-----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, Jtxw4gdVn0cFkY6n49ckpoEYitLJ8gtF/9s+k/QDCRWQYNHxOl/8Sy39W+VTzeQF ZCI15QS/t4AR8cXD2WmFlQ== 0000950144-08-000833.txt : 20080211 0000950144-08-000833.hdr.sgml : 20080211 20080211074248 ACCESSION NUMBER: 0000950144-08-000833 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20080211 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20080211 DATE AS OF CHANGE: 20080211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: TRIPLE-S MANAGEMENT CORP CENTRAL INDEX KEY: 0001171662 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 660555678 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-33865 FILM NUMBER: 08591148 BUSINESS ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE. CITY: SAN JUAN STATE: PR ZIP: 00920 BUSINESS PHONE: 7877494949 MAIL ADDRESS: STREET 1: 1441 F.D. ROOSEVELT AVE. CITY: SAN JUAN STATE: PR ZIP: 00920 8-K 1 g11694e8vk.htm TRIPLE-S MANAGEMENT CORPORATION TRIPLE-S MANAGEMENT CORPORATION
 

 
 
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15 (d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported): February 11, 2008
TRIPLE-S MANAGEMENT CORPORATION
(Exact Name of Registrant as Specified in Charter)
         
Puerto Rico   000-49762   66-0555678
(State or Other Jurisdiction of Incorporation)   (Commission File Number)   (IRS Employer Identification No.)
Registrant’s telephone number, including area code: 787-749-4949
1441 F.D. Roosevelt Avenue, San Juan, Puerto Rico 00920
(Address of Principal Executive Offices and Zip Code)
Not Applicable
(Former Name or Former Address, if Changed Since Last Report)
     Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o   Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o   Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o   Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d -2(b))
o   Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e -4(c))
 
 

 


 

Item 2.02.   Results of Operations and Financial Condition
On February 11, 2008, Triple-S Management Corporation issued a press release announcing its financial results for the year ended December 31, 2007. A copy of the press release is furnished as Exhibit 99.1 to this report.
In accordance with General Instruction B.2 of Form 8-K, the information in this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, and shall not be incorporated by reference into any registration statement or other document filed under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.
Item 9.01.   Financial Statements and Exhibits
     
(d)
  The following items are filed as exhibits to this report:
 
   
99.1
  Press release, dated February 11, 2008 issued by Triple-S Management Corporation

 


 

SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
         
  TRIPLE-S MANAGEMENT CORPORATION
 
 
Date: February 11, 2008  By:   /s/ Ramón M. Ruiz-Comas    
    Name:   Ramón M. Ruiz-Comas   
    Title:   President & Chief Executive Officer   
 

EX-99.1 2 g11694exv99w1.htm EX-99.1 PRESS RELEASE DATED FEBRUARY 11, 2008 EX-99.1 PRESS RELEASE DATED FEBRUARY 11, 2008
 

Exhibit 99.1
(TRIPLE-S LOGO)
Triple-S Management Corporation
1441 F.D. Roosevelt Ave.
San Juan, PR 00920
www.triplesmanagement.com
FOR FURTHER INFORMATION:
     
AT THE COMPANY:
  AT FINANCIAL RELATIONS BOARD:
Juan José Román
  Kathy Waller
Vice President of Finance & CFO
  Co-President
(787) 749-4949
  (312) 640-6696
Triple-S Management Corporation Reports Record Consolidated
Operating Income, Net Income and EPS for 2007
Continued Improvements in Medical Loss Ratio
SAN JUAN, Puerto Rico, February 11, 2008 — Triple-S Management Corporation (NYSE:GTS), the largest managed care company in Puerto Rico, today announced record consolidated operating income of $83.5 million, net income of $58.5 million and EPS of $2.15 for the year ended December 31, 2007 (including $0.07 per share in net realized and unrealized gains) reflecting the Company’s strong market position and medical cost management.
2007 Highlights
  Operating income increased 13.9 percent to $83.5 million
 
  Net income rose 7.3 percent to $58.5 million
 
  Earnings per share was $2.15 based on 27.2 million weighted average shares outstanding
 
  Medical Loss Ratio (MLR) improved 50 basis points to 87.1 percent
 
  Continued success expanding Medicare Advantage business: 38,000 members at December 31, 2007, a 41 percent year-over-year increase
 
  Completed IPO on December 7, 2007
“While 2007 was a memorable year because we made our debut as a public company in December, we also strengthened the foundation of our business, allowing us to better serve our network of providers and our members going forward,” said Ramón M. Ruiz-Comas, President and Chief Executive Officer.
Consolidated operating revenues for 2007 were $1.54 billion, 1.5 percent lower than the previous year. The decrease resulted primarily from the change in carrier for the Metro-North Region in the Commonwealth of Puerto Rico Health Reform business, which is similar to Medicaid (the Reform business) effective November 1, 2006 (which represented premiums of approximately $162 million for the ten-month period ended October 31, 2006 and an average enrollment of 200,000 members). This decline was partially offset by membership enrollment growth in the Medicare Advantage business, as well as premium rate increases in the managed care segment. Excluding the effect of the Metro-North Region contract, consolidated revenues for 2007 increased by $133.6 million or 9.4 percent over 2006.
Consolidated claims incurred and operating expenses for the year were $1.46 billion, a decline of 2.3 percent from the prior year. Consolidated claims incurred fell due to a lower
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MLR and a reduction in business volume. Meanwhile, operating expenses remained relatively flat.
Net income for 2007 was $58.5 million, or $2.15 per share based on weighted average shares outstanding of 27.2 million. This compares with net income for 2006 of $54.5 million, or $2.04 per share based on weighted average shares outstanding of 26.7 million. The improvement in 2007 reflected higher operating margins in Triple-S Management’s managed care segment. The margin expansion is primarily the result of a change in the mix of business within this segment, a decrease in the MLR in both the Commercial and Reform businesses, and continued increases in the Medicare Advantage membership enrollment.
Fourth Quarter Highlights
For the three months ended December 31, 2007, consolidated operating revenues were $398.7 million, up 8.3 percent from $368.1 million in the prior year, primarily reflecting enrollment growth in Medicare Advantage, premium rate increases across all businesses in the managed care segment, volume increases in the P&C segment and the effect of the termination of the Metro-North Region contract in 2006. Consolidated operating costs rose by 6.3 percent to $372.5 million largely due to business volume increases. MLR improved 20 basis points for the quarter year over year. Operating expenses declined $1.5 million or 2.3 percent to $64.1 million. Net income came in at $17.7 million, or $0.62 per share, a 12.8 percent above the $15.7 million, or $0.59 cents per share, recorded for the quarter ended December 31, 2006. Weighted average shares were 28.6 million and 26.7 million during the quarters ended December 31, 2007 and 2006, respectively. The 2007 and 2006 results included a loss of $3.6 million, or ($0.13) per share, and a gain of $3.5 million, or $0.13 per share, of realized investment gains/(loss) and net unrealized investment gains/(loss) on trading securities, respectively.
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 Dec. 31,     12 months ended Dec. 31,  
(dollar amounts in millions)                   Percentage                     Percentage  
    2007     2006     Change     2007     2006     Change  
 
 
                                               
Operating revenues:
                                               
Managed Care
  $ 342.7       318.7       7.5 %   $ 1,338.7       1,375.5       (2.7 %)
Life Insurance
    25.7       25.9       (0.8 %)     103.9       100.6       3.3 %
Property and Casualty
    31.8       25.0       27.2 %     108.7       98.1       10.8 %
Other
    (1.5 )     (1.5 )     0.0 %     (6.5 )     (5.8 )     12.1 %
 
Total operating revenues
  $ 398.7       368.1       8.3 %   $ 1,544.8       1,568.4       (1.5 %)
 
 
                                               
Operating income:
                                               
Managed Care
  $ 18.0       12.3       46.3 %   $ 57.4       45.5       26.2 %
Life Insurance
    2.5       2.1       19.0 %     10.7       11.2       (4.5 %)
Property and Casualty
    4.2       3.3       27.3 %     10.7       11.3       (5.3 %)
Other
    1.5       0.1       1400.0 %     4.7       5.3       (11.3 %)
 
Total operating income
  $ 26.2       17.8       47.2 %   $ 83.5       73.3       13.9 %
 
 
                                               
Operating margin:
                                               
Managed Care
    5.3 %     3.9 %   140 bp     4.3 %     3.3 %   100 bp
Life Insurance
    9.5 %     8.2 %   130 bp     10.3 %     11.1 %   -80 bp
Property and Casualty
    15.4 %     14.7 %   70 bp     11.1 %     12.7 %   -160 bp
Managed Care Results Summary
Total medical premiums earned for 2007 were $1.30 billion, down 2.8 percent versus 2006, primarily due to the termination of the Metro-North Region contract, partially offset by higher Medicare Advantage member enrollment and rate increases.
Medical premiums earned in the Reform business decreased by $128.4 million, or 28.2 percent, to $327.5 million during the year, mainly due to the termination of the Metro-North Region contract, offset by rate increases of 7.7 percent in 2007. Excluding the Metro-North Region, medical revenues for the remaining two regions increased $33.2 million or 11.3 percent.
Medical premiums earned in the Medicare business increased by $84.8 million, or 49.6 percent. This reflected an increase in member month’s enrollment of 92,322, or an increase of 20.0 percent, and higher average per member per month premiums.
Medical premiums earned in the Commercial business increased by $5.6 million, or 0.8 percent, to $718.7 million during the year. Increase is due to the net effect of an increase in rates of approximately 5 percent and a decrease in member month’s enrollment of 289,007 or 5.5 percent.
Medical claims incurred decreased by $40.4 million, or 3.4 percent, to $1.13 billion largely driven by the lower MLR and a decrease in the volume of Reform business. The overall MLR declined 50 basis points during 2007, to 87.1 percent. The decrease was the result of significant improvements in the Commercial MLR, and relatively stable Reform MLR, offset by an increase in the Medicare Advantage MLR.
Operating expenses declined by $8.4 million, or 5.4 percent, to $148.1 million, compared with last year. The decrease is primarily attributed to lower direct costs in the Reform
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business resulting from the reduction in the volume of business. The segment’s operating expense ratio fell by 30 basis points, to 11.2 percent.
                                 
Managed Care   Three months ended Dec 31,     12 months ended Dec 31,  
Additional Data   2007     2006     2007     2006  
 
 
                               
Member months enrollment
                               
Commercial
                               
Fully-insured
    1,240,630       1,277,461       4,983,980       5,272,987  
Self-funded
    483,563       474,492       1,930,850       1,861,833  
Total commercial
    1,724,193       1,751,953       6,914,830       7,134,820  
 
                               
Reform
    1,062,702       1,272,737       4,262,248       6,484,270  
Medicare
    146,365       134,429       554,040       461,718  
Total member months
    2,933,260       3,159,119       11,731,118       14,080,808  
 
                               
Medical loss ratio
    85.2 %     85.4 %     87.1 %     87.6 %
Operating expense ratio
    12.0 %     13.4 %     11.2 %     11.5 %
                 
Managed Care   As of December 31,
Membership by Segment   2007   2006
 
 
               
Members
               
Commercial
               
Fully-insured
    412,663       423,442  
Self-funded
    161,588       157,408  
Total commercial
    574,251       580,850  
 
               
Reform
    353,694       357,515  
Medicare
    49,245       41,141  
Total members
    977,190       979,506  
2008: Building on Last Year’s Successes
“This year, we fully expect to leverage the strong foundation we built for our business in 2007, while delivering solid future earnings growth and continuing to offer customers the quality care they have come to expect.” Ruiz-Comas said. “We plan to continue executing on our strategy of improving margins, broadening the Medicare Advantage business; strengthening our Commercial segment; developing new products; pursuing opportunities to cross-sell our different lines of insurance; and expanding into new products or geographic markets.”
The Company’s outlook for full year 2008 is as follows:
  Total medical enrollment is expected to grow approximately one percent, with Medicare Advantage enrollment rising 30-35 percent.
 
  Consolidated operating revenues are anticipated to be $1.66 - $1.70 billion.
 
  Consolidated loss ratio is expected to be 83.0 - 83.5 percent, with the managed care MLR ranging between 87.6 - and 88.1 percent.
 
  Consolidated operating expense ratio is anticipated to be approximately 15.2 percent.
 
  The Company expects earnings per share of $1.88 - $1.98, based on 32.1 million weighted average shares outstanding.
Conference Call and Webcast
Management will host a conference call and webcast today at 10:00 a.m. Eastern Time to discuss its financial results for 2007 and the fourth quarter, and expectations for future earnings. To participate, callers within the U.S. and Canada should dial 1-800-218-4007,
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and international callers should dial 1-303-262-2138 about five minutes before the presentation. The pass code is 11107838.
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 the largest managed care company in Puerto Rico and has the exclusive right to use the Blue Shield name and mark throughout the country. It holds a leading market position, with approximately 1 million members across all regions, or about 25 percent of the population. With more than 45 years of experience in the industry, Triple-S Management offers a broad portfolio of managed care and related products in the commercial, Medicare and the Reform markets. It also provides complementary products and services. The Company is the largest provider of life and 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.
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).
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
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  Changes in government regulation 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
December 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
                 
    Unaudited 2007     2006  
Assets
               
 
               
Investments
  $ 1,011,009     $ 900,882  
Cash and cash equivalents
    240,153       81,564  
Premium and other receivables, net
    202,268       165,626  
Deferred policy acquisition costs and value of business acquired
    117,239       111,417  
Property and equipment, net
    43,415       41,615  
Other assets
    45,458       44,405  
 
           
 
               
Total assets
  $ 1,659,542     $ 1,345,509  
 
           
 
               
Liabilities and Stockholders’ Equity
               
 
               
Policy liabilities and accruals
  $ 726,519     $ 654,109  
Accounts payable and accrued liabilities
    279,539       156,472  
Borrowings
    170,946       183,087  
Income tax payable
    0       9,242  
 
           
 
               
Total liabilities
    1,177,004       1,002,910  
 
           
Stockholders’ equity:
               
Common stock
    32,309       26,733  
Other stockholders equity
    450,229       315,866  
 
           
 
               
Total stockholders’ equity
    482,538       342,599  
 
           
 
               
Total liabilities and stockholders’ equity
  $ 1,659,542     $ 1,345,509  
 
           
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Condensed Consolidated Statements of Earnings
Years ended December 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
                 
    Unaudited 2007     2006  
Revenues:
               
Premiums earned, net
  $ 1,483,548     $ 1,511,626  
Administrative service fees
    14,018       14,089  
Net investment income
    47,194       42,657  
 
           
 
               
Total operating revenues
    1,544,760       1,568,372  
Net realized investment gains
    5,931       837  
Net unrealized investment (loss) gain on trading securities
    (4,116 )     7,699  
Other income, net
    3,217       2,323  
 
           
 
               
Total revenues
    1,549,792       1,579,231  
 
           
 
               
Benefits and expenses:
               
Claims incurred
    1,223,775       1,258,981  
Operating expenses
    237,533       236,065  
 
           
 
               
Total operating costs
    1,461,308       1,495,046  
 
               
Interest expense
    15,839       16,626  
 
           
 
               
Total benefits and expenses
    1,477,147       1,511,672  
 
           
 
               
Income before taxes
    72,645       67,559  
 
           
 
               
Income tax expense
    14,127       13,026  
 
           
 
               
Net income
  $ 58,518     $ 54,533  
 
           
 
               
Basic net income per share
  $ 2.15     $ 2.04  
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Condensed Consolidated Statements of Earnings
Three-month periods ended December 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
                 
    Unaudited 2007     2006  
Revenues:
               
Premiums earned, net
  $ 381,934     $ 353,027  
Administrative service fees
    2,984       3,733  
Net investment income
    13,797       11,332  
 
           
 
               
Total operating revenues
    398,715       368,092  
Net realized investment losses
    (232 )     (487 )
Net unrealized investment (loss) gain on trading securities
    (3,352 )     3,981  
Other income, net
    1,375       1,115  
 
           
 
               
Total revenues
    396,506       372,701  
 
           
 
               
Benefits and expenses:
               
Claims incurred
    308,401       284,677  
Operating expenses
    64,094       65,593  
 
           
 
               
Total operating costs
    372,495       350,270  
 
               
Interest expense
    3,891       4,239  
 
           
 
               
Total benefits and expenses
    376,386       354,509  
 
           
 
               
Income before taxes
    20,120       18,192  
 
           
 
               
Income tax expense
    2,402       2,489  
 
           
 
               
Net income
  $ 17,718     $ 15,703  
 
           
 
               
Basic net income per share
  $ 0.62     $ 0.59  
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Condensed Consolidated Statements of Cash Flows
Years ended December 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
                 
    Unaudited 2007     2006  
Net cash provided by operating activities
  $ 115,534     $ 75,586  
 
           
 
               
Cash flows from investing activities:
               
Proceeds from investments sold or matured:
               
Securities available for sale:
               
Fixed maturities sold
    299,561       51,519  
Fixed maturities matured
    41,248       32,826  
Equity securities
    1,000       1,209  
Securities held to maturity:
               
Fixed maturities matured
    13,246       492  
Acquisition of investments:
               
Securities available for sale:
               
Fixed maturities
    (327,409 )     (81,496 )
Equity securities
    (18,379 )     (11,620 )
Securities held to maturity:
               
Fixed maturities
    (8,244 )     (2,197 )
Acquisition of business, net of $10,403 of cash acquired
    0       (27,793 )
Net disbursements for policy loans
    (287 )     (415 )
Capital expenditures
    (9,390 )     (11,873 )
Other
    0       2  
 
           
 
               
Net cash used in investing activities
    (8,654 )     (49,346 )
 
           
Cash flows from financing activities:
               
Net proceeds from initial public offering
    70,480       0  
Change in outstanding checks in excess of bank balances
    (3,076 )     (8,224 )
Repayments of short-term borrowings
    (54,519 )     (119,547 )
Proceeds from short-term borrowings
    54,519       117,807  
Repayments of long-term borrowings
    (12,141 )     (2,503 )
Proceeds from long-term borrowings
    0       35,000  
Dividends
    (2,448 )     (6,231 )
Proceeds from annuity contracts
    6,329       6,008  
Surrenders of annuity contracts
    (7,435 )     (16,036 )
 
           
 
               
Net cash provided by financing activities
    51,709       6,274  
 
           
 
               
Net increase in cash and cash equivalents
    158,589       32,514  
 
               
Cash and cash equivalents, beginning of year
    81,564       49,050  
 
           
 
               
Cash and cash equivalents, end of year
  $ 240,153     $ 81,564  
 
           

 

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