UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 10-Q

(Mark One)
 
☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2015

or

☐ 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:  001-33865

Triple-S Management Corporation
 
Puerto Rico
 
66-0555678
(State or other jurisdiction of incorporation or organization)
 
(I.R.S. Employer Identification No.)
     
1441 F.D. Roosevelt Avenue
San Juan, Puerto Rico
 
 
00920
(Address of principal executive offices)
 
(Zip code)
 
(787) 749-4949
(Registrant’s telephone number, including area code)
 
Not applicable
(Former name, former address and former fiscal year, if changed since last report)
 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
☑ Yes  ☐ No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
☑ Yes  ☐  No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer  ☐
Accelerated filer  ☑
 
Non-accelerated filer  ☐
Smaller reporting company  ☐
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   ☐ Yes  ☑ No

Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date.
 
Title of each class
 
Outstanding at June 30, 2015
Common Stock Class A, $1.00 par value
 
2,377,689
Common Stock Class B, $1.00 par value
 
23,650,247
 


 

Triple-S Management Corporation

FORM 10-Q

For the Quarter Ended June 30, 2015

Table of Contents
 
3
 
 
Item 1.
3
 
 
Item 2.
35
 
 
35
 
35
  Recent Developments 37
  Recent Accounting Standards 38
 
38
  Consolidated Operating Results 39
 
42
  Life Insurance Operating Results 45
  Property and Casualty Operating Results 46
 
48
 
 
Item 3.
50
 
 
Item 4.
50
 
50
 
 
Item 1.
50
 
 
Item 1A.
50
 
 
Item 2.
51
 
 
Item 3.
51
 
 
Item 4.
51
 
 
Item 5.
51
 
 
Item 6. 
51
 
52
 
2

Part I – Financial Information

Item 1. Financial Statements
 
Triple-S Management Corporation
Condensed Consolidated Balance Sheets (Unaudited)
(Dollar amounts in thousands, except per share data)

 
   
June 30,
2015
   
December 31,
2014
 
Assets
       
Investments and cash:
       
Securities available for sale, at fair value:
       
Fixed maturities
 
$
1,079,651
   
$
1,115,899
 
Equity securities
   
155,657
     
197,756
 
Securities held to maturity, at amortized cost:
               
Fixed maturities
   
2,947
     
2,944
 
Policy loans
   
7,334
     
7,260
 
Cash and cash equivalents
   
212,504
     
110,037
 
Total investments and cash
   
1,458,093
     
1,433,896
 
Premiums and other receivables, net
   
354,090
     
315,622
 
Deferred policy acquisition costs and value of business acquired
   
186,143
     
184,100
 
Property and equipment, net
   
74,530
     
78,343
 
Deferred tax asset
   
77,819
     
68,695
 
Goodwill
   
25,397
     
25,397
 
Other assets
   
57,261
     
39,683
 
Total assets
 
$
2,233,333
   
$
2,145,736
 
Liabilities and Stockholders' Equity
               
Claim liabilities
 
$
462,186
   
$
390,086
 
Liability for future policy benefits
   
339,707
     
328,293
 
Unearned premiums
   
80,192
     
82,656
 
Policyholder deposits
   
118,921
     
118,912
 
Liability to Federal Employees' Health Benefits Program (FEHBP)
   
16,489
     
15,666
 
Accounts payable and accrued liabilities
   
206,483
     
162,458
 
Deferred tax liability
   
22,052
     
28,456
 
Long-term borrowings
   
62,647
     
74,467
 
Liability for pension benefits
   
81,200
     
86,716
 
Total liabilities
   
1,389,877
     
1,287,710
 
Stockholders’ equity:
               
Triple-S Management Corporation stockholders' equity
               
Common stock Class A, $1 par value. Authorized 100,000,000 shares; issued and outstanding 2,377,689 at June 30, 2015 and December 31, 2014, respectively
   
2,378
     
2,378
 
Common stock Class B, $1 par value. Authorized 100,000,000 shares; issued and outstanding  23,650,247 and 24,654,497 shares at June 30, 2015 and December 31, 2014, respectively
   
23,650
     
24,654
 
Additional paid-in capital
   
99,617
     
121,405
 
Retained earnings
   
695,107
     
661,345
 
Accumulated other comprehensive income
   
23,291
     
48,776
 
Total Triple-S Management Corporation stockholders' equity
   
844,043
     
858,558
 
Non-controlling interest in consolidated subsididary
   
(587
)
   
(532
)
Total stockholders' equity
   
843,456
     
858,026
 
Total liabilities and stockholders’ equity
 
$
2,233,333
   
$
2,145,736
 
 
See accompanying notes to unaudited condensed consolidated financial statements.
 
3

Triple-S Management Corporation
Condensed Consolidated Statements of Earnings (Unaudited)
(Dollar amounts in thousands, except per share data)

 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Revenues:
               
Premiums earned, net
 
$
754,107
   
$
543,735
   
$
1,286,665
   
$
1,085,587
 
Administrative service fees
   
4,549
     
29,506
     
33,672
     
59,256
 
Net investment income
   
10,998
     
12,147
     
21,916
     
23,498
 
Other operating revenues
   
641
     
850
     
1,794
     
2,344
 
Total operating revenues
   
770,295
     
586,238
     
1,344,047
     
1,170,685
 
Net realized investment gains (losses):
                               
Total other-than-temporary impairment losses on securities
   
(1,660
)
   
(462
)
   
(2,862
)
   
(462
)
Net realized gains, excluding other-than-temporary impairment losses on securities
   
12,267
     
4,390
     
19,682
     
4,516
 
Total net realized investment gains
   
10,607
     
3,928
     
16,820
     
4,054
 
Other income, net
   
1,083
     
575
     
2,842
     
821
 
Total revenues
   
781,985
     
590,741
     
1,363,709
     
1,175,560
 
Benefits and expenses:
                               
Claims incurred
   
637,898
     
428,641
     
1,070,328
     
877,748
 
Operating expenses
   
126,824
     
123,589
     
254,199
     
248,956
 
Total operating costs
   
764,722
     
552,230
     
1,324,527
     
1,126,704
 
Interest expense
   
2,074
     
2,396
     
4,256
     
4,701
 
Total benefits and expenses
   
766,796
     
554,626
     
1,328,783
     
1,131,405
 
Income before taxes
   
15,189
     
36,115
     
34,926
     
44,155
 
Income tax expense (benefit)
   
(3,712
)
   
8,662
     
1,219
     
9,773
 
Net income
   
18,901
     
27,453
     
33,707
     
34,382
 
Less: Net loss attributable to non-controlling interest
   
25
     
23
     
55
     
49
 
Net income attributable to Triple-S Management Corporation
 
$
18,926
   
$
27,476
   
$
33,762
   
$
34,431
 
Earnings per share attributable to Triple-S Management Corporation
                               
Basic net income per share
 
$
0.73
   
$
1.01
   
$
1.29
   
$
1.27
 
Diluted net income per share
 
$
0.73
   
$
1.01
   
$
1.28
   
$
1.26
 
 
See accompanying notes to unaudited condensed consolidated financial statements.
 
4

Triple-S Management Corporation
Condensed Consolidated Statements of Comprehensive Income (Unaudited)
(Dollar amounts in thousands)

 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Net income
 
$
18,901
   
$
27,453
   
$
33,707
   
$
34,382
 
Other comprehensive income (loss), net of tax:
                               
Net unrealized change in fair value of available for sale securities, net of taxes
   
(29,044
)
   
19,080
     
(27,250
)
   
41,382
 
Defined benefit pension plan:
                               
Actuarial loss, net
   
1,016
     
649
     
1,903
     
1,354
 
Prior service credit, net
   
(77
)
   
(70
)
   
(138
)
   
(144
)
Total other comprehensive income (loss), net of tax
   
(28,105
)
   
19,659
     
(25,485
)
   
42,592
 
Comprehensive income (loss)
   
(9,204
)
   
47,112
     
8,222
     
76,974
 
Comprehensive loss attributable to non-controlling interest
   
25
     
23
     
55
     
49
 
Comprehensive income (loss) attributable to Triple-S Management Corporation
 
$
(9,179
)
 
$
47,135
   
$
8,277
   
$
77,023
 
 
See accompanying notes to unaudited condensed consolidated financial statements.
 
5

Triple-S Management Corporation
Condensed Consolidated Statements of Stockholders’ Equity (Unaudited)
(Dollar amounts in thousands)

 
   
2015
   
2014
 
Balance at January 1
 
$
858,558
   
$
785,381
 
Share-based compensation
   
3,199
     
1,221
 
Stock issued upon the exercise of stock options
   
179
     
2,885
 
Repurchase and retirement of common stock
   
(26,170
)
   
(9,044
)
Comprehensive income
   
8,277
     
77,023
 
Total Triple-S Management Corporation stockholders' equity
   
844,043
     
857,466
 
Non-controlling interest in consolidated subsididary
   
(587
)
   
(227
)
Balance at June 30
 
$
843,456
   
$
857,239
 
 
See accompanying notes to unaudited condensed consolidated financial statements.
 
6

Triple-S Management Corporation
Condensed Consolidated Statements of Cash Flows (Unaudited)
(Dollar amounts in thousands)

   
Six months ended
June 30,
 
   
2015
   
2014
 
Cash flows from operating activities:
       
Net income
 
$
33,707
   
$
34,382
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
   
8,138
     
10,578
 
Net amortization of investments
   
3,187
     
3,031
 
Additions to the allowance for doubtful receivables
   
11,626
     
6,388
 
Deferred tax benefit
   
(6,423
)
   
(2,119
)
Net realized investment gain on sale of securities
   
(16,820
)
   
(4,054
)
Share-based compensation
   
3,199
     
1,221
 
(Increase) decrease in assets:
               
Premium and other receivables, net
   
(56,003
)
   
(70,556
)
Deferred policy acquisition costs and value of business acquired
   
(2,043
)
   
(2,826
)
Deferred taxes
   
(4,876
)
   
259
 
Other assets
   
(16,596
)
   
(1,888
)
Increase (decrease) in liabilities:
               
Claim liabilities
   
72,100
     
(5,713
)
Liability for future policy benefits
   
11,414
     
11,693
 
Unearned premiums
   
(2,464
)
   
(3,841
)
Policyholder deposits
   
1,742
     
1,685
 
Liability to FEHBP
   
823
     
(3,523
)
Accounts payable and accrued liabilities
   
36,017
     
28,292
 
Net cash provided by operating activities
   
76,728
     
3,009
 
 
(Continued)
 
7

Triple-S Management Corporation
Condensed Consolidated Statements of Cash Flows (Unaudited)
(Dollar amounts in thousands)
 
   
Six months ended
June 30,
 
   
2015
   
2014
 
Cash flows from investing activities:
       
Proceeds from investments sold or matured:
       
Securities available for sale:
       
Fixed maturities sold
 
$
241,476
   
$
95,759
 
Fixed maturities matured/called
   
34,906
     
17,066
 
Equity securities sold
   
65,621
     
40,745
 
Securities held to maturity - fixed maturities matured/called
   
100
     
2,418
 
Acquisition of investments:
               
Securities available for sale:
               
Fixed maturities
   
(259,984
)
   
(137,783
)
Equity securities
   
(12,165
)
   
(20,650
)
Securities held to maturity - fixed maturities
   
(103
)
   
(350
)
Other investments
   
(2,522
)
   
(424
)
Net outflows from policy loans
   
(74
)
   
(172
)
Net capital expenditures
   
(3,003
)
   
(2,791
)
Net cash used in (provided by) investing activities
   
64,252
     
(6,182
)
Cash flows from financing activities:
               
Change in outstanding checks in excess of bank balances
   
1,028
     
(3,593
)
Repayments of long-term borrowings
   
(11,820
)
   
(992
)
Repurchase and retirement of common stock
   
(25,988
)
   
(5,995
)
Proceeds from policyholder deposits
   
4,538
     
3,305
 
Surrenders of policyholder deposits
   
(6,271
)
   
(4,559
)
Net cash used in financing activities
   
(38,513
)
   
(11,834
)
Net increase (decrease) in cash and cash equivalents
   
102,467
     
(15,007
)
Cash and cash equivalents:
               
Beginning of period
   
110,037
     
74,356
 
End of period
 
$
212,504
   
$
59,349
 
 
See accompanying notes to unaudited condensed consolidated financial statements.
 
8

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
(1) Basis of Presentation

The accompanying condensed consolidated interim financial statements prepared by Triple-S Management Corporation and its subsidiaries are unaudited.  In this filing, the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refer to Triple-S Management Corporation and its subsidiaries.  The condensed consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the U.S. (GAAP) for complete financial statements.  These condensed consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2014.

In the opinion of management, all adjustments, consisting of a normal recurring nature necessary for a fair presentation of such condensed consolidated interim financial statements, have been included.  The results of operations for the three months and six months ended June 30, 2015 are not necessarily indicative of the results for the full year ending December 31, 2015.

(2) Recent Accounting Standards

On April 7, 2015, the Financial Accounting Standards Board (FASB) issued guidance addressing the different balance sheet presentation requirements for debt issuance costs and debt discount and premiums.  This guidance requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts.  The recognition and measurement guidance for debt issuance costs is not significantly affected.  This guidance is effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2015.  We are currently evaluating the impact, if any, the adoption of this guidance may have on our financial position or results of operations.

On May 1, 2015, the FASB issued guidance addressing the current diversity in practice regarding the manner in which certain investments measured at net asset value with redemption dates in the future, including periodic redemption dates, are categorized within the fair value hierarchy.  This guidance eliminates the requirement to categorize within the fair value hierarchy investments for which fair values are measured at net asset value using the practical expedient.  Additionally, it eliminates the requirement to make certain disclosures for all investments that are eligible to be measured at fair value using the net asset value practical expedient.  This guidance is effective for public companies for fiscal years and interim periods within such years beginning after December 15, 2015.  We are currently evaluating the impact, if any, the adoption of this guidance may have on our financial position or results of operations.

On May 21, 2015, the FASB issued guidance to make targeted improvements to short-duration insurance contracts requiring insurance entities to disclose for annual reporting periods, among other information about the liability for unpaid claims and claim adjustment expenses, (1) incurred and paid claims development information by accident year, on a net basis after risk mitigation through reinsurance, for the number of years for which claims incurred typically remain outstanding (that need not exceed 10 years, including the most recent reporting period presented in the statement of financial position). Each period presented in the disclosure about claims development that precedes the current reporting period is considered to be supplementary information; and (2) for each accident year presented of incurred claims development information, quantitative information about claim frequency (unless it is impracticable to do so) accompanied by a qualitative description of methodologies used for determining claim frequency information (as well as any changes to these methodologies).  This guidance is effective for public companies for fiscal years beginning after December 31, 2015, and interim periods within such fiscal years beginning after December 15, 2016.  We are currently evaluating the impact, if any, the adoption of this guidance may have on our financial position or results of operations.
 
9

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months and six months ended June 30, 2015 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

(3) Investment in Securities

The amortized cost for debt securities and cost for equity securities, gross unrealized gains, gross unrealized losses, and estimated fair value for available-for-sale and held-to-maturity securities by major security type and class of security at June 30, 2015 and December 31, 2014, were as follows:
 
   
June 30, 2015
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Securities available for sale:
               
Fixed maturities:
               
Obligations of government-sponsored enterprises
 
$
107,362
   
$
1,047
   
$
(6
)
 
$
108,403
 
U.S. Treasury securities and obligations of U.S. government instrumentalities
   
155,385
     
954
     
-
     
156,339
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
26,650
     
-
     
(23
)
   
26,627
 
Municipal securities
   
588,989
     
36,023
     
(316
)
   
624,696
 
Corporate bonds
   
119,190
     
12,003
     
-
     
131,193
 
Residential mortgage-backed securities
   
1,023
     
67
     
-
     
1,090
 
Collateralized mortgage obligations
   
30,195
     
1,108
     
-
     
31,303
 
Total fixed maturities
   
1,028,794
     
51,202
     
(345
)
   
1,079,651
 
Equity securities - mutual funds
   
121,573
     
34,141
     
(57
)
   
155,657
 
Total
 
$
1,150,367
   
$
85,343
   
$
(402
)
 
$
1,235,308
 
 
10

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
   
December 31, 2014
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Securities available for sale:
               
Fixed maturities:
               
Obligations of government-sponsored enterprises
 
$
129,649
   
$
1,014
   
$
(19
)
 
$
130,644
 
U.S. Treasury securities and obligations of U.S. government instrumentalities
   
94,480
     
648
     
(28
)
   
95,100
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
35,115
     
138
     
-
     
35,253
 
Municipal securities
   
585,088
     
49,181
     
(50
)
   
634,219
 
Corporate bonds
   
147,224
     
17,744
     
(134
)
   
164,834
 
Residential mortgage-backed securities
   
6,808
     
311
     
-
     
7,119
 
Collateralized mortgage obligations
   
46,921
     
1,809
     
-
     
48,730
 
Total fixed maturities
   
1,045,285
     
70,845
     
(231
)
   
1,115,899
 
Equity securities - mutual funds
   
150,799
     
47,049
     
(92
)
   
197,756
 
Total
 
$
1,196,084
   
$
117,894
   
$
(323
)
 
$
1,313,655
 

   
June 30, 2015
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Securities held to maturity:
 
   
   
   
 
U.S. Treasury securities and obligations of U.S. government instrumentalities
 
$
621
   
$
177
   
$
-
   
$
798
 
Residential mortgage-backed securities
   
217
     
22
     
-
     
239
 
Certificates of deposit
   
2,109
     
-
     
-
     
2,109
 
Total
 
$
2,947
   
$
199
   
$
-
   
$
3,146
 
 
11

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
   
December 31, 2014
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Securities held to maturity:
               
U.S. Treasury securities and obligations of U.S. government instrumentalities
 
$
622
   
$
198
   
$
-
   
$
820
 
Residential mortgage-backed securities
   
217
     
21
     
-
     
238
 
Certificates of deposit
   
2,105
     
-
     
-
     
2,105
 
Total
 
$
2,944
   
$
219
   
$
-
   
$
3,163
 
 
Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of June 30, 2015 and December 31, 2014 were as follows:
 
   
June 30, 2015
 
   
Less than 12 months
   
12 months or longer
   
Total
 
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number
of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number
of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number
of
Securities
 
Securites available for sale:
                                   
Fixed maturities:
                                   
Obligations of government-sponsored enterprises
 
$
6,393
   
$
(6
)
   
1
   
$
-
   
$
-
     
-
   
$
6,393
   
$
(6
)
   
1
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
16,507
     
(23
)
   
6
     
-
     
-
     
-
     
16,507
     
(23
)
   
6
 
Municipal securities
   
31,228
     
(316
)
   
9
     
-
     
-
     
-
     
31,228
     
(316
)
   
9
 
Total fixed maturities
   
54,128
     
(345
)
   
16
     
-
     
-
     
-
     
54,128
     
(345
)
   
16
 
Equity securities - mutual funds
   
3,599
     
(57
)
   
1
     
-
     
-
     
-
     
3,599
     
(57
)
   
1
 
Total for securities available for sale
 
$
57,727
   
$
(402
)
   
17
   
$
-
   
$
-
     
-
   
$
57,727
   
$
(402
)
   
17
 

   
December 31, 2014
 
   
Less than 12 months
   
12 months or longer
   
Total
 
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
 
Securites available for sale:
                                   
Fixed maturities:
                                   
Obligations of government-sponsored enterprises
 
$
43,105
   
$
(19
)
   
2
   
$
-
   
$
-
     
-
   
$
43,105
   
$
(19
)
   
2
 
U.S. Treasury securities  and obligations of U.S. governmental instrumentalities
   
39,966
     
(28
)
   
2
     
-
     
-
     
-
     
39,966
     
(28
)
   
2
 
Municipal securities
   
6,749
     
(24
)
   
3
     
6,693
     
(26
)
   
3
     
13,442
     
(50
)
   
6
 
Corporate bonds
   
17,053
     
(50
)
   
4
     
20,405
     
(84
)
   
4
     
37,458
     
(134
)
   
8
 
Total fixed maturities
   
106,873
     
(121
)
   
11
     
27,098
     
(110
)
   
7
     
133,971
     
(231
)
   
18
 
Equity securities - mutual funds
   
7,773
     
(92
)
   
2
     
-
     
-
     
-
     
7,773
     
(92
)
   
2
 
Total for securities available for sale
 
$
114,646
   
$
(213
)
   
13
   
$
27,098
   
$
(110
)
   
7
   
$
141,744
   
$
(323
)
   
20
 
 
The Corporation regularly monitors and evaluates the difference between the amortized cost and estimated fair value of investments.  For investments with a fair value below amortized cost, the process includes evaluating: (1) the length of time and the extent to which the estimated fair value has been less than amortized cost for fixed maturity securities, or cost for equity securities, (2) the financial condition, near-term and long-term prospects for the issuer, including relevant industry conditions and trends, and implications of rating agency actions, (3) the Company’s intent to sell or the likelihood of a required sale prior to recovery, (4) the recoverability of principal and interest for fixed maturity securities, or cost for equity securities, and (5) other factors, as applicable.  This process is not exact and requires further consideration of risks such as credit and interest rate risks.  Consequently, if an investment’s cost exceeds its estimated fair value solely due to changes in interest rates, other-than temporary impairment may not be appropriate.
 
12

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Due to the subjective nature of the Corporation’s analysis, along with the judgment that must be applied in the analysis, it is possible that the Corporation could reach a different conclusion whether or not to impair a security if it had access to additional information about the investee.  Additionally, it is possible that the investee’s ability to meet future contractual obligations may be different than what the Corporation determined during its analysis, which may lead to a different impairment conclusion in future periods.

If after monitoring and analyzing impaired securities, the Corporation determines that a decline in the estimated fair value of any available-for-sale or held-to-maturity security below cost is other-than-temporary, the carrying amount of the security is reduced to its fair value in accordance with current accounting guidance.  The new cost basis of an impaired security is not adjusted for subsequent increases in estimated fair value.  In periods subsequent to the recognition of an other-than-temporary impairment, the impaired security is accounted for as if it had been purchased on the measurement date of the impairment.  For debt securities, the discount (or reduced premium) based on the new cost basis may be accreted into net investment income in future periods based on prospective changes in cash flow estimates, to reflect adjustments to the effective yield.

The Corporation’s process for identifying and reviewing invested assets for other-than temporary impairments during any quarter includes the following:

Identification and evaluation of securities that have possible indications of other-than-temporary impairment, which includes an analysis of all investments with gross unrealized investment losses that represent 20% or more of their cost and all investments with an unrealized loss greater than $100.

Review and evaluation of any other security based on the investee’s current financial condition, liquidity, near-term recovery prospects, implications of rating agency actions, the outlook for the business sectors in which the investee operates and other factors.  This evaluation is in addition to the evaluation of those securities with a gross unrealized investment loss representing 20% or more of their cost.

Consideration of evidential matter, including an evaluation of factors or triggers that may or may not cause individual investments to qualify as having other-than-temporary impairments.

Determination of the status of each analyzed security as other-than-temporary or not, with documentation of the rationale for the decision; and

Equity securities are considered to be impaired when a position is in an unrealized loss for a period longer than 6 months.

The Corporation reviews the investment portfolios under the Corporation’s impairment review policy.  Given market conditions and the significant judgments involved, there is a continuing risk that declines in fair value may occur and material other-than-temporary impairments may be recorded in future periods.  The Corporation from time to time may sell investments as part of its asset/liability management process or to reposition its investment portfolio based on current and expected market conditions.

Obligations of Government-Sponsored Enterprises and Municipal Securities: One position in this category met the requirements for detailed evaluation, which is a bond issued by the University of Massachusetts Building Authority with a maturity date of May 1, 2039. This bond is rated Aa2/AA- and the revenue stream is College and University revenues. The unrealized loss of this position is $118, which represents 2.1% of its book value. The position was acquired in April 2015 and the unrealized loss is due to general market movements, as interest rates have increased between April and June. We do not consider this position other-than-temporarily impaired as of June 30, 2015, because: (a) the unrealized loss percentage is small, (b) the unrealized loss is due to general market movements, (c) we do not have the intent to sell this investment, and (d) it is not more likely than not that we will be required to sell this investment before recovery of its amortized cost basis (which may be maturity).

Obligations of the Commonwealth of Puerto Rico and its Instrumentalities: Our holdings in Puerto Rico municipals can be divided in (1) escrowed bonds with a fair value of $16,507 and a gross unrealized loss of $23, and (2) bonds issued by the Puerto Rico Sales Tax Financing Corporation (Cofina) with a fair value of $10,120 and no unrealized gain or loss after the other-than-temporary impairment.
 
13

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Besides holdings in escrowed bonds, which are backed by US Government securities and therefore have an implicit AA+/Aaa rating, our exposure is in senior lien bonds issued by Cofina.  Below we will discuss the Cofina structure and security, recent events and our impairment conclusion.

Cofina bonds are backed by a sales tax levied on the island, which was increased to 11.5% from an original rate of 7%, effective July 1, 2015.  The revenue of the incremental rate of 4.5% flows directly into the General Fund of the Commonwealth.  The revenue of the original rate of 7% follows the flow of funds as described below.

Of the original 7% tax rate, 1.5% is a separated revenue stream for municipalities. Of the remaining 5.5%, the larger of 2.75% or a base amount is pledged to the sales tax bonds. In terms of flow of funds, the 5.5% remaining revenue is first used for debt service on senior lien bonds, then for debt service on subordinate bonds and the excess flows into the General Fund.  Effective government fiscal year 2015/16, the flow of funds has been somewhat revised to benefit Cofina. The municipality portion of 0.5% is first directed to Cofina in order to satisfy the above mentioned base amount.  Once this base amount is reached, the municipality portion catches up by receiving the amounts which were previously diverted towards Cofina.

Sales tax revenues are dependent on the Puerto Rico economic situation and the sales tax base amount mentioned above would need to grow over time to cover debt service, especially to cover the longer maturities. However, the Company mostly owns shorter Cofina senior bonds, for which debt service coverage based on current revenues is ample.

According to the Government Development Bank, legal opinions from the Puerto Rico’s Secretary of Justice, Bond Counsel and Underwriters’ Counsel, pledged sales tax revenues do not constitute available resources of the Commonwealth. In other words, these revenues are not subject to the so called Puerto Rico general obligations (GO) debt “clawback” under the Commonwealth’s constitution, which provides that certain revenues used to support various bond issues are available to be applied first to the payment of GO debt if needed . This suggests that Cofina bonds could be somewhat isolated from the other Puerto Rico credits.
 
General Obligation bonds and Cofina are generally considered to have the strongest legal protections.  However, it seems that the Puerto Rico government is moving towards a consolidated debt restructuring across all issuers (see below).  Cofina could either directly be included in this restructuring or the GO bond holders could challenge the separation of the sales tax revenue stream.
 
During the last year, the Puerto Rico Government has tried to find several solutions to improve its fiscal situation.  Among other initiatives, the Government has (1) sought to provide a legal framework for restructuring its public corporation debt, (2) has planned a bond sale backed by a new fuel tax and (3) has increased sales tax revenue.
 
Intended to provide a legal framework for restructuring public corporation debt, the Puerto Rico Public Corporations Debt Enforcement and Recovery Act (the Recovery Act) was passed by the Legislature in June 2014. The Central Government, municipalities and related agencies (including bonds issued by Cofina) would explicitly not be eligible, i.e. these could be restructured under this new act.  However, the U.S. District Court of Puerto Rico ruled the Recovery Act unconstitutional in February 2015.  On July 6, 2005, the First Circuit Court of Appeals confirmed the decision of the District Court.  The Government of Puerto Rico has announced it is considering taking the controversy to the U.S. Supreme Court.  As a response to the District Court decision (later confirmed by the First Circuit), the Resident Commissioner of Puerto Rico, a non-voting member of the U.S. House of Representatives, filed a bill seeking to allow the public corporations to restructure their debt under Chapter 9 of the federal bankruptcy code, if needed.  Currently, this bill is still being debated in the U.S. Congress.
 
14

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
In December 2014, the Puerto Rico legislature approved a new fuel tax of 15%.  This new tax was supposed to back a $2,900,000 bond sale by the Highway Authority, which would be used to pay off a $2,200,000 debt of that agency with the Government Development Bank.  However, this bond deal was not brought to market.  Effective March 15, 2015, the tax on petroleum products increased approximately 7%.
 
In an attempt to raise additional revenue, the Puerto Rico Government proposed a 16 percent value-added tax on goods and services in February 2015. This new tax would replace the 7 percent sales and use tax and would be combined with lower income tax rates. However, on April 29, 2015 the House of Representatives rejected the proposal. In a second attempt to raise revenue, in May 2015, the legislature passed a bill to increase the sales tax from 7% to 11.5%, effective July 1, 2015, and to introduce a 4% sales tax on services provided between businesses and on professional services, effective October 1, 2015.

Despite the initiatives above, more recently the Puerto Rico Government has changed its historical position and indicated that it is unable to support its debt burden. A study of the financial situation by former officials at the International Monetary Fund and the World Bank, published in June 2015, concluded that the debt load is unsustainable and that a debt restructuring can no longer be avoided. Subsequently, Puerto Rico’s Governor said that the debt was “not payable” and that the Puerto Rico Government would probably seek significant concessions from all of the island’s creditors, which could include deferring some debt payments for a number of years. The Governor also appointed a working group, which is asked to devise fiscal reforms and work on a debt restructuring.

At the end of June 2015, the legislature passed a $9,800,000 budget for the next fiscal year. However, legislation was also passed that would allow suspending monthly General Obligation debt service deposits. These deposits would be suspended until next fiscal year unless the Government can raise funds through the issuance of tax revenue anticipation notes (TRANs) or other borrowings.

As a first step towards debt restructuring, the Government held a meeting with creditors on July 14, 2015, but offered no specifics with regards to which obligations might be restructured. Officials acknowledged the need for capital market access, indicated that liquidity would be very tight in the beginning of the new fiscal year and mentioned that certain measures had been taken, including the issuance of $400,000 TRANs to certain Government entities and advances from Puerto Rico’s retirement system. Despite these measures, on August 1, 2015, the Puerto Rico Public Finance Corporation failed to remit enough cash to its paying agent to satisfy its entire debt service obligation.  This is the first time that Puerto Rico has defaulted on any of its bonded debt obligations, showing its constrained liquidity position.

This quarter, S&P and Moody’s have continued to downgrade Puerto Rico credits. On June 29, 2015, S&P downgraded General Obligation bonds and Cofina senior to CCC-, maintaining a negative outlook. S&P states that the potential for a restructuring of some or all of the Commonwealth’s debt is a significant possibility over the next six months. On July 1, 2015, Moody’s downgraded General Obligation bonds and Cofina senior to Caa3, maintaining a negative outlook. Moody’s notes that even those Puerto Rico securities with strong legal protections face a significant loss.

We considered our unrealized loss position in Cofina to be other-than-temporarily impaired as of June 30, 2015, because: (a) the financial position of the Commonwealth has deteriorated further, evidenced by a lack of liquidity and market access, and (b) the Puerto Rico government is moving towards a consolidated debt restructuring, which could include Cofina or could jeopardize the separation of the sales tax revenue stream.  As a result, during the three months and six months ended June 30, 2015, we recorded an other-than-temporary impairment for the Cofina positions amounting to $1,660 and $2,862, respectively.
 
15

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Maturities of investment securities classified as available for sale and held to maturity at June 30, 2015 were as follows:
 
   
June 30, 2015
 
   
Amortized
cost
   
Estimated
fair value
 
Securities available for sale:
       
Due in one year or less
 
$
48,258
   
$
48,990
 
Due after one year through five years
   
330,556
     
336,761
 
Due after five years through ten years
   
111,151
     
117,524
 
Due after ten years
   
507,611
     
543,983
 
Residential mortgage-backed securities
   
1,023
     
1,090
 
Collateralized mortgage obligations
   
30,195
     
31,303
 
   
$
1,028,794
   
$
1,079,651
 
Securities held to maturity:
               
Due in one year or less
 
$
2,109
   
$
2,109
 
Due after ten years
   
621
     
798
 
Residential mortgage-backed securities
   
217
     
239
 
   
$
2,947
   
$
3,146
 
 
Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties.

Information regarding realized and unrealized gains and losses from investments for the three months and six months ended June 30, 2015 and 2014 is as follows:
 
 
 
Three months ended
June 30,
   
Six months ended
June 30,
 
 
 
2015
   
2014
   
2015
   
2014
 
Realized gains (losses):
               
Fixed maturity securities:
               
Securities available for sale:
               
Gross gains from sales
 
$
2,328
   
$
380
   
$
6,337
   
$
1,703
 
Gross losses from sales
   
(129
)
   
(112
)
   
(404
)
   
(1,957
)
Gross losses from other-than-temporary impairments
   
(1,660
)
   
(462
)
   
(2,862
)
   
(462
)
Total debt securities
   
539
     
(194
)
   
3,071
     
(716
)
Equity securities:
                               
Securities available for sale:
                               
Gross gains from sales
   
10,138
     
2,697
     
13,874
     
4,616
 
Gross losses from sales
   
(70
)
   
-
     
(125
)
   
(1,271
)
Total equity securities
   
10,068
     
2,697
     
13,749
     
3,345
 
Net realized gains on securities available for sale
   
10,607
     
2,503
     
16,820
     
2,629
 
Gross gain from other investment
   
-
     
1,425
     
-
     
1,425
 
Net realized investment gains
 
$
10,607
   
$
3,928
   
$
16,820
   
$
4,054
 
 
The other-than-temporary impairments on fixed maturity securities are attributable to credit losses.
 
16

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
 
 
Three months ended
June 30,
   
Six months ended
June 30,
 
 
 
2015
   
2014
   
2015
   
2014
 
Changes in net unrealized gains (losses):
 
   
   
   
 
Recognized in accumulated other comprehensive income:
 
   
   
   
 
Fixed maturities – available for sale
 
$
(23,848
)
 
$
16,162
   
$
(19,757
)
 
$
39,917
 
Equity securities – available for sale
   
(11,595
)
   
6,292
     
(12,873
)
   
8,947
 
   
$
(35,443
)
 
$
22,454
   
$
(32,630
)
 
$
48,864
 
Not recognized in the consolidated financial statements:
                               
Fixed maturities – held to maturity
 
$
(37
)
 
$
11
   
$
(20
)
 
$
13
 
 
The deferred tax asset (liability) on unrealized gains change recognized in accumulated other comprehensive income during the six months ended June 30, 2015 and 2014 was $5,380 and ($7,842), respectively.

As of June 30, and December 31, 2014, no individual investment in securities exceeded 10% of stockholders’ equity.

The components of net investment income were as follows:
 
 
 
Three months ended
June 30,
   
Six months ended
June 30,
 
 
 
2015
   
2014
   
2015
   
2014
 
Fixed maturities
 
$
8,592
   
$
9,569
   
$
17,941
   
$
19,239
 
Equity securities
   
1,777
     
2,270
     
3,124
     
3,616
 
Policy loans
   
135
     
133
     
266
     
258
 
Cash equivalents and interest-bearing deposits
   
33
     
14
     
63
     
26
 
Other
   
461
     
161
     
522
     
359
 
Total
 
$
10,998
   
$
12,147
   
$
21,916
   
$
23,498
 
 
17

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
(4) Premiums and Other Receivables, Net

Premiums and other receivables, net as of June 30, 2015 and December 31, 2014 were as follows:
 
   
June 30,
2015
   
December 31,
2014
 
Premiums
 
$
159,874
   
$
131,496
 
Self-insured group receivables
   
76,467
     
62,189
 
FEHBP
   
13,811
     
12,384
 
Agent balances
   
30,779
     
25,300
 
Accrued interest
   
12,276
     
11,737
 
Reinsurance recoverable
   
48,358
     
50,686
 
Unsettled sales
   
4,547
     
10,456
 
Other
   
47,706
     
47,742
 
     
393,818
     
351,990
 
Less allowance for doubtful receivables:
               
Premiums
   
31,272
     
28,983
 
Other
   
8,456
     
7,385
 
     
39,728
     
36,368
 
Total premiums and other receivables, net
 
$
354,090
   
$
315,622
 
 
As of June 30, 2015 and December 31, 2014, the Company had premiums and other receivables of $94,604 and $89,904, respectively, from the Government of Puerto Rico, including its agencies, municipalities and public corporations.  The related allowance for doubtful receivables as of June 30, 2015 and December 31, 2014 were $19,447 and $11,614, respectively.
 
(5) Fair Value Measurements

Assets recorded at fair value in the condensed consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure their fair value.  Level inputs, as defined by current accounting guidance for fair value measurements and disclosures, are as follows:
 
Level Input:
Input Definition:
Level 1
 
Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.
Level 2
 
Inputs other than quoted prices included in Level 1 that are observable for the asset or liability through corroboration with market data at the measurement date.
Level 3
 
Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.
 
The Corporation uses observable inputs when available. Fair value is based upon quoted market prices when available. The Corporation limits valuation adjustments to those deemed necessary to ensure that the security’s fair value adequately represents the price that would be received or paid in the marketplace. Valuation adjustments may include consideration of counterparty credit quality and liquidity as well as other criteria.  The estimated fair value amounts are subjective in nature and may involve uncertainties and matters of significant judgment for certain financial instruments. Changes in the underlying assumptions used in estimating fair value could affect the results.  The fair value measurement levels are not indicative of risk of investment.

The fair value of investment securities is estimated based on quoted market prices for those or similar investments.  Additional information pertinent to the estimated fair value of investment in securities is included in note 3.
 
18

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
The following tables summarize fair value measurements by level at June 30, 2015 and December 31, 2014 for assets measured at fair value on a recurring basis:
 
   
June 30, 2015
 
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Securities available for sale:
               
Fixed maturity securities
               
Obligations of government-sponsored enterprises
 
$
-
   
$
108,403
   
$
-
   
$
108,403
 
U.S. Treasury securities and obligations of U.S government instrumentalities
   
156,339
     
-
     
-
     
156,339
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
-
     
26,627
     
-
     
26,627
 
Municipal securities
   
-
     
624,696
     
-
     
624,696
 
Corporate bonds
   
-
     
131,193
     
-
     
131,193
 
Residential agency mortgage-backed securities
   
-
     
1,090
     
-
     
1,090
 
Collateralized mortgage obligations
   
-
     
31,303
     
-
     
31,303
 
Total fixed maturities
   
156,339
     
923,312
     
-
     
1,079,651
 
Equity securities - mutual funds
   
128,305
     
18,269
     
9,083
     
155,657
 
                                 
Total
 
$
284,644
   
$
941,581
   
$
9,083
   
$
1,235,308
 

   
December 31, 2014
 
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Securities available for sale:
               
Fixed maturity securities
               
Obligations of government-sponsored enterprises
 
$
-
   
$
130,644
   
$
-
   
$
130,644
 
U.S. Treasury securities and obligations of U.S government instrumentalities
   
95,100
     
-
     
-
     
95,100
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
-
     
35,253
     
-
     
35,253
 
Municipal securities
   
-
     
634,219
     
-
     
634,219
 
Corporate bonds
   
-
     
164,834
     
-
     
164,834
 
Residential agency mortgage-backed securities
   
-
     
7,119
     
-
     
7,119
 
Collateralized mortgage obligations
   
-
     
48,730
     
-
     
48,730
 
Total fixed maturities
   
95,100
     
1,020,799
     
-
     
1,115,899
 
Equity securities - mutual funds
   
160,461
     
23,946
     
13,349
     
197,756
 
                                 
Total
 
$
255,561
   
$
1,044,745
   
$
13,349
   
$
1,313,655
 
 
The fair value of fixed maturity and equity securities included in the Level 2 category were based on market values obtained from independent pricing services, which utilize evaluated pricing models that vary by asset class and incorporate available trade, bid and other market information and for structured securities, cash flow and when available loan performance data.  Because many fixed income securities do not trade on a daily basis, the models used by independent pricing service providers to prepare evaluations apply available information, such as benchmark curves, benchmarking of like securities, sector groupings, and matrix pricing.  For certain equity securities, quoted market prices for the identical security are not always available and the fair value is estimated by reference to similar securities for which quoted prices are available.  The independent pricing service providers monitor market indicators, industry and economic events, and for broker-quoted only securities, obtain quotes from market makers or broker-dealers that they recognize to be market participants. The fair value of the investments in partnerships included in the Level 3 category was based on the net asset value (NAV) which is affected by the changes in the fair market value of the investments held in these partnerships.
 
19

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Transfers into or out of the Level 3 category occur when unobservable inputs, such as the Company’s best estimate of what a market participant would use to determine a current transaction price, become more or less significant to the fair value measurement.  Transfers between levels, if any, are recorded as of the actual date of the event or change in circumstance that caused the transfer.  There were no transfers in and/or out of Level 3 and between Levels 1 and 2 during the three months and six months ended June 30, 2015 and 2014.

A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the three months ended June 30, 2015 and 2014 is as follows:
 
   
Three months ended
 
   
June 30, 2015
   
June 30, 2014
 
   
Fixed
Maturity
Securities
   
Equity
Securities
   
Total
   
Fixed
Maturity
Securities
   
Equity
Securities
   
Total
 
Beginning balance
 
$
-
   
$
10,191
   
$
10,191
   
$
-
   
$
18,868
   
$
18,868
 
Realized gains
   
-
     
-
     
-
     
-
             
-
 
Unrealized loss in other accumulated comprehensive income
   
-
     
(700
)
   
(700
)
   
-
     
(353
)
   
(353
)
Capital distributions
   
-
     
(519
)
   
(519
)
   
-
     
(2,001
)
   
(2,001
)
Purchases
   
-
     
111
     
111
     
-
     
345
     
345
 
Transfers in and/or out of Level 3
   
-
     
-
     
-
     
-
     
-
     
-
 
Ending balance
 
$
-
   
$
9,083
   
$
9,083
   
$
-
   
$
16,859
   
$
16,859
 

   
Six months ended
 
   
June 30, 2015
   
June 30, 2014
 
   
Fixed
Maturity
Securities
   
Equity
Securities
   
Total
   
Fixed
Maturity
Securities
   
Equity
Securities
   
Total
 
Beginning balance
 
$
-
   
$
13,349
   
$
13,349
   
$
-
   
$
17,910
   
$
17,910
 
Realized gains
   
-
     
1,412
     
1,412
     
-
     
-
     
-
 
Unrealized gain (loss) in other accumulated comprehensive income
   
-
     
(3,302
)
   
(3,302
)
   
-
     
605
     
605
 
Capital distributions
   
-
     
(2,565
)
   
(2,565
)
   
-
     
(2,001
)
   
(2,001
)
Purchases
   
-
     
189
     
189
     
-
     
345
     
345
 
Transfers in and/or out of Level 3
   
-
     
-
     
-
     
-
     
-
     
-
 
Ending balance
 
$
-
   
$
9,083
   
$
9,083
   
$
-
   
$
16,859
   
$
16,859
 
 
In addition to the preceding disclosures on assets recorded at fair value in the condensed consolidated balance sheets, accounting guidance also requires the disclosure of fair values for certain other financial instruments for which it is practicable to estimate fair value, whether or not such values are recognized in the condensed consolidated balance sheets.

Non-financial instruments such as property and equipment, other assets, deferred income taxes and intangible assets, and certain financial instruments such as claim liabilities are excluded from the fair value disclosures. Therefore, the fair value amounts cannot be aggregated to determine our underlying economic value.

The carrying amounts reported in the condensed consolidated balance sheets for cash and cash equivalents, receivables, accounts payable and accrued liabilities, and short-term borrowings approximate fair value because of the short term nature of these items.  These assets and liabilities are not listed in the table below.
 
20

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
The following methods, assumptions and inputs were used to estimate the fair value of each class of financial instrument:

(i) Policy Loans

Policy loans have no stated maturity dates and are part of the related insurance contract. The carrying amount of policy loans approximates fair value because their interest rate is reset periodically in accordance with current market rates.

(ii) Policyholder Deposits

The fair value of policyholder deposits is the amount payable on demand at the reporting date, and accordingly, the carrying value amount approximates fair value.

(iii) Long-term Borrowings

The carrying amount of the loans payable to bank – variable approximates fair value due to its floating interest-rate structure.  The fair value of the senior unsecured notes payable was determined using broker quotations.

(iv) Repurchase Agreement

The value of the repurchase agreement with a long term maturity is based on the discounted value of the contractual cash flows using current estimated market discount rates for instruments with similar terms.

A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our condensed consolidated balance sheets at June 30, 2015 and December 31, 2014 are as follows:
 
 
 
June 30, 2015
 
 
 
Carrying
   
Fair Value
 
 
 
Value
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Assets:
 
   
   
   
   
 
Policy loans
 
$
7,334
   
$
-
   
$
7,334
   
$
-
   
$
7,334
 
                                         
Liabilities:
                                       
Policyholder deposits
 
$
118,921
   
$
-
   
$
118,921
   
$
-
   
$
118,921
 
Long-term borrowings:
                                       
Loans payable to bank - variable
   
13,647
     
-
     
13,647
     
-
     
13,647
 
6.6% senior unsecured notes payable
   
24,000
     
-
     
25,173
     
-
     
25,173
 
Repurchase agreement
   
25,000
     
-
     
27,140
     
-
     
27,140
 
Total long-term borrowings
   
62,647
     
-
     
65,960
     
-
     
65,960
 
Total liabilities
 
$
181,568
   
$
-
   
$
184,881
   
$
-
   
$
184,881
 
 
21

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
 
 
December 31, 2014
 
 
 
Carrying
   
Fair Value
 
 
 
Value
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Assets:
 
   
   
   
   
 
Policy loans
 
$
7,260
   
$
-
   
$
7,260
   
$
-
   
$
7,260
 
                                         
Liabilities:
                                       
Policyholder deposits
 
$
118,912
   
$
-
   
$
118,912
   
$
-
   
$
118,912
 
Long-term borrowings:
                                       
Loans payable to bank - variable
   
14,467
     
-
     
14,467
     
-
     
14,467
 
6.6% senior unsecured notes payable
   
35,000
     
-
     
33,513
     
-
     
33,513
 
Repurchase agreement
   
25,000
     
-
     
25,337
     
-
     
25,337
 
Total long-term borrowings
   
74,467
     
-
     
73,317
     
-
     
73,317
 
Total liabilities
 
$
193,379
   
$
-
   
$
192,229
   
$
-
   
$
192,229
 
 
(6) Claim Liabilities

The activity in the total claim liabilities for the three months and six months ended June 30, 2015 and 2014 is as follows:
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Claim liabilities at beginning of period
 
$
401,642
   
$
446,710
   
$
390,086
   
$
420,421
 
Reinsurance recoverable on claim liabilities
   
(39,958
)
   
(40,615
)
   
(40,635
)
   
(37,557
)
Net claim liabilities at beginning of period
   
361,684
     
406,095
     
349,451
     
382,864
 
Incurred claims and loss-adjustment expenses:
                               
Current period insured events
   
628,900
     
431,328
     
1,080,137
     
901,699
 
Prior period insured events
   
3,783
     
(8,764
)
   
(21,901
)
   
(35,283
)
Total
   
632,683
     
422,564
     
1,058,236
     
866,416
 
Payments of losses and loss-adjustment expenses:
                               
Current period insured events
   
539,085
     
416,046
     
783,813
     
657,917
 
Prior period insured events
   
32,252
     
37,737
     
200,844
     
216,487
 
Total
   
571,337
     
453,783
     
984,657
     
874,404
 
Net claim liabilities at end of period
   
423,030
     
374,876
     
423,030
     
374,876
 
Reinsurance recoverable on claim liabilities
   
39,156
     
39,832
     
39,156
     
39,832
 
Claim liabilities at end of period
 
$
462,186
   
$
414,708
   
$
462,186
   
$
414,708
 
 
As a result of differences between actual amounts and estimates of insured events in prior years, the amounts included as incurred claims for prior period insured events differ from anticipated claims incurred.

The amount in the incurred claims and loss-adjustment expenses for prior period insured events for the three month ended June 30, 2015 is due primarily to higher than anticipated utilization trends.  The credit in the incurred claims and loss-adjustment expenses for prior period insured events for the six months ended June 30, 2015 and the three months and six months ended June 30, 2014 is due primarily to better than expected cost and utilization trends.  Reinsurance recoverable on unpaid claims is reported within the premium and other receivables, net in the accompanying consolidated financial statements.
 
22

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits expense, which amounted to $5,215 and $12,092 during the three months and six months ended June 30, 2015, respectively.  The change in the liability for future policy benefits during the three months and six months ended June 30, 2014 amounted to $6,077 and $11,332.

(7) Income Taxes

Under Puerto Rico income tax law, the Corporation is not allowed to file consolidated tax returns with its subsidiaries.  The Corporation and its subsidiaries are subject to Puerto Rico income taxes.  The Corporation’s insurance subsidiaries are also subject to U.S. federal income taxes for foreign source dividend income.

Managed Care and Property and Casualty corporations are taxed essentially the same as other corporations, with taxable income primarily determined on the basis of the statutory annual statements filed with the insurance regulatory authorities. The corporations are also subject to an alternative minimum income tax, which is calculated based on the formula established by existing tax laws. Any alternative minimum income tax paid may be used as a credit against the excess, if any, of regular income tax over the alternative minimum income tax in future years.

The Corporation, through one of its Managed Care corporations, has a branch in the U.S. Virgin Islands that is subject to a 5% premium tax on policies underwritten therein. As a qualified foreign insurance company, the Company is subject to income taxes in the U.S. Virgin Islands, which has implemented a mirror tax law based on the U.S. Internal Revenue Code.  The branch operations in the U.S. Virgin Islands had certain net operating losses for U.S. Virgin Islands tax purposes for which a valuation allowance has been recorded.

Companies within our Life Insurance segment operate as qualified domestic life insurance companies and are subject to the alternative minimum tax and taxes on its capital gains.

All other corporations within the group are subject to Puerto Rico income taxes as regular corporations, as defined in the P.R. Internal Revenue Code, as amended.  The holding company within the Triple-S Advantage, Inc. (TSA) group of companies is a U.S.-based corporation and is subject to U.S. federal income taxes.  This U.S.-based corporation within our group has not provided U.S. deferred taxes on an outside basis difference created as a result of the business combination of TSA and cumulative earnings of its Puerto Rico-based subsidiaries that are considered to be indefinitely reinvested.  The total outside basis difference at December 31, 2014 is estimated at $54,000.  We do not intend to repatriate earnings to fund U.S. and Puerto Rico operations nor do any transaction that would cause a reversal of that outside basis difference.  Because of the availability of U.S. foreign tax credits, it is not practicable to determine the U.S. federal income tax liability if such outside basis difference was reversed.

On July 1, 2014, the Governor of Puerto Rico signed into law Act No. 77 including multiple amendments to the Puerto Rico tax code that had a direct impact on the tax liabilities of individual and corporate taxpayers.  The amendments to the Puerto Rico tax code include, among others, changes to the corporate tax rate on long-term capital gains, which was increased from 15% to 20% for all transactions occurring after June 30, 2014.

Act No. 77 of 2014 also included changes to the gross receipts tax, (1) eliminating the additional gross receipts tax as a component of the corporate alternative minimum tax commencing on January 1, 2014 and thereafter, and (2) adding a new gross receipts tax.  Although the new gross receipts tax will be an additional tax on the Corporation’s gross income, it will be deductible for purposes of computing taxable income, but only to the extent that the new gross receipts tax is paid on or before the filing date of the income tax return.  On December 22, 2014, the Governor of Puerto Rico signed into law Act No. 238, which amended the Puerto Rico tax code to include, among others, that this gross receipt tax is not applicable for fiscal years beginning after December 31, 2014.  The impact of the amendments to the gross receipts tax was not significant to the results of operations.

Act No. 77 also allowed corporations to elect, during the period running from July 1, 2014 to October 31, 2014, to prepay at a reduced income tax rate of 12% on the increase in value of long-term capital assets.  On December 22, 2014 and March 30, 2015, the Governor of Puerto Rico signed into law Act No. 238 and Act No. 44, respectively, providing further amendments to the provisions set forth by Act No. 77, extending the period to prepay at the reduced tax rate of 12% on the increase in value of long-term capital assets until April 30, 2015.  In connection with this law, on April 15, 2015, the group of corporations that comprise TSM entered into a Closing Agreement with the Puerto Rico Department of Treasury.  The Closing Agreement, among other matters, was related with the payment of the preferential tax rate on the increase in value of some of its long-term capital assets, as permitted by Act No. 238 of 2014 and Act No. 44 of 2015.  The agreement also covered certain tax attributes of the Corporation.  During the three months ended June 30, 2015, as a result of the aforementioned tax laws and the Closing Agreement, the Company: (1) obtained a benefit from the lower tax rate provided under these statutes, (2) reassessed the realizability of some of its deferred taxes and (3) recorded a tax benefit of $3,129.
 
23

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Income taxes are accounted for under the asset and liability method.  Deferred tax assets and liabilities are recognized for future tax consequences attributable to differences between the financial statements carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carry-forwards.  Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled.  The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the consolidated statements of earnings in the period that includes the enactment date.  Quarterly income taxes are calculated using the effective tax rate determined based on the income forecasted for the full fiscal year.

(8) Pension Plan

The components of net periodic benefit cost for the three months and six months ended June 30, 2015 and 2014 were as follows:
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Components of net periodic benefit cost:
               
Service cost
 
$
1,160
   
$
923
   
$
2,057
   
$
1,950
 
Interest cost
   
2,322
     
2,132
     
4,222
     
4,393
 
Expected return on assets
   
(2,350
)
   
(1,928
)
   
(4,214
)
   
(4,001
)
Amortization of prior service benefit
   
(126
)
   
(116
)
   
(226
)
   
(237
)
Amortization of actuarial loss
   
1,665
     
1,064
     
3,119
     
2,220
 
Net periodic benefit cost
 
$
2,671
   
$
2,075
   
$
4,958
   
$
4,325
 
 
Employer Contributions:  As of June 30, 2015, the Corporation has contributed $8,000 to the pension program in 2015.

(9) Stock Repurchase Program

In October 2014 the Company’s Board of Directors authorized a $50,000 repurchase program of its Class B common stock.  Repurchases are conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended.  During the three months ended June 30, 2015, the Company repurchased and retired under this program 528,488 shares at an average per share price of $21.22, for an aggregate cost of $10,990.  During the six months ended June 30, 2015, the Company repurchased and retired under this program 1,211,661 shares at an average per share price of $21.72, for an aggregate cost of $25,988.
 
24

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
(10) Comprehensive Income

The accumulated balances for each classification of other comprehensive income, net of tax, are as follows:
 
   
Net
Unrealized
gain on
securities
   
Liability for
Pension
benefits
   
Accumulated
Other
Comprehensive
income
 
Balance at January 1, 2015
 
$
101,467
   
$
(52,691
)
 
$
48,776
 
Other comprehensive income before reclassifications
   
(11,504
)
   
-
     
(11,504
)
Amounts reclassified from accumulated other comprehensive income
   
(15,746
)
   
1,765
     
(13,981
)
Net current period change
   
(27,250
)
   
1,765
     
(25,485
)
Balance at June 30, 2015
 
$
74,217
   
$
(50,926
)
 
$
23,291
 
 
(11) Share-Based Compensation

Share-based compensation expense recorded during the three months and six months ended June 30, 2015 was $1,316 and $3,199, respectively.  Share-based compensation expense recorded during the three months and six months ended June 30, 2014 was $596 and $1,221, respectively.  There was no cash received from stock option exercises during the six months ended June 30, 2015 and 2014.  During the six months ended June 30, 2015 and June 30, 2014, 7,235 and 174,090 shares, respectively were repurchased and retired as a result of non-cash exercises of stock options.

(12) Net Income Available to Stockholders and Net Income per Share

The following table sets forth the computation of basic and diluted earnings per share for the three months and six months ended June 30, 2015 and 2014:
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Numerator for earnings per share:
               
Net income attributable to TSM available to stockholders
 
$
18,926
   
$
27,476
   
$
33,762
   
$
34,431
 
Denominator for basic earnings per share:
                               
Weighted average of common shares
   
25,922,680
     
27,081,655
     
26,208,573
     
27,174,306
 
Effect of dilutive securities
   
74,984
     
65,610
     
86,793
     
83,045
 
Denominator for diluted earnings per share
   
25,997,664
     
27,147,265
     
26,295,366
     
27,257,351
 
Basic net income per share attributable to TSM
 
$
0.73
   
$
1.01
   
$
1.29
   
$
1.27
 
Diluted net income per share attributable to TSM
 
$
0.73
   
$
1.01
   
$
1.28
   
$
1.26
 
 
25

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
(13) Contingencies

Our business is subject to numerous laws and regulations promulgated by Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla governmental authorities. Compliance with these laws and regulations can be subject to government review and interpretation, as well as regulatory actions unknown and unasserted at this time. The Commissioner of Insurance of Puerto Rico, as well as other Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla government authorities, regularly make inquiries and conduct audits concerning the Company's compliance with such laws and regulations. Penalties associated with violations of these laws and regulations may include significant fines and exclusion from participating in certain publicly funded programs.

As of June 30, 2015, we are involved in various legal actions arising in the ordinary course of business. We are also defendants in various other litigations and proceedings, some of which are described below.  Where the Company believes that a loss is both probable and estimable, such amounts have been recorded. Although we believe our estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution.  The outcome of legal proceedings is inherently uncertain and pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any.  Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material adverse effect on the consolidated financial condition, operating results and/or cash flows of the Company.

Additionally, we may face various potential litigation claims that have not been asserted to date, including claims from persons purporting to have rights to acquire shares of the Company on favorable terms pursuant to agreements previously entered by our predecessor managed care subsidiary, Seguros de Servicios de Salud de Puerto Rico, Inc. (SSS), with physicians or dentists who joined our provider network to sell such new provider shares of SSS at a future date (Share Acquisition Agreements) or to have inherited such shares notwithstanding applicable transfer and ownership restrictions.

Claims by Heirs of Former Shareholders

The Company and Triple-S Salud, Inc. (TSS) are defending eight individual lawsuits, all filed in state court, from persons who claim to have inherited a total of 112 shares of the Company or one of its predecessors or affiliates (before giving effect to the 3,000-for-one stock split). While each case presents unique facts and allegations, the lawsuits generally allege that the redemption of the shares by the Company pursuant to transfer and ownership restrictions contained in the Company's (or its predecessors' or affiliates') articles of incorporation and bylaws was improper.

In one of these cases, entitled Vera Sánchez, et al, v. Triple-S, the plaintiffs argued that the redemption of shares was fraudulent and was not subject to the two-year statute of limitations contained in the local securities law. The Puerto Rico’s Court of First Instance dismissed the claim and determined it was time barred under the local securities law. On January 2012, the Puerto Rico Court of Appeals upheld the dismissal. On March 28, 2012 the plaintiffs filed a petition for writ of certiorari before the Puerto Rico Supreme Court that was granted on May 31, 2012, and on October 1, 2013, the Puerto Rico Supreme Court reversed the dismissal, holding that the two-year statute of limitations contained in the local securities law did not apply and returning it to the Court of First Instance.  Discovery is ongoing.

In the second case, entitled Olivella Zalduondo, et al, v. Seguros de Servicios de Salud, et al, Puerto Rico’s Court of First Instance granted the Company’s motion to dismiss on grounds that the complaint was time-barred under the two-year statute of limitations of the local securities laws. On appeal, the Court of Appeals affirmed the decision of the lower court. Plaintiffs filed a petition for certiorari before the Puerto Rico Supreme Court which was granted on January 20, 2012.  On January 8, 2013, the Puerto Rico Supreme Court ruled that the applicable statute of limitations is the fifteen-year period of the Puerto Rico’s Civil Code for collection of monies.  On January 28, 2013, the Company filed a motion for reconsideration which was subsequently denied. On March 26, 2013, plaintiffs amended their complaint, which was answered by the Company on April 16, 2013.  Discovery is ongoing.
 
26

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
In the third case, entitled Heirs of Dr. Juan Acevedo, et al, v. Triple-S Management Corporation, et al, the Puerto Rico Court of First Instance denied our motion for summary judgment based on its determination that there are material issues of fact in controversy. In response to our appeal, the Puerto Rico Court of Appeals confirmed the decision of the Puerto Rico’s Court of First Instance. Our request for reconsideration was denied in December 2011. Subsequently, on June 24, 2015, the Court of First Instance ordered the parties to file motions for summary judgment. On July 5, 2015, plaintiff filed a motion for summary judgment. The Company will oppose plaintiff’s motion for summary judgment. A pretrial conference is set for August 10, 2015.

The fourth case, entitled Montilla López, et al, v. Seguros de Servicios de Salud, et al, was filed on November 29, 2011. The Company filed a motion to dismiss on the grounds that the claim is time barred under the local securities laws, which was denied by the court on January 24, 2013.  After two amendments to plaintiff’s complaint, the Company filed its response on June 13, 2013.  A hearing is scheduled for September 30, 2015.

The fifth case, entitled Cebollero Santamaría v. Triple-S Salud, Inc., et al, was filed on March 26, 2013, and the Company filed its response on May 16, 2013. On October 29, 2013, the Company filed a motion for summary judgment on the grounds that the claim is time-barred under the fifteen-year statute of limitations of the Puerto Rico Civil Code for collection of monies and, in the alternative, that plaintiff failed to state a claim for which relief can be granted. On November 6, 2014, plaintiffs filed their opposition and a motion for summary judgment.  The parties have filed several pleas with respect to plaintiff’s request summary judgment. A limited discovery in connection with plaintiff opposition to our motion for summary judgment is currently ongoing. The parties are awaiting court’s decision on their respective pleads.
 
The sixth case, entitled Irizarry Antonmattei, et al, v. Seguros de Servicios de Salud, et al, was filed on April 16, 2013 and the Company filed its response on June 21, 2013. After several pleas, including a motion to dismiss filed by the Company, plaintiff amended their complaint. On November 5, 2013, the Company moved to dismiss the first amended complaint. On May 16, 2014, plaintiffs filed a motion for summary judgment, which the Company opposed on May 28, 2014. On June 16, 2014, the court ordered plaintiffs to file a memoranda of law and struck plaintiff’s motion for summary judgment. On September 18, 2014, the court denied our motion to dismiss the amended complaint. On September 29, 2014, the Company filed a motion for reconsideration, which was denied by the court on November 4, 2014.  On December 4, 2014, the Company filed a petition of Certiorari to the Puerto Rico Court of Appeals of Puerto Rico, which was denied on April 1, 2015.  Discovery is ongoing.
 
The seventh case, entitled Allende Santos, et al, v. Triple-S Salud, et al, was filed on March 28, 2014. On July 2, 2014, the Company filed its response. Discovery is ongoing. A hearing is scheduled for August 5, 2015.
 
The eighth case, entitled Gallardo Mendez, et al, v. Triple-S Management Corporation, was filed on December 30, 2014.  On March 13, 2015, the Company filed a motion to dismiss.  After an extension of time granted by the court, plaintiff did not file an opposition.  Therefore, on June 16, 2015, the court deemed our motion to dismiss unopposed. We are awaiting further court proceedings.

Management believes the aforesaid claims are time barred under one or more statutes of limitations and will vigorously defend them on these grounds; however, as a result of the Puerto Rico Supreme Court’s decision to deny the applicability of the statute of limitations contained in the local securities law, some of these claims will likely be litigated on their merits.
 
27

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
Joint Underwriting Association Litigations

On August 19, 2011, plaintiffs, purportedly a class of motor vehicle owners, filed an action in the United States District Court for the District of Puerto Rico against the Puerto Rico Joint Underwriting Association (JUA) and 18 other defendants, including TSP, alleging violations under the Puerto Rico Insurance Code, the Puerto Rico Civil Code, the Racketeer Influenced and Corrupt Organizations Act (RICO) and the local statute against organized crime and money laundering. JUA is a private association created by law to administer a compulsory public liability insurance program for motor vehicles in Puerto Rico (CLI). As required by its enabling act, JUA is composed of all the insurers that underwrite private motor vehicle insurance in Puerto Rico and exceed the minimum underwriting percentage established in such act. TSP is a member of JUA.
 
In this lawsuit, entitled Noemí Torres Ronda, et al v. Joint Underwriting Association, et al., plaintiffs allege that the defendants illegally charged and misappropriated a portion of the CLI premiums paid by motor vehicle owners in violation of the Puerto Rico Insurance Code. Specifically, they claim that because the defendants did not incur acquisition or administration costs allegedly totaling 12% of the premium dollar, charging for such costs constitutes the illegal traffic of premiums. Plaintiffs also claim that the defendants, as members of JUA, violated RICO through various inappropriate actions designed to defraud motor vehicle owners located in Puerto Rico and embezzle a portion of the CLI premiums for their benefit.
 
Plaintiffs seek the reimbursement of funds for the class amounting to $406,600, treble damages under RICO, and equitable relief, including a permanent injunction and declaratory judgment barring defendants from their alleged conduct and practices, along with costs and attorneys’ fees.
 
On December 30, 2011, TSP and other insurance companies filed a joint motion to dismiss, which was opposed by plaintiffs on February 17, 2012. On October 2, 2012, the court issued an order certifying the class. On October 12, 2012, several defendants, including TSP, filed an appeal before the U.S. Court of Appeals for the First District, requesting the court to vacate the District Court's certification order. The First Circuit denied the authorization to file the writ of appeals. Discovery has been completed. On November 3, 2014, all defendants, including TSP, filed a joint motion to decertify the class and, on November 17, 2014, a joint motion for summary judgment requesting the dismissal of the claim.
 
On February 2, 2015, the court ordered the stay of class notice proceedings. On March 10, 2015, plaintiff filed their opposition to the joint motion. The parties have filed several pleas in connection with the summary judgment, the petition to decertify the class and discovery matters. We are awaiting further court proceedings.

In re Blue Cross Blue Shield Antitrust Litigation

TSS is a co-defendant with multiple Blue Plans and the Blue Cross Blue Shield Association (BCBSA) in a multi-district class action litigation filed on July 24, 2012 that alleges that the exclusive service area (ESA) requirements of the Primary License Agreements with Plans violate antitrust law, and the plaintiffs in these suits seek monetary awards and in some instances, injunctive relief barring ESAs. Those cases have been centralized in the United States District Court for the Northern District of Alabama. Prior to centralization, motions to dismiss were filed by several plans, including TSS. Plaintiffs opposed TSS’ motion to dismiss. On April 9, 2014, the Court held an argumentative hearing to discuss the motions to dismiss. During the hearing, the Court did not issue a ruling on the motions to dismiss thus, decision on said motions are still pending. On June 18, 2014, the court denied TSS’ motion to dismiss. Discovery is ongoing.  TSS refilled its motion to dismiss, asserting lack of personal jurisdiction and improper venue, which plaintiff opposed, and an argumentative hearing is set for May 19, 2015.   Discovery is ongoing.  Also, on April 6, 2015, plaintiffs filed suit in the United States District Court of Puerto Rico, which we believe does not preclude TSS’ jurisdictional arguments. The Company has joined BCBSA in vigorously contesting these claims.
 
28

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
Claims Relating to the Provision of Health Care Services

TSS is defendant in several claims for collection of monies in connection with the provision of health care services. Among them are individual complaints filed before the Puerto Rico Health Insurance Administration (ASES) by six community health centers alleging TSS’ breached their contracts with respect to certain capitation payments and other monetary claims. Such claims have an aggregate value of approximately $9,600. Discovery is ongoing, and given their early stage, the Company cannot assess the probability of an adverse outcome or the reasonable financial impact that any such outcome may have on the Company. TSS believes many of these complaints are time-barred and intends to vigorously defend them on these and other grounds.

Also, on June 5, 2014, ASES initiated an administrative hearing against TSS moved by a primary medical group for alleged outstanding claims related to services provided to Medicaid beneficiaries from 2005 to 2010, totaling approximately $3,000. On June 19, 2014, TSS filed its response.  The hearing officer ordered the parties to file a joint working plan and schedule, which the parties are executing.  Discovery is ongoing. TSS intends to vigorously defend this claim.

Regulatory Matters

Our business is subject to review by regulators in Puerto Rico, U.S. Virgin Islands, British Virgin Islands, and Costa Rica. Also, our Medicare and Medicaid segments are subject to the review of federal regulatory authorities. These regulatory authorities conduct regular reviews of many aspects of our business, including, but not limited to, legal and regulatory compliance, business practices, privacy issues, delivery of services, among others.  These reviews could result in fines or other sanctions being imposed on us or may require changes in our practices.  Also, they could have a material adverse effect on our reputation and business, including mandatory disclosure to the media, significant increases in the cost of managing and remediating incidents and material fines, contract termination, penalties and litigation awards, among other consequences, any of which could have a material and adverse effect on our results of operations, financial position and cash flows.

Specifically, the Office of Civil Rights of the U.S. Department of Health and Human Services (OCR) is conducting a review in connection with a data breach occurred in 2010 related to health information of individuals insured at the time under the Government of Puerto Rico Medicaid Program. The OCR has not issued its determination on this matter.

Also, ASES and OCR are conducting investigations in connection with privacy-related incidents related to Medicare Advantage and dual Medicare/Medicaid beneficiaries.  As part of one of these investigations, which involves 13,336 dual Medicare/Medicaid beneficiaries, on February 11, 2014, ASES’s notified TSS of its intention to impose a civil monetary penalty of $6,800 and other administrative sanctions. Subsequently, on March 11, 2014, the Company filed a notice of removal in the federal District Court for the District of Puerto Rico.  On April 10, 2014, ASES filed a motion to remand which was granted by the court.  Consequently this matter is being addressed in an administrative hearing with ASES.  On June 18, 2015, as part of the administrative proceedings, the hearing officer concluded that ASES’s intent to impose a civil monetary penalty is not a final administrative determination and gave parties a 60-day period to dialog and determine next steps. On July 18, ASES filed a motion requesting an additional 30-day period to continue conversations. Also, the Company is currently a defendant in three claims filed at the Puerto Rico Court of First Instance, in which plaintiffs assert emotional damages in connection with the incident.  The Company is vigorously defending each of these claims.

Audits

The Company is subject to numerous audits in connection with the provision of services to private and governmental entities.  These audits may include numerous aspects of our business, including claim payment practices, contractual obligations, service delivery, third-party obligations, and business practices, among others.  Deficiencies in audits could have a material adverse effect on our reputation and business, including termination of contracts, significant increases in the cost of managing and remediating deficiencies, payment of contractual penal clauses, and others, any of which could have a material and adverse effect on our results of operations, financial position and cash flows.
 
29

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
On July 2, 2014, ASES notified TSS that the results of an audit conducted in connection with the government health plan contract for several periods between October 2005 to September 2013, reflected overpayment of premiums made to TSS pursuant to prior contracts with ASES in the amount of $7,900. The alleged overpayments were related to duplicated payments or payments made to deceased members, and requested the reimbursement of the alleged overpayment. TSS contends that ASES request for reimbursement has no merits on several grounds, including a 2011 settlement between both parties covering the majority of the amount claimed by ASES, and that ASES, under the terms of the contracts, was responsible for certifying the membership.  On March 24, 2015, the court ruled that the scope of the 2011 settlement agreement did not preclude ASES from recovering “future claims” including the alleged improper payments. TSS moved for reconsideration and for the formulation of additional finding of facts, which was denied.  On June 18, 2015, TSS filed a petition for Certiorari before the Puerto Rico Court of Appeals. The Puerto Rico Court of Appeals ordered ASES to file its opposition within 20 days. On August 3, 2015, ASES filed its opposition to our petition of Certiorari.  The parties are awaiting further court proceedings.

(14) Segment Information

The operations of the Corporation are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance.  The Corporation evaluates performance based primarily on the operating revenues and operating income of each segment.  Operating revenues include premiums earned, net, administrative service fees, net investment income, and revenues derived from other segments.  Operating costs include claims incurred and operating expenses.  The Corporation calculates operating income or loss as operating revenues less operating costs.

The Managed Care segment participates in the Commonwealth of Puerto Rico Health Insurance Plan (similar to Medicaid) (Medicaid) program to provide health coverage to medically indigent citizens in Puerto Rico, as defined by the laws of the government of Puerto Rico, by administering the provision of the physical health component in designated service regions in Puerto Rico.  We served all eight service regions on an administrative service only basis (ASO) until March 31, 2015.  Administrative service fees during the three months ended March 31, 2015 and 2014 amounted to $23,642 and $23,822, respectively.  Effective April 1, 2015, we started to provide healthcare services to only two regions of the Medicaid program on a risk based model.  Operating income under the new model during the three months ended June 30, 2015 amounted to $7,271.
 
30

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
The following tables summarize the operations by reportable segment for the three months and six months ended June 30, 2015 and 2014:

   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Operating revenues:
               
Managed Care:
               
Premiums earned, net
 
$
695,517
   
$
485,311
   
$
1,167,684
   
$
968,997
 
Administrative service fees
   
4,549
     
29,506
     
33,672
     
59,256
 
Intersegment premiums /service fees
   
3,312
     
1,504
     
4,505
     
2,841
 
Net investment income
   
2,719
     
3,906
     
5,717
     
7,610
 
Total managed care
   
706,097
     
520,227
     
1,211,578
     
1,038,704
 
Life Insurance:
                               
Premiums earned, net
   
36,245
     
34,826
     
74,025
     
69,690
 
Intersegment premiums
   
70
     
77
     
131
     
182
 
Net investment income
   
6,103
     
5,997
     
11,884
     
11,651
 
Total life insurance
   
42,418
     
40,900
     
86,040
     
81,523
 
Property and Casualty Insurance:
                               
Premiums earned, net
   
22,345
     
23,598
     
44,956
     
46,900
 
Intersegment premiums
   
154
     
154
     
307
     
307
 
Net investment income
   
2,131
     
2,184
     
4,221
     
4,108
 
Total property and casualty insurance
   
24,630
     
25,936
     
49,484
     
51,315
 
Other segments: *
                               
Intersegment service revenues
   
2,779
     
2,817
     
5,162
     
4,531
 
Operating revenues from external sources
   
680
     
851
     
1,863
     
2,345
 
Total other segments
   
3,459
     
3,668
     
7,025
     
6,876
 
Total business segments
   
776,604
     
590,731
     
1,354,127
     
1,178,418
 
TSM operating revenues from external sources
   
16
     
28
     
30
     
67
 
Elimination of intersegment premiums
   
(3,536
)
   
(1,735
)
   
(4,943
)
   
(3,330
)
Elimination of intersegment service fees
   
(2,779
)
   
(2,817
)
   
(5,162
)
   
(4,531
)
Other intersegment eliminations
   
(10
)
   
31
     
(5
)
   
61
 
Consolidated operating revenues
 
$
770,295
   
$
586,238
   
$
1,344,047
   
$
1,170,685
 
 
* Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
 
31

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2015
   
2014
   
2015
   
2014
 
Operating income:
               
Managed care
 
$
(2,515
)
 
$
27,903
   
$
8,457
   
$
32,025
 
Life insurance
   
5,286
     
5,195
     
10,102
     
10,409
 
Property and casualty insurance
   
2,454
     
4,524
     
3,960
     
5,221
 
Other segments *
   
(121
)
   
114
     
(284
)
   
(251
)
Total business segments
   
5,104
     
37,736
     
22,235
     
47,404
 
TSM operating revenues from external sources
   
16
     
28
     
30
     
67
 
TSM unallocated operating expenses
   
(1,937
)
   
(6,184
)
   
(7,540
)
   
(8,347
)
Elimination of TSM intersegment charges
   
2,390
     
2,428
     
4,795
     
4,857
 
Consolidated operating income
   
5,573
     
34,008
     
19,520
     
43,981
 
Consolidated net realized investment gains
   
10,607
     
3,928
     
16,820
     
4,054
 
Consolidated interest expense
   
(2,074
)
   
(2,396
)
   
(4,256
)
   
(4,701
)
Consolidated other income, net
   
1,083
     
575
     
2,842
     
821
 
Consolidated income before taxes
 
$
15,189
   
$
36,115
   
$
34,926
   
$
44,155
 
                                 
Depreciation and amortization expense:
                               
Managed care
 
$
3,281
   
$
4,698
   
$
6,760
   
$
8,983
 
Life insurance
   
279
     
194
     
549
     
417
 
Property and casualty insurance
   
88
     
124
     
190
     
247
 
Other segments*
   
119
     
258
     
245
     
516
 
Total business segments
   
3,767
     
5,274
     
7,744
     
10,163
 
TSM depreciation expense
   
197
     
199
     
394
     
415
 
Consolidated depreciation and amortization expense
 
$
3,964
   
$
5,473
   
$
8,138
   
$
10,578
 
 
* Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
 
32

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
   
June 30,
2015
   
December 31,
2014
 
Assets:
       
Managed care
 
$
1,023,842
   
$
975,999
 
Life insurance
   
767,212
     
764,268
 
Property and casualty insurance
   
363,402
     
362,620
 
Other segments *
   
23,899
     
22,682
 
Total business segments
   
2,178,355
     
2,125,569
 
Unallocated amounts related to TSM:
               
Cash, cash equivalents, and investments
   
44,948
     
44,157
 
Property and equipment, net
   
19,987
     
20,415
 
Other assets
   
37,948
     
37,851
 
     
102,883
     
102,423
 
Elimination entries-intersegment receivables and others
   
(47,905
)
   
(82,256
)
Consolidated total assets
 
$
2,233,333
   
$
2,145,736
 
 
* Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
 
33

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)
 
(15) Subsequent Events

The Company evaluated subsequent events through the date the financial statements were issued.  No events, other than those described in these notes, have occurred that require adjustment or disclosure pursuant to current Accounting Standards Codification.
34

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

In this Management’s Discussion and Analysis of Financial Condition and Results of Operations (MD&A), the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refers to Triple-S Management Corporation and its subsidiaries.  The MD&A included in this Quarterly Report on Form 10-Q is intended to update the reader on matters affecting the financial condition and results of operations for the three months and six months ended June 30, 2015.  Therefore, the following discussion should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Annual Report on Form 10-K filed with the United States Securities and Exchange Commission as of and for the year ended December 31, 2014 and the MD&A included therein, and our unaudited consolidated financial statements and accompanying notes as of and for the three months and six months ended June 30, 2015 included in this Quarterly Report on Form 10-Q.

Cautionary Statement Regarding Forward-Looking Information

This Quarterly Report on Form 10-Q and other of our publicly available documents may include statements that constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things: statements concerning our business and our financial condition and results of operations.  These statements are not historical, but instead represent our belief regarding future events, any of which, by their nature, are inherently uncertain and outside of our control.  These statements may address, among other things, future financial results, strategy for growth, and market position.  It is possible that our actual results and financial condition may differ, possibly materially, from the anticipated results and financial condition indicated in these forward-looking statements.  The factors that could cause actual results to differ from those in the forward-looking statements are discussed throughout this form.  We are not under any obligation to update or alter any forward-looking statement (and expressly disclaims any such obligations), whether as a result of new information, future events or otherwise.  Factors that may cause actual results to differ materially from those contemplated by such forward looking statements include, but are not limited to, rising healthcare costs, business conditions and competition in the different insurance segments, government action and other regulatory issues.

Overview

We are one of the most significant players in the managed care industry in Puerto Rico and have over 50 years of experience in this industry.  We offer a broad portfolio of managed care and related products in the Commercial and Medicare Advantage markets.  In the Commercial market we offer products to corporate accounts, U.S. federal government employees, local government employees, individual accounts and Medicare Supplement.  We also participate in the Government of Puerto Rico Health Reform (a government of Puerto Rico-funded managed care program for the medically indigent that is similar to the Medicaid program in the U.S.) (Medicaid), by administering the provision of the physical health component in designated service regions in Puerto Rico.  We served all eight regions on an administrative service only basis (ASO) until March 31, 2015.  Effective April 1, 2015, we started to provide healthcare services in the Metro North and West regions of the Government's Health Plan on an at-risk basis.  For the six months ended June 30, 2015, operating income generated in the Medicaid business represented 28% of our consolidated operating income, compared to 18% for the same period in 2014.  See details of the Medicaid contract in Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2014 under the sub-caption “We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business.

We have the exclusive right to use the Blue Cross Blue Shield (BCBS) name and mark throughout Puerto Rico, the U.S. Virgin Islands, Costa Rica, the British Virgin Islands and Anguilla.  As of June 30, 2015, we served approximately 1,115,000 members across all regions of Puerto Rico.  For the six months ended June 30, 2015, our managed care segment represented approximately 91% of our total consolidated premiums earned, net and approximately 43% of our operating income.  We also have significant positions in the life insurance and property and casualty insurance markets in Puerto Rico.  Our life insurance segment had a market share of approximately 10% (in terms of direct premiums) during the year ended December 31, 2014.  Our property and casualty segment had a market share of approximately 8% (in terms of direct premiums) during the year ended December 31, 2014.

We participate in the managed care market through our subsidiaries, Triple-S Salud, Inc. (TSS) and Triple-S Advantage, Inc. (TSA).  TSS and TSA are Blue Cross Blue Shield Association (BCBSA) BCBSA licensees, which provides us with exclusive use of the Blue Cross and Blue Shield name and mark throughout Puerto Rico and the U.S. Virgin Islands.
 
35

We participate in the life insurance market through our subsidiary, Triple-S Vida, Inc., and in the property and casualty insurance market through our subsidiary, Triple-S Propiedad, Inc. (TSP), each one representing approximately 6% and 4%, respectively, of our consolidated premiums earned, net for the six months ended June 30, 2015.

Intersegment revenues and expenses are reported on a gross basis in each of the operating segments but eliminated in the consolidated results.  Except as otherwise indicated, the numbers for each segment presented in this Quarterly Report on Form 10-Q do not reflect intersegment eliminations.  These intersegment revenues and expenses affect the amounts reported on the financial statement line items for each segment, but are eliminated in consolidation and do not change net income.  The following table shows premiums earned, net and net fee revenue and operating income for each segment, as well as the intersegment premiums earned, service revenues and other intersegment transactions, which are eliminated in the consolidated results:
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
(Dollar amounts in millions)
 
2015
   
2014
   
2015
   
2014
 
Premiums earned, net:
               
Managed care
 
$
695.8
   
$
485.6
   
$
1,168.3
   
$
969.7
 
Life insurance
   
36.3
     
34.9
     
74.1
     
69.9
 
Property and casualty insurance
   
22.5
     
23.7
     
45.3
     
47.2
 
Intersegment premiums earned
   
(0.5
)
   
(0.5
)
   
(1.0
)
   
(1.2
)
Consolidated premiums earned, net
 
$
754.1
   
$
543.7
   
$
1,286.7
   
$
1,085.6
 
Administrative service fees:
                               
Managed care
 
$
7.6
   
$
30.7
   
$
37.6
   
$
61.4
 
Intersegment administrative service fees
   
(3.0
)
   
(1.2
)
   
(3.9
)
   
(2.1
)
Consolidated administrative service fees
 
$
4.6
   
$
29.5
   
$
33.7
   
$
59.3
 
Operating income:
                               
Managed care
 
$
(2.5
)
 
$
27.9
   
$
8.5
   
$
32.0
 
Life insurance
   
5.3
     
5.2
     
10.1
     
10.4
 
Property and casualty insurance
   
2.5
     
4.5
     
4.0
     
5.2
 
Intersegment and other
   
0.3
     
(3.6
)
   
(3.1
)
   
(3.6
)
Consolidated operating income
 
$
5.6
   
$
34.0
   
$
19.5
   
$
44.0
 
 
Our revenues primarily consist of premiums earned, net and administrative service fees.  These revenues are derived from the sale of managed care products in the Commercial market to employer groups, individuals and government-sponsored programs, principally Medicare.  Premiums are derived from insurance contracts and administrative service fees are derived from self-funded contracts, under which we provide a range of services, including claims administration, billing and membership services, among others.  Revenues also include premiums earned from the sale of property and casualty and life insurance contracts, and investment income and revenues derived from other segments.  Substantially all of our earnings are generated in Puerto Rico.

Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and other service providers, and to policyholders.  Each segment’s results of operations depend to a significant extent on their ability to accurately predict and effectively manage claims.  A portion of the claims incurred for each period consists of claims reported but not paid during the period, as well as a management and actuarial estimate of claims incurred but not reported during the period.  Operating expenses consist primarily of compensation, commission payments to brokers and other overhead business expenses. Operating expenses also includes the Health Insurance Providers Fee paid under the Affordable Care Act (ACA).

We use operating income as a measure of performance of the underwriting and investment functions of our segments.  We also use the loss ratio and the operating expense ratio as measures of performance.  The loss ratio is claims incurred divided by premiums earned, net, multiplied by 100.  The operating expense ratio is operating expenses divided by premiums earned; net and administrative service fees, multiplied by 100.
 
36

Recent Developments
 
Puerto Rico Government Related Business

During recent years, Puerto Rico has been facing economic and fiscal challenges and its economy has been contracting. For an update on the latest events with regards to the fiscal situation, see note 3 to the accompanying unaudited condensed consolidated financial statements, Investment in Securities.

If the liquidity of the Government of Puerto Rico, its agencies, municipalities and public corporations becomes significantly affected as a result of the inability to raise funding in the market or generate enough revenues, we may face credit losses in our premium and fees receivable from these and other government related entities, which could be significant.

At June 30, 2015, the Company had premiums and other receivables of $94.6 million from the Government of Puerto Rico, including its agencies, municipalities and public corporations with a related allowance for doubtful receivables of $19.4 million.  Following our accounting policy that establishes that the allowance for doubtful receivables is based on management’s evaluation of the aging of accounts and other qualitative factors, which deserve current recognition, such as the government current liquidity concerns, during the three months ended June 30, 2015, we increased the allowance on the accounts receivables from the Government of Puerto Rico by $5.3 million.

Managed Care – Puerto Rico Health Reform Program (Medicaid)

On April 1, 2015 and continuing under the current agreement until June 30, 2017, we commenced providing medical, mental, pharmacy, and dental healthcare services to Medicaid subscribers in the Metro North and West regions of the government of Puerto Rico’s health insurance program, which includes approximately 430,000 subscribers, on an at-risk basis.  Up to March 31, 2015, TSS participated in this program as a third party administrator responsible for the provisions of administrative services to subscribers in all service regions, which serviced approximately 1,420,000 members.
 
See Item 1A.   Risk Factors—Risks Related to Our Business – “We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business.’’ included in our Annual Report on Form 10-K for the year ended December 31, 2014.
 
Managed Care – Medicare Advantage

On April 6, 2015, the Centers for Medicare & Medicaid Services (CMS) published the Final Medicare Advantage (MA) Ratebook and Call Letter with the 2016 rates for MA plans. Despite an expected 3% average increase in MA rates for plans nationally, Puerto Rico’s MA rates will decrease approximately 11% compared to 2015 funding levels.  The proposed cuts for 2016 have created uncertainty around the financing of the MA program in Puerto Rico. We have prepared our 2016 bid based on the benefits currently required and a careful evaluation of the potential impact these rates reduction’s may have on our benefit design and product offering.

See Item 1A.   Risk Factors— Risks Related to the Regulation of Our Industry – “The revised rate calculation system for Medicare Advantage, the payment system for the Medicare Part D and changes in the methodology and payment policies used by CMS to establish rates could reduce our profitability and the benefits we offer our beneficiaries.’’ included in our Annual Report on Form 10-K for the year ended December 31, 2014.
 
37

Recent Accounting Standards

For a description of recent accounting standards, see note 2 to the unaudited consolidated financial statements included in this Quarterly Report on Form 10-Q.

Managed Care Membership
 
   
As of June 30,
 
   
2015
   
2014
 
Managed care enrollment:
       
Commercial 1
   
561,440
     
619,537
 
Medicare 2
   
120,147
     
119,830
 
Medicaid 3
   
433,093
     
1,408,804
 
Total
   
1,114,680
     
2,148,171
 
Managed care enrollment by insurance arrangement:
               
Fully-insured
   
928,323
     
537,349
 
Self-insured
   
186,357
     
1,610,822
 
Total
   
1,114,680
     
2,148,171
 
 
(1) Commercial membership includes corporate accounts, self-insured employers, individual accounts, Medicare Supplement, U.S. Federal government employees and local government employees.
(2) Includes Medicare Advantage membership for 2015 and 2014, and stand-alone PDP plan membership only for 2014.
(3) Membership for 2015 is on at-risk basis and for 2014 on a self-insured basis.  Effective April 1, 2015, membership decreased since we started providing services to only two regions on an at-risk basis.
 
38

Consolidated Operating Results

The following table sets forth the Corporation’s consolidated operating results.  Further details of the results of operations of each reportable segment are included in the analysis of operating results for the respective segments.


   
Three months ended
June 30,
   
Six months ended
June 30,
 
(Dollar amounts in millions)
 
2015
   
2014
   
2015
   
2014
 
Revenues:
               
Premiums earned, net
 
$
754.1
   
$
543.7
   
$
1,286.7
   
$
1,085.6
 
Administrative service fees
   
4.6
     
29.5
     
33.7
     
59.3
 
Net investment income
   
11.0
     
12.1
     
21.9
     
23.5
 
Other operating revenues
   
0.6
     
0.9
     
1.7
     
2.3
 
Total operating revenues
   
770.3
     
586.2
     
1,344.0
     
1,170.7
 
Net realized investment gains
   
10.6
     
3.9
     
16.8
     
4.1
 
Other income, net
   
1.1
     
0.6
     
2.9
     
0.8
 
Total revenues
   
782.0
     
590.7
     
1,363.7
     
1,175.6
 
Benefits and expenses:
                               
Claims incurred
   
637.9
     
428.6
     
1,070.3
     
877.7
 
Operating expenses
   
126.8
     
123.6
     
254.2
     
249.0
 
Total operating expenses
   
764.7
     
552.2
     
1,324.5
     
1,126.7
 
Interest expense
   
2.1
     
2.4
     
4.3
     
4.7
 
Total benefits and expenses
   
766.8
     
554.6
     
1,328.8
     
1,131.4
 
Income before taxes
   
15.2
     
36.1
     
34.9
     
44.2
 
Income tax expense (benefit)
   
(3.7
)
   
8.7
     
1.2
     
9.8
 
Net income
   
18.9
     
27.4
     
33.7
     
34.4
 
Less: net loss attributable to non-controlling interest
   
-
     
-
     
0.1
     
-
 
Net income attributable to TSM
 
$
18.9
   
$
27.4
   
$
33.8
   
$
34.4
 
 
Three Months Ended June 30, 2015 Compared to Three Months Ended June 30, 2014

Operating Revenues

Consolidated premiums earned, net for the three months ended June 30, 2015 increased by $210.4 million, or 38.7%, to $754.1 million when compared to the three months ended June 30, 2014.  This increase primarily reflects higher premiums in the Managed Care segment by $210.2 million mainly due to the change in the Medicaid business model from ASO model to a fully insured model and higher premiums in the Medicare business, offset in part by lower fully-insured membership in our Commercial accounts. Life insurance premiums increased by $1.4 million while Property and Casualty premiums decreased by $1.3 million during the 2015 period.

The consolidated administrative service fees decreased by $24.9 million, or 84.4%, when compared to the same period in 2014, mostly as a result of the change in the Medicaid business model from ASO model to a fully insured model.

Net Realized Investment Gains

Consolidated net realized investment gains of $10.6 million during the 2015 period are the result of net realized gains from the sale of debt and equity securities classified as available for sale, following our asset/liability management and tax planning strategies.  The net realized gains were partially offset by $1.7 million other-than-temporary impairments related to certain investments in Puerto Rico government obligations.
 
39

Claims Incurred

Consolidated claims incurred increased by $209.3 million, or 48.8%, to $637.9 million during the three months ended June 30, 2015 when compared to the claims incurred during the three months ended June 30, 2014, mostly due to higher claims in the Managed Care segment primarily reflecting the claims incurred in the segment’s Medicaid business after the change from ASO model to a fully insured model. The Medicare business claims also increased during this period primarily due to higher utilization trends and higher pharmacy costs.  These increases were partially offset by lower claims incurred in the Commercial business.  The consolidated loss ratio increased by 580 basis points to 84.6%.

Operating Expenses

Consolidated operating expenses during the three months ended June 30, 2015 increased by $3.2 million, or 2.6%, to $126.8 million as compared to the operating expenses during the three months ended June 30, 2014.  The higher operating expenses are mainly related with increases in the provision for doubtful receivables, Health Insurance Providers Fee and professional services.  These increases were partially offset by the impact of the cost containment initiatives, including lower personnel costs resulting from a year over year reduction in headcount, and lower operating expenses after the change in the Medicaid business contract from eight regions under an ASO arrangement to a fully-insured model in only two regions.  Despite the increase in the operating expenses, the consolidated operating expense ratio decreased 490 basis points to 16.7% for the 2015 period reflecting higher premiums revenue.

Income Tax Expense (Benefit)

Consolidated income tax expense (benefit) during the three months ended June 30, 2015 decreased by $12.4 million, to a benefit of $3.7 million, as compared to the income tax expense for the three months ended June 30, 2014, primarily due to the lower income before taxes during the year 2015 period and the execution of a Closing Agreement between TSM and its subsidiaries and the Puerto Rico Treasury Department in connection with the extension up to April 30, 2015 of local law that provided a temporary preferential tax rate in capital asset transactions during the second quarter of 2015.  These events allowed the Company to benefit from the enacted lower taxable rate and to reassess the realizability of its deferred taxes.  Consequently, the effective tax rate decreased from 24.1% during the three months ended June 30, 2014 to a benefit rate of 24.3% during the three months ended June 30, 2015.

Six Months Ended June 30, 2015 Compared to Six Months Ended June 30, 2014

Operating Revenues

Consolidated premiums earned, net for the six months ended June 30, 2015 increased by $201.1 million, or 18.5%, to $1,286.7 million when compared to the six months ended June 30, 2014.  This increase primarily reflects higher premiums in the Managed Care segment by $198.6 million mainly due to the change in the Medicaid business model effective April 1, 2015, an ASO model to a fully insured model and premiums in the Medicare business, offset in part by lower fully-insured membership in our Commercial accounts.  Life insurance premiums increased by $4.2 million while Property and Casualty premiums decreased by $1.9 million during the 2015 period.

The consolidated administrative service fees of $33.7 million decreased by $25.6 million, or 43.2%, when compared to the same period in 2014, mostly as a result of change in the Medicaid business model from an ASO model to a fully insured model.

Net Realized Investment Gains

Consolidated net realized investment gains of $16.8 million during the 2015 period are the result of net realized gains from the sale of debt and equity securities classified as available for sale, following our asset/liability management and tax planning strategies.  The net realized gains were partially offset by $2.9 million other-than-temporary impairments related to certain investments in Puerto Rico government obligations.
 
40

Claims Incurred

Consolidated claims incurred increased by $192.6 million, or 21.9%, to $1,070.3 million during the six months ended June 30, 2015 when compared to the claims incurred during the six months ended June 30, 2014, mostly due to higher claims in the Managed Care segment.  This increase primarily reflects the claims incurred in the segment’s Medicaid business after the change from an ASO model to a fully insured model as well to an increase in the Medicare business claims stemming from higher utilization trends and higher pharmacy costs during 2015.  These increases were partially offset by lower claims incurred in the Commercial business, which reflects the business’s lower member month enrollment.  The claims of the Life Insurance segment increased by $4.4 million, while Property and Casualty Insurance claims experienced a decrease of $0.6 million.  The consolidated loss ratio increased by 240 basis points to 83.2%.

Operating Expenses

Consolidated operating expenses during the six months ended June 30, 2015 increased by $5.2 million, or 2.1%, to $254.2 million as compared to the operating expenses during the three months ended June 30, 2014.  The higher operating expenses are mainly related to increases in the provision for doubtful receivables and the Health Insurance Providers Fee as well as to higher professional services incurred during the six months ended June 30, 2015.  These increases were partially offset by the impact of the cost containment initiatives, including lower personnel costs resulting from a year over year reduction in headcount and lower expenses related to the change in the Medicaid business contract from eight regions under an ASO to a fully-insured model in only two regions.  Despite the increase in operating expenses, the consolidated operating expense ratio decreased 240 basis points to 19.3% for the 2015 period.

Income Tax Expense (Benefit)

Consolidated income tax expense (benefit) for the six months ended June 30, 2015 decreased by $8.6 million, to $1.2 million, as compared to the income tax expense for the six months ended June 30, 2014, primarily due to the lower income before taxes during the year 2015 period and the execution of a Closing Agreement between TSM and its subsidiaries and the Puerto Rico Treasury Department in connection with the extension up to April 30, 2015 of local law that provided a temporary preferential tax rate in capital asset transactions during the second quarter of 2015.  These events allowed the Company to benefit from the enacted lower taxable rate and to reassess the realizability of its deferred taxes.  Consequently, the effective tax rate decreased from 22.2% during the six months ended June 30, 2014 to a rate of 3.4% during the six months ended June 30, 2015.
 
41

Managed Care Operating Results
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
(Dollar amounts in millions)
 
2015
   
2014
   
2015
   
2014
 
Operating revenues:
               
Medical premiums earned, net:
               
Commercial
 
$
211.6
   
$
223.0
   
$
424.1
   
$
452.8
 
Medicare
   
278.6
     
262.6
     
538.6
     
516.9
 
Medicaid
   
205.6
     
-
     
205.6
     
-
 
Medical premiums earned, net
   
695.8
     
485.6
     
1,168.3
     
969.7
 
Administrative service fees
   
7.6
     
30.7
     
37.6
     
61.4
 
Net investment income
   
2.7
     
3.9
     
5.7
     
7.6
 
Total operating revenues
   
706.1
     
520.2
     
1,211.6
     
1,038.7
 
Medical operating costs:
                               
Medical claims incurred
   
608.4
     
400.2
     
1,008.5
     
819.5
 
Medical operating expenses
   
100.2
     
92.1
     
194.6
     
187.2
 
Total medical operating costs
   
708.6
     
492.3
     
1,203.1
     
1,006.7
 
Medical operating income
 
$
(2.5
)
 
$
27.9
   
$
8.5
   
$
32.0
 
Additional data:
                               
Member months enrollment:
                               
Commercial:
                               
Fully-insured
   
1,125,363
     
1,273,324
     
2,269,092
     
2,592,736
 
Self-funded
   
561,220
     
608,880
     
1,135,554
     
1,236,286
 
Total Commercial member months
   
1,686,583
     
1,882,204
     
3,404,646
     
3,829,022
 
Medicare:
                               
Medicare Advantage
   
355,942
     
318,227
     
703,024
     
637,516
 
Stand-alone PDP
   
-
     
41,148
     
-
     
82,745
 
Total Medicare member months
   
355,942
     
359,375
     
703,024
     
720,261
 
Medicaid:
                               
Fully-insured
   
1,303,512
     
-
     
1,303,512
     
-
 
Self-insured
   
-
     
4,204,323
     
4,229,082
     
8,394,782
 
Total Medicaid member months
   
1,303,512
     
4,204,323
     
5,532,594
     
8,394,782
 
Total member months
   
3,346,037
     
6,445,902
     
9,640,264
     
12,944,065
 
Medical loss ratio
   
87.4
%
   
82.4
%
   
86.3
%
   
84.5
%
Operating expense ratio
   
14.2
%
   
17.8
%
   
16.1
%
   
18.2
%
 
42

Three Months Ended June 30, 2015 Compared to Three Months Ended June 30, 2014

Medical Operating Revenues

Medical premiums earned for the three months ended June 30, 2015 increased by $210.2 million, or 43.3%, to $695.8 million when compared to the medical premiums earned during the three months ended June 30, 2014.  This increase is principally the result of the following:

Medical premiums generated by the Medicaid business increased by $205.6 million during the three months ended June 30, 2015. This fluctuation is primarily the result of the change in the Medicaid business model, from ASO model to a fully insured model effective April 1, 2015.

Medical premiums generated by the Medicare business increased during the three months ended June 30, 2015 by $16.0 million, or 6.1%, to $278.6 million.  This fluctuation primarily results from higher member month enrollment in Medicare Advantage products, which carry a higher average premium rate and the higher risk score revenue as compared with 2014.  The Medicare premiums for the three months ended June 30, 2015 reflect $14.7 million of additional risk factor revenue related to the 2015 accrual estimates and the 2014 final settlement with CMS.  The additional risk factor revenue recorded in the 2014 period corresponding to prior periods was $12.4 million.

Medical premiums generated by the Commercial business decreased by $11.4 million, or 5.1%, to $211.6 million during the three months ended June 30, 2015.  This fluctuation is primarily the result of a decrease in fully-insured member month enrollment by 147,961, or 11.6%, mainly in our rated groups and individual accounts products and reflecting pricing sensitivity, cancellation of several commercial accounts and attrition in existing accounts as a result of the island’s challenging economic situation.  The effect of the lower membership is partially offset by a 7.4% year over year increase in average premium rates.

Administrative service fees decreased by $23.1 million, or 75.2%, to $7.6 million during the three months ended June 30, 2015.  This fluctuation is mainly due to the change in the Medicaid business model from an ASO contract, where administrative service fees are recorded, to a fully insured model, where medical premiums are recorded.

Medical Claims Incurred

Medical claims incurred during the three months ended June 30, 2015 increased by $208.2 million, or 52.0%, to $608.4 million when compared to the three months ended June 30, 2014.  The medical loss ratio (MLR) of the segment increased 500 basis points during the 2015 period, to 87.4%.  These fluctuations are primarily attributed to the net effect of the following:

Effective April 1, 2015, the Medicaid business changed from ASO model to a fully insured model.  The medical claims incurred related to this contract for the three months ended June 30, 2015 amounted $186.0 million.  The medical loss ratio of this segment was 90.5%.

The medical claims incurred of the Medicare business increased by $27.1 million, or 12.6%, during 2015 period and its MLR increased by 500 basis points, to 86.6%.  Excluding the effect of prior period reserve developments and risk-score adjustments in the 2015 and 2014 periods, the MLR presents an increase of 340 basis points, largely reflecting the impact of lower average per member per month premiums in Medicare Advantage products and higher pharmacy costs and utilization trends.

The medical claims incurred of the Commercial business decreased by $4.8 million, or 2.6%, during the 2015 period mostly due to the lower fully-insured member month enrollment and favorable prior period reserve development in 2015 offset in part by higher utilization trends.  The Commercial MLR was 85.4%, which is 220 basis points higher than the MLR for the prior year.  Excluding the effect of favorable prior period reserve developments in 2015 and 2014, the MLR would have increased by 130 basis points primarily increased pharmacy costs.

Medical Operating Expenses

Medical operating expenses for the three months ended June 30, 2015 increased by $8.1 million, or 8.8%, to $100.2 million when compared to the three months ended June 30, 2014.  The operating expense ratio decreased by 360 basis points, from 17.8% in 2014 to 14.2% in 2015 as a result of the increase in premiums revenue.  The increase in medical operating expenses is mostly due to the net effect of the increase in provision for doubtful receivables, increase in the Health Insurance Providers Fees and an increase in the professional services related to Medicare risk scoring and our strategic transformation efforts.  These increases were partially offset by lower operating expenses in the Medicaid business, reflecting the decreased enrollment after the change in the contract from eight regions under an ASO arrangement to a fully-insured model in only two regions.
 
43

Six Months Ended June 30, 2015 Compared to Six Months Ended June 30, 2014

Medical Operating Revenues

Medical premiums earned for the six months ended June 30, 2015 increased by $198.6 million, or 20.5%, to $1,168.3 million when compared to the medical premiums earned during the three months ended June 30, 2014.  This increase is principally the result of the following:

Medical premiums generated by the Medicaid business increased by $205.6 million during the six months ended June 30, 2015. This fluctuation is primarily the result of the change in the Medicaid business model, from an ASO model to a fully insured model effective April 1, 2015.  These increases were partially offset by a lower CMS final risk score adjustment in 2015.  The six months ended June 30, 2015 and 2014 include approximately $2.2 million and $4.5 million, respectively, related to the final risk score adjustment.

Medical premiums generated by the Medicare business increased during the six months ended June 30, 2015 by $21.7 million, or 4.2%, to $538.6 million.  This fluctuation primarily results from higher risk score revenue as compared with 2014 and the higher member month enrollment in Medicare Advantage products, which carry a higher average premium rate.

Medical premiums generated by the Commercial business decreased by $28.7 million, or 6.3%, to $424.1 million during the six months ended June 30, 2015.  This fluctuation is primarily the result of a decrease in fully-insured member month enrollment by 323,644, or 12.5%, mainly in our rated groups and individual accounts products and reflecting pricing sensitivity, cancellation of several commercial accounts and attrition in existing accounts as a result of the island’s challenging economic situation.  The effect of the lower membership is partially offset by a 7.0% year over year increase in average premium rates.

Administrative service fees decreased by $23.8 million, or 38.8%, to $37.6 million during the six months ended June 30, 2015.  This decrease is mainly due to the change in the Medicaid business model from an ASO contract, where administrative service fees are recorded, to a fully insured model, where medical premiums are recorded.

Medical Claims Incurred

Medical claims incurred during the six months ended June 30, 2015 increased by $189.0 million, or 23.1%, to $1,008.5 million when compared to the six months ended June 30, 2014.  The MLR of the segment increased 180 basis points during the 2015 period, to 86.3%.  These fluctuations are primarily attributed to the net effect of the following:

Effective April 1, 2015, the Medicaid business changed from ASO model to a fully insured model.  The medical claims incurred related to this contract for the six months ended June 30, 2015 amounted $186.0 million.  The medical loss ratio of this segment was 90.5%.

The medical claims incurred of the Medicare business increased by $35.7 million, or 8.3%, during the 2015 period and its MLR increased by 330 basis points, to 86.2%.  Excluding the effect of prior period reserve developments and risk-score adjustments in the 2015 and 2014 periods, the MLR presents an increase of 230 basis points, largely reflecting the impact of lower average per member per month premiums in Medicare Advantage products and higher pharmacy costs and utilization trends.

The medical claims incurred of the Commercial business decreased by $32.7 million, or 8.4%, during the 2015 period mostly due to the lower fully-insured member month enrollment.  The Commercial MLR was 84.3%, which is 180 basis points lower than the MLR for the prior year.  Excluding the effect of favorable prior period reserve developments in 2015 and 2014, the MLR would have decreased by 110 basis points reflecting pricing adjustments that were proportionate with claim trends and improvement in the U.S. Virgin Islands MLR; offset in part by increased pharmacy costs.

Medical Operating Expenses

Medical operating expenses for the six months ended June 30, 2015 increased by $7.4 million, or 4.0%, to $194.6 million when compared to the six months ended June 30, 2014.  The operating expense ratio decreased by 210 basis points, from 18.2% in 2014 to 16.1% in 2015 as a result of the increase in premiums revenue.  The increase in medical operating expenses is mostly due to the net effect of the increase in the provision for doubtful receivables, increase in the Health Insurance Providers Fee and an increase in professional services related to Medicare risk scoring and our strategic transformation efforts.  These increases were partially offset by lower operating expenses in the Medicaid business after the change in the contract from eight regions under an ASO arrangement to a fully-insured model in only two regions.
 
44

Life Insurance Operating Results
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
(Dollar amounts in millions)
 
2105
   
2014
   
2105
   
2014
 
Operating revenues:
               
Premiums earned, net:
               
Premiums earned
 
$
38.1
   
$
37.6
   
$
76.8
   
$
75.2
 
Assumed earned premiums
   
0.6
     
-
     
2.2
     
-
 
Ceded premiums earned
   
(2.4
)
   
(2.7
)
   
(4.9
)
   
(5.3
)
Premiums earned, net
   
36.3
     
34.9
     
74.1
     
69.9
 
Net investment income
   
6.1
     
6.0
     
11.9
     
11.6
 
Total operating revenues
   
42.4
     
40.9
     
86.0
     
81.5
 
Operating costs:
                               
Policy benefits and claims incurred
   
19.2
     
18.4
     
40.7
     
36.3
 
Underwriting and other expenses
   
17.9
     
17.3
     
35.2
     
34.8
 
Total operating costs
   
37.1
     
35.7
     
75.9
     
71.1
 
Operating income
 
$
5.3
   
$
5.2
   
$
10.1
   
$
10.4
 
Additional data:
                               
Loss ratio
   
52.9
%
   
52.7
%
   
54.9
%
   
51.9
%
Operating expense ratio
   
49.3
%
   
49.6
%
   
47.5
%
   
49.8
%
 
Three Months Ended June 30, 2015 Compared to Three Months Ended June 30, 2014

Operating Revenues

Premiums earned, net for the three months ended June 30, 2015 increased by $1.4 million, or 4.0% to $36.3 million when compared to the three months ended June 30, 2014 mostly reflecting new sales in the segment’s individual life and major medical lines of business, and $0.6 million of new premiums assumed on retrocession reinsurance agreements entered during the second quarter of 2014.

Policy Benefits and Claims Incurred

Policy benefits and claims incurred for the three months ended June 30, 2015 increased by $0.8 million, or 4.3%, to $19.2 million when compared to the three months ended June 30, 2014, mostly reflecting the higher volume of business during this year and the claims assumed under retrocession reinsurance agreements which carry a higher loss ratio, offset in part by a decrease in policy actuarial reserves. The loss ratio for the period increased from 52.7% in 2014 to 52.9% in 2015, or 20 basis points.

Underwriting and Other Expenses

Underwriting and other expenses for the three month period ended June 30, 2015 increased $0.6 million, or 3.5%, to $17.9 million when compared to the three months ended June 30, 2014.  The increase is related to increased commissions and general expenses, partially offset by a lower Deferred Acquisition Costs (DAC) and Value of Business Acquired (VOBA) amortization resulting from improved portfolio persistency when compared to the same period last year.  As a result of the increase in premiums during this period, the segment’s operating expense ratio improved 30 basis points from 49.6% in 2014 to 49.3% in 2015.
 
45

Six Months Ended June 30, 2015 Compared to Six Months Ended June 30, 2014

Operating Revenues

Premiums earned, net for the six months ended June 30, 2015 increased by $4.2 million, or 6.0% to $74.1 million when compared to the six months ended June 30, 2014 mostly reflecting premium growth in the segment’s individual life line of business and major medical health premiums, and $2.2 million of new premiums assumed on retrocession reinsurance agreements entered during the second quarter of 2014.

Policy Benefits and Claims Incurred

Policy benefits and claims incurred for the six months ended June 30, 2015 increased by $4.4 million, or 12.1%, to $40.7 million when compared to the six months ended June 30, 2014, mostly reflecting $2.6 million of claims increase mostly in the cancer and individual lines of business and major medical health claims, and $2.0 million of claims assumed under retrocession reinsurance agreements, which carry a higher loss ratio.  The loss ratio for the period increased from 51.9% in 2014 to 54.9% in 2015, or 300 basis points.

Underwriting and Other Expenses

Underwriting and other expenses for the six months ended June, 2015 increased $0.4 million, or 1.1%, to $35.2 million when compared to the six months ended June 30, 2014.  The increase is related to increased commissions and general expenses, partially offset by a lower DAC and VOBA amortization reflecting improved portfolio persistency when compared to the same period last year.  As a result of the larger increase in premiums during this period, the segment’s operating expense ratio improved 230 basis points from 49.8% in 2014 to 47.5% in 2015.

Property and Casualty Insurance Operating Results
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
(Dollar amounts in millions)
 
2015
   
2014
   
2015
   
2014
 
Operating revenues:
               
Premiums earned, net:
               
Premiums written
 
$
39.1
   
$
41.5
   
$
67.0
   
$
71.3
 
Premiums ceded
   
(12.5
)
   
(14.1
)
   
(23.3
)
   
(24.8
)
Change in unearned premiums
   
(4.1
)
   
(3.7
)
   
1.6
     
0.7
 
Premiums earned, net
   
22.5
     
23.7
     
45.3
     
47.2
 
Net investment income
   
2.1
     
2.2
     
4.2
     
4.1
 
Total operating revenues
   
24.6
     
25.9
     
49.5
     
51.3
 
Operating costs:
                               
Claims incurred
   
11.4
     
11.1
     
22.7
     
23.3
 
Underwriting and other expenses
   
10.7
     
10.3
     
22.8
     
22.8
 
Total operating costs
   
22.1
     
21.4
     
45.5
     
46.1
 
Operating income
 
$
2.5
   
$
4.5
   
$
4.0
   
$
5.2
 
Additional data:
                               
Loss ratio
   
50.7
%
   
46.8
%
   
50.1
%
   
49.4
%
Operating expense ratio
   
47.6
%
   
43.5
%
   
50.3
%
   
48.3
%
Combined ratio
   
98.3
%
   
90.3
%
   
100.4
%
   
97.7
%
 
Three Months Ended June 30, 2015 Compared to Three Months Ended June 30, 2014

Operating Revenues

Total premiums written during the three months ended June 30, 2015 decreased by $2.4 million, or 5.8%, to $39.1 million, mostly resulting from lower sales of Commercial products, primarily in the Commercial Package and Commercial Auto insurance products, offset by an increase in Hospital Malpractice premiums.
 
46

Premiums ceded to reinsurers during the three months ended June 30, 2015 decreased by $1.6 million, or 11.3%, to $12.5 million.  The ratio of premiums ceded to premiums written decreased by 200 basis points, from 34.0% in 2014 to 32.0% in 2015.

Claims Incurred

Claims incurred during the three months ended June 30, 2015 increased by $0.3 million, or 2.7%, to $11.4 million.  The loss ratio increased by 390 basis points, to 50.7% during this period primarily as a result of unfavorable loss experience, particulary in the General Liability line of business.

Underwriting and Other Expenses

Underwriting and other operating expenses for the three months ended June 30, 2015 increased by $0.4 million, or 3.9%, to $10.7 million mostly due to an increase in net commissions reflecting a change in business mixThe operating expense ratio increased by 410 basis points when compared to the three months ended June 30, 2014.

Six Months Ended June 30, 2015 Compared to Six Months Ended June 30, 2014

Operating Revenues

Total premiums written during the six months ended June 30, 2015 decreased by $4.3 million, or 6.0%, to $67.0 million, mostly resulting from lower sales of Commercial products, primarily in the Commercial Auto and Commercial Package insurance products.

Premiums ceded to reinsurers during the six months ended June 30, 2015 decreased by $1.5 million, or 6.0%, to $23.3 million due to lower current year non-proportional cession and reinsurance premium adjustments.  The ratio of premiums ceded to premiums written was 34.8% in 2015 and 2014.

Claims Incurred

Claims incurred during the six months ended June 30, 2015 decreased by $0.6 million, or 2.6%, to $22.7 million.  The loss ratio increased by 70 basis points, to 50.1% during this period primarily reflecting increased losses in the General Liability line of business.

Underwriting and Other Expenses

Underwriting and other operating expenses for the six months ended June 30, 2015 remained in line with prior year.  The operating expense ratio increased by 200 basis points when compared to the six months ended June 30, 2014.
 
47

Liquidity and Capital Resources

Cash Flows

A summary of our major sources and uses of cash for the periods indicated is presented in the following table:
 
   
Six months ended
June 30,
 
(Dollar amounts in millions)
 
2015
   
2014
 
Sources of cash:
 
     
Cash provided by operating activities
 
$
76.7
   
$
3.0
 
Net proceeds of investment securities
   
69.9
     
-
 
Proceeds from policyholder deposits
   
4.5
     
3.3
 
Total sources of cash
   
151.1
     
6.3
 
Uses of cash:
               
Net purchases of investment securities
   
-
     
(3.2
)
Net capital expenditures
   
(3.0
)
   
(2.8
)
Repurchase and retirement of common stock
   
(26.0
)
   
(6.0
)
Repayments of long-term borrowings
   
(11.8
)
   
(1.0
)
Surrenders of policyholder deposits
   
(6.3
)
   
(4.6
)
Other
   
(1.5
)
   
(3.7
)
Total uses of cash
   
(48.6
)
   
(21.3
)
Net increase (decrease) in cash and cash equivalents
 
$
102.5
   
$
(15.0
)
 
Cash flow from operating activities increased by $73.7 million for the six months ended June 30, 2015 as compared to the six months ended June 30, 2014, principally due to an increase in premium collections by $186.2 million and a decrease in cash paid to suppliers and employees by $3.8 million, offset in part by higher claims paid by $109.5 million.  The increase in premiums collected and claims paid is principally the result of the change in the Medicaid business model from ASO model to a fully insured model.

Net proceeds of sales of investment securities were $69.9 million during the six months ended June 30, 2015, primarily resulting from the net cash flows received from the sales and purchases of investment securities during the 2015 period following our asset/liability management strategy.  During the six months ended June 30, 2014 we had net purchases of investments of $3.2 million.

During the six months ended June 30, 2015 we received $4.5 million in policyholder deposits, this represents an increase of $1.2 million when compared to the prior year and is the result of higher sales of annuity products.

Repurchase and retirement of common stock amounted to $26.0 million reflecting the repurchase and retirement of 1,211,661 shares of common stock during the six months ended June 30, 2015 under the Corporation’s Class B common stock repurchase program.

Repayments of long-term borrowings increased by $10.8 during the six months ended June 30, 2015, primarily due to an $11.0 million repayment of the senior unsecured notes principal.

The decrease in other uses of cash is attributed to the changes in the amount of outstanding checks over bank balances in the 2015 period.

Share Repurchase Program

In October 2014 the Company’s Board of Directors authorized a $50.0 million repurchase program of our Class B common stock. Repurchases were conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended.  During the six months ended June 30, 2015, the Company repurchased and retired 1,211,661 shares of our Class B Common Stock at an average per share price of $21.72, for an aggregate cost of $26.0 million.
 
48

Financing and Financing Capacity

We have several short-term facilities available to address timing differences between cash receipts and disbursements.  These short-term facilities are mostly in the form of arrangements to sell securities under repurchase agreements.  As of June 30, 2015, we had $135.0 million of available credit under these facilities.  There are no outstanding short-term borrowings under these facilities as of June 30, 2015.

As of June 30, 2015, we had the following long-term borrowings:

On December 21, 2005, we issued and sold $60.0 million of our 6.6% senior unsecured notes due December 2020 (the 6.6% notes).  On October 1, 2010 and May 14, 2015 we repaid $25.0 million and $11.0 million, respectively, of the principal of these senior unsecured notes.  Amount currently outstanding is $24.0 million.

On November 1, 2010, we entered into a $25.0 million arrangement to sell securities under repurchase agreements that matures in November 2015.  This repurchase agreement pays interests on a quarterly basis at 1.96%.  At June 30, 2015 investment securities available for sale with fair value of $27.1 million (face value of $27.1 million) were pledged as collateral under this agreement.

The 6.6% notes contain certain non-financial covenants.  At June 30, 2015, we are in compliance with these covenants.

In addition, we are a party to a secured term loan with a commercial bank in Puerto Rico.  This secured loan with original principal balance of $41.0 million, bears interest at a rate equal to the London Interbank Offered Rate (LIBOR) plus 100 basis points and requires monthly principal repayments of $0.1 million.  As of June 30, 2015, this secured loan had an outstanding balance of $13.6 million and average annual interest rate of 1.26%.

This secured loan is guaranteed by a first lien on our land, buildings and substantially all leasehold improvements, as collateral for the term of the agreements under a continuing general security agreement.  This secured loan contains certain non-financial covenants that are customary for this type of facility, including, but not limited to, restrictions on the granting of certain liens, limitations on acquisitions and limitations on changes in control.  As of June 30, 2015 we are in compliance with these covenants.  Failure to meet these covenants may trigger the accelerated payment of the outstanding balance.

We anticipate that we will have sufficient liquidity to support our currently expected needs.

Further details regarding the senior unsecured notes and the credit agreements are incorporated by reference to “Item 7.—Management Discussion and Analysis of Financial Condition and Results of Operations” included in our Annual Report on Form 10-K for the year ended December 31, 2014.
 
49

Item 3. Quantitative and Qualitative Disclosures about Market Risk

We are exposed to certain market risks that are inherent in our financial instruments, which arise from transactions entered into in the normal course of business.  We have exposure to market risk mostly in our investment activities.  For purposes of this disclosure, “market risk” is defined as the risk of loss resulting from changes in interest rates and equity prices.  No material changes have occurred in our exposure to financial market risks since December 31, 2014.  A discussion of our market risk is incorporated by reference to “Item 7A. Quantitative and Qualitative Disclosures about Market Risk” of our Annual Report on Form 10-K for the year ended December 31, 2014.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

In connection with the preparation of this Quarterly Report on Form 10-Q, management, under the supervision and with the participation of the chief executive officer and chief financial officer, conducted an evaluation of the effectiveness of the “disclosure controls and procedures” (as such term is defined under Exchange Act Rule 13a-15(e)) of the Corporation and its subsidiaries. Disclosure controls and procedures are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms and that such information is accumulated and communicated to management, including the chief executive officer and chief financial officer, to allow timely decisions regarding required disclosures. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met.  There are inherent limitations to the effectiveness of any system of disclosure controls and procedures, including the possibility that judgments in decision-making can be faulty, and breakdowns as a result of simple errors or mistake. Accordingly, even effective disclosure controls and procedures can only provide reasonable assurance of achieving their control objectives.  The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.

Based on this evaluation, our chief executive officer and chief financial officer have concluded that as of June 30, 2015, which is the end of the period covered by this Quarterly Report on Form 10-Q, our disclosure controls and procedures are effective to a reasonable level of assurance.

There were no significant changes in our disclosure controls and procedures, or in factors that could significantly affect internal controls, subsequent to the date the chief executive officer and chief financial officer completed the evaluation referred to above.

Changes in Internal Controls Over Financial Reporting

No changes in our internal control over financial reporting (as such term is defined in Exchange Act Rule 13a-15(f)) occurred during the fiscal quarter ended June 30, 2015 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
 
Part II – Other Information

Item 1. Legal Proceedings

For a description of legal proceedings, see note 13 to the unaudited consolidated financial statements included in this quarterly report on Form 10-Q.

Item 1A. Risk Factors

For a description of our risk factors see Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2014.
 
50

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
 
Purchases of Equity Securities by the Issuer
 
The following table presents information related to our repurchases of common stock for the period indicated:
 
(Dollar amounts in millions, except per share data)
 
Total Number of
Shares
Purchased
   
Average
Price Paid
per Share
   
Total Number of
Shares Purchased
as Part of Publicly
Announced
Programs ¹
   
Approximate Dollar
Value of Shares that
May Yet Be
Purchased Under the
Programs
 
   
   
   
   
 
April 1, 2015 to April 30, 2015
   
249,835
   
$
19.99
     
249,835
   
$
24.7
 
May 1, 2015 to May 31, 2015
   
237,336
     
20.88
     
237,336
     
19.7
 
June 1, 2015 to June 30, 2015
   
41,317
     
23.97
     
41,317
     
18.7
 

¹
In October 2014 the Company's Board of Directors authorized a $50.0 million Share Repurchase Program of its Class B common stock.
 
Item 3. Defaults Upon Senior Securities

Not applicable.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

Not applicable.

Item 6. Exhibits
 
Exhibits
Description
   
11
Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three months ended June 30, 2015 and 2014 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q.
Certification of the President and Chief Executive Officer required by Rule 13a-14(a)/15d-14(a).
Certification of the Vice President and Chief Financial Officer required by Rule 13a-14(a)/15d-14(a).
Certification of the President and Chief Executive Officer required pursuant to 18 U.S.C Section 1350.
Certification of the Vice President and Chief Financial Officer required pursuant to 18 U.S.C Section 1350.
All other exhibits for which provision is made in the applicable accounting regulation of the United States Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted.

* Filed herein.
 
51

SIGNATURES

Pursuant to the requirements of the United States Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 
       
Triple-S Management Corporation
 
       
Registrant
 
           
Date:
August 6, 2015
 
By:
/s/ Ramón M. Ruiz-Comas
 
       
Ramón M. Ruiz-Comas
 
       
President and Chief Executive Officer
 
           
Date:
August 6, 2015
 
By:
/s/ Amílcar L. Jordán-Pérez
 
       
Amílcar L. Jordán-Pérez
 
       
Vice President and Chief Financial Officer
 
 
 
 
52