits
are granted to participants. In accordance with the terms of the Agent Plans, the Board of
Directors of the Company establishes the fair market value of Class A-2 common stock on a quarterly
basis. The remaining portion of the compensation expense associated with the Agent Plans,
consisting of variable stock-based compensation expense, is reflected in the results of the
Companys Other Key Factors business segment.
Set forth in the table below is the total compensation expense and tax benefit associated with
the Companys Agent Plans for the three and nine months ended September 30, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
SEA Division stock-based compensation expense |
|
$ |
1,682 |
|
|
$ |
2,959 |
|
|
$ |
7,779 |
|
|
$ |
8,450 |
|
Other Key Factors variable non-cash stock-based compensation expense |
|
|
2,552 |
|
|
|
2,294 |
|
|
|
2,547 |
|
|
|
3,024 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Agent Plan compensation expense |
|
|
4,234 |
|
|
|
5,253 |
|
|
|
10,326 |
|
|
|
11,474 |
|
Related Tax Benefit |
|
|
1,482 |
|
|
|
1,839 |
|
|
|
3,614 |
|
|
|
4,016 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net expense included in financial results |
|
$ |
2,752 |
|
|
$ |
3,414 |
|
|
$ |
6,712 |
|
|
$ |
7,458 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13
The SEA stock-based compensation expense represents the cost of Class A-2 common stock
(determined by reference to the prevailing fair value of Class A-2 common stock as determined by
the Board of Directors of the Company or, prior to the Merger, by reference to the market price of
HealthMarkets (formerly UICI) common shares) on or about the time that unvested matching credits
are granted to participants in the Agent Plan. This amount is reflected in the caption
Underwriting, policy acquisition costs, and insurance expenses on the Companys Consolidated
Condensed Statement of Income.
The Other Key Factors stock-based compensation expense represents the total stock-based
compensation expense associated with the Agent Plans less the expense incurred by the Company on or
about the time that unvested matching credits are granted to participants in the Agent Plan. This
amount is reflected in the caption Underwriting, policy acquisition costs, and insurance expenses
on the Companys Consolidated Condensed Statement of Income.
At December 31, 2006, the Company had recorded 1,373,456 unvested matching credits associated
with the Agent Plans, of which 423,145 vested in January 2007. Upon vesting, the Company increased
additional paid-in capital by $17.3 million, decreased treasury shares by $3.9 million and
decreased other liabilities by $21.2 million. At September 30, 2007, the Company had recorded
1,442,112 unvested matching credits.
Agent Plan transactions are not reflected in the Consolidated Condensed Statement of Cash
Flows since issuance of equity securities to settle the Companys liabilities under the Agent Plans
are non-cash transactions.
Employee Stock Option Plans
At the Board of Directors meeting held on May 3, 2007, the Board approved an amendment to the
1987 Stock Option Plan (the1987 Plan) which provided that in the event of an extraordinary cash
dividend, the Company may make such adjustments to options granted under the 1987 Plan as it
determines are equitable and/or appropriate. The Board approved an adjustment to options pursuant
to which the number of options increased and the exercise price of such options decreased. The
value of the options was maintained pre- and post-dividend. To prevent a dilution in the rights of
participants in the 2006 Management Stock Option Plan (the 2006 Plan), the Board of Directors
also approved an adjustment of options granted under the 2006 Plan pursuant to which the exercise
price was reduced by $10.51 per share the amount of the extraordinary cash dividend. The
modifications will result in a total expense to the Company of $3.4 million of which $1.6 million
and $200,000 were recognized in the second and third quarters of 2007, respectively, and the
remaining amount will be recognized over the remaining life of the options.
During the quarter ended September 30, 2007, options to purchase a total of 37,802 shares of
Class A-1 common stock were granted under the 2006 Plan to seven employees and one director at an
exercise price of $40.97, which represented the fair value of Class A-1 common stock as determined
by the Board of Directors on the date of grant of such options.
Included in the 37,802 options granted in the current quarter are 10,566 Performance-Based
options where no performance goals have been established. Because performance goals have not been
established on certain Performance-Based options, the fair value of the grant cannot be determined
and no compensation expense has been recorded for these options.
8. TRANSACTIONS WITH RELATED PARTIES
On April 5, 2006, the Company completed its Merger and, as a result, affiliates of The
Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners (the Private
Equity Investors) held, as of the effective date of the Merger, approximately 55.3%, 22.7% and
11.3%, respectively, of the Companys outstanding equity securities. At September 30, 2007,
affiliates of The Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking
Partners held approximately 53.9%, 22.1% and 11.0%, respectively, of the Companys outstanding
equity securities. Certain members of the Board of Directors of the Company are affiliated with the
Private Equity Investors; in particular, Chinh E. Chu and Matthew S. Kabaker serve as Senior
Managing Director and a Principal, respectively, of The Blackstone Group, Adrian M. Jones and Sumit
Rajpal serve as a Managing Director and Vice President, respectively, of Goldman, Sachs & Co., and
Kamil M. Salame is a partner of DLJ Merchant Banking Partners.
14
In accordance with the terms of Transaction and Monitoring Fee Agreements with advisory
affiliates of each of the Private Equity Investors, the advisory affiliates of each of the Private
Equity Investors agreed to provide to the Company ongoing monitoring, advisory and consulting
services, for which the Company agreed to pay to affiliates of each of The Blackstone Group,
Goldman Sachs Capital Partners and DLJ Merchant Banking Partners an annual monitoring fee in an
amount equal to $7.7 million, $3.5 million and $1.3 million, respectively. The annual monitoring
fees are in each case subject to upward adjustment in each year based on the ratio of the Companys
consolidated earnings before interest, taxes, depreciation and amortization (EBITDA) in such year
to consolidated EBITDA in the prior year, provided that the aggregate monitoring fees paid to all
advisors pursuant to the Transaction and Monitoring Fee Agreements in any year shall not exceed the
greater of $15.0 million or 3% of consolidated EBITDA in such year. The aggregate annual
monitoring fees in the amount of $12.5 million payable with respect to 2007 were paid in full to
the advisory affiliates of the Private Equity Investors on January 3, 2007. The Company has
expensed $9.4 million through September 30, 2007.
On May 3, 2007, the Companys Board of Directors declared an extraordinary cash dividend in
the amount of $10.51 per share for Class A-1 and Class A-2 common stock to holders of record as of
close of business on May 9, 2007, payable on May 14, 2007. In connection with the extraordinary
cash dividend, affiliates of each of The Blackstone Group, Goldman Sachs Capital Partners and DLJ
Merchant Banking Partners were paid dividends in the amount of $173.3 million, $71.0 million and
$35.5 million, respectively. See Note 9.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by
Mid-West National Life Insurance Company of Tennessee in Goldman Sachs Real Estate Partners, L.P.,
a commercial real estate fund managed by an affiliate of Goldman Sachs Capital Partners. The
Company has committed such investment to be funded over a series of capital calls. On July 18,
2007, the Company funded the first capital call in the amount of $1.5 million. On November 9,
2007, the Company funded the second capital call in the amount of $1.8 million.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by The
MEGA Life and Health Insurance Company in Blackstone Strategic Alliance Fund L.P., a hedge fund of
funds managed by an affiliate of The Blackstone Group. The Company has committed such investment
to be funded over a series of capital calls. On August 30, 2007, the Company funded the first
capital call in the amount of $430,000. On September 27, 2007, the Company funded the second
capital call in the amount of $957,000.
9. EXTRAORDINARY CASH DIVIDEND
On May 3, 2007, the Companys Board of Directors declared an extraordinary cash dividend in
the amount of $10.51 per share for Class A-1 and Class A-2 common stock to holders of record as of
close of business on May 9, 2007, payable on May 14, 2007. In connection with the extraordinary
cash dividend, the Company paid dividends to stockholders in the aggregate amount of $317.0
million.
15
ITEM 2 MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Introduction
The Company operates three business segments, the Insurance segment, Other Key Factors and
Disposed Operations. The Insurance segment includes the Companys Self-Employed Agency Division
(SEA), the Life Insurance Division and Other Insurance Division. Other Key Factors includes
investment income not allocated to the Insurance segment, realized gains or losses on sale of
investments, interest expense on corporate debt, general expenses relating to corporate operations,
merger transaction expenses, variable non-cash stock-based compensation and operations that do not
constitute reportable operating segments. Disposed Operations includes the Companys former Star
HRG Division and former Student Insurance Division.
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three and nine months ended September 30, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
|
(Dollars in thousands) |
|
|
|
|
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health premiums |
|
$ |
330,742 |
|
|
$ |
395,557 |
|
|
|
(16.4 |
)% |
|
$ |
999,008 |
|
|
$ |
1,286,587 |
|
|
|
(22.4 |
)% |
Life premiums and other considerations |
|
|
18,165 |
|
|
|
16,664 |
|
|
|
9.0 |
% |
|
|
51,990 |
|
|
|
49,144 |
|
|
|
5.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
348,907 |
|
|
|
412,221 |
|
|
|
(15.4 |
)% |
|
|
1,050,998 |
|
|
|
1,335,731 |
|
|
|
(21.3 |
)% |
Investment income |
|
|
25,231 |
|
|
|
25,699 |
|
|
|
(1.8 |
)% |
|
|
77,963 |
|
|
|
77,012 |
|
|
|
1.2 |
% |
Other income |
|
|
25,561 |
|
|
|
25,456 |
|
|
|
20.9 |
% |
|
|
78,768 |
|
|
|
76,790 |
|
|
|
9.4 |
% |
Gains on sale of investments |
|
|
(458 |
) |
|
|
99,192 |
|
|
NM |
|
|
(1,210 |
) |
|
|
101,733 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
399,241 |
|
|
|
562,568 |
|
|
|
(28.1 |
)% |
|
|
1,206,519 |
|
|
|
1,591,266 |
|
|
|
(23.9 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BENEFITS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
188,755 |
|
|
|
226,881 |
|
|
|
(16.8 |
)% |
|
|
600,599 |
|
|
|
755,403 |
|
|
|
(20.5 |
)% |
Underwriting, policy acquisition costs, and insurance expenses |
|
|
126,791 |
|
|
|
140,332 |
|
|
|
(9.6 |
)% |
|
|
380,682 |
|
|
|
451,567 |
|
|
|
(15.7 |
)% |
Other expenses |
|
|
21,374 |
|
|
|
27,782 |
|
|
|
(4.3 |
)% |
|
|
67,833 |
|
|
|
130,193 |
|
|
|
(43.9 |
)% |
Interest expense |
|
|
11,826 |
|
|
|
13,421 |
|
|
|
(11.9 |
)% |
|
|
37,671 |
|
|
|
27,759 |
|
|
|
35.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
348,746 |
|
|
|
408,416 |
|
|
|
(13.3 |
)% |
|
|
1,086,785 |
|
|
|
1,364,922 |
|
|
|
(20.0 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes |
|
|
50,495 |
|
|
|
154,152 |
|
|
|
(67.2 |
)% |
|
|
119,734 |
|
|
|
226,344 |
|
|
|
(47.1 |
)% |
Federal income taxes |
|
|
17,240 |
|
|
|
64,278 |
|
|
|
(73.2 |
)% |
|
|
40,888 |
|
|
|
91,944 |
|
|
|
(55.5 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations |
|
|
33,255 |
|
|
|
89,874 |
|
|
|
(63.0 |
)% |
|
|
78,846 |
|
|
|
134,400 |
|
|
|
(41.3 |
)% |
Income from discontinued operations (net of income tax) |
|
|
226 |
|
|
|
301 |
|
|
|
(24.9 |
)% |
|
|
689 |
|
|
|
20,663 |
|
|
|
(96.7 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
33,481 |
|
|
$ |
90,175 |
|
|
|
(62.9 |
)% |
|
$ |
79,535 |
|
|
$ |
155,063 |
|
|
|
(48.7 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
Revenue and income from continuing operations before federal income taxes (operating income)
by business segment are summarized in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
355,497 |
|
|
$ |
365,599 |
|
|
$ |
1,078,117 |
|
|
$ |
1,095,369 |
|
Life Insurance Division |
|
|
23,751 |
|
|
|
21,973 |
|
|
|
68,011 |
|
|
|
65,801 |
|
Other Insurance Division |
|
|
8,145 |
|
|
|
8,006 |
|
|
|
23,653 |
|
|
|
27,327 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
387,393 |
|
|
|
395,578 |
|
|
|
1,169,781 |
|
|
|
1,188,497 |
|
Other Key Factors |
|
|
12,179 |
|
|
|
9,746 |
|
|
|
38,038 |
|
|
|
34,227 |
|
Gain on sale of Star HRG |
|
|
|
|
|
|
101,015 |
|
|
|
|
|
|
|
101,015 |
|
Intersegment Eliminations |
|
|
178 |
|
|
|
(275 |
) |
|
|
(800 |
) |
|
|
(854 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
399,750 |
|
|
|
506,064 |
|
|
|
1,207,019 |
|
|
|
1,322,885 |
|
Disposed Operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
|
|
|
|
57,171 |
|
|
|
|
|
|
|
193,085 |
|
Star HRG |
|
|
(509 |
) |
|
|
(667 |
) |
|
|
(500 |
) |
|
|
75,296 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(509 |
) |
|
|
56,504 |
|
|
|
(500 |
) |
|
|
268,381 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
399,241 |
|
|
$ |
562,568 |
|
|
$ |
1,206,519 |
|
|
$ |
1,591,266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
16
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2007 |
|
|
2006 |
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income from continuing operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
63,072 |
|
|
$ |
67,670 |
|
|
$ |
148,002 |
|
|
$ |
186,908 |
|
Life Insurance Division |
|
|
559 |
|
|
|
1,865 |
|
|
|
1,076 |
|
|
|
4,021 |
|
Other Insurance Division |
|
|
1,807 |
|
|
|
682 |
|
|
|
3,568 |
|
|
|
3,429 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
65,438 |
|
|
|
70,217 |
|
|
|
152,646 |
|
|
|
194,358 |
|
Other Key Factors: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investment income on equity, interest expense, realized
gains and losses, general corporate expenses and other
items |
|
|
(12,012 |
) |
|
|
(17,080 |
) |
|
|
(30,485 |
) |
|
|
(30,784 |
) |
Merger transaction expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(48,019 |
) |
Gain on sale of Star HRG |
|
|
|
|
|
|
101,015 |
|
|
|
|
|
|
|
101,015 |
|
Variable stock-based compensation expense |
|
|
(2,552 |
) |
|
|
(2,294 |
) |
|
|
(2,547 |
) |
|
|
(3,024 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Other Key Factors |
|
|
(14,564 |
) |
|
|
81,641 |
|
|
|
(33,032 |
) |
|
|
19,188 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income excluding disposed operations |
|
|
50,874 |
|
|
|
151,858 |
|
|
|
119,614 |
|
|
|
213,546 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
106 |
|
|
|
2,534 |
|
|
|
436 |
|
|
|
9,743 |
|
Star HRG Division |
|
|
(485 |
) |
|
|
(240 |
) |
|
|
(316 |
) |
|
|
3,055 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(379 |
) |
|
|
2,294 |
|
|
|
120 |
|
|
|
12,798 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income from continuing operations before taxes |
|
$ |
50,495 |
|
|
$ |
154,152 |
|
|
$ |
119,734 |
|
|
$ |
226,344 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HealthMarkets results of operations for the three and nine months ended September 30, 2007
were particularly impacted by the following factors:
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys
Self-Employed Agency Division for the three and nine months ended September 30, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
322,682 |
|
|
$ |
333,260 |
|
|
|
(3.2 |
)% |
|
$ |
976,522 |
|
|
$ |
997,913 |
|
|
|
(2.1 |
)% |
Investment income |
|
|
7,800 |
|
|
|
7,830 |
|
|
|
(0.4 |
)% |
|
|
23,390 |
|
|
|
23,806 |
|
|
|
(1.7 |
)% |
Other income |
|
|
25,015 |
|
|
|
24,509 |
|
|
|
20.6 |
% |
|
|
78,205 |
|
|
|
73,650 |
|
|
|
6.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
355,497 |
|
|
|
365,599 |
|
|
|
(2.8 |
)% |
|
|
1,078,117 |
|
|
|
1,095,369 |
|
|
|
(1.6 |
)% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
171,017 |
|
|
|
176,007 |
|
|
|
(2.8 |
)% |
|
|
547,510 |
|
|
|
528,077 |
|
|
|
3.7 |
% |
Underwriting and policy acquisition expenses |
|
|
109,746 |
|
|
|
107,611 |
|
|
|
2.0 |
% |
|
|
341,563 |
|
|
|
335,669 |
|
|
|
1.8 |
% |
Other expenses |
|
|
11,662 |
|
|
|
14,311 |
|
|
|
(18.5 |
)% |
|
|
41,042 |
|
|
|
44,715 |
|
|
|
8.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
292,425 |
|
|
|
297,929 |
|
|
|
(1.8 |
)% |
|
|
930,115 |
|
|
|
908,461 |
|
|
|
2.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
63,072 |
|
|
$ |
67,670 |
|
|
|
(6.8 |
)% |
|
$ |
148,002 |
|
|
$ |
186,908 |
|
|
|
(20.8 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
53.0 |
% |
|
|
52.8 |
% |
|
|
|
|
|
|
56.1 |
% |
|
|
52.9 |
% |
|
|
|
|
Expense ratio |
|
|
34.0 |
% |
|
|
32.3 |
% |
|
|
|
|
|
|
35.0 |
% |
|
|
33.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
87.0 |
% |
|
|
85.1 |
% |
|
|
|
|
|
|
91.1 |
% |
|
|
86.5 |
% |
|
|
|
|
Average number of writing agents in period |
|
|
1,826 |
|
|
|
2,137 |
|
|
|
|
|
|
|
1,988 |
|
|
|
2,186 |
|
|
|
|
|
Submitted annualized volume |
|
$ |
156,851 |
|
|
$ |
194,455 |
|
|
|
|
|
|
$ |
542,677 |
|
|
$ |
613,509 |
|
|
|
|
|
The loss ratio represents total benefit expenses as a percentage of earned premium revenue.
The expense ratio represents underwriting and policy acquisition expenses as a percentage of
earned premium revenue.
17
The SEA Division reported operating income in the three and nine month periods ended September
30, 2007 of $63.1 million and $148.0 million, respectively, compared to operating income of $67.7
million and $186.9 million in the corresponding 2006 periods. Operating income in the SEA Division
as a percentage of earned premium revenue (i.e., operating margin) in the three and nine month
periods ended September 30, 2007 was 19.5% and 15.2%, compared to operating margin of 20.3% and
18.7% in the corresponding 2006 periods. The decrease in operating margin during the current year
periods compared to the corresponding prior year periods is generally attributable to an increase
in the loss ratio reflecting an ongoing gradual shift in product mix to the Companys newer CareOne
product suite which provides a higher proportion of premium dollars as benefit, in addition to
specific decreases in the loss ratio during both periods for certain reductions in the claim
liability as discussed below. Operating margin was also adversely impacted during the current year
periods due to a very modest decrease in earned premium while both underwriting and policy
acquisition expenses and other expenses increased. These expenses did not decrease as a function
of earned premium reflecting the fixed nature of many of these administrative expenses as well as
general year over year cost increases reflecting the time value of money.
During the second and third quarters of 2007, the Company experienced a reduction to the claim
liability of $5.0 million and $4.5 million, respectively. The decrease in the third quarter is
attributable to an update of the completion factors used in estimating the claim liability for the
Accumulated Covered Expense (ACE) rider, an optional benefit available with certain
scheduled/basic health insurance products. The reduction in the second quarter reflects an
increasing reliance on actual historical data for the ACE rider in lieu of large claim data derived
from other products. Also, during the third quarter of 2007, the claim liability was reduced by
$12.4 million resulting from a refinement to the estimate of unpaid claim liability specifically
for the most recent incurral months. In particular, the Company reassessed its claim liability
estimates among product lines between the more mature scheduled benefit products that have more
historical data and are more predictable, and the newer products that are less mature, have less
historical data and are more susceptible to adverse deviation.
In the third quarter of 2006, the Company recorded a reduction in the claim liability in the
amount of $11.2 million due to refinements of the estimate of the unpaid claim liability for the
most recent incurral months and an additional $10.5 million reduction attributable to an update of
the completion factors used in estimating the claim liability for its ACE rider. In the second
quarter of 2006, the Company determined that sufficient provision for large claims could be made
within its normal reserve process, eliminating the need for the separate large claim reserve. This
refinement resulted in a reduction in the claim liability of $10.8 million.
In the three and nine months ended September 30, 2007, total SEA Division submitted annualized
premium volume (i.e., the aggregate annualized premium amount associated with individual and small
group health insurance applications submitted by the Companys agents for underwriting by the
Company) decreased to $156.9 million and $542.7 million, respectively, from $194.5 million and
$613.5 million, respectively, in the corresponding 2006 periods. The period over period decreases
in submitted annualized premium volume were attributable primarily to a decrease in the average
number of writing agents in the field from 2,137 for the three months ended September 30, 2006 to
1,826 for the three months ended September 30, 2007 and a 9% decrease in the weekly applications
submitted per writing agent. This was partially offset by a 7% increase in the average premium per
policy in the third quarter of 2007 compared to the comparable period in 2006. The Company is
trying to determine the marketplace factors driving the decrease in its recruiting results and the
decrease in agent productivity in order to develop appropriate courses of action.
Life Insurance Division
Set forth below is certain summary financial and operating data for the Companys Life
Insurance Division for the three and nine months ended September 30, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
18,643 |
|
|
$ |
16,643 |
|
|
|
12.0 |
% |
|
$ |
52,172 |
|
|
$ |
49,220 |
|
|
|
6.0 |
% |
Investment and other income |
|
|
5,108 |
|
|
|
5,330 |
|
|
|
(4.2 |
)% |
|
|
15,839 |
|
|
|
16,581 |
|
|
|
(4.5 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
23,751 |
|
|
|
21,973 |
|
|
|
8.1 |
% |
|
|
68,011 |
|
|
|
65,801 |
|
|
|
3.4 |
% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
14,354 |
|
|
|
10,788 |
|
|
|
33.1 |
% |
|
|
41,934 |
|
|
|
33,510 |
|
|
|
25.1 |
% |
Underwriting and policy
acquisition expenses |
|
|
8,838 |
|
|
|
9,320 |
|
|
|
(5.2 |
)% |
|
|
25,001 |
|
|
|
28,270 |
|
|
|
(11.6 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
23,192 |
|
|
|
20,108 |
|
|
|
15.3 |
% |
|
|
66,935 |
|
|
|
61,780 |
|
|
|
8.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
559 |
|
|
$ |
1,865 |
|
|
|
(70.0 |
)% |
|
$ |
1,076 |
|
|
$ |
4,021 |
|
|
|
(73.2 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18
The Companys Life Insurance Division reported operating income in the three and nine month
periods ended September 30, 2007 of $559,000 and $1.1 million, respectively, compared to operating
income of $1.9 million and $4.0 million in the corresponding 2006 periods. The decrease in
operating income for the three and nine month periods ended September 30, 2007 compared to the
corresponding 2006 periods was primarily attributable to an increase in mortality and workers
compensation claims during 2007 partially offset by a decrease in administrative expenses and a
first quarter decrease in the amortization of deferred acquisition costs. Additional underwriting
requirements have been implemented in the review of new applications to further isolate mortality
issues. The decrease in amortization of deferred acquisition costs in the first quarter 2007 period
is associated with the refinement of the calculation resulting from the availability of additional
information from the conversion to new actuarial reserving software. Partially offsetting the
decrease in amortization of deferred acquisition costs was an increase in unearned revenue
liability which decreased premium revenue. The increase in unearned revenue liability is also
associated with the refinement of the calculation associated with additional information from the
conversion to the new actuarial software.
In the three and nine months ended September 30, 2007, the Companys Life Insurance Division
generated annualized paid premium volume (i.e., the aggregate annualized life premium amount
associated with new life insurance policies issued by the Company) in the amount of $4.8 million
and $13.7 million, compared to $4.9 million and $16.4 million in the corresponding 2006 period. The
2007 decrease in annualized premium was primarily due to a decrease in the number of agents
marketing Life Insurance Division products.
Other Insurance Division
The Other Insurance Division consists of the operations of ZON Re USA LLC (an 82.5%-owned
subsidiary), which underwrites, administers and issues accidental death, accidental death and
dismemberment (AD&D), accident medical and accident disability insurance products, both on a
primary and on a reinsurance basis.
Set forth below is certain summary financial and operating data for the Companys Other
Insurance Division for the three and nine months ended September 30, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
7,591 |
|
|
$ |
7,631 |
|
|
|
(0.5 |
)% |
|
$ |
22,304 |
|
|
$ |
26,295 |
|
|
|
(15.2 |
)% |
Investment income |
|
|
420 |
|
|
|
372 |
|
|
|
12.9 |
% |
|
|
1,167 |
|
|
|
989 |
|
|
|
18.0 |
% |
Other income |
|
|
134 |
|
|
|
3 |
|
|
NM |
|
|
|
182 |
|
|
|
43 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
8,145 |
|
|
|
8,006 |
|
|
|
1.7 |
% |
|
|
23,653 |
|
|
|
27,327 |
|
|
|
(13.4 |
)% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
3,461 |
|
|
|
4,885 |
|
|
|
(29.2 |
)% |
|
|
11,710 |
|
|
|
15,585 |
|
|
|
(24.9 |
)% |
Underwriting and
policy acquisition
expenses |
|
|
2,877 |
|
|
|
2,439 |
|
|
|
18.0 |
% |
|
|
8,375 |
|
|
|
8,313 |
|
|
|
0.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
6,338 |
|
|
|
7,324 |
|
|
|
(13.5 |
)% |
|
|
20,085 |
|
|
|
23,898 |
|
|
|
(16.0 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
1,807 |
|
|
$ |
682 |
|
|
|
165.0 |
% |
|
$ |
3,568 |
|
|
$ |
3,429 |
|
|
|
4.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
45.6 |
% |
|
|
64.0 |
% |
|
|
|
|
|
|
52.5 |
% |
|
|
59.3 |
% |
|
|
|
|
Expense ratio |
|
|
37.9 |
% |
|
|
32.0 |
% |
|
|
|
|
|
|
37.5 |
% |
|
|
31.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
83.5 |
% |
|
|
96.0 |
% |
|
|
|
|
|
|
90.0 |
% |
|
|
90.9 |
% |
|
|
|
|
NM: not meaningful
The loss ratio represents benefits expenses related to accident insurance and reinsurance
contracts stated as a percentage of earned premiums.
The expense ratio represents underwriting and policy acquisition expenses related to accident
insurance and reinsurance contracts stated as a percentage of earned premium revenue.
19
For the three and nine months ended September 30, 2007, operating income was $1.8 million on
revenue of $8.1 million and $3.6 million on revenue of $23.7 million, respectively, compared to
$682,000 in operating income on revenue of $8.0 million and $3.4 million in operating income on
revenue of $27.3 million, respectively, for corresponding periods in 2006. The decrease in revenue
is due to lower sales for the current year resulting from increased competitive pressure, which
impacts new and renewal business. The decrease in the loss ratio during the three month and nine
month periods ended September 30, 2007, compared to the corresponding prior periods reflects
unusual negative experience in the direct accident insurance and a higher level of reinsurance
claims during the prior year periods. The increase in the expense ratio during the current year
nine month period compared to the corresponding prior year period reflects the decrease in revenue
without a corresponding decrease in expenses where many of these administrative expenses are more
fixed in nature.
Other Key Factors
The Companys Other Key Factors segment includes investment income not otherwise allocated to
the Insurance segment, realized gains and losses, interest expense on corporate debt, general
expenses relating to corporate operations, merger transaction expenses, variable stock
compensation, and other unallocated items.
Set forth below is certain summary financial data for the Companys Other Key Factors segment
for the three and nine months ended September 30, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Investment income on equity |
|
$ |
9,203 |
|
|
$ |
8,487 |
|
|
|
8.4 |
% |
|
$ |
31,144 |
|
|
$ |
25,669 |
|
|
|
21.3 |
% |
Realized gain on sale of Star HRG |
|
|
|
|
|
|
101,015 |
|
|
NM |
|
|
|
|
|
|
|
101,015 |
|
|
NM |
|
Realized gain on investments |
|
|
42 |
|
|
|
814 |
|
|
NM |
|
|
|
2,216 |
|
|
|
3,355 |
|
|
|
34.0 |
% |
Expense related to early extinguishment of debt |
|
|
|
|
|
|
(2,637 |
) |
|
NM |
|
|
|
(2,926 |
) |
|
|
(2,637 |
) |
|
|
(11.0 |
)% |
Merger transaction expenses |
|
|
|
|
|
|
|
|
|
NM |
|
|
|
|
|
|
|
(48,019 |
) |
|
NM |
|
Interest expense on non-student loan debt |
|
|
(10,361 |
) |
|
|
(11,750 |
) |
|
|
(11.8 |
)% |
|
|
(33,241 |
) |
|
|
(23,060 |
) |
|
|
44.2 |
% |
Variable stock-based compensation expense |
|
|
(2,552 |
) |
|
|
(2,294 |
) |
|
|
11.2 |
% |
|
|
(2,547 |
) |
|
|
(3,024 |
) |
|
|
(15.8 |
)% |
General corporate expenses and other |
|
|
(10,896 |
) |
|
|
(11,994 |
) |
|
|
(9.2 |
)% |
|
|
(27,678 |
) |
|
|
(34,111 |
) |
|
|
(18.9 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating (expense) income |
|
$ |
(14,564 |
) |
|
$ |
81,641 |
|
|
NM |
|
|
$ |
(33,032 |
) |
|
$ |
19,188 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
The Other Key Factors segment reported an operating loss in the three and nine month periods
ended September 30, 2007 of $14.6 million and $33.0 million, respectively, compared to operating
gains of $81.6 million and $19.2 million, respectively in the corresponding 2006 periods.
The 2006 periods reflect the realized gain of approximately $101.0 million on the sale of
substantially all of the assets of the Companys Star HRG operations completed in the third
quarter. Results in the nine months ended September 30, 2006 also included Merger transaction costs
in the amount of $48.0 million.
Operating results for the nine months ended September 30, 2007 compared to the corresponding
prior period reflects additional interest expense associated with the second quarter 2006 Merger
related indebtedness. Investment income was also greater, reflecting an increase in funds
available for investment resulting from the sale of Star HRG and 2006 net income. The decrease in
general corporate expenses and other during 2007 compared to 2006 primarily reflects a decrease in
spending with external professional service firms for various Company endeavors, while the 2007
spending includes $4.0 million of expenses associated with the Companys Medicare initiative.
Liquidity and Capital Resources
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenue from policies issued, investment income, fees and other income, and borrowings under a
secured student loan credit facility. The primary uses of cash have been payments for benefits,
claims and commissions under those policies, servicing of the Companys debt obligations, operating
expenses and the funding of student loans generated under the Companys College First Alternative
Loan program. In the nine months ended September 30, 2007, net cash provided by operations totaled
approximately $85.4 million, compared to $111.8 million in the corresponding period of 2006.
20
HealthMarkets, Inc., is a holding company, the principal assets of which are its investment in
its wholly-owned subsidiary, HealthMarkets, LLC, to which, in connection with the Merger,
HealthMarkets, Inc. contributed substantially all of its assets and liabilities. The holding
companys ability to fund its cash requirements is largely dependent upon its ability to access
cash, by means of dividends or other means, from HealthMarkets, LLC. HealthMarkets, LLCs principal
assets are its investments in its separate operating subsidiaries, including its regulated
insurance subsidiaries. The agreements governing certain indebtedness incurred by the Company in
connection to the Merger contain restrictive covenants, including certain prescribed financial
ratios, limitations on additional indebtedness as a percentage of certain defined equity amounts
and restrictions on the disposal of certain subsidiaries, including primarily the Companys
regulated insurance subsidiaries.
At September 30, 2007 and December 31, 2006, the aggregate cash and cash equivalents and
short-term investments held at both the holding company level and HealthMarkets, LLC was $42.9
million and $311.5 million, respectively. The decrease from December 31, 2006 to September 30,
2007 is mainly due to a dividend payment in the amount of $317.0 million and a $75.0 million
principal payment on the Term loan, partially offset by dividends received from 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 2007 (through October 31, 2007), the Companys domestic insurance subsidiaries
declared and paid dividends to HealthMarkets, LLC in the amount of $163.2 million, including an
extraordinary dividend in the amount of $100.0 million. The extraordinary dividend resulted in the
liquidation of approximately $83.6 million of fixed maturities. The remaining amount of ordinary
dividends in calendar year 2007 that could be paid by the Companys domestic insurance subsidiaries
to HealthMarkets, LLC is approximately $8.0 million. The Company will continue to assess the
results of operations of the regulated domestic insurance subsidiaries to determine the prudent
dividend capability of the subsidiaries, consistent with HealthMarkets practice of maintaining
risk-based capital ratios at each of the Companys domestic insurance subsidiaries significantly in
excess of minimum requirements. The agreements governing certain indebtedness incurred by the
Company in connection with the Merger contain restrictive covenants, including certain prescribed
financial ratios, limitations on additional indebtedness as a percentage of certain defined equity
amounts and restrictions on the disposal of certain subsidiaries, including primarily the Companys
regulated insurance subsidiaries.
Contractual Obligations and Off Balance Sheet Obligations
The agreements governing certain indebtedness incurred by the Company in connection with the
Merger contain restrictive covenants, including certain prescribed financial ratios, limitations on
additional indebtedness as a percentage of certain defined equity amounts and restrictions on the
disposal of certain subsidiaries, including primarily the Companys regulated insurance
subsidiaries. Other contractual obligations or off balance sheet arrangements (which consist solely
of commitments to fund student loans generated by its former College Fund Life Division and letters
of credit) are described in the Companys Annual Report on Form 10-K for the year ended December
31, 2006 under the caption Managements Discussion and Analysis of Financial Condition and Results
of Operations.
Set forth below is a summary of the Companys contractual obligations on a consolidated basis
at September 30, 2007 and December 31, 2006 (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
At September 30, 2007 |
|
|
At December 31, 2006 |
|
Corporate indebtedness |
|
$ |
481,070 |
|
|
$ |
556,070 |
|
Student loan credit facility |
|
|
101,800 |
|
|
|
118,950 |
|
Future policy benefits |
|
|
463,643 |
|
|
|
453,715 |
|
Claim liabilities |
|
|
457,803 |
|
|
|
517,132 |
|
Capital lease obligations |
|
|
690 |
|
|
|
1,709 |
|
|
|
|
|
|
|
|
Total |
|
$ |
1,505,006 |
|
|
$ |
1,647,576 |
|
|
|
|
|
|
|
|
In addition to the contractual obligations set forth in the table above, the Company also is a
party to various operating leases for office space and equipment.
All indebtedness issued under the secured student loan credit facility represents obligations
solely of a special purpose entity (SPE) and not of the Company or any other subsidiary and is
secured by student loans, accrued investment income, cash, cash equivalents and qualified
investments.
At each of September 30, 2007 and December 31, 2006, the Company had $11.2 million and $9.6
million, respectively, of letters of credit outstanding relating to its insurance operations.
21
Critical Accounting Policies and Estimates
The Companys discussion and analysis of its financial condition and results of operations are
based on its consolidated condensed financial statements, which have been prepared in accordance
with United States generally accepted accounting principles. The preparation of these consolidated
condensed financial statements requires the Company to make estimates and judgments that affect the
reported amounts of assets, liabilities, revenue and expenses, and related disclosure of contingent
assets and liabilities. On an on-going basis, the Company evaluates its estimates, including those
related to health and life insurance claims and liabilities, deferred acquisition costs, bad debts,
impairment of investments, intangible assets, income taxes, financing operations and contingencies
and litigation. The Company bases its estimates on historical experience and on various other
assumptions that are believed to be reasonable under the circumstances, the results of which form
the basis for making judgments about the carrying values of assets and liabilities that are not
readily apparent from other sources. Actual results may differ from these estimates under different
assumptions or conditions. Reference is made to the discussion of these critical accounting
policies and estimates contained in the Companys Annual Report on Form 10-K for the year ended
December 31, 2006 under the caption Managements Discussion and Analysis of Financial Condition
and Results of Operations Critical Accounting Policies and Estimates.
Regulatory and Legislative Matters
The business of insurance is primarily regulated by the states and is also affected by a range
of legislative developments at the state and federal levels. Recently adopted legislation and
regulations may have a significant impact on the Companys business and future results of
operations. Reference is made to the discussion under the caption Business Regulatory and
Legislative Matters in the Companys Annual Report on Form 10-K for the year ended December 31,
2006.
SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995:
Some of the matters discussed in this Quarterly Report on Form 10-Q may contain
forward-looking statements that are subject to certain risks, uncertainties and assumptions. Such
forward-looking statements are intended to be identified in this document by the words
anticipate, believe, estimate, expect, intend, objective, plan, possible,
potential and similar expressions. Actual results may vary materially from those included in the
forward-looking statements. Factors that could cause actual results to differ materially from those
included in the forward-looking statements include, but are not limited to, the following:
|
|
|
general economic conditions; |
|
|
|
|
the continued ability of the Company to compete for customers and insureds in an
industry where many of its competitors may have greater market share and/or greater
financial resources; |
|
|
|
|
the Companys ability to accurately estimate medical claims and control costs; |
|
|
|
|
changes in government regulation that could increase the costs of compliance or
cause the Company to discontinue marketing its products in certain states; |
|
|
|
|
the Companys failure to comply with new or existing government regulation that
could subject it to significant fines and penalties and/or result in restrictions on its
operations; |
|
|
|
|
changes in the relationship between the Company and the membership associations that
make available to their members the health insurance and other insurance products
issued by the Companys insurance subsidiaries; |
|
|
|
|
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); |
|
|
|
|
significant liabilities and costs associated with litigation; |
|
|
|
|
failure of the Companys information systems to provide timely and accurate
information; |
|
|
|
|
negative publicity regarding the Companys business practices and/or regarding the
health insurance industry in general; |
|
|
|
|
the Companys inability to enter into or maintain satisfactory relationships with
networks of hospitals, physicians, dentists, pharmacies and other health care
providers; |
|
|
|
|
failure of the Companys regulated insurance company subsidiaries to maintain their
current ratings by A.M. Best Company, Fitch and/or Standard & Poors; and |
|
|
|
|
the other risk factors set forth in the reports filed by the Company from time to
time with the Securities and Exchange Commission. |
22
Reference is made to the discussion of these and other risk factors contained in the Companys
Annual Report on Form 10-K for the year ended December 31, 2006 under the caption Managements
Discussion and Analysis of Financial Condition and Results of Operations Safe Harbor Statement
under the Private Securities Litigation Reform Act of 1995.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The Company has not experienced significant changes related to its market risk exposures
during the quarter ended September 30, 2007. Reference is made to the information contained in the
Companys Annual Report on Form 10-K for the year ended December 31, 2006 in Item 7A Quantitative
and Qualitative Disclosures about Market Risk.
ITEM 4. CONTROLS AND PROCEDURES
Conclusion Regarding the Effectiveness of Disclosure Controls and Procedures
Under the supervision and with the participation of our management, including our principal
executive officer and principal financial officer, we conducted an evaluation of our disclosure
controls and procedures, as such term is defined under Rule 13a-15(e) promulgated under the
Securities Exchange Act of 1934, as amended (the Exchange Act). Based on this evaluation, our
principal executive officer and our principal financial officer concluded that our disclosure
controls and procedures were effective as of the end of the period covered by this quarterly
report.
Change in Internal Control over Financial Reporting
There has been no change in the Companys internal control over financial reporting during the
Companys most recent fiscal quarter that has materially affected, or is reasonably likely to
materially affect, the Companys internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note 5 of
Notes to the Consolidated Condensed Financial Statements included herein and/or in the Companys
Annual Report on Form 10-K filed for the year ended December 31, 2006 under the caption Item 3 -
Legal Proceedings. The Company and its subsidiaries are parties to various other pending legal
proceedings arising in the ordinary course of business, including some asserting significant
damages arising from claims under insurance policies, disputes with agents and other matters.
Based in part upon the opinion of counsel as to the ultimate disposition of such lawsuits and
claims, management believes that the liability, if any, resulting from the disposition of such
proceedings will not be material to the Companys consolidated financial condition or results of
operations. Except as discussed in Note 5 to Notes to the Companys Consolidated Condensed
Financial Statements included herein, during the fiscal quarter covered by this Quarterly Report on
Form 10-Q, the Company has not been named in any new material legal proceeding, and there have been
no material developments in the previously reported legal proceedings.
ITEM 1A. RISK FACTORS
Reference is made to the risk factors discussed in the Companys Annual Report on Form 10-K
for the year ended December 31, 2006 in Part I,
Item 1A. Risk Factors, which could materially
affect the Companys business, financial condition or future results. The Company has not
experienced material changes with respect to its risk factors during the quarter ended September
30, 2007. The risks described in the Companys Annual Report on Form 10-K are not the only risks
the Company faces. Additional risks and uncertainties not currently known to the Company or that
the Company currently deems to be immaterial also may materially adversely affect our business,
financial condition and/or operating results.
23
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
During the three months ended September 30, 2007, the Company did not issue any unregistered
shares of its Class A-1 or Class A-2 common stock.
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-1 common
stock during each of the months in the three-month period ended September 30, 2007.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Shares |
|
|
|
|
|
|
|
|
Average Price |
|
Purchased as Part of |
|
Maximum Number of Shares |
|
|
Total Number of |
|
Paid per Share |
|
Publicly Announced Plans |
|
That May Yet Be Purchased |
Period |
|
Shares Purchased(1) |
|
($) |
|
or Programs |
|
Under The Plan or Program |
7/1/07 to 7/31/07 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8/1/07 to 8/31/07 |
|
|
35,590 |
|
|
|
40.97 |
|
|
|
|
|
|
|
|
|
9/1/07 to 9/30/07 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
35,590 |
|
|
|
40.97 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 35,590 shares purchased from
former or current officers or employees of the Company. |
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-2 common
stock during each of the months in the three-month period ended September 30, 2007.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Shares |
|
|
|
|
|
|
|
|
Average Price |
|
Purchased as Part of |
|
Maximum Number of Shares |
|
|
Total Number of |
|
Paid per Share |
|
Publicly Announced Plans |
|
That May Yet Be Purchased |
Period |
|
Shares Purchased(1) |
|
($) |
|
or Programs |
|
Under The Plan or Program |
7/1/07 to 7/31/07 |
|
|
39,332 |
|
|
|
40.22 |
|
|
|
|
|
|
|
|
|
8/1/07 to 8/31/07 |
|
|
95,101 |
|
|
|
40.97 |
|
|
|
|
|
|
|
|
|
9/1/07 to 9/30/07 |
|
|
49,743 |
|
|
|
40.97 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
184,176 |
|
|
|
40.81 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 184,176 shares purchased from
former or current participants of the stock accumulation plans established for the benefit of Companys agents. |
ITEM 6. EXHIBITS
(a) Exhibits.
|
|
|
Exhibit No. |
|
Description |
|
|
|
31.1
|
|
Rule 13a-14(a)/15d-14(a)
Certification, executed by
William J. Gedwed,
President and Chief
Executive Officer of
HealthMarkets, Inc. |
|
|
|
31.2
|
|
Rule 13a-14(a)/15d-14(a)
Certification, executed by
Michael E. Boxer,
Executive Vice President
and Chief Financial
Officer of HealthMarkets,
Inc. |
|
|
|
32
|
|
Certifications required by
Rule 13a-14(b) or Rule
15d-14(b) and Section 1350
of Chapter 63 of Title 18
of the United States Code
(18 U.S.C. 1350), executed
by William J. Gedwed,
President and Chief
Executive Officer of
HealthMarkets, Inc. and
Michael E. Boxer,
Executive Vice President
and Chief Financial
Officer of HealthMarkets,
Inc. |
24
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly
caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
|
|
|
|
|
|
|
HEALTHMARKETS, INC |
|
|
|
|
(Registrant) |
|
|
|
|
|
|
|
Date: November 13, 2007
|
|
/s/ William J. Gedwed
William J. Gedwed, President, Chief Executive
|
|
|
|
|
Officer and Director |
|
|
|
|
|
|
|
Date: November 13, 2007
|
|
/s/ Michael E. Boxer
Michael E. Boxer, Executive Vice President
|
|
|
|
|
and Chief Financial Officer |
|
|
|
|
|
|
|
Date: November 13, 2007
|
|
/s/ Philip Rydzewski
Philip Rydzewski, Senior Vice President
|
|
|
|
|
and Chief Accounting Officer |
|
|
25