EX-9.1 2 ex99_1.htm EXHIBIT 99.1
Exhibit 99.1
Triple-S Management Corporation
1441 F.D. Roosevelt Ave.
San Juan, PR 00920
www.triplesmanagement.com
 
FOR FURTHER INFORMATION:

AT THE COMPANY:
 
INVESTOR RELATIONS:
Alan Cohen
 
Kathy Waller
Chief Marketing & Communications Officer
 
AllWays Communicate, LLC
(787) 706-2570
 
(312) 543-6708

Triple-S Management Corporation Reports Results for Fourth Quarter 2013

SAN JUAN, Puerto Rico, February 11, 2014 – Triple-S Management Corporation (NYSE:GTS), the leading managed care company in Puerto Rico, today announced consolidated revenues of $587.7 million and a consolidated net loss of $1.7 million for the three months ended December 31, 2013. Net income for the year was $54.3 million, or $1.95 per diluted share, compared with $54.0 million, or $1.90 per diluted share, in 2012. Pro-forma net income was $37.8 million, or $1.36 per diluted share, compared with $49.6 million, or $1.74 per diluted share, in 2012.

Quarterly Consolidated Highlights

· Total consolidated operating revenues were $588.0 million;
· Consolidated operating loss was $3.2 million;
· Consolidated loss ratio was 85.5%;
· Medical loss ratio (MLR) was 89.4%;
· Managed Care member month enrollment increased 28.1% year over year;
· Medicaid self-insured member month enrollment was up 60.3% from the prior year;
· Medicare member month enrollment fell 7.4% compared with the year-ago period.

Ramón Ruiz-Comas, President and CEO of Triple-S Management Corporation commented, "Reflecting several challenges within our Managed Care segment, the Company’s quarterly and full-year financial results were below expectations.  Management is disappointed with this performance. The Commercial business incurred a net loss in the fourth quarter, which had historically been one of the most profitable in any given calendar year. In the period, the Commercial business experienced unexpectedly high utilization of preventive care services, including vaccinations, an outbreak of dengue fever and influenza, increased costs in specialty drugs, and continued losses in the U.S. Virgin Islands.  While the Medicare Advantage (MA) segment demonstrated improvement in 2013, its performance deteriorated in the fourth quarter substantially due to unfavorable prior period reserve developments.  Furthermore, the Managed Care business experienced an ongoing reduction in overall premiums due to membership losses, largely reflecting employee attrition.”
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Mr. Ruiz-Comas continued, “Several challenges still lie ahead, including the miSalud request for proposal (RFP) issued by the Government late last week, which incorporates a change to an at-risk model effective July 1, 2014, the impact of all recent regulations in the industry and taxes, continued pricing pressure in the Commercial segment stemming from heavy competition, and the unknown effect that the recent downgrade on Puerto Rico Government debt may have on the economy. Given these challenges, we believe that it is not prudent to provide 2014 guidance at this time.”

“In an effort to improve overall financial performance, the Company is embarking on a comprehensive strategic review of its businesses and processes, and management is taking immediate corrective steps. In the Commercial business, Triple-S will review its underwriting and pricing taking into account the latest trends in utilization and cost, implement new approaches and solutions to reduce specialty pharmacy costs, and revamp the U.S. Virgin Islands business model to ensure future profitability. Within MA, we will transfer pharmacy benefit management of the Triple-S MA portfolio to Abarca Health, seek an increase in MA membership by continuing to enroll new dual members throughout the year, continue the transition to a pay-for-performance physician model, and integrate the newly acquired Pharmacy Insurance Company of America (PICA) Part D portfolio, which had approximately 6,000 lives as of January 1, 2014,” Mr. Ruiz-Comas concluded.
 
Selected Quarterly Details

· Pro Forma Net Income Was $1.3 Million, or $0.05 Per Diluted Share.  Weighted average shares outstanding were 27.4 million. This compares with pro forma net income of $15.2 million, or $0.53 per diluted share, in the corresponding quarter of 2012, based on weighted average shares outstanding of 28.4 million.
 
· Managed Care Membership.  Our Managed Care membership increased by 27.1% year over year, reflecting the addition of the three new Medicaid (miSalud) regions effective October 1, 2013. Medicaid membership (all self-funded) increased 58.6%, to 1,420,371. Medicare membership decreased 8.1% year over year, to 112,839.  Fully-insured and self-funded Commercial membership declined by 7.0% and 6.5%, respectively.
 
· Consolidated Premiums Fell 2.6%, to $543.8 Million.  The decrease in consolidated premiums was principally due to lower Managed Care premiums, resulting from lower Medicare and Commercial fully-insured member month enrollment.
 
· Administrative Service Fees Increased 10.9%, to $30.6 Million.  The higher service fee income reflects the addition of the three new Medicaid regions offset, in part, by the lower per-member, per-month fees agreed upon in the new miSalud contract that became effective July 1, 2013.
 
· Managed Care MLR Increased 290 Basis Points, to 89.4%.  The increased MLR primarily reflects higher utilization and cost trends in the Commercial sector due to an outbreak of dengue fever and influenza, increased costs in specialty drugs, greater utilization of preventive care services, including vaccinations, and higher utilization and costs in the U.S. Virgin Islands business.
 
· Consolidated Loss Ratio Increased 260 Basis Points, to 85.5%.  The higher consolidated loss ratio mainly reflects the 290-basis-point increase in the Managed Care MLR. The loss ratio of the Property and Casualty segment increased by 740 basis points, while the loss ratio of the Life Insurance segment decreased by 170 basis points.
 
· Consolidated Operating Expense Ratio Rose 220 Basis Points, to 22.0%.  The higher consolidated operating expense ratio was largely due to the combination of decreased premiums and increased operating expenses, including expenses related to the addition of the three new miSalud ASO regions, a $2.4 million goodwill impairment charge related to the acquisition of a controlling interest in a health clinic, and premium taxes that became effective July 1, 2013.
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· Consolidated Operating Income Declined 115.0%, to a Loss of $3.2 Million.  The decrease in operating income primarily reflects the effect of the increased utilization in the Managed Care segment and increased operating expenses, resulting in a 400-basis-point decrease in the consolidated operating margin.

 
Pro Forma Net Income
  
(Unaudited)
  
Three months ended
December 31,
    
Year ended
December 31,
  
(dollar amounts in millions)
  
2013
    
2012
    
2013
    
2012
  
Net income (loss)
  
$
(1.7
)
  
$
17.8
    
$
54.3
    
$
54.0
  
Less pro forma adjustments:
                                
Net realized investment gains (losses), net of tax
    
(0.6
)
    
2.6
      
2.2
      
4.4
  
Goodwill impairment charge
    
(2.4
)
    
-
      
(2.4
)
        
Special Distribution received Puerto Rico Joint Underwriting Association
    
-
      
-
      
12.8
      
-
  
Guaranty Fund assessment
    
-
      
-
      
(1.0
)
    
-
  
Additional year-to-date current income tax expense after change in enacted tax rate
    
-
      
-
      
(2.8
)
    
-
  
Deferred tax benefit related to change in enacted tax rate
    
-
      
-
      
7.7
      
-
  
Pro forma net income
  
$
1.3
    
$
15.2
    
$
37.8
    
$
49.6
  
Diluted pro forma net income per share
  
$
0.05
    
$
0.53
    
$
1.36
    
$
1.74
  

Twelve-Month Recap

For the 12 months ended December 31, 2013, consolidated operating revenues decreased 2.3%, to $2.4 billion, primarily reflecting lower member month enrollment in the Medicare and Commercial sectors of the Managed Care segment. Consolidated claims incurred for the 12-month period were $1.8 billion, down 4.5% year over year. The 12-month consolidated loss ratio decreased 170 basis points, to 83.5%, and the MLR fell 190 basis points, to 86.9%.  This decline was driven by lower utilization and cost trends in the Medicare business, primarily at American Health. Consolidated operating expenses for the 12 months ended December 31, 2013 were $477.4 million and the operating expense ratio was 20.7%. Pro forma net income for the 12-month period was $37.8 million, or $1.36 per diluted share, based on weighted average shares outstanding of 27.8 million, compared with $49.6 million, or $1.74 per diluted share, based on weighted average shares outstanding of 28.5 million at the same time last year.

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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 income or loss divided by operating revenues.  The adjusted medical loss ratio accounts for subsequent adjustments to estimates, such as MA premium adjustments and prior period reserve developments, and presents them in the corresponding period.

(Unaudited)
  
Three months ended December 31,
    
Year ended December 31,
  
(dollar amounts in millions)
  
2013
    
2012
    
Percentage
Change
    
2013
    
2012
    
Percentage
Change
  
Premiums earned, net:
  
   
   
   
   
   
 
Managed Care:
  
   
   
   
   
   
 
Commercial
  
$
229.9
    
$
235.1
      
(2.2
%)
  
$
935.8
    
$
960.0
      
(2.5
%)
Medicare
    
254.8
      
265.5
      
(4.0
%)
    
1,033.5
      
1,073.5
      
(3.7
%)
Total Managed Care
    
484.7
      
500.6
      
(3.2
%)
    
1,969.3
      
2,033.5
      
(3.2
%)
Life Insurance
    
34.3
      
32.2
      
6.5
%
    
130.6
      
124.7
      
4.7
%
Property and Casualty
    
25.4
      
26.0
      
(2.3
%)
    
100.3
      
97.7
      
2.7
%
Other
    
(0.6
)
    
(0.6
)
    
(0.0
%)
    
(2.5
)
    
(2.5
)
    
0.0
%
Consolidated premiums earned, net
  
$
543.8
    
$
558.2
      
(2.6
%)
  
$
2,197.7
    
$
2,253.4
      
(2.5
%)
Operating revenues:
                                                
Managed Care
  
$
520.7
    
$
534.1
      
(2.5
%)
  
$
2,098.5
    
$
2,164.7
      
(3.1
%)
Life Insurance
    
40.2
      
37.7
      
6.6
%
    
152.8
      
145.5
      
5.0
%
Property and Casualty
    
27.6
      
28.1
      
(1.8
%)
    
108.6
      
106.6
      
1.9
%
Other
    
(0.5
)
    
(0.6
)
    
16.7
%
    
(1.5
)
    
(2.2
)
    
(31.8
%)
Consolidated operating revenues
  
$
588.0
    
$
599.3
      
(1.9
%)
  
$
2,358.4
    
$
2,414.6
      
(2.3
%)
Operating income:
                                                
Managed Care
  
$
(7.7
)
  
$
13.7
      
(156.2
%)
  
$
33.4
    
$
47.0
      
(28.9
%)
Life Insurance
    
4.7
      
4.2
      
11.9
%
    
16.2
      
16.7
      
(3.0
%)
Property and Casualty
    
1.2
      
2.7
      
(55.6
%)
    
2.2
      
6.8
      
(67.6
%)
Other
    
(1.4
)
    
0.4
      
450.0
%
    
(5.1
)
    
(0.9
)
    
466.7
%
Consolidated operating income
  
$
(3.2
)
  
$
21.0
      
(115.2
%)
  
$
46.7
    
$
69.6
      
(32.9
%)
Operating margin:
                                                
Managed Care
    
(1.5
%)
    
2.6
%
    
-410
bp
    
1.6
%
    
2.2
%
    
-60
bp
Life Insurance
    
11.7
%
    
11.1
%
    
60
bp
    
10.6
%
    
11.5
%
    
-90
bp
Property and Casualty
    
4.3
%
    
9.6
%
    
-530
bp
    
2.0
%
    
6.4
%
    
-440
bp
Consolidated
    
(0.5
%)
    
3.5
%
    
-400
bp
    
2.0
%
    
2.9
%
    
-90
bp
Depreciation and amortization expense
  
$
7.8
    
$
6.3
      
23.8
%
  
$
25.6
    
$
24.2
      
5.8
%
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Managed Care Additional Data
  
Three months ended
December 31,
    
Twelve months ended
December 31,
  
(Unaudited)
  
2013
    
2012
    
2013
    
2012
  
Member months enrollment:
  
   
   
   
 
Commercial:
  
   
   
   
 
Fully-insured
    
1,347,461
      
1,441,749
      
5,503,281
      
5,817,009
  
Self-insured
    
630,401
      
674,327
      
2,595,162
      
2,681,962
  
Total Commercial
    
1,977,862
      
2,116,076
      
8,098,443
      
8,498,971
  
Medicare:
                                
Medicare Advantage
    
316,804
      
343,151
      
1,274,652
      
1,354,301
  
Stand-alone PDP
    
24,566
      
25,478
      
97,496
      
101,675
  
Total Medicare
    
341,370
      
368,629
      
1,372,148
      
1,455,976
  
Medicaid - Self-insured
    
4,271,181
      
2,676,176
      
12,260,349
      
10,562,571
  
Total member months
    
6,590,413
      
5,160,881
      
21,730,940
      
20,517,518
  
Claim liabilities (in millions)
  
$
282.9
    
$
284.8
                  
Days claim payable
    
60
      
58
                  
Premium PMPM:
                                
Managed Care
  
$
287.00
    
$
276.52
    
$
286.43
    
$
279.60
  
Commercial
    
170.62
      
163.07
      
170.04
      
165.03
  
Medicare
    
746.40
      
720.24
      
753.20
      
737.31
  
 
Medical loss ratio
    
89.4
%
    
86.5
%
    
86.9
%
    
88.8
%
Commercial
    
91.4
%
    
86.6
%
    
89.5
%
    
88.6
%
Medicare Advantage
    
87.4
%
    
86.6
%
    
84.4
%
    
88.9
%
Stand-alone PDP
    
90.8
%
    
40.4
%
    
88.9
%
    
74.3
%
 
Adjusted medical loss ratio
    
89.5
%
    
87.8
%
    
86.9
%
    
86.2
%
Commercial
    
91.1
%
    
87.0
%
    
89.4
%
    
87.7
%
Medicare Advantage
    
87.7
%
    
88.4
%
    
84.4
%
    
88.8
%
Stand-alone PDP
    
93.6
%
    
84.9
%
    
88.8
%
    
81.2
%
Operating expense ratio:
                                
Consolidated
    
22.0
%
    
19.8
%
    
20.7
%
    
18.0
%
Managed Care
    
18.4
%
    
16.5
%
    
17.0
%
    
14.5
%
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Managed Care Membership by Segment
  
As of December 31,
  
 
  
2013
    
2012
  
Members:
  
   
 
Commercial:
  
   
 
Fully-insured
    
445,098
      
478,784
  
Self-insured
    
209,631
      
224,288
  
Total Commercial
    
654,729
      
703,072
  
Medicare:
                
Medicare Advantage
    
104,655
      
114,249
  
Stand-alone PDP
    
8,184
      
8,492
  
Total Medicare
    
112,839
      
122,741
  
Medicaid - Self-insured
    
1,420,371
      
895,301
  
Total members
    
2,187,939
      
1,721,114
  
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Conference Call and Webcast

Management will host a conference call and webcast on February 11, 2014 at 8:00 a.m., Eastern Time to discuss its financial results for the three months ended December 31, 2013.  To participate, callers within the U.S. and Canada should dial 1-877-941-6009, and international callers should dial 1-480-629-9819 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 the leading player 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 Advantage markets under the Blue Cross Blue Shield marks.  In addition to its managed care business, Triple-S Management provides non-Blue Cross Blue Shield branded life and property and casualty insurance in Puerto Rico.

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).

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:
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· 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
· A downgrade in the Government of Puerto Rico’s debt
· 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, utilization management and Star ratings programs
· Ability to maintain Federal Employer, Medicare and Medicaid contracts
· 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
December 31,
 2013
    
December 31,
 2012
  
Assets
  
   
 
 
  
   
 
Investments
  
$
1,308,651
    
$
1,280,644
  
Cash and cash equivalents
    
74,356
      
89,564
  
Premium and other receivables, net
    
270,745
      
292,197
  
Deferred policy acquisition costs and value of business acquired
    
177,289
      
168,657
  
Property and equipment, net
    
89,086
      
92,423
  
Other assets
    
124,473
      
135,859
  
 
                
Total assets
  
$
2,044,600
    
$
2,059,344
  
 
                
 
                
Liabilities and Stockholders’ Equity
                
 
                
Policy liabilities and accruals
  
$
935,529
    
$
922,393
  
Accounts payable and accrued liabilities
    
236,204
      
243,533
  
Short-term borrowings
    
-
      
30,000
  
Long-term borrowings
    
89,302
      
101,271
  
 
                
Total liabilities
    
1,261,035
      
1,297,197
  
 
                
Stockholders’ equity:
                
Common stock
    
27,469
      
28,365
  
Other stockholders’ equity
    
756,274
      
733,542
  
 
                
Total Triple-S Management Corporation stockholders’ equity
    
783,743
      
761,907
  
 
                
Non-controlling interest in consolidated subsidiary
    
(178
)
    
240
  
 
                
Total stockholders’ equity
    
783,565
      
762,147
  
 
                
Total liabilities and stockholders’ equity
  
$
2,044,600
    
$
2,059,344
  

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Condensed Consolidated Statements of Earnings
(Dollar amounts in thousands, except per share data)

 
  
For the Three Months Ended
December 31,
    
For the Year Ended 
December 31,
  
 
  
Unaudited
 2013
    
Unaudited
 2012
    
Unaudited
 2013
    

2012
  
Revenues:
  
   
   
   
 
Premiums earned, net
  
$
543,783
    
$
558,197
    
$
2,197,653
    
$
2,253,354
  
Administrative service fees
    
30,577
      
27,637
      
108,680
      
110,110
  
Net investment income
    
12,539
      
12,441
      
47,288
      
46,790
  
Other operating revenues
    
1,140
      
998
      
4,778
      
4,356
  
 
                                
Total operating revenues
    
588,039
      
599,273
      
2,358,399
      
2,414,610
  
 
                                
Net realized investment gains (losses)
    
(818
)
    
3,040
      
2,587
      
5,197
  
Other income, net
    
485
      
682
      
15,263
      
2,196
  
 
                                
Total revenues
    
587,706
      
602,995
      
2,376,249
      
2,422,003
  
 
                                
 
                                
Benefits and expenses:
                                
Claims incurred
    
465,075
      
462,471
      
1,834,325
      
1,919,859
  
Operating expenses
    
126,117
      
115,795
      
477,363
      
425,173
  
 
                                
Total operating costs
    
591,192
      
578,266
      
2,311,688
      
2,345,032
  
 
                                
Interest expense
    
2,285
      
2,418
      
9,474
      
10,599
  
 
                                
Total benefits and expenses
    
593,477
      
580,684
      
2,321,162
      
2,355,631
  
 
                                
Income before taxes
    
(5,771
)
    
22,311
      
55,087
      
66,372
  
 
                                
Income tax expense (benefit)
    
(3,774
)
    
4,610
      
1,219
      
12,472
  
 
                                
Net income (loss)
    
(1,997
)
    
17,701
      
53,868
      
53,900
  
 
                                
Less: Net loss attributable to the non-controlling interest
    
262
      
67
      
418
      
132
  
 
                                
Net income (loss) attributable to TSM
  
$
(1,735
)
  
$
17,768
    
$
54,286
    
$
54,032
  
 
                                
Earnings per share attributable to TSM:
                                
 
                                
Basic net income (loss) per share
  
$
(0.06
)
  
$
0.63
    
$
1.96
    
$
1.90
  
Diluted earnings (loss) per share
  
$
(0.06
)
  
$
0.63
    
$
1.95
    
$
1.89
  

Triple-S Management Corporation
Add 10
Condensed Consolidated Statements of Cash Flows
(Dollar amounts in thousands, except per share data)

 
  
For the Year Ended
  
 
  
December 31,
  
 
  
Unaudited
 2013
    

2012
  
 
  
   
 
Net cash provided by operating activities
  
$
112,948
    
$
109,720
  
 
                
Cash flows from investing activities:
                
Proceeds from investments sold or matured:
                
Securities available for sale:
                
Fixed maturities sold
    
160,978
      
116,718
  
Fixed maturities matured/called
    
96,597
      
141,266
  
Equity securities sold
    
132,433
      
53,120
  
Securities held to maturity:
                
Fixed maturities matured/called
    
1,440
      
11,635
  
Acquisition of investments:
                
Securities available for sale:
                
Fixed maturities
    
(323,003
)
    
(313,188
)
Equity securities
    
(132,543
)
    
(98,095
)
Securities held to maturity:
                
Fixed maturities
    
(1,325
)
    
(1,639
)
Other investments
    
(512
)
    
(206
)
Net inflows (outflows) from policy loans
    
(313
)
    
146
  
Acquisition of business, net of cash acquired of $4,618 and $816 in the year ended December 31, 2013 and 2012
    
(4,795
)
    
(2,685
)
Net capital expenditures
    
(11,809
)
    
(12,078
)
 
                
Net cash used in investing activities
    
(82,852
)
    
(105,006
)
 
                
Cash flows from financing activities:
                
Change in outstanding checks in excess of bank balances
    
15,123
      
(19,841
)
Net change in short-term borrowings
    
(30,000
)
    
30,000
  
Repayments of long-term borrowings
    
(11,969
)
    
(26,955
)
Repurchase and retirement of common stock
    
(18,250
)
    
(2,299
)
Proceeds from exercise of stock options
    
-
      
316
  
Proceeds from policyholder deposits
    
9,212
      
39,709
  
Surrenders of policyholder deposits
    
(9,420
)
    
(7,059
)
 
                
Net cash (used in) provided by financing activities
    
(45,304
)
    
13,871
  
 
                
Net (decrease) increase in cash and cash equivalents
    
(15,208
)
    
18,585
  
 
                
Cash and cash equivalents, beginning of period
    
89,564
      
70,979
  
 
                
Cash and cash equivalents, end of period
  
$
74,356
    
$
89,564
  
 
###