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UNIVERSAL AMERICAN FINANCIAL CORP. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
a. Basis of Presentation:
The significant accounting
policies followed by Universal American and subsidiaries
that materially affect financial reporting are summarized
below. The accompanying consolidated financial
statements have been prepared in accordance with
accounting principles generally accepted in the United
States ("GAAP") which, as to the insurance subsidiaries,
differ from statutory accounting practices prescribed or
permitted by regulatory authorities. The preparation of
financial statements in conformity with GAAP requires
management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and
disclosures of contingent assets and liabilities at the date
of the financial statements and the reported revenues and
expenses during the reporting period. Accounts that the
Company deems to be sensitive to changes in estimates
include policy liabilities and accruals, deferred policy
acquisition costs, present value of future profits and
deferred taxes. As additional information becomes
available or actual amounts become determinable, the
recorded estimates may be revised and reflected in
operating results. Actual results could differ from
those estimates.
b. Principles of Consolidation:
The accompanying
consolidated financial statements include the accounts of
Universal American and its wholly-owned subsidiaries,
including the operations of acquired companies from the
date of their acquisition. All material intercompany
transactions and balances have been eliminated.
c. Investments:
The Company follows Financial
Accounting Standards Board ("FASB") Statement No.
115, "Accounting for Certain Debt and Equity Securities"
("Statement No. 115"). Statement No. 115 requires that
debt and equity securities be classified into one of three
categories and accounted for as follows: Debt securities
that the Company has the positive intent and the ability to
hold to maturity are classified as "held to maturity" and
reported at amortized cost. Debt and equity securities that
are held for current resale are classified as "trading
securities" and reported at fair value, with unrealized
gains and losses included in earnings. Debt and equity
securities not classified as held to maturity or as trading
securities are classified as "available for sale" and reported
at fair value. Unrealized gains and losses on available
for sale securities are excluded from earnings and reported
as accumulated other comprehensive income, net of
tax and deferred policy acquisition cost adjustments.
As of December 31, 2000 and 1999, all fixed maturity
securities were classified as available for sale and were
carried at fair value, with the unrealized gain or loss, net of
tax and other adjustments (deferred policy acquisition
costs), included in accumulated other comprehensive
income. Equity securities are carried at current fair value.
Policy loans are stated at the unpaid principal balance.
Short-term investments are carried at cost, which approximates
fair value. Other invested assets include real estate,
mortgage loans and collateral loans. The real estate and
collateral loans are carried at cost, which is equal to the fair
value of their estimated future cash flows at the date of
acquisition. Mortgage loans are carried at the unpaid principal
balance. Investment income is recorded when earned.
The Company regularly evaluates the carrying value of
their investments based on current economic conditions,
past credit loss experience and other circumstances.
A decline in net realizable value that is other than temporary
is recognized as a realized investment loss and a
reduction in the cost basis of the investment in the period
when such determination is made. The Company discounts
expected cash flows in the computation of net realizable
value of its investments, other than certain mortgage-backed
securities. In those circumstances where the
expected cash flows of residual interest and interest-only
mortgage-backed securities, discounted at a risk-free rate
of return, result in an amount less than the carrying value,
a realized loss is reflected in an amount sufficient to
adjust the carrying value of a given security to its fair
value. Realized investment gains and losses on the sale of
securities are based on the specific identification method.
d. Deferred Policy Acquisition Costs:
The cost
of acquiring new business, principally commissions and
certain expenses of the agency, policy issuance and
underwriting departments, all of which vary with, and are
primarily related to the production of new and renewal
business, have been deferred. These costs are being
amortized in relation to the present value of expected
gross profits on the policies arising principally from
investment, mortality and expense margins for FASB
Statement No. 97, "Accounting and Reporting by
Insurance Enterprises for Certain Long-Duration Contracts
and for Realized Gains and Losses from the Sale of
Investments", ("Statement No. 97") products and in proportion
to premium revenue using the same assumptions
used in estimating the liabilities for future policy benefits
for FASB Statement No. 60, "Accounting and Reporting
by Insurance Enterprises", ("Statement No. 60") products.
Deferred policy acquisition costs are written off to
the extent that it is determined that future policy premiums
and investment income or gross profits would not be adequate
to cover related losses and expenses. During the
year ended December 31, 2000, the Company decided
to exit the major medical line of business. This resulted in
a reduction in the projected gross profits for that line of
business and accordingly, deferred policy acquisition
costs of $1.4 million were written off as of December 31,
2000. No deferred policy acquisition costs were written
off for the years ended December 31, 1999 and 1998.
The Company has several reinsurance arrangements in
place on its life and accident & health insurance risks (see
Note 11). In the accompanying statement of operations,
the Company reports commissions incurred on direct
premium written and commission and expense
allowances on reinsurance ceded on separate lines to
correspond to the presentation of the premiums earned
by the Company. In determining the amounts capitalized
for deferred policy acquisition costs, the Company
includes an amount for gross commissions and direct issue
expenses, net of the related allowances received from the
reinsurer on these costs.
Details with respect to deferred policy acquisition costs for
the three years ended December 31, 2000, are as follows:
(In thousands)
Balance at January 1, 1998 . . . . . . . . . . . . . . . . . $ 20,832
Capitalized costs . . . . . . . . . . . . . . . . . . . . 8,792
Adjustment relating to unrealized
gain (loss) on fixed maturities . . . . . . . . . . . . (79)
Amortization . . . . . . . . . . . . . . . . . . . . . . (5,262)
Balance at December 31, 1998 . . . . . . . . . . . . . . . . 24,283
Capitalized costs . . . . . . . . . . . . . . . . . . . . 11,441
Adjustment relating to unrealized
gain (loss) on fixed maturities . . . . . . . . . . . . 4,509
Foreign currency adjustment . . . . . . . . . . . . . . . 24
Amortization . . . . . . . . . . . . . . . . . . . . . . (5,314)
Balance at December 31, 1999 . . . . . . . . . . . . . . . . 34,943
Capitalized costs . . . . . . . . . . . . . . . . . . . . 24,200
Adjustment relating to unrealized
gain (loss) on fixed maturities . . . . . . . . . . . . (2,209)
Foreign currency adjustment . . . . . . . . . . . . . . . (8)
Amortization . . . . . . . . . . . . . . . . . . . . . . (6,866)
Adjustment relating to the decision
to exit the major medical line of business . . . . . . (1,409)
Balance at December 31, 2000 . . . . . . . . . . . . . . . . $ 48,651
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e. Recognition of Revenues, Contract Benefits and
Expenses for Investment and Universal Life Type
Policies:
Revenues for universal life-type policies and
investment products consist of mortality charges for the cost
of insurance, and surrender charges assessed against policyholder
account balances during the period. Benefit claims
incurred in excess of policyholder account balances are
expensed. The liability for policyholder account balances
for universal life-type policies and investment products under
Statement No. 97 are determined following a "retrospective
deposit" method. The retrospective deposit method establishes
a liability for policy benefits at an amount determined
by the account or contract balance that accrues to the benefit
of the policyholder, which consists principally of policy
account values before any applicable surrender charges.
Premium receipts are not reported as revenues when the retrospective
deposit method is used. Current credited interest
rates for these products range from 3.0% to 7.3%.
f. Recognition of Premium Revenues and Policy
Benefits for Accident & Health Insurance
Products:
Premiums are recorded when due and recognized
as revenue over the period to which the premiums
relate. Benefits and expenses associated with earned premiums
are recognized as the related premiums are earned
so as to result in recognition of profits over the life of the policies.
This association is accomplished by recording a provision
for future policy benefits and amortizing deferred policy
acquisition costs. The liability for future policy benefits for
accident and health policies consists of active life reserves
and the estimated present value of the remaining ultimate
net cost of incurred claims. Active life reserves include
unearned premiums and additional reserves. The additional
reserves are computed on the net level premium method
using assumptions for future investment yield, mortality and
morbidity experience. The assumptions are based on past
experience. Claim reserves are established for future payments
not yet due on incurred claims, primarily relating to
individual disability insurance and group long-term disability
insurance products. These reserves are established based
on past experience and are continuously reviewed and
updated with any related adjustments recorded to current
operations. Claim liabilities represent policy benefits due
but unpaid at year-end and primarily relates to individual
health insurance products.
Activity in the accident and health policy and contract
claim liability is as follows:
2000 1999 1998
(In thousands)
Balance at beginning
of year. . . . . . . . . . . . . $ 72,261 $ 24,332 $ 22,592
Less reinsurance
recoverables . . . . . . . . . . (36,231) (19,076) (17,034)
Net balance at
beginning of year . . . . . . . 36,030 5,256 5,558
Balances acquired . . . . . . . . . - 31,043 785
Incurred related to:
Current year . . . . . . . . . . 59,700 58,163 18,044
Prior years . . . . . . . . . . 299 (395) (782)
Total incurred . . . . . . . . . . 59,999 57,768 17,262
Paid related to:
Current year . . . . . . . . . . 43,843 28,782 13,673
Prior years . . . . . . . . . . 17,631 29,320 4,676
Total paid . . . . . . . . . . . . 61,474 58,102 18,349
Foreign currency adjustment . . . . (173) 65 -
Net balance at end of year . . . . 34,382 36,030 5,256
Plus reinsurance
recoverables . . . . . . . . . . 43,502 36,231 19,076
Balance at end of year . . . . . . $ 77,884 $ 72,261 $ 24,332
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In 2000, the Company experienced unfavorable
development on its prior year accident and health losses,
relating primarily to the major medical line of business.
Losses incurred related to prior years developed favorably
in 1999 and 1998 due primarily to the fact that
healthcare cost trends were lower than those anticipated
when the reserves were established.
g. Recognition of Premium Revenues and Policy
Benefits for Traditional Life and Annuity
Products:
Premiums from traditional life and annuity
policies with life contingencies generally are recognized
as income when due. Benefits and expenses are
matched with such income so as to result in the recognition
of profits over the life of the contracts. This match is
accomplished by means of the provision for liabilities for
future policy benefits and the deferral and subsequent
amortization of policy acquisition costs.
h. Income Taxes:
The Company's method of accounting
for income taxes is the asset and liability method.
Under the asset and liability method, deferred tax assets
and liabilities are recognized for the future tax consequences
attributable to differences between the financial
statement carrying amounts of existing assets and
liabilities and their respective tax bases. 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
income in the period that includes the enactment date of
a change in tax rates.
i. Reinsurance Accounting:
Recoverables under reinsurance
contracts are included in total assets as amounts
due from reinsurers rather than net against the related policy
asset or liability. The cost of reinsurance related to
long-duration contracts is accounted for over the life of the
underlying reinsured policies using assumptions
consistent with those used to account for the
underlying policies.
j. Foreign Currency Translation:
The financial statement
accounts of the Company's Canadian operations,
which are denominated in Canadian dollars, are translated
into U.S. dollars as follows: (i) Canadian currency
assets and liabilities are translated at the rates of
exchange as of the balance sheet dates and the related
unrealized translation adjustments are included as a
component of accumulated other comprehensive income,
and (ii) revenues, expenses and cash flows, expressed
in Canadian dollars, are translated using a
weighted average of exchange rates for each
period presented.
k. Earnings Per Common Share:
Basic EPS
excludes dilution and is computed by dividing income
available to common shareholders, (after deducting the
dividends redemption accrual on the Series C and Series
D Preferred Stock), by the weighted average number
of shares outstanding for the period. Diluted EPS gives
the dilutive effect of the stock options, warrants and Series
B, C and D Preferred Stock outstanding during the year.
As of December 31, 2000 and 1999, there were
2,513,100 and 2,479,500 stock options, respectively,
not included in the diluted EPS computation because
they were antidilutive. A reconciliation of the numerators
and the denominators of the basic and diluted EPS for
the years ended December 31, 2000, 1999 and 1998
is as follows:
For the Year Ended
December 31, 2000
Income Shares Per Share
(Numerator) (Denominator) Amount
(In thousands, per share amounts in dollars)
Common stock outstanding 46,761
Less: Treasury shares (31)
Basic EPS
Net income applicable
to common shareholders $ 22,885 46,730 $ 0.49
Effect of Dilutive Securities
Incentive stock options 1,766
Director stock option 115
Treasury stock purchased
from proceeds of
exercise of options (1,496)
Diluted EPS
Net income applicable
to common shareholders
plus assumed conversions $ 22,885 47,115 $ 0.49
For the Year Ended December 31, 1999
Income Shares Per Share
(Numerator) (Denominator) Amount
(In thousands, per share amounts in dollars)
Net income $ 9,813
Less: Redemption
accrual on Series C
Preferred Stock (180)
Basic EPS
Net income applicable
to common shareholders 9,633 23,212 $ 0.42
Effect of Dilutive Securities
Series B Preferred Stock 1,037
Series C Preferred Stock 180 544
Series D Preferred Stock 744
Nonregistered warrants 1,993
Registered warrants 614
Incentive stock options 1,261
Director stock option 93
Treasury stock purchased
from proceeds of exercise
of options and warrants (937)
Diluted EPS
Net income applicable
to common shareholders
plus assumed conversions $ 9,813 28,561 $ 0.34
For the Year Ended December 31, 1998
Income Shares Per Share
(Numerator) (Denominator) Amount
(In thousands, per share amounts in dollars)
Net income $ 2,608
Less: Redemption accrual
on Series C Preferred Stock (434)
Basic EPS
Net income applicable
to common shareholders 2,174 7,533 $ 0.29
Effect of Dilutive Securities
Series B Preferred Stock 1,778
Series C Preferred Stock 434 2,176
Series D Preferred Stock -
Nonregistered warrants 2,016
Registered warrants 658
Incentive stock options 229
Director stock option 7
Treasury stock purchased from
proceeds of exercise of
options and warrants (1,241)
Diluted EPS
Net income applicable to
common shareholders plus
assumed conversions $ 2,608 13,156 $ 0.20
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l. Other Comprehensive Income:
The components
of other comprehensive income, and the related tax
effects for each component, for the years ended
December 31, 2000, 1999 and 1998 are as follows:
Before Tax Tax Expense Net of Tax
Amount (Benefit) Amount
(In thousands)
Year ended
December 31, 2000
Net unrealized gain
arising during the year
(net of deferred
acquisition costs) $ 20,531 $ 7,498 $ 13,033
Reclassification
adjustment for
gains included
in net income (146) (51) (95)
Net unrealized gains 20,385 7,447 12,938
Foreign currency
translation adjustment (1,434) (258) (1,176)
Other comprehensive
income $ 18,951 $ 7,189 $ 11,762
Before Tax Tax Expense Net of Tax
Amount (Benefit) Amount
(In thousands)
Year ended
December 31, 1999
Net unrealized loss
arising during the year
(net of deferred
acquisition costs) $ (15,293) $ (6,202) $ (9,091)
Reclassification
adjustment for losses
included in net income 87 35 52
Net unrealized gains (15,206) (6,167) (9,039)
Foreign currency
translation adjustment 2,177 883 1,294
Other comprehensive
income (loss) $ (13,029) $ (5,284) $ (7,745)
Before Tax Tax Expense Net of Tax
Amount (Benefit) Amount
(In thousands)
Year ended
December 31, 1998
Net unrealized gain
arising during the year
(net of deferred
acquisition costs) $ 171 $ 55 $ 116
Reclassification
adjustment for gains
included in net income (147) (47) (100)
Net unrealized gains 24 8 16
Foreign currency
translation adjustment - - -
Other comprehensive
income $ 24 $ 8 $ 16
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m. Cash Flow Information:
Included in cash and
cash equivalents are cash on deposit, money market
funds, and short-term investments, which had an original
maturity of three months or less from the time of purchase.
n. FASB Statement No. 133:
In June 1998, the
Financial Accounting Standards Board issued Statement
No. 133, Accounting for Derivative Instruments and
Hedging Activities. Its amendments Statements 137,
Accounting for Derivative Instruments and Hedging
Activities-Deferral of the Effective Date of FASB Statement
No. 133 and 138, Accounting for Derivative Instruments
and Certain Hedging Activities, were issued in June
1999 and June 2000, respectively. Collectively, these are
referred to as Statement 133. Statement 133 establishes
accounting and reporting standards for derivative instruments
and is effective for fiscal years beginning after June
15, 2000. Because of the minimal use of derivatives,
Management does not anticipate that the adoption will
have a significant effect on earnings or the financial position
of the Company.
o. Goodwill/Negative Goodwill:
Business combinations
accounted for as a purchase result in the allocation
of the purchase consideration to the fair values of the
assets and liabilities acquired, including the present value
of future profits, establishing such fair values as the new
accounting bases. Purchase consideration in excess of
the fair value of net assets acquired, for a specific acquisition,
is allocated to goodwill. Should the fair value of
the net assets acquired exceed the purchase consideration,
such excess is utilized to reduce certain intangible
assets, primarily present value of future profits related to
the specific acquisition, and any remaining excess is allocated
to negative goodwill. Allocation of purchase price
is performed in the period in which the purchase is consummated.
Adjustments, if any, in subsequent periods
relate to resolution of pre-acquisition contingencies and
refinements made to estimates of fair value in connection
with the preliminary allocation. In connection with the
acquisition of First National in 1996, the Company
recorded $3.5 million of goodwill, which is being amortized
on a straight line basis over 30 years. In connection
with the acquisition of American Exchange in 1997,
the Company recorded $1.3 million of goodwill, which is
also being amortized on a straight line basis over 30
years. In connection with the acquisition of CHCS in
August 2000, the Company recorded $2.7 million of
goodwill, which is being amortized on a straight line
basis over 20 years.
Negative Goodwill relates to the 1999 Acquisition and is
being amortized over 10 years on a straight-line basis
(see Note 3).
p. Reclassifications:
Certain reclassifications have been made to prior years'
financial statements to conform to current period classifications.
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