EX-99.1 2 g25079exv99w1.htm EX-99.1 exv99w1
Exhibit 99.1
(TRIPLE-S MANAGEMENT LOGO)
Triple-S Management Corporation
1441 F.D. Roosevelt Ave.
San Juan, PR 00920
www.triplesmanagement.com
FOR FURTHER INFORMATION:
     
AT THE COMPANY:
  INVESTOR RELATIONS:
Juan-José Román
  Kathy Waller
Finance Vice President & CFO
  AllWays Communicate, LLC
(787) 749-4949
  (312) 543-6708
Triple-S Management Corporation Reports Third Quarter 2010 Results
SAN JUAN, Puerto Rico, November 3, 2010 — Triple-S Management Corporation (NYSE:GTS), one of the leading managed care companies in Puerto Rico, today announced consolidated revenues of $524.4 million and operating income of $23.9 million for the three months ended September 30, 2010. Net income of $20.5 million, or $0.70 per diluted share, includes an after tax net gain of $3.6 million, or $0.12 per share, related to net realized and unrealized gains and losses on investments and derivatives.
September — Quarter Consolidated Highlights
    Total consolidated operating revenues rose 4.1% year over year, to $519.5 million;
 
    Operating income was $23.9 million, up 55.2% over 2009;
 
    Excluding net realized and unrealized gains and losses on investments and derivatives, which are included within other income, net income was $16.9 million, or $0.58 per diluted share, up 43% over 2009;
 
    Consolidated loss ratio was 84.9% and the medical loss ratio (MLR) was 89.0%;
 
    Commercial fully-insured member months enrollment rose 3.0%.
“In the third quarter, I am pleased to report that our managed care membership was steady and we reduced our MLR in the Commercial business, allowing us to deliver more than 50% growth in operating income,” said Ramón M. Ruiz-Comas, President and Chief Executive Officer. “While we were certainly disappointed that Triple-S was not selected by the Puerto Rican government for any new awards under the Medicaid program, we lost the business solely on price and remain convinced that we could not have serviced the business profitably at the prices the government expected. In retrospect, we believe their decision will provide us the opportunity to focus our efforts on our Medicare and Commercial businesses, which we feel have the greatest upside potential.”
Ruiz-Comas concluded, “A key component of our ongoing strategy will be to identify appropriate acquisitions. Since losing the Medicaid business, we have stepped up our efforts in order to replace those revenues and continue to proactively evaluate opportunities. In addition, we are focused on driving organic growth with new marketing initiatives and an expanded agent network, as well as lowering our MLR, which will lead to further margin improvement.”

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Selected Quarterly Details
    Pro Forma Net Income Rose to $16.9 million, or $0.58 Per Diluted Share. Weighted average shares outstanding were 29.3 million. This compares with adjusted net income of $11.8 million, or $0.40 per diluted share, in the corresponding quarter of 2009, based on weighted average shares outstanding of 29.4 million.
 
    Consolidated Premiums Increased 4.2%. Consolidated premiums were $496.5 million, up 4.2% from a year ago, principally due to increased volume and higher rates in the Managed Care business. Reported Managed Care net premiums increased to $446.4 million, driven by a 9.1% year-over-year rise in Commercial premiums. The increase resulted primarily from growth in Commercial membership as well as higher premium rates across all businesses.
 
    Consolidated Administrative Service Fees Rose 4.1%. Consolidated administrative service fees increased $0.4 million, to $10.2 million.
 
    Stable Managed Care Membership. Fully insured Commercial membership was 491,535, up 1.9% from the prior year. Medicaid fully insured membership rose 1.7%, to 344,773, while Medicare membership declined 7.4%, to 64,190.
 
    Consolidated Loss Ratio Fell 170 Basis Points. Consolidated claims incurred were $421.5 million, 2.2% above a year ago, principally due to the higher claims in the Managed Care segment related to increased volume and the expenses associated with exiting the Medicaid business. The consolidated loss ratio decreased by 170 basis points, to 84.9%, reflecting a lower MLR in our Managed Care segment.
 
    Managed Care MLR Improved 130 Basis Points Year Over Year, to 89.0%. The year-over-year improvement was driven by a decrease in the Commercial MLR.
 
    Consolidated Operating Expense Ratio Remained Stable at 14.6%. Consolidated operating expenses increased by $2.9 million, or 4.1%, from the prior year, primarily attributable to higher business volume and increased IT costs related to our new managed care electronic data processing system.
 
    Consolidated Operating Income Increased 55.2%. The increase reflected both the 170-basis-point reduction in the consolidated loss ratio and the 4.1% rise in consolidated operating revenues.
 
    Consolidated Operating Margin Broadened By 150 Basis Points, to 4.6%. The margin expansion reflects improved profitability across all of our segments.
 
    Parent Company Information. As of September 30, 2010, Triple-S Management had $55.8 million in parent company cash, cash equivalents, and investments.
                                 
(Unaudited)   Pro Forma Net Income  
    Three months ended     Nine months ended  
(dollar amounts in millions)   September 30,     September 30,  
    2010     2009     2010     2009  
 
Pro forma net income:
                               
Net income
  $ 20.5     $ 18.1     $ 46.7     $ 40.7  
Net realized investment (gains) losses, net of tax
    0.3       (1.9 )     0.2       1.0  
Net unrealized trading investments gains, net of tax
    (3.9 )     (4.1 )     (0.5 )     (6.8 )
Derivative loss (gain), net of tax
          (0.3 )     0.9       0.1  
 
Pro forma net income
  $ 16.9     $ 11.8     $ 47.3     $ 35.0  
 
 
                               
Diluted pro forma net income per share
  $ 0.58     $ 0.40     $ 1.61     $ 1.17  
 

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Nine-Month Recap
For the nine months ended September 30, 2010, consolidated operating revenues rose 7.3%, to $1.57 billion, primarily reflecting growth in the Managed Care segment. Consolidated claims incurred for the nine-month period were $1.27 billion, up 5.9% year over year. The nine-month consolidated loss ratio and MLR decreased 120 basis points, to 85.2% and 89.2%, respectively. The MLR adjusted for reserve developments, loss adjustment expenses associated to the exit activities of the Medicaid business and premiums adjustments increased 20 basis points, to 88.5%. This increase was mostly driven by lower premium yields in the Medicaid business, reflecting the absence of premium rate revisions until September 1, 2010, partially offset by lower utilization in the Medicare Advantage and Commercial businesses. Consolidated operating expenses for the nine months ended September 30, 2010, were $227.7 million and the operating expense ratio was 14.9%. Pro forma net income for the nine-month period was $47.3 million, or $1.61 per diluted share, based on weighted average shares outstanding of 29.3 million, compared with $35.0 million, or $1.17 per diluted share, based on weighted average shares outstanding of 29.7 million at the same time last year.
Segment Performance
Triple-S Management operates in three segments: 1) Managed Care, 2) Life Insurance, and 3) Property and Casualty Insurance. Management evaluates performance based primarily on the operating revenues and operating income of each segment. Operating revenues include premiums earned, net administrative service fees and net investment income. Operating costs include claims incurred and operating expenses. The Company calculates operating income or loss as operating revenues minus operating expenses. Operating margin is defined as operating gain or loss divided by operating revenues.

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(Unaudited)   Three months ended September 30,     Nine months ended September 30,  
(dollar amounts in millions)                   Percentage                     Percentage  
    2010     2009     Change     2010     2009     Change  
 
Premiums earned, net:
                                               
Managed Care:
                                               
Commercial
  $ 237.1     $ 217.3       9.1 %   $ 715.0     $ 600.3       19.1 %
Medicaid
    92.9       89.4       3.9 %     273.1       257.7       6.0 %
Medicare
    116.4       121.5       (4.2 %)     354.6       388.6       (8.7 %)
 
Total managed care
    446.4       428.2       4.3 %     1,342.7       1,246.6       7.7 %
 
Life Insurance
    26.7       24.7       8.1 %     78.7       74.5       5.6 %
Property and Casualty
    24.5       24.4       0.4 %     75.2       73.0       3.0 %
Other
    (1.1 )     (1.0 )     10.0 %     (3.2 )     (3.4 )     (5.9 %)
 
Total premiums earned
  $ 496.5     $ 476.3       4.2 %   $ 1,493.4     $ 1,390.7       7.4 %
 
 
                                               
Operating revenues:
                                               
Managed Care
  $ 462.5     $ 444.1       4.1 %   $ 1,395.0     $ 1,294.5       7.8 %
Life Insurance
    31.2       28.8       8.3 %     91.6       87.0       5.3 %
Property and Casualty
    27.1       27.4       (1.1 %)     83.4       81.8       2.0 %
Other
    (1.3 )     (1.3 )     0.0 %     (3.8 )     (3.7 )     2.7 %
 
Total operating revenues
  $ 519.5     $ 499.0       4.1 %   $ 1,566.2     $ 1,459.6       7.3 %
 
 
                                               
Operating income:
                                               
Managed Care
  $ 16.4     $ 10.1       62.4 %   $ 47.5     $ 32.1       48.0 %
Life Insurance
    4.6       4.0       15.0 %     13.1       10.9       20.2 %
Property and Casualty
    2.2       0.2       1000.0 %     3.3       4.4       (25.0 %)
Other
    0.7       1.1       (36.4 %)     2.4       3.0       (20.0 %)
 
Total operating income
  $ 23.9     $ 15.4       55.2 %   $ 66.3     $ 50.4       31.5 %
 
 
                                               
Operating margin:
                                               
Managed Care
    3.5 %     2.3 %   120 bp     3.4 %     2.5 %   90 bp
Life Insurance
    14.7 %     13.9 %   80 bp     14.3 %     12.5 %   180 bp
Property and Casualty
    8.1 %     0.7 %   740 bp     4.0 %     5.4 %   -140 bp
Consolidated
    4.6 %     3.1 %   150 bp     4.2 %     3.5 %   70 bp
 
                                               
Depreciation and amortization expense
  $ 3.6     $ 2.1       71.4 %   $ 10.6     $ 6.4       65.6 %

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    Three months ended     Nine months ended  
    September 30,     September 30,  
Managed Care Additional Data 2010   2009   2010   2009  
(dollar amounts in millions)                                
Member months enrollment
                               
Commercial:
                               
Fully-insured
    1,484,056       1,441,028       4,521,088       3,977,778  
Self-funded
    735,154       812,780       2,239,544       1,954,997  
Total Commercial
    2,219,210       2,253,808       6,760,632       5,932,775  
 
                               
Medicaid:
                               
Fully-insured
    1,034,749       1,011,294       3,078,288       2,997,800  
Self-funded
    599,648       590,117       1,782,426       1,723,568  
Total Medicaid
    1,634,397       1,601,411       4,860,714       4,721,368  
 
                               
Medicare:
                               
Medicare Advantage
    165,327       179,878       506,622       565,439  
Stand-alone PDP
    28,014       29,330       84,395       88,301  
Total Medicare
    193,341       209,208       591,017       653,740  
 
                               
Total member months
    4,046,948       4,064,427       12,212,363       11,307,883  
 
                               
Claim liabilities
  $ 296.9     $ 282.8 *                
 
                               
Days claim payable
    68.7       65.0 *                
 
                               
Premium PMPM:
                               
Managed care
  $ 164.59     $ 160.88     $ 163.94     $ 163.40  
Commercial
  $ 159.76     $ 150.80     $ 158.15     $ 150.91  
Medicaid
  $ 89.78     $ 88.40     $ 88.72     $ 85.96  
Medicare
  $ 602.05     $ 580.76     $ 599.98     $ 594.43  
 
                               
Consolidated loss ratio
    84.9 %     86.6 %     85.2 %     86.4 %
 
                               
Medical loss ratio
    89.0 %     90.3 %     89.2 %     90.4 %
Commercial
    87.5 %     89.8 %     90.1 %     90.8 %
Medicaid
    92.8 %     91.1 %     94.1 %     89.9 %
Medicare Advantage
    89.8 %     90.7 %     83.9 %     90.0 %
Medicare Part D
    72.2 %     79.4 %     75.7 %     91.8 %
 
                               
Consolidated operating expense ratio
    14.6 %     14.6 %     14.9 %     14.6 %
 
                               
Operating expense ratio
    10.6 %     10.8 %     10.9 %     10.6 %
 
*   Information provided as of June 30, 2010.

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Managed Care   As of September 30,  
Membership by Segment   2010     2009  
 
Members:
               
Commercial:
               
Fully-insured
    491,535       482,579  
Self-funded
    246,162       263,354  
Total Commercial
    737,697       745,933  
 
               
Medicaid:
               
Fully-insured
    344,773       339,118  
Self-funded
    199,675       198,296  
Total Medicaid
    544,448       537,414  
 
               
Medicare:
               
Medicare Advantage
    54,890       59,472  
PDP
    9,300       9,818  
Total Medicare
    64,190       69,290  
 
               
Total members
    1,346,335       1,352,637  
2010 EPS Guidance
Triple-S Management has modified its previous 2010 financial guidance as detailed below.
         
    2010 Range
Medical enrollment fully-insured (member months)
  9.8-9.9 million
 
       
Medical enrollment self-insured (member months)
  4.7-4.8 million
 
       
Consolidated operating revenues (in billions)
  $ 1.95-$2.0  
 
       
Consolidated loss ratio
    84.4%-84.8 %
 
       
Medical loss ratio
    88.6%-89.0 %
 
       
Consolidated operating expense ratio
    15.3%-15.6 %
 
       
Consolidated operating income (in millions)
  $ 86.0-$88.0  
 
       
Consolidated effective tax rate
    21.0%-22.0 %
 
       
Pro forma earnings per share
  $ 2.04-$2.08  
 
       
Weighted average of diluted shares outstanding (in millions)
    29.3  

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Conference Call and Webcast
Management will host a conference call and webcast Wednesday, November 3 at 10:00 a.m. Eastern Time to discuss its financial results for the third quarter and nine months ended September 30, 2010, as well as expectations for future earnings. To participate, callers within the U.S. and Canada should dial 1-877-941-6010, and international callers should dial 1-480-629-9772 about five minutes before the presentation.
To listen to the webcast, participants should visit the “Investor Relations” section of the Company’s Web site at www.triplesmanagement.com several minutes before the event is broadcast and follow the instructions provided to ensure they have the necessary audio application downloaded and installed. This program is provided at no charge to the user. An archived version of the call, also located on the “Investor Relations” section of Triple-S Management’s Web site, will be available about two hours after the call ends and for at least the following two weeks. This news release, along with other information relating to the call, will be available on the “Investor Relations” section of the Web site.
About Triple-S Management Corporation
Triple-S Management Corporation is an independent licensee of the Blue Cross Blue Shield Association. It is one of the leading players in the managed care industry in Puerto Rico. Triple-S Management also has the exclusive right to use the Blue Cross Blue Shield name and mark throughout Puerto Rico and the U.S. Virgin Islands. With more than 50 years of experience in the industry, Triple-S Management offers a broad portfolio of managed care and related products in the Commercial and Medicare markets under the Blue Cross Blue Shield brand. We also participated in the Medicaid market up to September 30, 2010. In addition to its managed care business, Triple-S Management provides non-Blue Shield branded life and property and casualty insurance in Puerto Rico. The Company is the largest provider of life, accident, and health insurance and the fourth largest provider of property and casualty insurance in its market.
For more information about Triple-S Management, visit www.triplesmanagement.com or contact kwaller@allwayscommunicate.com.
Forward-Looking Statements
This document contains forward-looking statements, as defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include information about possible or assumed future sales, results of operations, developments, regulatory approvals or other circumstances. Sentences that include “believe”, “expect”, “plan”, “intend”, “estimate”, “anticipate”, “project”, “may”, “will”, “shall”, “should” and similar expressions, whether in the positive or negative, are intended to identify forward-looking statements.
All forward-looking statements in this news release reflect management’s current views about future events and are based on assumptions and subject to risks and uncertainties. Consequently, actual results may differ materially from those expressed here as a result of various factors, including all the risks discussed and identified in public filings with the U.S. Securities and Exchange Commission (SEC).

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In addition, the Company operates in a highly competitive, constantly changing environment, influenced by very large organizations that have resulted from business combinations, aggressive marketing and pricing practices of competitors, and regulatory oversight. The following factors, if markedly different from the Company’s planning assumptions (either individually or in combination), could cause Triple-S Management’s results to differ materially from those expressed in any forward-looking statements shared here:
  Trends in health care costs and utilization rates
 
  Ability to secure sufficient premium rate increases
 
  Competitor pricing below market trends of increasing costs
 
  Re-estimates of policy and contract liabilities
 
  Changes in government laws and regulations of managed care, life insurance or property and casualty insurance
 
  Significant acquisitions or divestitures by major competitors
 
  Introduction and use of new prescription drugs and technologies
 
  A downgrade in the Company’s financial strength ratings
 
  Litigation or legislation targeted at managed care, life insurance or property and casualty insurance companies
 
  Ability to contract with providers consistent with past practice
 
  Ability to successfully implement the Company’s disease management and utilization management programs
 
  Volatility in the securities markets and investment losses and defaults
 
  General economic downturns, major disasters, and epidemics
This list is not exhaustive. Management believes the forward-looking statements in this release are reasonable. However, there is no assurance that the actions, events or results anticipated by the forward-looking statements will occur or, if any of them do, what impact they will have on the Company’s results of operations or financial condition. In view of these uncertainties, investors should not place undue reliance on any forward-looking statements, which are based on current expectations. In addition, forward-looking statements are based on information available the day they are made, and (other than as required by applicable law, including the securities laws of the United States) the Company does not intend to update or revise any of them in light of new information or future events.
Readers are advised to carefully review and consider the various disclosures in the Company’s SEC reports.
-FINANCIAL TABLES ATTACHED-

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Condensed Consolidated Balance Sheets
(Dollar amounts in thousands, except per share data)
                 
    Unaudited        
    September 30,     December 31,  
    2010     2009  
Assets
               
Investments
  $ 1,164,268     $ 1,049,309  
Cash and cash equivalents
    50,679       40,376  
Premium and other receivables, net
    315,092       272,932  
Deferred policy acquisition costs and value of business acquired
    142,444       139,917  
Property and equipment, net
    74,170       68,803  
Other assets
    58,953       77,367  
 
           
 
               
Total assets
  $ 1,805,606     $ 1,648,704  
 
           
 
               
Liabilities and Stockholders’ Equity
               
 
               
Policy liabilities and accruals
  $ 813,279     $ 738,970  
Accounts payable and accrued liabilities
    191,564       204,295  
Long-term borrowings
    166,124       167,667  
 
           
 
               
Total liabilities
    1,170,967       1,110,932  
 
           
 
               
Stockholders’ equity:
               
Common stock
    29,144       29,153  
Other stockholders equity
    605,495       508,619  
 
           
 
               
Total stockholders’ equity
    634,639       537,772  
 
           
 
               
Total liabilities and stockholders’ equity
  $ 1,805,606     $ 1,648,704  
 
           
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Condensed Consolidated Statements of Earnings
(Dollar amounts in thousands, except per share data)
                                 
    For the Three Months Ended     For the Nine Months Ended  
    September 30,     September 30,  
    Unaudited     Historical     Unaudited     Historical  
    2010     2009     2010     2009  
Revenues:
                               
Premiums earned, net
  $ 496,511     $ 476,269     $ 1,493,449     $ 1,390,778  
Administrative service fees
    10,195       9,797       34,859       29,982  
Net investment income
    12,794       12,955       37,888       38,856  
 
                       
 
                               
Total operating revenues
    519,500       499,021       1,566,196       1,459,616  
 
                               
Net realized investment gains (losses):
                               
Total other-than-temporary impairment losses on securities
    (316 )     (240 )     (2,932 )     (5,953 )
Net realized gains, excluding other-than-temporary impairment losses on securities
    3       2,390       2,673       4,751  
 
                       
 
                               
Total net realized investment gains (losses)
    (313 )     2,150       (259 )     (1,202 )
 
                       
 
                               
Net unrealized investment gain on trading securities
    4,611       4,860       631       8,036  
Other income, net
    576       67       404       392  
 
                       
 
                               
Total revenues
    524,374       506,098       1,566,972       1,466,842  
 
                       
 
                               
Benefits and expenses:
                               
Claims incurred
    421,514       412,392       1,272,180       1,201,148  
Operating expenses
    74,111       71,205       227,702       208,060  
 
                       
 
                               
Total operating costs
    495,625       483,597       1,499,882       1,409,208  
 
                               
Interest expense
    3,026       3,338       9,626       9,959  
 
                       
 
                               
Total benefits and expenses
    498,651       486,935       1,509,508       1,419,167  
 
                       
 
                               
Income before taxes
    25,723       19,163       57,464       47,675  
 
                       
 
                               
Income tax expense
    5,235       1,079       10,727       6,999  
 
                       
 
                               
Net income
  $ 20,488     $ 18,084     $ 46,737     $ 40,676  
 
                       
 
                               
Basic net income per share
  $ 0.70     $ 0.62     $ 1.61     $ 1.37  
 
                               
Diluted earnings per share
  $ 0.70     $ 0.62     $ 1.60     $ 1.37  
MORE

 


 

Triple-S Management Corporation
Add 10
Condensed Consolidated Statements of Cash Flows
(Dollar amounts in thousands, except per share data)
                 
    For the Nine Months Ended  
    September 30,  
    Unaudited     Historical  
    2010     2009  
Net cash provided by operating activities
  $ 87,020     $ 66,654  
 
           
 
               
Cash flows from investing activities:
               
Proceeds from investments sold or matured:
               
Securities available for sale:
               
Fixed maturities sold
    48,193       125,951  
Fixed maturities matured
    97,067       151,898  
Equity securities
    16,791       6,849  
Securities held to maturity:
               
Fixed maturities matured
    1,852       6,893  
Acquisition of investments:
               
Securities available for sale:
               
Fixed maturities
    (199,809 )     (294,628 )
Equity securities
    (22,436 )     (3,209 )
Fixed maturity securities held to maturity
    (1,050 )     (577 )
Net outflows for policy loans
    (124 )     (285 )
Net capital expenditures
    (13,678 )     (14,555 )
 
           
 
               
Net cash used in investing activities
    (73,194 )     (21,663 )
 
           
 
               
Cash flows from financing activities:
               
Change in outstanding checks in excess of bank balances
    (2,458 )     (11,903 )
Repayments of long-term borrowings
    (1,230 )     (1,230 )
Repurchase and retirement of common stock
          (22,034 )
Proceeds from policyholder deposits
    7,740       3,708  
Surrenders of policyholder deposits
    (7,575 )     (4,929 )
 
           
 
               
Net cash used in financing activities
    (3,523 )     (36,388 )
 
           
 
               
Net increase in cash and cash equivalents
    10,303       8,603  
 
               
Cash and cash equivalents, beginning of period
    40,376       46,095  
 
           
 
               
Cash and cash equivalents, end of period
  $ 50,679     $ 54,698  
 
           

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