EX-99.2 4 exh992.htm APIE FINANCIAL STATEMENTS AS OF MARCH 31, 2007

 

EXHIBIT 99.2

 

AMERICAN PHYSICIANS INSURANCE EXCHANGE

 

CONDENSED BALANCE SHEETS

AS OF MARCH 31, 2007 AND DECEMBER 31, 2006

(Unaudited)

 

 

 

 

 

 

 

 

 

 

 

  

March 31, 2007

 

 

December 31, 2006(1)

 

ASSETS

  

 

 

 

 

 

 

 

INVESTMENTS:

  

 

 

 

 

 

 

 

Fixed maturities available for sale—at fair value

  

$

145,353,833

 

 

$

129,528,595

 

Equity securities—at fair value

  

 

6,851,569

 

 

 

6,707,793

 

Short-term investments

  

 

177,197

 

 

 

2,421,630

 

Other invested assets

  

 

1,165,602

 

 

 

1,142,559

 

 

  

 

 

 

 

 

 

 

Total investments

  

 

153,548,201

 

 

 

139,800,577

 

Cash and cash equivalents

  

 

9,909,744

 

 

 

4,782,626

 

Accrued investment income

  

 

793,115

 

 

 

705,802

 

Premium and maintenance fees receivable

  

 

14,647,209

 

 

 

16,492,668

 

Other amounts receivable under reinsurance contracts

  

 

1,372,445

 

 

 

8,725,523

 

Reinsurance recoverables on unpaid loss and loss adjustment expenses

  

 

29,402,326

 

 

 

28,393,517

 

Reinsurance recoverables on paid loss and loss adjustment expenses

  

 

282,752

 

 

 

97,758

 

Prepaid reinsurance premiums

  

 

311,155

 

 

 

329,461

 

Deferred policy acquisition costs

  

 

2,404,300

 

 

 

2,545,189

 

Deferred tax asset

  

 

4,807,234

 

 

 

3,831,867

 

Subrogation recoverables

  

 

504,687

 

 

 

509,427

 

Other assets

  

 

358,424

 

 

 

103,478

 

 

  

 

 

 

 

 

 

 

TOTAL

  

$

218,341,592

 

 

$

206,317,893

 

 

  

 

 

 

 

 

 

 

LIABILITIES AND MEMBERS’ EQUITY

  

 

 

 

 

 

 

 

LIABILITIES:

  

 

 

 

 

 

 

 

Reserve for losses and loss adjustment expenses

  

$

116,227,495

 

 

$

110,089,097

 

Unearned premiums and maintenance fees

  

 

36,515,552

 

 

 

39,785,910

 

Reinsurance premiums payable

  

 

253,167

 

 

 

45,279

 

Funds held under reinsurance treaties

  

 

11,111,925

 

 

 

4,003,205

 

Amounts withheld or retained by the Exchange

  

 

1,360,110

 

 

 

2,464,306

 

Refundable subscriber deposits

  

 

10,197,950

 

 

 

10,226,799

 

Federal income taxes payable

  

 

2,263,259

 

 

 

652,758

 

Other liabilities

  

 

3,146,794

 

 

 

4,332,510

 

 

  

 

 

 

 

 

 

 

Total liabilities

  

 

181,076,252

 

 

 

171,599,864

 

 

  

 

 

 

 

 

 

 

CONTINGENCIES

  

 

 

 

 

 

 

 

MEMBERS’ EQUITY:

  

 

 

 

 

 

 

 

Retained earnings

  

 

38,954,874

 

 

 

36,342,332

 

Accumulated other comprehensive loss, net of deferred tax benefit of $953,869 and $695,193

  

 

(1,689,534

)

 

 

(1,624,303

)

 

  

 

 

 

 

 

 

 

Total members’ equity

  

 

37,265,340

 

 

 

34,718,029

 

 

  

 

 

 

 

 

 

 

TOTAL

  

$

218,341,592

 

 

$

206,317,893

 

 

  

 

 

 

 

 

 

 

 

 

 

(1)

Derived from audited financial statements.

 

See notes to condensed financial statements.

 


 

 

AMERICAN PHYSICIANS INSURANCE EXCHANGE

 

CONDENSED STATEMENTS OF OPERATIONS

FOR THE THREE MONTHS ENDED MARCH 31, 2007 AND 2006 (Unaudited)

 

 

 

 

 

 

 

 

 

 

 

  

Three Months Ended

March 31,

 

 

  

2007

 

 

2006

 

REVENUES:

  

 

 

 

 

 

 

 

Gross premiums and maintenance fee written—direct and assumed

  

$

15,465,599

 

 

$

20,114,565

 

Premiums ceded

  

 

(2,406,612

)

 

 

(2,777,258

)

Change in unearned premiums and maintenance fees

  

 

3,252,054

 

 

 

293,224

 

 

  

 

 

 

 

 

 

 

Net premiums and maintenance fees earned

  

 

16,311,041

 

 

 

17,630,531

 

Investment income, net of investment expenses

  

 

1,791,029

 

 

 

1,451,262

 

Realized capital gains—net

  

 

126,124

 

 

 

102,130

 

 

  

 

 

 

 

 

 

 

Total revenues

  

 

18,228,194

 

 

 

19,183,923

 

 

  

 

 

 

 

 

 

 

EXPENSES:

  

 

 

 

 

 

 

 

Losses and loss adjustment expenses

  

 

10,934,099

 

 

 

12,152,532

 

Other underwriting expenses

  

 

3,214,625

 

 

 

3,206,519

 

Net change in deferred acquisition costs

  

 

140,890

 

 

 

(38,252

)

 

  

 

 

 

 

 

 

 

Total expenses

  

 

14,289,614

 

 

 

15,320,799

 

 

  

 

 

 

 

 

 

 

INCOME FROM OPERATIONS

  

 

3,938,580

 

 

 

3,863,124

 

 

  

 

 

 

 

 

 

 

FEDERAL INCOME TAX EXPENSE (BENEFIT):

  

 

 

 

 

 

 

 

Current

  

 

2,266,281

 

 

 

1,607,357

 

Deferred

  

 

(940,243

)

 

 

(161,994

)

 

  

 

 

 

 

 

 

 

Total federal income tax expense

  

 

1,326,038

 

 

 

1,445,363

 

 

  

 

 

 

 

 

 

 

NET INCOME

  

$

2,612,542

 

 

$

2,417,761

 

 

  

 

 

 

 

 

 

 

 

See notes to condensed financial statements.

 

2

 


 

 

AMERICAN PHYSICIANS INSURANCE EXCHANGE

 

CONDENSED STATEMENTS OF CHANGES IN MEMBERS’ EQUITY

FOR THE YEAR ENDED DECEMBER 31, 2006 AND THE THREE MONTHS

ENDED MARCH 31, 2007 (Unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

Accumulated

Other

Comprehensive

Income (Loss)

 

 

Retained

Earnings

  

Total

 

BALANCE—January 1, 2006

  

$

(1,349,490

)

 

$

20,591,546

  

$

19,242,056

 

Net income

  

 

—  

 

 

 

15,750,786

  

 

15,750,786

 

Other comprehensive income (loss)—net of tax

  

 

(274,813

)

 

 

—  

  

 

(274,813

)

 

  

 

 

 

 

 

 

  

 

 

 

BALANCE—December 31, 2006

  

$

(1,624,303

)

 

$

36,342,332

  

$

34,718,029

 

 

  

 

 

 

 

 

 

  

 

 

 

Net income

  

 

—  

 

 

 

2,612,542

  

 

2,612,542

 

Other comprehensive income (loss)—net of tax

  

 

(65,231

)

 

 

—  

  

 

(65,231

)

 

  

 

 

 

 

 

 

  

 

 

 

BALANCE—March 31, 2007

  

$

(1,689,534

)

 

$

38,954,874

  

$

37,265,340

 

 

  

 

 

 

 

 

 

  

 

 

 

 

See notes to condensed financial statements.

 

3

 


 

 

AMERICAN PHYSICIANS INSURANCE EXCHANGE

 

CONDENSED STATEMENTS OF CASH FLOWS

FOR THE THREE MONTHS ENDED MARCH 31, 2007 AND 2006 (Unaudited)

 

 

 

 

 

 

 

 

 

 

 

  

Three Months Ended

March 31,

 

 

  

2007

 

 

2006

 

CASH FLOWS FROM OPERATING ACTIVITIES:

  

 

 

 

 

 

 

 

Net income

  

$

2,612,542

 

 

$

2,417,761

 

Adjustments to reconcile net income to cash provided by operating activities:

  

 

 

 

 

 

 

 

Amortization and accretion of investments

  

 

(61,528

)

 

 

66,204

 

Net realized gains on investments

  

 

(126,124

)

 

 

(102,130

)

Deferred policy acquisition costs—net of related amortization

  

 

140,890

 

 

 

(38,252

)

Deferred income tax benefit

  

 

(940,243

)

 

 

(161,994

)

Changes in operating assets and liabilities:

  

 

 

 

 

 

 

 

Premium and maintenance fee receivables—net

  

 

1,845,459

 

 

 

(724,413

)

Accrued investment income

  

 

(87,313

)

 

 

(35,546

)

Other amounts receivable under reinsurance contracts

  

 

7,353,078

 

 

 

2,267,798

 

Reinsurance recoverables on unpaid loss and loss expenses

  

 

(1,008,809

)

 

 

(1,931,936

)

Reinsurance recoverables on paid loss and loss expenses

  

 

(184,994

)

 

 

96,559

 

Other assets

  

 

(231,903

)

 

 

1,553,375

 

Reinsurance payables

  

 

207,888

 

 

 

(151,343

)

Losses and loss adjustment expenses

  

 

6,138,398

 

 

 

7,903,413

 

Unearned premiums and maintenance fees

  

 

(3,270,358

)

 

 

(395,454

)

Federal income taxes payable/recoverable

  

 

1,610,501

 

 

 

317,510

 

Other liabilities

  

 

3,321,152

 

 

 

(525,802

)

 

  

 

 

 

 

 

 

 

Net cash provided by operating activities

  

 

17,318,636

 

 

 

10,555,750

 

 

  

 

 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

  

 

 

 

 

 

 

 

Sale and maturities of investments

  

 

3,532,217

 

 

 

3,707,769

 

Purchases of investments

  

 

(17,939,319

)

 

 

(9,701,491

)

Change in short-terms

  

 

2,244,433

 

 

 

95,042

 

 

  

 

 

 

 

 

 

 

Net cash used in investing activities

  

 

(12,162,669

)

 

 

(5,898,680

)

 

  

 

 

 

 

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES—Subscriber deposits refunded

  

 

(28,849

)

 

 

(110,322

)

 

  

 

 

 

 

 

 

 

NET CHANGE IN CASH AND CASH EQUIVALENTS

  

 

5,127,118

 

 

 

4,546,748

 

CASH AND CASH EQUIVALENTS—Beginning of year

  

 

4,782,626

 

 

 

3,515,844

 

 

  

 

 

 

 

 

 

 

CASH AND CASH EQUIVALENTS—End of year

  

$

9,909,744

 

 

$

8,062,592

 

 

  

 

 

 

 

 

 

 

SUPPLEMENTAL INFORMATION—Cash paid (received) for:

  

 

 

 

 

 

 

 

Federal income taxes paid

  

$

—  

 

 

$

1,200,000

 

Federal income tax refunds received

  

$

—  

 

 

$

—  

 

 

See notes to condensed financial statements.

 

4

 


 

AMERICAN PHYSICIANS INSURANCE EXCHANGE

 

NOTES TO CONDENSED FINANCIAL STATEMENTS

THREE MONTHS ENDED MARCH 31, 2007 AND 2006 (Unaudited)

 

1. NATURE OF OPERATIONS

 

American Physicians Insurance Exchange (“APIE” or the ”Exchange”) is a reciprocal insurance exchange. The Exchange was organized in the State of Texas on November 23, 1975, and commenced operations on June 1, 1976. APIE is licensed as a multiple-line insurer under the provisions of the Texas Insurance Code.

 

A reciprocal insurance exchange is an organization under which policyholders (members) effectively “exchange” insurance contracts and thereby insure each other and become members of the Exchange. The Exchange is managed by its attorney-in-fact, APS Facilities Management, Inc. (“FMI”), subject to the direction of the Exchange’s board of directors.

 

APIE principally writes professional liability insurance coverage for physician groups, individual physicians and other healthcare providers in the states of Texas (99%) and Arkansas (1%). Most of the Exchange’s coverage is written on a “claims-made and reported” basis. The coverage is provided only for claims that are first reported to the Exchange during the insured’s coverage period and that arise from occurrences during the insured’s coverage period. The Exchange also makes extended or “tail” coverage available for purchase by policyholders in order to cover claims that arise from occurrences during the insured’s coverage period, but that are first reported to the Exchange after the insured’s coverage period and during the term of the applicable tail coverage.

 

2. BASIS OF PRESENTATION

 

The accompanying unaudited condensed financial statements include the accounts and operations of American Physicians Insurance Exchange. These statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring accruals, considered necessary for a fair presentation have been included. Operating results for the three months ended March 31, 2007 are not necessarily indicative of the results that may be expected for the year ended December 31, 2007. For example, the timing and magnitude in determining the claim losses incurred by our insurance operations due to the estimation process inherent in determining the liability for losses and loss adjustment expenses can be relatively more significant to results of interim periods than to results for a full year. The accompanying condensed financials statements should be read in conjunction with the December 31, 2006 audited financial statements and notes thereto.

 

New Accounting Standards

 

In February 2006, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards, or SFAS, No. 155, Accounting for Certain Hybrid Financial Instruments, an amendment of FASB Statements No. 133 and 140. SFAS 155 becomes effective for all financial instruments acquired or issued after the beginning of an entity’s first fiscal year that begins after September 15, 2006. This Statement permits fair value re-measurement for any hybrid financial instrument that contains an embedded derivative that otherwise would require bifurcation; clarifies which interest-only strips and principal-only strips are not subject to the requirements of Statement 133; establishes a requirement to evaluate interests in securitized financial assets to identify interests that are freestanding derivatives or that are hybrid financial instruments that contain an embedded derivative requiring bifurcation; clarifies that concentrations of credit risk in the form of subordination are not embedded derivatives; and amends Statement 140 to eliminate the prohibition on a qualifying special-purpose entity from holding a derivative financial instrument that pertains to a beneficial interest other than another derivative financial instrument. The adoption did not have a material effect on the Exchange’s financial position, results of operations or cash flows.

 

In June 2006, the FASB issued FIN No. 48, Accounting for Uncertainty in Income Taxes—an interpretation of FASB Statement No. 109. This Interpretation prescribes a comprehensive model for the financial statement recognition, measurement, presentation and disclosure of uncertain tax positions taken or expected to be taken in income tax returns. FIN No. 48 is effective in the first quarter of fiscal 2007. The adoption of FIN No. 48 did not have a material effect on the Exchange’s results of operations, financial position or cash flows.

 

3. PLAN OF CONVERSION AND PLAN OF MERGER

 

American Physicians Service Group, Inc. (“APSG”) (NASDAQ: AMPH) is the parent company for the wholly-owned APS Facilities Management, Inc. (“FMI”) who manages the Exchange under an attorney-in-fact contractual arrangement. The Exchange’s Board of Directors on June 1, 2006 adopted and approved a plan of conversion and merger agreement with APSG and authorized the execution of these documents. The APIE board of directors has agreed on a merger transaction in which, immediately after APIE converts from a Texas reciprocal insurance exchange to a Texas stock insurance company and changes its name to American Physicians Insurance Company (“APIC”), a newly formed, wholly owned subsidiary of APSG will merge into APIC, with APIC becoming a wholly owned subsidiary of APSG.

 

The TDI issued a Consent Order dated January 26, 2007, which places some conditions for the conversion and merger to occur. The Securities and Exchange Commission declared the Company’s joint registration and proxy statement effective on February 1, 2007. On March 22, 2007, a special meeting of APIE subscribers was held approving this transaction and APSG shareholders also approved the merger on the same day. This transaction closed effective April 1, 2007.

 

5

 


4. INVESTMENTS

 

The amortized cost and estimated fair values of investments in debt securities at March 31, 2007 and December 31, 2006 are as follows (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

March 31, 2007

 

Cost or

Amortized

Cost

 

Gross

Unrealized

Gains

 

Gross

Unrealized

Losses

 

Estimated

Fair

Value

Fixed maturities:

 

 

 

 

 

 

 

 

 

 

 

 

U.S treasury notes

 

$

786

 

$

6

 

$

1

 

$

791

U.S government agency mortgage-backed bonds

 

 

31,177

 

 

57

 

 

627

 

 

30,607

U.S. government agency collateralized mortgage obligations

 

 

51,824

 

 

105

 

 

927

 

 

51,002

Collateralized mortgage obligations

 

 

47,340

 

 

24

 

 

1,598

 

 

45,766

Corporates

 

 

2,226

 

 

—  

 

 

43

 

 

2,183

Government tax-exempt bonds

 

 

15,237

 

 

—  

 

 

232

 

 

15,005

 

 

 

 

 

 

 

 

 

 

 

 

 

Total fixed maturities

 

 

148,590

 

 

192

 

 

3,428

 

 

145,354

Equity securities

 

 

6,215

 

 

804

 

 

167

 

 

6,852

 

 

 

 

 

 

 

 

 

 

 

 

 

Total fixed maturities and equity securities

 

$

154,805

 

$

996

 

$

3,595

 

$

152,206

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2006

 

Cost or

Amortized

Cost

 

Gross

Unrealized

Gains

 

Gross

Unrealized

Losses

 

Estimated

Fair

Value

Fixed maturities:

 

 

 

 

 

 

 

 

 

 

 

 

U.S treasury notes

 

$

780

 

$

10

 

$

—  

 

$

790

U.S government agency mortgage-backed bonds

 

 

24,451

 

 

41

 

 

596

 

 

23,896

U.S. government agency collateralized mortgage obligations

 

 

43,532

 

 

55

 

 

1,002

 

 

42,585

Collateralized mortgage obligations

 

 

47,548

 

 

31

 

 

1,586

 

 

45,993

Corporates

 

 

2,226

 

 

—  

 

 

44

 

 

2,182

Government tax-exempt bonds

 

 

14,295

 

 

—  

 

 

212

 

 

14,083

 

 

 

 

 

 

 

 

 

 

 

 

 

Total fixed maturities

 

 

132,832

 

 

137

 

 

3,440

 

 

129,529

Equity securities

 

 

5,903

 

 

967

 

 

162

 

 

6,708

 

 

 

 

 

 

 

 

 

 

 

 

 

Total fixed maturities and equity securities

 

$

138,735

 

$

1,104

 

$

3,602

 

$

136,237

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The decreases in gross unrealized losses from $3,440,000 at December 31, 2006 to $3,428,000 at March 31, 2007 in fixed maturity investments are primarily the result of falling interest rates. The fixed maturity investments are all investment grade securities. The Exchange has the ability and intent to hold securities with unrealized losses until they recover their value, which may be maturity. As of March 31, 2007 and December 31, 2006, there have been no impairments in value or write-downs for these securities. In the future, information may come to light or circumstances may change that would cause the Exchange to write-down or sell these securities and incur a realized loss.

 

Gross realized gains and losses on fixed maturity and equity securities for the three months ended March 31, 2007 and 2006 were as follows (in thousands):

 

 

 

 

 

 

 

 

 

 

 

  

Three Months ended

 

 

  

March 31,

2007

 

 

March 31,

2006

 

Realized gains (losses):

  

 

 

 

 

 

 

 

Fixed maturities:

  

 

 

 

 

 

 

 

Gross realized gains

  

$

—  

 

 

$

2

 

Gross realized losses

  

 

—  

 

 

 

—  

 

 

  

 

 

 

 

 

 

 

Net realized gains (losses)

  

 

—  

 

 

 

2

 

 

  

 

 

 

 

 

 

 

Equities:

  

 

 

 

 

 

 

 

Gross realized gains

  

 

129

 

 

 

103

 

Gross realized losses

  

 

(3

)

 

 

(3

)

 

  

 

 

 

 

 

 

 

Net realized gains (losses)

  

 

126

 

 

 

100

 

 

  

 

 

 

 

 

 

 

Total net realized gains

  

$

126

 

 

$

102

 

 

  

 

 

 

 

 

 

 

 

 

6

 


 

The major categories of the Exchange’s net investment income are summarized for the three months ended March 31, 2007 and 2006, as follows (in thousands):

 

 

 

 

 

 

 

 

 

 

 

  

Three Months Ended

 

 

  

March 31,

2007

 

 

March 31,

2006

 

Investment income:

  

 

 

 

 

 

 

 

Fixed maturities

  

$

1,731

 

 

$

1,376

 

Equity securities

  

 

26

 

 

 

19

 

Short-term investments and other

  

 

83

 

 

 

56

 

Finance charges on premiums receivable

  

 

37

 

 

 

114

 

Structured annuity

  

 

23

 

 

 

22

 

 

  

 

 

 

 

 

 

 

Total investment income

  

 

1,900

 

 

 

1,587

 

Investment expense

  

 

(109

)

 

 

(136

)

 

  

 

 

 

 

 

 

 

Net investment income

  

$

1,791

 

 

$

1,451

 

 

  

 

 

 

 

 

 

 

 

In accordance with SFAS No. 115, Accounting for Certain Investments In Debt and Equity Securities, the Exchange evaluates its investment securities on at least a quarterly basis for declines in market value below cost for the purpose of determining whether these declines represent other than temporary declines. A decline in the fair value of a security below cost judged to be other than temporary is recognized as a loss in the current period and reduces the cost basis of the security. In subsequent periods, the Exchange measures gain or loss or decline in value against the adjusted cost basis of the security. The following factors are considered in determining whether an investment decline is “other than temporary”:

 

 

 

The extent to which the market value of the security is less than its cost basis,

 

 

 

The length of time for which the market value of the security is less than its cost basis,

 

 

 

 

 

 

 

 

The financial condition and near-term prospects of the security’s issuer, taking into consideration the economic prospects of the issuer’s industry and geographical region, to the extent that information is publicly available and

 

 

 

The Exchange’s ability and intent to hold the investment for a period of time sufficient to allow for any anticipated recovery in market value.

 

The following two tables reflect securities whose fair values were lower than the related cost basis at March 31, 2007 and December 31, 2006, respectively (in thousands). However, these declines in value were not deemed to be “other than temporary”. The tables show the fair value and the unrealized losses, aggregated by investment category and category of duration that individual securities have been in a continuous unrealized loss position. For the first three months ended March 31, 2007, and for the year end December 31, 2006 the Exchange did not record any impairments for other than temporary declines of investments.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Less Than 12 Months

 

12 Months or More

 

Total

March 31, 2007:

 

Estimated

Fair Value

 

Unrealized

Loss

 

Estimated

Fair Value

 

Unrealized

Loss

 

Estimated

Fair Value

 

Unrealized

Loss

U.S. treasury notes

 

$

—  

 

$

—  

 

$

65

 

$

1

 

$

65

 

$

1

 

U.S. government agency mortgage-backed bonds

 

 

9,092

 

 

91

 

 

16,266

 

 

536

 

 

25,358

 

 

627

 

U.S. government agency collateralized mortgage obligations

 

 

10,848

 

 

203

 

 

25,717

 

 

724

 

 

36,565

 

 

927

 

Collateralized mortgage obligations

 

 

5,811

 

 

319

 

 

34,559

 

 

1,279

 

 

40,370

 

 

1,598

 

Corporate bonds

 

 

2,183

 

 

43

 

 

—  

 

 

—  

 

 

2,183

 

 

43

 

Government tax-free bonds

 

 

15,005

 

 

232

 

 

—  

 

 

—  

 

 

15,005

 

 

232

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Bonds

 

 

42,939

 

 

888

 

 

76,607

 

 

2,540

 

 

119,546

 

 

3,428

 

Equity Securities

 

 

1,373

 

 

112

 

 

538

 

 

55

 

 

1,911

 

 

167

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total temporarily impaired securities

 

$

44,312

 

$

1000

 

$

77,145

 

$

2,595

 

$

121,457

 

$

3,595

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Less Than 12 Months

 

12 Months or More

 

Total

December 31, 2006:

 

Estimated

Fair Value

 

Unrealized

Loss

 

Estimated

Fair Value

 

Unrealized

Loss

 

Estimated

Fair Value

 

Unrealized

Loss

U.S. treasury notes

 

$

65

 

$

—  

 

$

—  

 

$

—  

 

$

65

 

$

—  

 

U.S. government agency mortgage-backed bonds

 

 

2,250

 

 

9

 

 

16,356

 

 

587

 

 

18,606

 

 

596

 

U.S. government agency collateralized mortgage obligations

 

 

8,209

 

 

114

 

 

25,166

 

 

888

 

 

33,375

 

 

1,002

 

Collateralized mortgage obligations

 

 

7,591

 

 

227

 

 

33,231

 

 

1,359

 

 

40,822

 

 

1,586

 

Corporate bonds

 

 

2,182

 

 

44

 

 

 

 

 

 

 

 

2,182

 

 

44

 

Government tax-free bonds

 

 

14,083

 

 

212

 

 

 

 

 

 

 

 

14,083

 

 

212

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Bonds

 

 

34,380

 

 

606

 

 

74,753

 

 

2,834

 

 

109,133

 

 

3,440

 

Equity Securities

 

 

1,267

 

 

117

 

 

371

 

 

45

 

 

1,638

 

 

162

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total temporarily impaired securities

 

$

35,647

 

$

723

 

$

75,124

 

$

2,879

 

$

110,771

 

$

3,602

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 


 

8

 


The majority of the unrealized losses on the fixed maturities were caused by increases in market interest rates and not due to changes in the credit worthiness of the issuer. All fixed maturities with an unrealized loss over 12 months or more are investment grade securities. The majority of the unrealized losses related to stocks are due to market fluctuations resulting from cyclical and other economic pressures. As of March 31, 2007, management believes that these unrealized losses are temporary and that the fair value will recover to a level equal to or greater than the Exchange’s cost basis. In addition, as of March 31, 2007, the Exchange had the ability and intent to hold these investments until there is a recovery in fair value, which may be maturity for the applicable securities.

 

At March 31, 2007 and December 31, 2006, investments with a fair market value of $1,045,800, and $1,106,900, respectively, were on deposit with state insurance departments to satisfy regulatory requirements.

 

5. UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSE RESERVES

 

The reserve for unpaid losses and loss adjustment expenses represent the estimated liability for unpaid claims reported to the Exchange, plus claims incurred but not reported (“IBNR”) and the related estimated loss adjustment expenses. The reserve for losses and loss adjustment expenses is determined based on the Exchange’s actual experience, available industry data and projections as to future claims frequency, severity, inflationary trends and settlement patterns.

 

The Exchange writes medical malpractice insurance policies which have a lengthy period for reporting a claim (tail coverage) and a long process of litigating a claim through the courts and whose risk factors expose its reserves for loss and loss adjustment expenses to significant variability. These conditions subject the Exchange’s open reported claims and incurred but not reported claims to increases due to inflation, changes in legal proceedings, and changes in the law. While the anticipated effects of inflation is implicitly considered when estimating reserves for loss and loss adjustment expenses, the increase in average severity of claims is caused by a number of factors. Future average severities are projected based on historical trends adjusted for changes in underwriting standards, policy provisions, and general economic trends. Those anticipated trends are monitored based on actual experience and are modified as necessary to reflect any changes in the development of ultimate losses and loss adjustment expenses to the Exchange. These specific risks, combined with the variability that is inherent in any reserve estimate, could result in significant adverse deviation from the Exchange’s carried reserve amounts. Settlement of the Exchange’s claims is subject to considerable uncertainty. The Exchange’s management believes the reserves for loss and loss adjustment expenses are reasonably stated for all obligations of the Exchange as of March 31, 2007 and December 31, 2006.

 

The following table reflects the activity in the liability for reserve for losses and loss adjustment expenses showing the changes for the twelve month periods beginning January 1, 2006 and ending December 31, 2006 and the three month period ending March 31, 2007 (in thousands):

 

 

 

 

 

 

 

 

 

 

 

March 31,

2007

 

December 31,

2006

 

Reserve for losses and loss adjustment expenses—January 1

 

$

110,089

 

$

95,372

 

Less reinsurance recoverable on paid losses and unpaid losses

 

 

28,491

 

 

27,850

 

 

 

 

 

 

 

 

 

Net balance—January 1

 

 

81,598

 

 

67,522

 

 

 

 

 

 

 

 

 

Incurred—net of reinsurance—related to:

 

 

 

 

 

 

 

Current years

 

 

10,886

 

 

43,431

 

Prior years

 

 

48

 

 

(4,461

)

 

 

 

 

 

 

 

 

Net incurred

 

 

10,934

 

 

38,970

 

 

 

 

 

 

 

 

 

Paid—net of reinsurance—related to:

 

 

 

 

 

 

 

Current years

 

 

620

 

 

4,820

 

Prior years

 

 

5,370

 

 

20,074

 

 

 

 

 

 

 

 

 

Net paid

 

 

5,990

 

 

24,894

 

 

 

 

 

 

 

 

 

Net balance—March 31 and December 31

 

 

86,542

 

 

81,598

 

Plus reinsurance recoverable on paid losses and unpaid losses

 

 

29,685

 

 

28,491

 

 

 

 

 

 

 

 

 

Reserve for losses and loss adjustment expenses—March 31 and December 31

 

$

116,227

 

$

110,089

 

 

 

 

 

 

 

 

 

 

Incurred—net of reinsurance for the current years relates to incurred loss and loss adjustment expense related to premium earned in that period, also referred to as accident year. Incurred—net of reinsurance for the prior years represents the total net change in estimates charged or credited to earnings in the current year with respect to liabilities that originated and were established in prior years. As noted in the table above, for the quarter ended March 31, 2007, our current accident year loss and loss adjustment expenses totaled $10,886,000. In addition, we incurred additional allocated loss adjustment expenses of $48,000 for prior year development primarily as a result of additional allocated loss adjustment expenses for prior year open claims.

 

During 2006, our current accident year loss and loss adjustment expenses increased as a result of the increase in the number of claims filed in 2006 and the growth in the number of policyholders as compared to prior year’s levels. The favorable development of prior-year claims during 2006 was the result of a reevaluation of all our open claims and trend assumptions. During 2003, tort reform was passed in Texas effecting medical professional liability insurance, which caused a significant increase in claims filed that year. The full impact of those claims was not fully known at that time. The favorable development of prior-year claims of $4,461,000 was primarily the result of 2004 and 2005 report year loss severity falling below prior expectations. Additionally, the number of claims closed with indemnity for the 2004 and 2005 report years developed favorably relative to prior estimates.

 

6. REINSURANCE AGREEMENTS

 

Reinsurance Ceded—Certain premiums are ceded to other insurance companies under various reinsurance agreements. These reinsurance agreements provide the Exchange with increased capacity to write additional risk and the ability to write specific risk within its capital resources and underwriting guidelines. The Exchange enters into reinsurance contracts, which provide coverage for losses in excess of the Exchange’s retention of $250,000 on individual claims and beginning in 2002 through 2005, $350,000 on multiple insured claims related to a single occurrence. The 2006 and 2007 reinsurance treaties provide for these same terms with the Exchange retaining an additional 10% of the aforementioned retention levels for 2006 and 20% for 2007. The reinsurance contracts for 2002 through 2007 contain

 

9

 


variable premium ceding rates based on loss experience. The ceded premium charged under these contracts will depend upon the development of ultimate losses ceded to the reinsurers under their retrospective treaties. Estimates of ultimate reinsurance ceded premium amounts compared to the amounts paid on a provisional basis are reviewed by treaty year, with each treaty year giving rise to either an asset or liability on the balance sheet. For the three months ended March 31, 2007 and March 31, 2006, the Exchange did not record any changes to net development. Additionally, each treaty year requires a 24 or 36-month holding period before any cash can be returned or paid. During the three months ending March 31, 2007, the exchange received a net payment of $13.8 million from its reinsurers at the expiration of the 2003 treaty year 36-month holding period and the 2004 treaty year 24-month holding period which included a premium adjustment to the reinsurers of $469,000 for the 2002 treaty year. These reinsurance receipts were recorded either as an asset or liability pending the ultimate outcome of claims paid in the reinsurance layer. As a result, at March 31, 2007, the Exchange had an asset (Other Amounts Receivable Under Reinsurance Contracts) of $1,372,400 and a liability (Funds Held Under Reinsurance Treaties) of $11,111,900.

 

7. TRANSACTIONS WITH AFFILIATES AND RELATED PARTIES

 

The Exchange’s management contract with its attorney-in-fact, FMI, is treated as an affiliated transaction. However, there is no ownership between the two entities. They have separate boards of directors and their duties to each other are based on the management contract. Transactions with parties related to FMI are also treated as affiliated transactions. American Physicians Insurance Agency, Inc. (“APIA”), and APS Financial Corporation (“APS”) are considered affiliates of FMI through common ownership.

 

FMI serves as the attorney-in-fact for the Exchange. In accordance with the terms of a management agreement, FMI performs the administrative functions related to the operations of the Exchange. FMI receives a management fee from the Exchange for providing these services. The management fee, which is calculated as a percentage of the direct gross earned premiums and statutory net income including contingent management fees of the Exchange, were $2,728,100 and $2,898,000 for the three months ended March 31, 2007 and 2006, respectively. Contingent management fees are based upon the financial performance of the Exchange. The

 

In addition to the management fees paid to FMI, the Exchange received reimbursement of commission expenses from FMI in the amount of $93,750 and $375,000 for the three months ended March 31, 2007 and 2006, respectively.

 

APS manages the bond portfolio within the investment guidelines established by the board of directors, provides advisory services on key investment decisions and manages accounting services for the Exchange. The Exchange pays APS standard markup fees on trades of fixed-income securities.

 

8. COMMITMENTS AND CONTINGENCIES

 

The Exchange is named as a defendant in various legal actions primarily arising from claims made under insurance policies and contracts. These actions are considered by the Exchange in estimating the loss and loss adjustment expense reserves. The Exchange’s management believes that the resolution of these actions will not have a material adverse effect on the Exchange’s financial position or results of operations. There are no other material commitments or contingencies as of March 31, 2007.

 

 

10