UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
| [X] | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended December 31, 2003
OR
| [ ] | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission file number 0-15341
DONEGAL GROUP INC.
| Delaware | 23-2424711 | |
| (State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification No.) |
|
| 1195 River Road, Marietta, Pennsylvania | 17547 | |
| (Address of principal executive offices) | (Zip code) |
Registrants telephone number, including area code: (888) 877-0600
Securities registered pursuant to Section 12(b) of the Act: None.
Securities registered pursuant to Section 12(g) of the Act:
Class A Common Stock, $.01 par value
Class B Common Stock, $.01 par value
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days. Yes [X]. No [ ].
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrants knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [X]
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Securities Exchange Act of 1934). Yes [ ]. No [X].
On June 30, 2003, the aggregate market value (based on the closing sales prices on that date) of the voting stock held by non-affiliates of the Registrant was $41,317,014.
Indicate the number of shares outstanding of each of the Registrants classes of common stock, as of the latest practicable date: 9,809,352 shares of Class A Common Stock and 3,011,049 shares of Class B Common Stock were outstanding on February 20, 2004.
DOCUMENTS INCORPORATED BY REFERENCE:
| 1. | Portions of the Registrants annual report to stockholders for the fiscal year ended December 31, 2003 are incorporated by reference into Parts I, II and IV of this report. | |||
| 2. | Portions of the Registrants proxy statement relating to the annual meeting of stockholders to be held April 15, 2004 are incorporated by reference into Part III of this report. | |||
DONEGAL GROUP INC.
INDEX TO FORM 10-K REPORT
(i)
PART I
Item 1. Business.
General Development of Business.
We are a property and casualty insurance holding company whose insurance subsidiaries offer personal and commercial lines of insurance to businesses and individuals in 14 Mid-Atlantic and Southeastern states. We provide our policyholders with a selection of insurance products at competitive rates, while pursuing profitability through adherence to a strict underwriting discipline. At December 31, 2003, we had total assets of $602.0 million and stockholders equity of $208.6 million. Our net income was $18.3 million for the year ended December 31, 2003 compared to $12.0 million for the year ended December 31, 2002.
Donegal Mutual Insurance Company (the Mutual Company) owns approximately 42% of our Class A common stock and approximately 62% of our Class B common stock. The operations of our insurance subsidiaries are interrelated with the operations of the Mutual Company and, while maintaining the separate corporate existence of each company, our insurance subsidiaries and the Mutual Company conduct business together as the Donegal Insurance Group. As such, we share the same business philosophy, management, employees and facilities as the Mutual Company and offer the same types of insurance products.
Our growth strategy includes the acquisition of other insurance companies to expand our business in a given region or to commence operations in a new region. Our prior acquisitions have either taken the form of:
| | a purchase of the stock of an existing stock insurance company; or | |||
| | a two-step acquisition of an existing mutual insurance company as follows: | |||
| | First, a surplus note in the target mutual insurance company is purchased, a management agreement with the target mutual insurance company is entered into and our designees are appointed as a majority of the target mutual insurance companys board of directors. | |||
| | Second, the mutual insurance company is demutualized. We acquire the stock of the resulting stock insurance company after the company has been restructured and its book of business has been reunderwritten to our satisfaction. | |||
We believe that our ability to make direct acquisitions or to structure acquisitions through Mutual Company surplus note transactions provides us with flexibility that is a competitive advantage in seeking acquisitions. We also believe we have demonstrated our ability to acquire control of a troubled insurance company, reunderwrite its book of business, reduce its cost structure and return it to profitability. When the Mutual
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Company makes a surplus note investment in another company, the financial results of that company are not consolidated with our financial results or those of the Mutual Company, and neither we nor the Mutual Company are responsible for the insurance obligations of that company.
Unless otherwise specifically stated, all information in this Form 10-K Annual Report is as of December 31, 2003.
Le Mars Insurance Company (Le Mars)
In June 2002, the Mutual Company consummated an affiliation with Le Mars. As part of this affiliation, the Mutual Company entered into a management agreement with Le Mars and acquired control of Le Mars through the appointment of five Mutual Company designees to Le Mars nine-member board of directors. At the time of the affiliation, the Mutual Company made a $4.0 million investment in Le Mars surplus and was issued a surplus note, which we refer to as the Le Mars Surplus Note.
On August 11, 2003, Le Mars board of directors adopted a plan of conversion to convert to a stock insurance company. The plan of conversion was approved by the policyholders of Le Mars on October 6, 2003, and, on October 7, 2003, the Insurance Commissioner of Iowa held a public hearing regarding approval of the plan of conversion. Following the November 2003 regulatory approval of the plan of conversion, we acquired Le Mars as of January 1, 2004 for approximately $12.6 million in cash.
Le Mars, which was organized under the laws of Iowa in 1901, operates as a property and casualty insurer in Iowa, Nebraska, Oklahoma and South Dakota. Personal lines coverages represent a majority of Le Mars premiums written, with the balance coming from farmowners and mercantile and service businesses. Le Mars largest lines of business are private passenger automobile liability and physical damage; its other principal lines are homeowners and commercial multi-peril. Le Mars had net premiums earned of $20.5 million in 2002 and $17.9 million in 2003. The statutory surplus and total admitted assets on a statutory basis of Le Mars as of December 31, 2003 were $12.0 million and $37.0 million, respectively.
The Peninsula Insurance Group (Peninsula)
On January 6, 2004, we purchased Peninsula Indemnity Company and The Peninsula Insurance Company, both of which are organized under Maryland law, with headquarters in Salisbury, Maryland from Folksamerica Holding Company, Inc., a part of the White Mountains Insurance Group, Ltd., for a price in cash equal to 107.5% of Peninsulas GAAP stockholders equity as of the closing of the acquisition, or approximately $23.3 million.
Peninsula specializes in private passenger automobile coverages. Peninsula also writes homeowners, commercial multi-peril, workers compensation and commercial automobile coverages. Peninsula operates primarily in Maryland, Delaware and Virginia. For the years ended December 31, 2002 and 2003, Peninsula had net premiums earned of $29.7 million and $32.7 million, respectively. Peninsulas stockholders equity and total admitted
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assets on a statutory basis as of December 31, 2003 were $19.5 million and $52.6 million, respectively. The Peninsula companies have an A.M. Best rating of A (Excellent).
On December 1, 2003, we completed an underwritten public offering of 3,450,000 shares of our Class A common stock, resulting in net proceeds of $59 million to us.
Financial Information About Industry Segments.
The Company has three segments, which consist of its investment function, its personal lines of insurance and its commercial lines of insurance. Financial information about these segments is set forth in Note 17 to the Consolidated Financial Statements incorporated by reference herein.
Narrative Description of Business.
Who We Are
We are a property and casualty insurance holding company whose insurance subsidiaries offer personal and commercial lines of insurance to small businesses and individuals in 14 Mid-Atlantic and Southeastern states. We provide our policyholders with a selection of insurance products at competitive rates, while pursuing profitability through adherence to a strict underwriting discipline.
We derive a substantial portion of our insurance business from smaller to mid-sized regional communities. We believe this focus provides us with competitive advantages in terms of local market knowledge, marketing, underwriting, claims servicing and policyholder service. At the same time, we believe we have cost advantages over many regional insurers because of our centralized accounting, administrative, investment, data processing and other services.
Strategy
Our annual premiums earned have increased from $117.5 million in 1998 to $196.8 million in 2003, a compound annual growth rate of 10.9%. Over the same time period, our combined ratio has consistently been more favorable than that of the property and casualty insurance industry as a whole. We seek to grow our business and enhance our profitability by:
| | Achieving underwriting profitability. |
We focus on achieving a combined ratio of less than 100%, and believe that underwriting profitability is a fundamental component of our long-term financial strength because it allows us to generate profits without relying on our investment income. We seek to enhance our underwriting results by carefully selecting the product lines we underwrite, minimizing our exposure to catastrophe-prone areas and continually evaluating our claims history to ensure the adequacy of our underwriting guidelines and product pricing. For our personal lines products, we insure standard and preferred risks primarily in private passenger automobile and homeowners lines. We have no exposure to asbestos, and limited exposure
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to other environmental liabilities. We seek to provide more than one policy to a given personal or commercial customer because this account selling strategy diversifies our risk and has historically improved our underwriting results. Finally, we use reinsurance to manage our exposure and limit our maximum net loss from large single risks or risks in concentrated areas. We believe these practices are key factors in our ability to maintain a combined ratio that has been traditionally more favorable than the combined ratio of the property and casualty insurance industry.
Our combined ratio and that of our industry for the years 1998 through 2003 are shown in the following table:
| 1998 |
1999 |
2000 |
2001 |
2002 |
2003 |
|||||||||||||||||||
Donegal GAAP combined ratio |
100.1 | % | 106.5 | % | 101.8 | % | 103.8 | % | 99.6 | % | 95.0 | % | ||||||||||||
Industry SAP
combined ratio(1) |
106.0 | 108.1 | 110.4 | 115.9 | 107.4 | 101.1 | ||||||||||||||||||
| (1) | As reported by A.M. Best. |
| | Pursuing profitable growth by organic expansion within our traditional operating territories through developing and maintaining quality agency representation. |
We believe that continued expansion within our existing markets will be a key source of our continued premium growth, and maintaining an effective and growing network of independent agents is integral to our expansion. We seek to be among the top three insurers within each of our agencies for the lines of business we write by providing a consistent, competitive and stable market for our products. We believe that the consistency of our product offerings enables us to compete effectively for agents with other insurers whose product offerings fluctuate based on industry conditions. We offer our agents a competitive compensation program that rewards them for pursuing profitable growth on our behalf, and we provide them with ongoing support that enables them to better attract and service customers, including Internet-based information systems, training programs, marketing support and field visitations by our marketing personnel and senior management. Finally, we appoint agencies with a strong underwriting and growth track record. We believe that by carefully selecting, motivating and supporting our agency force, we will be able to drive continued long-term growth.
| | Acquiring property and casualty insurance companies to augment our organic growth in existing markets and to expand into new geographic regions. |
We have completed six acquisitions of property and casualty insurance companies since 1995. We believe we have an opportunity to continue our growth by selectively pursuing affiliations and acquisitions that meet our criteria. Our criteria include:
| | Location in regions where we are currently conducting business or would like to conduct business; | |||
| | A mix of business similar to our business; | |||
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| | Targeted premium volume between $20.0 million and $80.0 million; and | |||
| | Transaction terms that are fair and reasonable to us. | |||
We believe that our affiliation with the Mutual Company assists us in pursuing affiliations with and subsequent acquisitions of other mutual companies because we have a strong understanding of the concerns and issues that mutual companies face. In particular, we have had success affiliating with and acquiring undercapitalized mutual companies by utilizing our strengths and financial position to improve their operations significantly post-affiliation. We generally evaluate a number of areas for operational improvement when considering acquisitions, including product underwriting, expenses, the cost of reinsurance and technology.
| | Focusing on expense controls and utilization of technology to increase our operating efficiency. |
We maintain stringent expense controls with direct involvement by our senior management. We consolidate all processing and administrative activities at our home office to realize operating synergies and better control expenses. We utilize technology to automate much of our underwriting to facilitate agency and policyholder communications on an efficient and cost-effective basis. In 2002, we completed a reorganization begun in 2001 that streamlined our operations and allowed us to operate more efficiently. As a result of our focus on expense control, we have reduced our expense ratio from 35.9% for 1998 to 30.2% for 2003. We have also increased our annual premium per employee, a measure of efficiency that we use to evaluate our operations, from approximately $470,000 in 1998 to approximately $700,000 in 2003.
| | Providing responsive and friendly customer and agent service to enable us to attract new policyholders and retain existing policyholders. |
We believe that excellent policyholder service is important to attracting new policyholders and retaining existing policyholders. We work closely with our agency force to provide a consistently responsive level of claims service, underwriting and customer support. We seek to respond expeditiously and effectively to address customer and agent inquiries, including working to:
| | Quickly reply to information requests and policy submissions; and | |||
| | Promptly respond to and process claims. | |||
As a part of our focus on customer service, we conduct policyholder service surveys to evaluate the effectiveness of our support programs, and our management meets frequently with agency personnel to seek service improvement recommendations, react to service issues and better understand local market conditions.
| | Maintaining premium rate adequacy to enhance our underwriting results, while maintaining our existing book of business and preserving our ability to write new business. |
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We are committed to maintaining discipline in our pricing by pursuing rate increases to maintain or improve our underwriting profitability without unduly affecting our ability to attract and retain customers. In addition to pursuing appropriate pricing, we take numerous actions to ensure that our premium rates are adequate relative to our level of underwriting risk. We review loss trends on a periodic basis to identify changes in the frequency and severity of our claims and to assess the adequacy of our rates and underwriting standards. We also carefully monitor and audit the key information that we use to price our policies, enabling us to receive an adequate level of premiums for our risk. For example, we inspect and perform loss control surveys on most of the risks we insure to determine adequacy of insurance to value, assess property conditions and identify any liability exposures. We audit the payroll data of our workers compensation customers to verify that the assumptions we used to price a particular policy were accurate. By aggressively pursuing appropriate rate increases and thoroughly understanding the risks we insure, we are able to support our strategy of achieving consistent underwriting profitability.
Our Organizational Structure
We conduct most of our operations through our five insurance subsidiaries. We also own 47.5% of Donegal Financial Services Corporation (DFSC), a registered savings and loan holding company that owns Province Bank, a federal savings bank that began operations in 2000. The Mutual Company owns the remaining 52.5% of DFSC. While not yet profitable nor material to our operations, we believe Province Bank, with total assets of $50.4 million at December 31, 2003, will complement our product offerings. The following chart depicts our organizational structure, including our principal subsidiaries.
| (1) | Because of the different relative voting power of our Class A common stock and our Class B common stock, our public stockholders hold approximately 43% of the aggregate voting power. | |
| (2) | Because of the different relative voting power of our Class A common stock and our Class B common stock, the Mutual Company holds approximately 57% of the aggregate voting power. |
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Atlantic States, our largest insurance subsidiary, and the Mutual Company have a pooling agreement under which both companies are allocated a specified percentage of their combined underwriting results, excluding certain intercompany reinsurance assumed by the Mutual Company from our insurance subsidiaries. Under the terms of the pooling agreement, Atlantic States cedes its underwriting results to the Mutual Company. The Mutual Company in turn pools its underwriting results with the underwriting results of Atlantic States. The pooled underwriting results are then allocated 70% to Atlantic States and 30% to the Mutual Company. Pursuant to amendments to the pooling agreement since its commencement on October 1, 1986, the participation of Atlantic States in the underwriting results of the pool has gradually increased.
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The following chart depicts our underwriting pool:
The pooling agreement may be amended or terminated at the end of any calendar year by agreement of the parties, subject to approval by the coordinating committee discussed below. The allocations of pool participation percentages between the Mutual Company and Atlantic States have been based on their approximate relative amounts of capital and surplus, expectations of future relative amounts of capital and surplus and our ability to raise capital for Atlantic States. We do not currently anticipate a further increase in Atlantic States percentage of participation in the pool, nor do we intend to terminate the participation of Atlantic States in the pooling agreement.
The Mutual Company provides facilities, personnel and other services to us, and the related expenses are allocated between Atlantic States and the Mutual Company in relation to their relative participation in the pooling agreement. Southern reimburses the Mutual Company for its personnel costs and bears its proportionate share of information services costs based on its percentage of total written premiums of the Donegal Insurance Group. Expenses allocated to us under such agreements were $33.0 million in 2003.
Subsequent to receipt of approval by our board and the board of the Mutual Company, all agreements and all changes to existing agreements between the Mutual Company and us are subject to approval by a coordinating committee that is comprised of two of our board members who do not serve on the Mutual Companys board and two board members of the Mutual Company who do not serve on our board. In order to approve an agreement or a change in an agreement, our members on the coordinating committee must conclude that the agreement or change is fair to us and our stockholders, and the Mutual Companys members on the coordinating committee must conclude that the agreement or change is fair to the Mutual Company and its policyholders.
We believe our relationship with the Mutual Company offers us a number of competitive advantages, including:
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| | Facilitating our stable management, consistent underwriting discipline, external growth and long-term profitability. | |||
| | Creating operational and expense synergies given the combined resources and operating efficiencies of the Mutual Company and us. | |||
| | Enhancing our ability to affiliate with and eventually acquire other mutual insurance companies. | |||
| | Producing a more uniform and stable underwriting result from year to year than we could achieve on our own. | |||
| | Giving Atlantic States the benefit of the underwriting capacity of the entire pool, rather than being limited by the amount of its own capital and surplus. | |||
Acquisitions
The following table highlights our acquisition history since 1988:
| Year | ||||||||
| Insurance Company | Acquired | Method of | ||||||
| Acquired |
State |
by Us |
Acquisition |
|||||
Southern Mutual Insurance Company
|
Virginia | 1988 | Surplus note investment by the Mutual Company in 1984; demutualization in 1988; acquisition of stock by us in 1988. | |||||
Delaware Mutual Insurance Company(1)
|
Delaware | 1995 | Surplus note investment by the Mutual Company in 1993; demutualization in 1994; acquisition of stock by us in 1995. | |||||
Pioneer Mutual Insurance Company(1)
|
Ohio | 1997 | Surplus note investment by the Mutual Company in 1992; demutualization in 1993; acquisition of stock by us in 1997. | |||||
Southern Heritage Insurance Company(1)
|
Georgia | 1998 | Stock purchase in 1998. | |||||
Pioneer Mutual Insurance Company(1)
|
New York | 2001 | Surplus note investment by the Mutual Company in 1995; demutualization in 1998; acquisition of stock by us in 2001. | |||||
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| Year | ||||||||
| Insurance Company | Acquired | Method of | ||||||
| Acquired |
State |
by Us |
Acquisition |
|||||
Le Mars Insurance Company
|
Iowa | 2004 | Surplus note investment by the Mutual Company in 2002; demutualization approved; acquisition of stock by us as of January 1, 2004. | |||||
Peninsula Insurance Group
|
Maryland | 2004 | Stock purchase on January 6, 2004. | |||||
| (1) | To reduce administrative and compliance costs and expenses, the designated entities were merged into one of our existing insurance subsidiaries. |
We generally maintain the home office of an acquired company as part of our strategy to provide local marketing, underwriting and claims servicing even if the acquired company is merged into another subsidiary.
Distribution
Our insurance products are marketed primarily in the Mid-Atlantic and Southeast regions through approximately 1,200 insurance agencies that are comprised of approximately 6,800 agents. At December 31, 2003, the Donegal Insurance Group was licensed to do business in 15 states and operated in 14 states (Alabama, Arkansas, Connecticut, Delaware, Georgia, Louisiana, Maryland, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee and Virginia). We believe our relationships with our independent agents are valuable in identifying, obtaining and retaining profitable business. We maintain a stringent agency selection procedure that emphasizes appointing agencies with proven marketing strategies for the development of profitable business and we appoint only agencies with a strong underwriting and growth track record. We also regularly evaluate our agencies based on their profitability and performance in relation to our objectives. We seek to be among the top three insurers within each of our agencies for the lines of business we write.
The following table sets forth the percentage of our share of 2003 direct premiums written in each of the states where we conducted business in 2003:
Pennsylvania |
58.3 | % | ||
Virginia |
14.6 | |||
Georgia |
6.3 | |||
Maryland |
5.7 | |||
Delaware |
5.1 | |||
Ohio |
4.3 | |||
North Carolina |
1.7 | |||
New York |
1.4 | |||
Other |
2.6 | |||
Total |
100.0 | % | ||
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We believe we have developed a number of policies and procedures that enable us to attract, retain and motivate our agents. The consistency, competitiveness and stability of our product offerings assists us in competing effectively for agents with other insurers whose product offerings may fluctuate based upon industry conditions. We have developed a competitive contingent commission plan for agents, under which additional commissions are payable based upon the volume of premiums produced and the profitability of the business of the agency. We provide our agents ongoing support that enables them to better attract and retain customers, including Internet-based information systems, training programs, marketing support and field visitations by our marketing personnel and senior management. Finally, we encourage our independent agencies to focus on account selling, or serving all of a particular insureds property and casualty insurance needs, which we believe generally results in more favorable loss experience than covering a single risk for an individual insured.
Products
Our personal lines of business consist primarily of automobile and homeowners insurance. Our commercial lines of business consist primarily of commercial automobile, commercial multi-peril and workers compensation insurance. These types of insurance are described in greater detail below:
Personal
| | Private passenger automobile policies that provide protection against liability for bodily injury and property damage arising from automobile accidents, and protection against loss from damage to automobiles owned by the insured. | |||
| | Homeowners policies that provide coverage for damage to residences and their contents from a broad range of perils, including, fire, lightning, | |||
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| windstorm and theft. These policies also cover liability of the insured arising from injury to other persons or their property while on the insureds property and under other specified conditions. |
Commercial
| | Commercial multi-peril policies that provide protection to businesses against many perils, usually combining liability and physical damage coverages. | |||
| | Workers compensation policies purchased by employers to provide benefits to employees for injuries sustained during employment. The extent of coverage is established by the workers compensation laws of each state. | |||
| | Commercial automobile policies that provide protection against liability for bodily injury and property damage arising from automobile accidents, and protection against loss from damage to automobiles owned by the insured. | |||
The following table sets forth the net premiums written by line of insurance for our business for the periods indicated:
| Year Ended December 31, |
||||||||||||||||||||||||
| 2001 |
2002 |
2003 |
||||||||||||||||||||||
| (dollars in thousands) |
Amount |
% |
Amount |
% |
Amount |
% |
||||||||||||||||||
Net Premiums Written: |
||||||||||||||||||||||||
Personal lines: |
||||||||||||||||||||||||
Automobile |
$ | 74,396 | 42.0 | % | $ | 84,643 | 43.5 | % | $ | 86,644 | 41.9 | % | ||||||||||||
Homeowners |
31,431 | 17.8 | 34,637 | 17.8 | 36,989 | 17.9 | ||||||||||||||||||
Other |
5,796 | 3.3 | 6,497 | 3.4 | 6,753 | 3.2 | ||||||||||||||||||
Total personal lines |
111,623 | 63.1 | 125,777 | 64.7 | 130,386 | 63.0 | ||||||||||||||||||
Commercial lines: |
||||||||||||||||||||||||
Automobile |
16,527 | 9.3 | 17,451 | 9.0 | 18,655 | 9.0 | ||||||||||||||||||
Workers compensation |
22,979 | 13.0 | 23,845 | 12.2 | 25,627 | 12.4 | ||||||||||||||||||
Commercial multi-peril |
24,174 | 13.6 | 25,536 | 13.1 | 30,199 | 14.6 | ||||||||||||||||||
Other |
1,725 | 1.0 | 1,895 | 1.0 | 2,114 | 1.0 | ||||||||||||||||||
Total commercial lines |
65,405 | 36.9 | 68,727 | 35.3 | 76,595 | 37.0 | ||||||||||||||||||
Total business |
$ | 177,028 | 100.0 | % | $ | 194,504 | 100.0 | % | $ | 206,981 | 100.0 | % | ||||||||||||
Underwriting
Our underwriting department, which is divided into personal lines underwriting and commercial lines underwriting, evaluates and selects those risks that we believe will enable us to achieve an underwriting profit. Our underwriting department has significant
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interaction with our independent agents regarding our underwriting philosophy and underwriting guidelines and assists our research and development department in the development of quality products at competitive prices to promote growth and profitability.
In order to achieve underwriting profitability on a consistent basis, we:
| | assess and select quality standard and preferred risks; | |||
| | adhere to disciplined underwriting and reunderwriting guidelines; | |||
| | inspect substantially all commercial lines risks and a substantial number of personal lines risks; and | |||
| | utilize various types of risk management and loss control services. | |||
We also review our existing policies and accounts to determine whether those risks continue to meet our underwriting guidelines. If a given policy or account no longer meets our underwriting guidelines, we will take appropriate action regarding that policy or account, including raising premium rates or non-renewing the policy to the extent permitted by applicable law.
As part of our effort to maintain acceptable underwriting results, we conduct annual reviews of agencies that have failed to meet our underwriting profitability criteria. Our review process includes an analysis of the underwriting and reunderwriting practices of the agency, the completeness and accuracy of the applications submitted by the agency, the adequacy of the training of the agencys staff and the agencys record of adherence to our underwriting guidelines and service standards. Based on the results of this review process, our marketing and underwriting personnel develop, together with the agency, a plan to improve its underwriting profitability. We monitor the agencys compliance with the plan, and take other measures as required in our judgment, including the termination of agencies that are unable to achieve acceptable underwriting profitability to the extent permitted by applicable law.
Claims
The management of claims is a critical component of our philosophy of underwriting profitability and is fundamental to our successful operations and our dedication to excellent service.
Our claims department rigorously manages claims to assure that legitimate claims are settled quickly and fairly and that questionable claims are identified for defense. In the majority of cases, claims are adjusted by our own personnel, whom we believe are experienced in our industry and who know our service philosophy. We provide various means of claims reporting on a 24-hour, seven day a week basis, including toll-free numbers and Internet reporting through our website. We strive to respond to notifications of claims promptly, generally within the day reported. We believe that by responding promptly to claims, we provide quality customer service and minimize the ultimate cost of the claims. We engage independent adjusters as needed to handle claims in areas in which the volume of
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claims is not sufficient to justify our hiring of internal claims adjusters. We also employ private investigators, structural experts and various outside legal counsel to supplement our in-house staff and assist us in the investigation of claims. We have a special investigative unit staffed by former law enforcement officers that attempts to identify and prevent fraud and abuse and to control questionable claims.
Our claims department management develops and implements policies and procedures for the establishment of adequate claim reserves. The management and staff of our claims department resolve policy coverage issues, manage and process reinsurance recoveries and handle salvage and subrogation matters. Our litigation and personal injury sections manage all claims litigation, and all branch office claims above $35,000 require home office review and settlement authorization. Claims adjusters are given reserving and settlement authority based upon their experience and demonstrated abilities. Larger or more complicated claims require consultation and approval of senior department management.
Our field office staff is supported by home office technical, litigation, material damage, subrogation and medical audit personnel who provide specialized claims support.
Liabilities for Losses and Loss Expenses
Liabilities for losses and loss expenses are estimates at a given point in time of what an insurer expects to pay to claimants, based on facts and circumstances then known, and it can be expected that the insurers ultimate liability for losses and loss expenses will exceed or be less than such estimates. Our estimates of liabilities for losses and loss expenses are based on estimates of future trends and claims severity, judicial theories of liability and other factors. However, during the loss adjustment period, we may learn additional facts regarding individual claims, and consequently it often becomes necessary to refine and adjust our estimates of our liability. We reflect any adjustments to our liabilities for losses and loss expenses in our operating results in the period in which the changes in estimates are made.
We maintain liabilities for the eventual payment of losses and loss expenses with respect to both reported and unreported claims. Liabilities for loss expenses are intended to cover the ultimate costs of settling all losses, including investigation and litigation costs from such losses. We base the amount of liability for reported losses primarily upon a case-by-case evaluation of the type of risk involved, knowledge of the circumstances surrounding each claim and the insurance policy provisions relating to the type of loss. We determine the amount of our liability for unreported claims and loss expenses on the basis of historical information by line of insurance. We account for inflation in the reserving function through analysis of costs and trends and reviews of historical reserving results. We closely monitor our liabilities and recompute them periodically using new information on reported claims and a variety of statistical techniques. Our liabilities for losses are not discounted.
The establishment of appropriate liabilities is an inherently uncertain process, and there can be no assurance that the ultimate liability will not exceed our loss and loss expense reserves and have an adverse effect on our results of operations and financial condition. As is the case for substantially all property and casualty insurance companies, we have found it necessary in the past to revise our estimated future liabilities for losses and
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loss expenses, and further adjustments could be required in the future. On the basis of our internal procedures, which analyze, among other things, our experience with similar cases and historical trends such as reserving patterns, loss payments, pending levels of unpaid claims and product mix, as well as court decisions, economic conditions and public attitudes, we believe that adequate provision has been made for our liability for losses and loss expenses.
Differences between liabilities reported in our financial statements prepared on the basis of GAAP and our insurance subsidiaries financial statements prepared on a statutory accounting basis (SAP) result from anticipating salvage and subrogation recoveries for GAAP but not for SAP. These differences amounted to $8.2 million, $7.3 million and $7.2 million at December 31, 2001, 2002 and 2003, respectively.
The following table sets forth a reconciliation of our beginning and ending net liability for unpaid losses and loss expenses for the periods indicated:
| Year Ended December 31, |
||||||||||||
| (in thousands) |
2001 |
2002 |
2003 |
|||||||||
Gross liability for unpaid losses and loss expenses
at beginning of year |
$ | 156,476 | $ | 179,840 | $ | 210,692 | ||||||
Less reinsurance recoverable |
53,767 | 65,296 | 79,584 | |||||||||
Net liability for unpaid losses and loss expenses
at beginning of year |
102,709 | 114,544 | 131,108 | |||||||||
Provision for net losses and loss expenses for
claims incurred in the current year |
110,143 | 122,434 | 126,693 | |||||||||
Change in provision for estimated net losses and
loss expenses for claims incurred in prior years |
8,035 | 6,834 | (450 | ) | ||||||||
Total incurred |
118,178 | 129,268 | 126,243 | |||||||||
Net losses and loss payments for claims
incurred during: |
||||||||||||
The current year |
63,290 | 67,656 | 72,187 | |||||||||
Prior years |
43,053 | 45,048 | 46,268 | |||||||||
Total paid |
106,343 | 112,704 | 118,455 | |||||||||
Net liability for unpaid losses and loss expenses
at end of year |
114,544 | 131,108 | 138,896 | |||||||||
Plus reinsurance recoverable |
65,296 | 79,584 | 79,018 | |||||||||
Gross liability for unpaid losses and loss expenses
at end of year |
$ | 179,840 | $ | 210,692 | $ | 217,914 | ||||||
We recognized an increase (decrease) in the liability of losses and loss expenses for prior years of $8.0 million, $6.8 million and $(450,110) in 2001, 2002 and 2003, respectively. These developments are primarily attributable to variations from expected claim severity in the private passenger and commercial automobile liability, workers compensation and commercial multiple peril lines of business.
The following table sets forth the development of our liability for net unpaid losses and loss expenses from 1993 to 2003, with supplemental loss data for 2002 and 2003. Loss data in the table includes business we are allocated from the Mutual Company as part of the pooling agreement.
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Net liability at end of year for unpaid losses and loss expenses sets forth the estimated liability for net unpaid losses and loss expenses recorded at the balance sheet date for each of the indicated years. This liability represents the estimated amount of net losses and loss expenses for claims arising in the current and all prior years that are unpaid at the balance sheet date, including losses incurred but not reported.
The Net liability reestimated as of portion of the table shows the reestimated amount of the previously recorded liability based on experience for each succeeding year. The estimate is increased or decreased as payments are made and more information becomes known about the severity of the remaining unpaid claims. For example, the 1993 liability has developed a redundancy after nine years, in that reestimated net losses and loss expenses are expected to be $12.8 million less than the estimated liability initially established in 1993 of $52.8 million.
The Cumulative (excess) deficiency shows the cumulative excess or deficiency at December 31, 2003 of the liability estimate shown on the top line of the corresponding column. An excess in liability means that the liability established in prior years exceeded actual net losses and loss expenses or were reevaluated at less than the original amount. A deficiency in liability means that the liability established in prior years was less than actual net losses and loss expenses or were reevaluated at more than the original amount.
The Cumulative amount of liability paid through portion of the table shows the cumulative net losses and loss expense payments made in succeeding years for net losses incurred prior to the balance sheet date. For example, the 1994 column indicates that as of December 31, 2003 payments equal to $49.3 million of the currently reestimated ultimate liability for net losses and loss expenses of $49.5 million had been made.
During 2000, 2001 and 2002, we experienced deficiencies in reserves for certain prior years. These deficiencies were primarily related to the workers compensation, private passenger automobile, commercial automobile and commercial multiple-peril lines of business.
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| Year Ended December 31, |
||||||||||||||||||||||||||||||||||||||||||||
| (in thousands) |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
2000 |
2001 |
2002 |
2003 |
|||||||||||||||||||||||||||||||||
Net liability at end of
year for unpaid losses
and loss expenses |
$ | 52,790 | $ | 63,317 | $ | 75,372 | $ | 78,889 | $ | 80,256 | $ | 96,015 | $ | 99,234 | $ | 102,709 | $ | 114,544 | $ | 131,108 | $ | 138,896 | ||||||||||||||||||||||
Net liability
reestimated as of: |
||||||||||||||||||||||||||||||||||||||||||||
One year later |
50,583 | 60,227 | 72,380 | 77,400 | 77,459 | 95,556 | 100,076 | 110,744 | 121,378 | 130,658 | ||||||||||||||||||||||||||||||||||
Two years later |
48,132 | 56,656 | 70,451 | 73,438 | 76,613 | 95,315 | 103,943 | 112,140 | 120,548 | |||||||||||||||||||||||||||||||||||
Three years later |
44,956 | 54,571 | 66,936 | 71,816 | 74,851 | 94,830 | 104,073 | 110,673 | ||||||||||||||||||||||||||||||||||||
Four years later |
42,157 | 51,825 | 64,356 | 69,378 | 73,456 | 94,354 | 101,880 | |||||||||||||||||||||||||||||||||||||
Five years later |
41,050 | 50,493 | 63,095 | 69,485 | 73,103 | 93,258 | ||||||||||||||||||||||||||||||||||||||
| &nbs | ||||||||||||||||||||||||||||||||||||||||||||