-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HCU26XQBftiFe69HP2BSCLqejIg/pBDrA/m1Avg3Ayv6D5HCmQyeuSOamaZYrJ9v w8JcLenR6XPo7VpuAqP3vA== 0000892569-03-001595.txt : 20030630 0000892569-03-001595.hdr.sgml : 20030630 20030627204933 ACCESSION NUMBER: 0000892569-03-001595 CONFORMED SUBMISSION TYPE: 11-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030630 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFICARE HEALTH SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0001027974 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 954591529 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 11-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 03762536 BUSINESS ADDRESS: STREET 1: 3120 LAKE CENTER DRIVE CITY: SANTA ANA STATE: CA ZIP: 92704 BUSINESS PHONE: 7148255200 MAIL ADDRESS: STREET 1: 3120 LAKE CENTER DRIVE CITY: SANTA ANA STATE: CA ZIP: 92704 FORMER COMPANY: FORMER CONFORMED NAME: N T HOLDINGS INC DATE OF NAME CHANGE: 19961204 11-K 1 a91133e11vk.htm FORM 11-K PERIOD END DECEMBER 31, 2002 PacifiCare Health Systems Inc
Table of Contents

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

FORM 11-K

FOR ANNUAL REPORTS OF EMPLOYEE STOCK PURCHASE, SAVINGS
AND SIMILAR PLANS PURSUANT TO SECTION 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

(Mark One)

     
x   ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934

For the Fiscal Year ended December 31, 2002

OR

     
o   TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934

Commission File Number 000-21949

A. Full title of the plan and the address of the plan, if different from that
of the issuer named below:

THE PACIFICARE HEALTH SYSTEMS, INC. SAVINGS AND PROFIT-SHARING PLAN

B. Name of issuer of the securities held pursuant to the plan and
the address of its principal executive office:

PacifiCare Health Systems, Inc.
5995 Plaza Drive
Cypress, CA 90630

 


Report of Independent Auditors
Statements of Net Assets Available for Benefits
Statement of Changes in Net Assets Available for Benefits
Notes to Financial Statements
Schedule H, Line 4i – Schedule of Assets (Held at End of Year)
SIGNATURE
EXHIBIT INDEX
EXHIBIT 23
EXHIBIT 99.1
EXHIBIT 99.2


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Audited Financial Statements and Supplemental Schedule
Year ended December 31, 2002

Contents

         
Report of Independent Auditors
    1  
Audited Financial Statements
       
Statements of Net Assets Available for Benefits at December 31, 2002 and 2001
    2  
Statements of Changes in Net Assets Available for Benefits for the Year Ended December 31, 2002
    3  
Notes to Financial Statements
    4  
Supplemental Schedule
       
Schedule H, Line 4i: – Schedule of Assets (Held at End of Year)
    10  
Signature
    11  
Exhibit Index
    12  

i


Table of Contents

Report of Independent Auditors

PacifiCare Health Systems, Inc. as
  Plan Administrator for
The PacifiCare Health Systems, Inc.
  Savings and Profit-Sharing Plan

We have audited the accompanying statements of net assets available for benefits of The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan as of December 31, 2002 and 2001, and the related statement of changes in net assets available for benefits for the year ended December 31, 2002. These financial statements are the responsibility of the Plan’s management. Our responsibility is to express an opinion on these financial statements based on our audits.

We conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the net assets available for benefits of The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan at December 31, 2002 and 2001, and the changes in its net assets available for benefits for the year ended December 31, 2002, in conformity with accounting principles generally accepted in the United States.

Our audits were performed for the purpose of forming an opinion on the financial statements taken as a whole. The accompanying supplemental schedule of assets (held at end of year) as of December 31, 2002 is presented for purposes of additional analysis and is not a required part of the financial statements but is supplementary information required by the Department of Labor’s Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. This supplemental schedule is the responsibility of the Plan’s management. The supplemental schedule has been subjected to the auditing procedures applied in our audits of the financial statements and, in our opinion, is fairly stated in all material respects in relation to the financial statements taken as a whole.

/s/ ERNST & YOUNG LLP

Irvine, California
May 30, 2003

1


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Statements of Net Assets Available for Benefits

                   
      December 31,
     
      2002   2001
     
 
Assets
               
Cash
  $     $ 223,967  
Investments, at fair value
    265,412,764       283,419,527  
Contributions receivable:
               
 
Employee
    680,212       768,559  
 
Employer
    1,291,030       1,268,726  
Interest income receivable
    31,272       34,296  
 
   
     
 
Total assets
    267,415,278       285,715,075  
 
   
     
 
Liabilities
               
Due to broker
    129,412       191,376  
 
   
     
 
Net assets available for benefits
  $ 267,285,866     $ 285,523,699  
 
   
     
 

See accompanying notes.

2


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Statement of Changes in Net Assets Available for Benefits

Year ended December 31, 2002

           
Additions
       
Contributions:
       
 
Employee
  $ 24,628,872  
 
Employer
    20,070,638  
Net investment income (loss):
       
 
Interest income
    2,045,561  
 
Dividends
    2,460,719  
 
Net realized/unrealized depreciation in fair value of investments
    (28,927,355 )
 
   
 
Total additions
    20,278,435  
Deductions
       
Benefit and withdrawal payments to participants
    37,022,585  
Administration fees
    1,493,683  
 
   
 
Total deductions
    38,516,268  
 
   
 
Net decrease
    (18,237,833 )
Net assets available for benefits:
       
 
Beginning of year
    285,523,699  
 
   
 
 
End of year
  $ 267,285,866  
 
   
 

See accompanying notes.

3


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Notes to Financial Statements

December 31, 2002

1. Description of Plan

General

The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan (the “Plan”), effective July 1, 1985, as amended, is a defined contribution profit-sharing plan that covers employees of PacifiCare Health Systems, Inc. and subsidiaries (the “Company”), and is subject to the Employee Retirement Income Security Act of 1974 (“ERISA”). As amended and restated, the Plan is intended to comply with the Internal Revenue Code (“Code”) sections 401(a), 401(k), 401(m)(ii), and 402(a), and is also an eligible individual account plan as defined in ERISA Section 407(d)(3), and provides for the acquisition and holding of qualifying employer securities, as defined in ERISA Section 401(d)(5).

The following description of the Plan provides only general information. Participants should refer to the Plan agreement for a more complete description of the Plan’s provisions.

Contributions and Benefits

Employees are eligible to participate in the Plan on the first day of the month after completing 90 days of service.

Participants may elect to defer the receipt of a portion (in whole percentages not less than 2% and up to 15%) of their compensation (deferred savings account) subject to: limit of $11,000 in 2002 by Code Section 402(g). If any participant’s compensation deferral for a year exceeds the maximum allowable for that year, the excess contribution is returned to the Company and then paid to the participant as taxable compensation. Furthermore, Code Section 401(k) and the Plan limit the amount certain highly compensated individuals may contribute based on amounts contributed by lower compensated individuals.

The Company makes mandatory contributions to participants’ accounts equal to 3% of all eligible compensation paid. Each participant’s account is credited with an amount equal to 3% of his or her eligible compensation received each pay period.

4


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Notes to Financial Statements (continued)

1. Description of Plan (continued)

Contributions and Benefits (continued)

The Company also contributes a matching amount on behalf of each participant equal to 50% of the amount of compensation deferred by each participant to a maximum of 3%.

The Company may also contribute an additional amount (“discretionary profit-sharing account”) at its sole discretion, as determined by the Company’s Board of Directors, based on the financial success of the Company. The Company elected not to make an additional contribution for the year ended December 31, 2002. The Company’s discretionary contribution is allocated to the accounts of active participants who have completed 1,000 or more hours of service during the respective Plan year, in proportion to their eligible compensation. Pursuant to this allocation, eligible compensation is limited to $90,000 in 2002.

Participants are immediately and fully vested in their 3% Company contribution and deferred savings account. Participants vest in their matching account and discretionary profit-sharing accounts at the rate of 25% per year. Participants become fully vested in their matching account in the event of death, disability or reaching normal retirement age. Forfeited balances of terminated participants’ nonvested accounts are used to reduce future Company contributions. The balance of forfeited nonvested accounts was $63,403 and $167,596 as of December 31, 2002 and 2001, respectively.

The income of the Plan, together with any gains or losses in the value of the investments, increases or decreases participants’ accounts proportionately based on the relationship of their account balances to total account balances.

No amounts are payable prior to the participant’s normal retirement, death, disability or termination of employment. In cases of termination, the participant may elect to defer payment until five years after the normal retirement date, age 65. Retirement and disability payments greater than $5,000 may be paid in a lump sum, an annuity, or in substantially equal installments. All payments less than $5,000 will be paid in a lump sum.

5


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Notes to Financial Statements (continued)

1. Description of Plan (continued)

Contributions and Benefits (continued)

Although it has not expressed any intent to do so, the Company has the right under the Plan to discontinue its contributions at any time and to terminate the Plan subject to the provisions of ERISA. In the event of Plan termination, participants will become 100% vested in their accounts. The fully vested accounts would become payable as determined by the Administrative Committee.

Participant Loans

Plan participants may borrow, as a loan from their accumulated contributions, a minimum of $1,000 and up to a maximum of the lesser of $50,000 or 50% of their vested account balance. Loan terms generally range from 1 to 5 years or up to 10 years for hardship circumstances as defined by the Plan. The loans are collateralized by the balance in the participant’s account and bear interest at 2% above the current prime rate. Principal and interest are paid ratably through biweekly payroll deductions.

2. Summary of Significant Accounting Policies

Valuation of Investments

Investments in mutual funds are carried at fair value based on the quoted market price of the underlying investments.

Quoted market prices are used to value common stocks, corporate bonds and U.S. securities.

Investments in participating units in Wells Fargo Bank’s short-term income fund are stated at redemption price which approximates cost.

Participant loans are recorded at cost, which approximates fair value.

6


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Notes to Financial Statements (continued)

2. Summary of Significant Accounting Policies (continued)

Investment Income

Interest and dividends are recorded as earned. Realized and unrealized net investment gains or losses are recorded based on the cost of units held by the Plan and fluctuations in the fair value of the underlying investments. Purchases and sales of investments are reflected on the trade dates.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates.

3. Administration of Plan Assets

The assets of the Plan are administered by the Plan’s Administrative Committee, appointed by the Company’s Board of Directors, with the assistance of the Trustee, Wells Fargo Bank (“Wells Fargo”). Under the trust agreement, the Trustee holds the trust assets and makes payments as directed by the Administrative Committee. Participants are permitted to direct the investment of their accounts among investment options selected by the Administrative Committee. Participants may change their investment options daily. The Plan pays all administrative expenses.

4. Investments

The Plan holds investments managed by an investment management company that invested in common stocks, corporate and foreign bonds and U.S. government securities in addition to mutual fund shares offered by several registered investment companies and participating units in the Wells Fargo Bank Short-Term Income Fund and Institutional Money Market Fund based upon the guidance provided by the investment advisor.

7


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Notes to Financial Statements (continued)

4. Investments (continued)

The following investments represent 5 percent or more of the Plan’s net assets:

                 
    December 31,
   
    2002   2001
   
 
Fidelity Equity Income Fund #23
  $ 36,121,449     $ 44,501,941  
Putnam Voyager Fund Class A
    40,071,455       60,331,524  
Vanguard Institutional Index Fund #94
    24,389,236       29,523,432  
Alleghany Montag & Caldwell Balanced Fund 1
    36,159,078       48,575,304  
T. Rowe Price International Stock Fund #37
    16,232,003       21,253,042  
Western Asset Intermediate Portfolio
    36,929,297       31,567,912  
PacifiCare Health Systems, Inc. common stock
    33,668,543       17,094,893  
Wells Fargo Bank Short-Term Income Fund
    25,370,937       18,052,232  

The Plan’s investments (including investments bought, sold and held during the year) appreciated (depreciated) in fair value during 2002 as follows:

         
Common stocks
  $ 15,886,610  
Mutual funds
    (44,813,965 )
 
   
 
Net depreciation in fair value of investments
  $ (28,927,355 )
 
   
 

Investments in the Wells Fargo Bank Short-Term Income and Institutional Money Market Funds are party-in-interest transactions with the Trustee for which a statutory exemption exists. During the year ended December 31, 2002, the Plan purchased $159,920,827, sold $159,885,047, and reinvested $863,623 of interest income in participating units of the Wells Fargo Bank Short-Term Income Fund. During the year ended December 31, 2002, the Plan purchased $43,555,962, sold $43,555,962, and reinvested $14,851 of interest income in participating units of the Wells Fargo Bank Institutional Money Market Fund (none held at December 31, 2002 and 2001).

8


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

Notes to Financial Statements (continued)

5. Income Tax Status

The Plan has received a determination letter from the Internal Revenue Service dated May 21, 2003, stating that the Plan is qualified, in form, under Section 401(a) of the Code and, therefore, the related trust is exempt from taxation. A previous determination letter was dated January 25, 1996. Once qualified, the Plan is required to operate in conformity with the Code to maintain its qualification. The plan administrator believes the Plan is being operated in compliance with the applicable requirements of the Code and, therefore, believes that the Plan is qualified and the related trust is tax exempt. Subsequent amendments have been structured to, and are intended to, maintain the Plan’s tax qualified status.

6. Reconciliation to Form 5500

Net assets available for benefits and benefit payments as recorded in these financial statements differ from amounts reported in the Company’s Form 5500 as filed with the Department of Labor. In these financial statements, pursuant to accounting principles generally accepted in the United States, accrued benefits payable of $0 and $628,803 at December 31, 2002 and 2001, respectively, are not recognized until paid.

9


Table of Contents

The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan

EIN: 33-0064895 Plan:001

Schedule H, Line 4i – Schedule of Assets (Held at End of Year)

December 31, 2002

                           
Shares or                 Current
Par Value   Identity of Issue   Cost**   Value

 
 
 
       
Mutual Funds
               
  910,548    
Fidelity Equity Income Fund #23
          $ 36,121,449  
  3,152,750    
Putnam Voyager Fund Class A
            40,071,455  
  136,130    
Vanguard REIT Index Fund Investor #123
            1,611,784  
  303,160    
Vanguard Institutional Index Fund #94
            24,389,236  
  644,920    
Vanguard Small Cap Index Fund
            10,099,450  
  2,474,954    
Alleghany Montag & Caldwell Balanced Fund 1
            36,159,078  
  20,959    
I Cap Funds Equity Portfolio
            672,151  
  1,827,928    
T. Rowe Price International Stock Fund #37
            16,232,003  
  3,416,216    
Western Asset Intermediate Portfolio
            36,929,297  
       
 
           
 
         
Total Mutual Funds
            202,285,903  
       
Common Stocks
               
  8,637,617    
PacifiCare Health Systems, Inc.*
            33,668,543  
       
Participant Loans Receivable
               
  4,087,381    
Participant loans, 6.25% to 11.5% through 2013
            4,087,381  
       
Short-Term Income Fund
               
  25,370,937    
Wells Fargo Bank Short-Term Income Fund*
            25,370,937  
       
 
           
 
         
Total Investments
          $ 265,412,764  
       
 
           
 

*   Party-in-interest as defined by ERISA.
 
**   Investments are participant directed, therefore, cost information is not required.

10


Table of Contents

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the Administrative Committee of the Plan has duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized.

         
        The PacifiCare Health Systems, Inc.
Savings and Profit-Sharing Plan
         
DATE: June 26, 2003   BY:   /s/ Peter A. Reynolds
Peter A. Reynolds
Senior Vice President and
Corporate Controller
(Chief Accounting Officer)

11


Table of Contents

EXHIBIT INDEX

           
Exhibit 23   Consent of Independent Auditors     13
           
Exhibit 99.1   Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002      
14
           
Exhibit 99.2   Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002      
15

12 EX-23 3 a91133exv23.htm EXHIBIT 23 exv23

 

EXHIBIT 23

CONSENT OF INDEPENDENT AUDITORS

We consent to the incorporation by reference in the Registration Statement (Form S-8 No. 33-0064895) pertaining to The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan of PacifiCare Health Systems, Inc. including our report dated May 30, 2003 with respect to the financial statements and supplemental schedule of The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan included in this Annual Report (Form 11-K) for the year ended December 31, 2002.

/s/ ERNST & YOUNG LLP

Orange County, California
June 24, 2003

13 EX-99.1 4 a91133exv99w1.htm EXHIBIT 99.1 exv99w1

 

EXHIBIT 99.1

CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report of The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan (the “Plan”) on Form 11-K for the period ending December 31, 2002 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Howard G. Phanstiel, President and Chief Executive Officer of PacifiCare Health Systems, Inc., certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge:

(1)   the Report fully complies with the requirements of Section 13(a) or 15(d), as applicable, of the Securities Exchange Act of 1934; and
 
(2)   the information contained in the Report fairly presents, in all material respects, the net assets available for benefits of the Plan at the end of the period covered by the Report and the changes in net assets available for benefits of the Plan for the period covered by the Report.

     
Date: June 26, 2003   /s/ HOWARD G. PHANSTIEL
Howard G. Phanstiel
President and Chief Executive Officer

14 EX-99.2 5 a91133exv99w2.htm EXHIBIT 99.2 exv99w2

 

EXHIBIT 99.2

CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report of The PacifiCare Health Systems, Inc. Savings and Profit-Sharing Plan (the “Plan”) on Form 11-K for the period ending December 31, 2002 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Gregory W. Scott, Executive Vice President and Chief Financial Officer of PacifiCare Health Systems, Inc., certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge:

(3)   the Report fully complies with the requirements of Section 13(a) or 15(d), as applicable, of the Securities Exchange Act of 1934; and
 
(4)   the information contained in the Report fairly presents, in all material respects, the net assets available for benefits of the Plan at the end of the period covered by the Report and the changes in net assets available for benefits of the Plan for the period covered by the Report.

     
Date: June 26, 2003   /s/ GREGORY W. SCOTT
Gregory W. Scott
Executive Vice President and
Chief Financial Officer

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