UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
þ
|
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE | |
| SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended December 31, 2004
OR
¨
|
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE | |
| SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from
AFFIRMATIVE INSURANCE HOLDINGS, INC.
| Delaware | 75-2770432 | |
| (State of other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification No.) |
|
| 4450 Sojourn Drive, Suite 500 Addison, Texas (Address of principal executive offices) |
75001 (Zip Code) |
(972) 728-6300
(Registrants telephone number, including area code)
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
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. þ Yes o No
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of
the Exchange Act):
o Yes
þ No
The aggregate market value of the voting and non-voting common equity held by non-affiliates of the registrant as of the most recently completed second fiscal quarter (June 30, 2004), based on the price at which the common equity was last sold on such date: $0.
Indicate the number of shares outstanding of each of the issuers classes of common stock, as of the latest practicable date: the number of shares outstanding of the registrants common stock, $.01 par value, as of March 4, 2005 was 16,852,753
Documents Incorporated By Reference
Certain information called for by Part III is incorporated by reference to certain sections of the Proxy Statement for the 2005 Annual Meeting of our stockholders, which will be filed with the Securities and Exchange Commission not later than 120 days from December 31, 2004.
Affirmative Insurance Holdings, Inc.
Index to Annual Report
on Form 10-K
1
Part I
Item 1. Business
Affirmative Insurance Holdings, Inc., headquartered in Addison, Texas, was incorporated in 1998 and completed an initial public offering of its common stock in July 2004. We are a growing producer and provider of non-standard personal automobile insurance policies to individual consumers in highly targeted geographic markets. Non-standard personal automobile insurance policies provide coverage to drivers who find it difficult to obtain insurance from standard insurance companies due to their lack of prior insurance, age, driving record, limited financial resources or other factors. Nonstandard personal automobile insurance policies generally require higher premiums than standard policies for comparable coverage. We currently offer our products and services in 11 states, including Texas, Illinois, California and Florida. Based upon information from A.M. Best, the 11 states in which we operate collectively represent approximately 52% of the non-standard personal automobile insurance market, representing approximately $17.7 billion in direct premiums written in 2003. We believe the states in which we operate are among the most attractive non-standard personal automobile insurance markets due to a number of factors, including size of market and existing regulatory and competitive environments.
Between 2001 and 2003, our continuing operations consisted of underwriting and retail agencies that produced non-standard personal automobile insurance policies for various insurance companies, including those of our largest current stockholder Vesta Insurance Group Vesta. During this period, our total agency revenues grew from $6.2 million to $146.5 million, and our total agency pretax income grew from a loss of $3.1 million to pretax income of $20.9 million. Substantially all of this growth was achieved through the acquisition of six regionally-branded underwriting agencies and/or retail agencies in 2001 and 2002, coupled with our subsequent implementation of disciplined underwriting, pricing and claims practices.
For periods prior to December 31, 2003, we also managed Vestas non-standard personal automobile insurance business, or the NSA Business, and Vesta reported the financial results of this business in a separate financial reporting segment. As discussed below, as of December 31, 2003, Vesta transferred to us two insurance companies and all future economic interest in the NSA Business. From 2000 to 2003, Vesta reported that the total revenues for the NSA Business grew from $14.6 million to $192.3 million, earned premium grew from $10.2 million to $167.4 million and pretax income grew from $3.9 million to $9.2 million.
Our historical revenues consisted primarily of commissions and fees earned by our underwriting agencies for premiums they produced. Beginning January 1, 2004, our revenues also include net premiums and investment income earned by our insurance companies. We measure the gross premiums written from which we derive either of these components of revenue as our Total Controlled Premium.
Beginning January 1, 2004 we began retaining the premiums produced by our underwriting agencies and other unaffiliated underwriting agencies that were previously ceded to Vesta. For the year ended December 31, 2004 our insurance companies recorded net premiums written of $215.3 million, or 52.8%, of our $407.3 million of total controlled premium. Our insurance companies statutory surplus as of December 31, 2004 was $139.3 million as compared to $36.7 million as of December 31, 2003, principally attributable to capital contributions from the proceeds of our initial public offering, our issuance of trust preferred securities as well as our 2004 statutory net income.
Our Operating Structure
We believe that the delivery of non-standard personal automobile insurance policies to individual consumers requires the interface of three basic operations, each with a specialized function:
| | Insurance companies, which possess the insurance licenses and capital necessary to issue insurance policies; |
| | Underwriting agencies, which supply centralized infrastructure and personnel required to design and service insurance policies that are distributed through retail agencies; and |
| | Retail agencies, which provide multiple points of sale under established local brands with personnel licensed and trained to sell insurance policies to individual consumers. |
As of December 31, 2004, our subsidiaries included two insurance companies licensed to write insurance policies in 32 states, four underwriting agencies and five retail agencies with 169 owned retail store locations and 42 franchised retail store locations serving seven states. These three operating components often function as a vertically integrated unit, capturing the premium, and associated risk, and commissions and fees generated from the sale of an insurance policy. There are many other instances, however, when each of our operations functions independently with third parties. For example, as of December 31, 2004, our insurance companies had relationships with five unaffiliated underwriting agencies that design, distribute and service our policies through their approximately 4,300 independent agencies, and our underwriting agencies distributed insurance policies through approximately 2,500 independent agencies in addition to our 169 owned and 42 franchised retail stores.
We believe the ability to unbundle our operations and enter into a variety of business relationships with third parties allows us to maximize sales penetration while managing growth strategies and industry cycles better than if we employed a single, vertically integrated operating structure.
The following table displays our Total Controlled Premium by distribution channel for the year ended December 31, 2004:
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| Total | ||||||||
| Controlled | ||||||||
| Premium | % of Total | |||||||
| (dollars in millions) | ||||||||
Our underwriting agencies: |
||||||||
Our retail stores |
$ | 121.5 | 29.8 | % | ||||
Independent agencies |
177.6 | 43.6 | % | |||||
Unaffiliated underwriting agencies |
108.2 | 26.6 | % | |||||
Total |
$ | 407.3 | 100.0 | % | ||||
Of the Total Controlled Premium of $407.3 million, approximately $310.5 million was written by our insurance companies or by Vesta insurance companies acting in a transitional fronting capacity in states where we are currently not licensed. In addition, approximately $97.0 million was written by Old American, an unaffiliated insurance company, and reinsured by unaffiliated reinsurers.
Our Strengths
Our mission is to create and sustain superior returns for our stockholders through both soft and hard markets. We believe that we have developed certain strengths that help us achieve our mission, including:
| | Return on equity focused culture. We have established as the fundamental focus of our business model and operating strategy the achievement of return on equity goals in the mid-teens. Our return on average equity, or our net income divided by our average stockholders equity, was 15.3% for the year ended December 31, 2004, 19.9% for the year ended December 31, 2003 and 22.4% for the year ended December 31, 2002. We have developed our incentive compensation plans to reward employees for the attainment of return on equity targets. |
| | Underwriting discipline. We are committed to pricing and underwriting standards that are designed to meet or exceed our targeted underwriting profit margins. We couple analysis of information from our proprietary databases with continuous competitive market review to respond appropriately with changes in our pricing, product structures and underwriting guidelines. We implemented 15 rate level or product changes in each of the last two years ending December 31, 2004 and 2003. In addition, we employ sophisticated pricing segmentation and product differentiation methods. For example, during 2004 we increased the number of rating territories in the state of Texas by 47% to target likely customers as determined by a demographic study. |
| | Flexible operating model. We believe that our ability to deploy and manage multiple distribution channels and our relationships with unaffiliated third parties enable us to operate more profitably through both soft and hard markets. During hard markets we believe our operating model of managing multiple distribution channels allows us to maximize the distribution of insurance policies by our insurance companies at underwriting margins that we believe to be attractive. In soft markets, we believe our retail stores relationships with unaffiliated insurance companies will allow us to generate increased commission and fee revenue from the increased sales of third-party policies. For example, for the year ended December 31, 2004, 20.6% of our retail stores commission and fee income, or $9.3 million, was generated through the sales of non-standard personal automobile insurance polices issued by unaffiliated insurance companies as well as through the sales of certain other complementary insurance products and ancillary non-insurance products and services. In softer markets, the ratio between unaffiliated commissions to affiliated commissions will increase. We believe this flexible operating model is unique in the non-standard personal automobile insurance marketplace and differentiates us from our competitors. |
| | Established retail brands. Our retail stores operate under established brands in each of their respective markets, which we believe provides us with a competitive advantage in attracting customers. Our largest retail store brands are InsureOne® and A-Affordable®, which have been operating in their markets for 16 years and 14 years, respectively. In contrast to the traditional state-by-state marketing approach that is a common practice in our industry, we have established the designated market area, or DMA, as the fundamental marketing focus in our retail operations. The DMA concept was developed by A.C. Nielsen & Co., to define groupings of mutually exclusive television marketing areas for advertising purposes. For the 2003-2004 season, Nielsen has recognized 210 DMAs in the United States, ranked in size according to estimated television households in each market. Managing our retail brands on a DMA-by-DMA basis, in contrast to the traditional state-by-state marketing approach that is common practice in our industry, facilitates the concentration of our advertising and brand support activities, allowing us to more cost-effectively leverage each of our regional brands. |
| | Effective claims handling techniques. We believe that a significant key to our success is the implementation of uniform best practices claims handling processes that are regularly measured, audited and upgraded. For example, all of our new claims employees are trained to handle claims according to our claims management process, regardless of prior claims experience or other qualifications. In addition, we have developed a claims system that flags potential fraudulent claims in the initial reporting process and these claims are automatically transferred to our special investigation unit for additional review. We believe our processes allow us to effectively pay valid claims and dispute fraudulent claims in a timely manner. |
| | Acquisition expertise. We believe our industry includes a large number of small-and medium-size companies, which presents an opportunity and potential for industry-wide consolidation. Our management team has significant expertise in identifying, |
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| acquiring and integrating non-standard personal automobile insurance retail and underwriting agency operations. Since 2001, we have acquired and integrated seven retail and/or underwriting agencies. |
| | Experienced management team. Our business is managed by a group of insurance executives with an average of 19 years of experience in the insurance industry and an average of 13 years of experience focusing on the non-standard personal automobile segment of the insurance industry. |
Our Growth Strategy
Our growth strategy, which includes a strong commitment to organic growth coupled with acquisition activity, is comprised of the following elements:
| | Increase sales through existing retail stores. We intend to expand brand awareness and increase sales within our DMAs primarily through the extension of our advertising initiatives. We believe that strengthening our existing brands will result in increased prospect calls to and walk-in traffic in our retail stores, ultimately leading to sales growth. In the year ended December 31, 2004, our total media expenditures were $6.7 million, an increase of 26.0% over our total media expenditures in 2003. We have budgeted a 13.4% increase in our total media expenditures in 2005. We also intend to grow our sales volume by implementing targeted advertising initiatives based on the demographics of certain of our DMAs. For instance, we engaged advertising specialists who developed a targeted Hispanic advertising campaign in our Chicago DMA and throughout our Texas DMAs in order to promote our retail stores ability to reach this attractive and fast-growing segment of the market. |
| | Open new retail stores. Our management team monitors each of our DMAs to identify attractive locations to open new retail stores. In addition, we may seek to enter new DMAs by opening new retail stores. For example, during 2004, we opened seven additional retail stores under our A-Affordable brand in two existing DMAs and one new DMA . |
| | Leverage and develop independent agency relationships. We believe that by maintaining strong product positioning and service standards, our underwriting agencies have the ability to create significant independent agency loyalty, which results in increased sales by our existing independent agency force. Further, we are committed to building new relationships with other independent agencies in order to expand our overall distribution network in the most cost-effective manner. As of December 31, 2004, our underwriting agencies had distribution contracts with approximately 2,500 independent agencies, compared with approximately 1,800 independent agencies as of December 31, 2003 and approximately 1,500 independent agencies as of December 31, 2002. |
| | Expand relationships with unaffiliated insurance companies and underwriting agencies. We intend to strengthen existing and cultivate new relationships with unaffiliated insurance companies that desire to distribute their non-standard personal automobile insurance products through our underwriting agencies and retail stores. Additionally, we are committed to exploring opportunities to increase our premium volume by establishing new relationships with unaffiliated underwriting agencies with established customer bases. In February 2004, we contracted with one new unaffiliated underwriting agency to produce additional premiums in California. |
| | Offer new complementary and ancillary products. In order to generate additional revenues in our retail stores, we offer certain complementary third-party insurance and ancillary non-insurance products that appeal to our existing customers. Our retail managers monitor customer preferences and feedback within each of our DMAs in order to adjust or expand our complementary and ancillary product offering. |
| | Engage in acquisitions. We will continue to identify and evaluate acquisition prospects in new DMAs based on one or more of the following criteria: |
| | established market brand or presence; | |||
| | annual premiums of greater than $5 million; | |||
| | management with local market expertise; | |||
| | competitively positioned products; | |||
| | underdeveloped market penetration; | |||
| | significant fee-based revenue potential; and | |||
| | attractive operating or underwriting margins. | |||
| We will also consider acquisition prospects that may help us cost-effectively strengthen our geographic presence or brand awareness within our DMAs. In markets where we currently own a strong brand, we will look for opportunities to acquire and re-brand competing retail locations, as this may be a more efficient alternative to opening new retail stores. For instance, in the first quarter of 2004, we acquired two new retail stores in the Dallas-Fort Worth DMA. In other DMAs where our retail operations are new or relatively small, we may seek to acquire a retail operation with more established brand recognition than ours and re-brand our existing retail operations accordingly. During the first quarter of 2005, we have acquired 12 retail stores, of which 11 are in the Houston DMA and have re-branded these stores to our A-Affordable brand. |
4
Acquisition History
In 2001 and 2002, we acquired and integrated six underwriting and/or retail agencies operating in seven states that we believe possessed the characteristics described above. Our management team has focused on integrating the underwriting agency operations of each of these acquisitions, consolidating underwriting, policy administration, claims handling and related functions and systems. Similarly, the sales strategy, operating policies, marketing initiatives and performance targets of each of our acquired retail operations have been coordinated under the direction of our centralized retail management team. We have structured our underwriting agencies and retail operations of our acquired properties to facilitate this centralization and have imposed more disciplined underwriting, pricing and claims handling practices.
| | Space Coast. In October 2001, we purchased a 74.5% interest in Space Coast Holdings, Inc., the parent company of a Melbourne, Florida-based underwriting agency that underwrites and services non-standard personal automobile insurance policies sold by independent agencies located in Florida. Space Coast had distribution contracts with 557 independent agencies as of December 31, 2004, 433 independent agencies as of December 31, 2003 and 311 independent agencies as of December 31, 2002. Our current ownership interest in Space Coast is 73.0% with the remaining 27.0% owned by the management team of Space Coast. |
| | A-Affordable. In October 2001, we acquired substantially all of the assets of A-Affordable Insurance Agency, Inc. A-Affordables Dallas-based underwriting and retail agencies underwrite and service non-standard personal automobile insurance policies sold exclusively through branded retail stores located in the Dallas-Fort Worth, Houston, San Antonio, and three smaller DMAs. During 2004, we expanded the A-Affordable brand by opening and acquiring a total of 9 retail stores in four DMAs. As of December 31, 2004, there were 54 retail stores operating under the A-Affordable brand, 46 retail stores operating under the brand as of December 31, 2003 and 38 retail stores operating under the brand as of December 31, 2002. |
| | InsureOne. In January 2002, Vesta acquired substantially all of the assets of InsureOne Independent Insurance Agency, Inc. and certain related entities, which Vesta transferred to us as of December 31, 2002. The Chicago-based InsureOne underwriting and retail agencies underwrite and service non-standard personal automobile insurance policies sold in Illinois, Missouri and Indiana by independent agencies as well as by its own branded retail stores. InsureOnes retail business operates under the InsureOne retail brand in the Chicago, Kansas City, Indianapolis and Rockford DMAs, as well as in five smaller DMAs in Illinois, and under the Yellow Key® retail brand in the St. Louis DMA. InsureOne distributed policies through 86 retail stores and 704 independent agencies as of December 31, 2004, 86 retail stores and 656 independent agencies as of December 31, 2003 and 96 retail stores and 616 independent agencies as of December 31, 2002. |
| | American Agencies and Harbor. In January 2002, we acquired American Agencies General Agency, Inc., as well as certain non-standard personal automobile insurance assets of Harbor Insurance Group, Inc. and certain of its subsidiaries. The assets of Harbor Insurance Group, Inc. were subsequently merged into American Agencies General Agency, Inc. This combined operation is a Dallas-based underwriting agency that underwrites and services non-standard personal automobile insurance policies sold by independent agencies located in Texas and New Mexico. American Agencies and Harbor had distribution contracts with 1,127 independent agencies as of December 31, 2004, 683 independent agencies as of December 31, 2003 and 562 independent agencies as of December 31, 2002. |
| | Drivers Choice. In August 2002, we acquired Drivers Choice Insurance Services, LLC, which owns underwriting and retail agencies that underwrite and service non-standard personal automobile policies sold in South Carolina by branded retail stores as well as by independent agencies in three DMAs. Drivers ChoiceSM distributed policies through five retail stores as of December 31, 2004, December 31, 2003 and December 31, 2002. Drivers Choice began distributing through independent agencies in the fourth quarter of 2003, and had appointed 95 independent agencies as of December 31, 2004 and 30 independent agencies as of December 31, 2003. |
| | Fed USA. In December 2004, we acquired certain assets of Fed USA Retail, Inc., which owns retail agencies that produce and service non-standard personal automobile policies sold in Florida by 24 owned and branded retail stores in three DMAs as of December 31, 2004. We also acquired certain assets of Fed USA Franchising, Inc., which produces and services policies sold in Florida through 42 franchised retail stores in four DMAs as of December 31, 2004. |
Our Insurance Products
Our insurance company products. We issue non-standard personal automobile insurance policies through Affirmative Insurance Company and Insura Property and Casualty Insurance Company (Insura), our two Illinois-domiciled insurance company subsidiaries. Our insurance companies are licensed to write business in 32 states, although we concentrate our business in 11 states. Our insurance companies possess the certificates of authority and capital necessary to transact insurance business and issue policies, but they rely on both our underwriting agencies and unaffiliated underwriting agencies to design, distribute and service those policies.
Our non-standard personal automobile insurance policies, which generally are issued for the minimum limits of liability coverage mandated by state laws, provide coverage to drivers who find it difficult to obtain insurance from standard insurance companies due to a number of factors, including lack of prior coverage, failure to maintain continuous coverage, age, prior accidents, driving violations, type of vehicle or limited financial resources. We believe that the majority of customers who purchase our non-standard personal automobile insurance policies do not qualify for standard policies because of financial reasons, such as the failure to maintain continuous coverage or the lack of flexible payment options in the standard market. Over 70% of the drivers who purchased our policies in 2004 had no at-fault accidents, moving violations or tickets in the 36 months preceding the date of the quote. In general, customers in the non-standard market have higher average premiums for a comparable amount of coverage than customers who qualify for the standard market, resulting from increased loss costs and transaction expenses, partially offset by the lower severity of losses resulting from lower limits of coverage.
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We offer a wide range of coverage options to meet our policyholders and agents needs. We offer both liability-only polices, as well as full coverage policies, which include first-party coverage for the insureds vehicle. Our liability-only polices generally include:
| | Bodily injury liability coverage, which protects insureds if they are involved in accidents that cause bodily injury to others, and also provides them with a defense if others sue for covered damages; and |
| | Property damage liability coverage, which protects insureds if they are involved in accidents that cause damage to anothers property. |
The liability-only policies may also include personal injury protection coverage and/or medical payment coverage, depending on state statutes. These policies provide coverage for injuries without regard to fault, as well as uninsured/underinsured motorist coverage. In addition to bodily injury liability and property damage liability coverage, the full coverage policies we sell include:
| | Collision coverage, which pays for damage to the insured vehicle as a result of a collision with another vehicle or object, regardless of fault; and |
| | Comprehensive coverage, which pays for damages to the insured vehicle as a result of causes other than collision, such as theft, hail and vandalism. Full coverage policies may also include optional coverages such as towing, rental reimbursement and special equipment. |
Full coverage policies may also include optional coverages such as towing, rental reimbursement and special equipment.
Our policies are designed to be priced to allow us to achieve our targeted underwriting margin while at the same time meeting our customers needs for low down payments and flexible payment plans. We offer a variety of policy terms ranging from one month to one year. Our policy processing systems and payment plans enable us to offer a variety of attractive payment plans while minimizing the potential credit risk of uncollectible premium. We offer discounts for proof of having purchased automobile insurance within a prescribed prior time period, maintaining homeowners insurance, or owning a vehicle with safety features or anti-theft equipment; we surcharge the customer for traffic violations and accidents.
Third-party non-standard personal automobile insurance policies. Our retail stores also sell nonstandard personal automobile insurance policies issued by other, unaffiliated insurance companies, for which we receive commissions and fees. We do not bear insurance underwriting risk with respect to these policies. Our retail stores offer these insurance policies underwritten by unaffiliated insurance companies in addition to our insurance policies primarily to provide a range of products and pricing to meet our customers needs, which we believe increases our chances of making a sale. Additionally, should sales of our policies decline in favor of lower-priced non-standard personal automobile insurance products, we believe that our ability to generate increased commission and fee revenue from sales of third-party insurance policies will help us preserve underwriting profitability and offset decreases in premium volume while maintaining control of our customers business until acceptable underwriting margins are again achievable.
Complementary insurance products. Our retail stores also sell a small amount of standard and preferred personal automobile insurance and certain other personal lines insurance products underwritten by unaffiliated insurance companies. Our complementary insurance products are designed to appeal to purchasers of our non-standard personal automobile insurance policies and currently include such products as motorcycle and recreational vehicle coverage, motor club memberships, vehicle protection, travel protection and hospital indemnity, as well as certain life, health and disability insurance policies. We offer these products to complement our core offering of non-standard personal automobile insurance policies and to take advantage of our largely fixed cost retail stores, which enables us to generate additional commission and fee income with minimal incremental cost. Unaffiliated insurance companies that underwrite these products bear the insurance risk associated with these policies.
Ancillary non-insurance products and services. Our retail stores offer non insurance products and services designed to appeal to our customers, including prepaid cellular telephones and prepaid local telephone, long distance calling card services and income tax services. While commission and fee revenues from sales of these products and services have not been meaningful to date, we believe that these products and services will attract additional customers to our stores and will provide an additional means of generating commission income with minimal incremental cost to us.
Distribution and Marketing
Most of the policies issued by our insurance companies use the services of our underwriting agencies, which perform or supervise all of the administrative functions associated with the design, sale and subsequent servicing of a non-standard personal automobile insurance policy. Our underwriting agencies provide the following services in exchange for commissions and fees:
| | product design and management services, including the development, pricing and market positioning of non-standard personal automobile insurance policies; |
· distribution services, including marketing and distribution, independent agency development and support and policy issuance;
| | policy administration services, including premium billing and collection, endorsement processing, accounting and financial reporting; |
| | claims handling services, including claims settlement, adjuster auditing and special investigations; and |
| | supervision of unaffiliated underwriting agencies, including oversight of each unaffiliated underwriting agencys underwriting, policy administration, claims handling and related operations. |
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The following table displays the amount of gross premiums written produced by our underwriting agencies through our retail stores and independent agencies for the years ended December 31, 2004 and 2003.
| Year Ended | ||||||||
| December 31, | ||||||||
| 2004 | 2003 | |||||||
| (dollars in millions) | ||||||||
Our retail stores |
$ | 121.5 | $ | 117.9 | ||||
Independent agencies |
177.6 | 157.3 | ||||||
Total |
$ | 299.1 | $ | 275.2 | ||||
Of the gross premiums written produced by our underwriting agencies in 2004, approximately $202.1 million was written by our insurance companies or by Vesta insurance companies in a transitional fronting capacity in states where we are currently not licensed or have approved filings. Of the gross premiums written produced by our underwriting agencies in 2003, approximately $214.2 million was written or reinsured by Vesta affiliates and included in the NSA Business which Vesta transferred to us effective December 31, 2003.
Our insurance companies also issue insurance policies that are designed, distributed and serviced by unaffiliated underwriting agencies. We issue insurance policies sold through unaffiliated underwriting agencies with established customer bases in order to capture business in markets other than those targeted by our underwriting agencies. In these instances, we collect fees to compensate us both for the use of our certificates of authority to transact insurance business in selected markets as well as for assuming the risk that the unaffiliated underwriting agency will continuously and effectively administer these policies.
As of December 31, 2004, five unaffiliated underwriting agencies, which in turn distributed policies through an aggregate of approximately 4,300 independent agencies, produced business for our insurance companies. In the year ended December 31, 2004, these five unaffiliated underwriting agencies produced $108.2 million of gross premiums which was written by our insurance companies or by Vesta insurance companies acting in a transitional fronting capacity in states where we are currently not licensed. In the year ended December 31, 2003, four unaffiliated underwriting agencies produced $110.5 million of gross premiums written by Vesta insurance subsidiaries and included in the NSA business, which Vesta transferred to us effective December 31, 2003.
Our retail stores. Our retail stores serve as direct sales and customer
service outlets for insurance companies and other vendors. As of December 31,
2004, we employed approximately 380 licensed sales personnel who sell products
and services directly to individual consumers through 169 of our owned and
branded retail stores. In addition we distribute products through 42
Franchised retail stores. In contrast to the traditional state-by-state
marketing approach that is a common practice in our industry, we have
established the DMA as the fundamental marketing focus in our retail
operations. As of December 31, 2004, our retail stores were located in 23
DMAs in six states. The following charts list the geographic
locations of our owned retail stores by DMA and by state as of
December 31, 2004: |
| Retail | ||||
| DMA | Stores | |||
Chicago |
56 | |||
Dallas/Fort Worth |
24 | |||
Miami / Ft.Lauderdable |
13 | |||
Houston |
13 | |||
Kansas City |
8 | |||
St. Louis |
8 | |||
Orlando |
7 | |||
San Antonio |
7 | |||
Other DMAs |
33 | |||
Total |
169 | |||
| Retail | ||||
| State | Stores | |||
Illinois |
61 | |||
Texas |
54 | |||
Florida |
24 | |||
Missouri |
15 | |||
Indiana |
10 | |||
South Carolina |
5 | |||
Total |
169 | |||
We operate our retail stores under five brand names A-Affordable, Drivers Choice, Fed USA®, InsureOne and Yellow Key that are well established in their respective DMAs. Previous owners of our retail stores invested significant time and resources creating and developing these brands. We extend brand awareness through yellow pages advertisements, television and radio advertising campaigns and print advertisements that emphasize our low down payments, flexible payment plans, convenient neighborhood
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locations and customer service, all of which is designed to generate walk-in traffic in, or telephone inquiries to, our retail stores. Since our retail business is highly dependent on advertising, segmenting our geographic markets into DMAs allows us to more efficiently concentrate these advertising and brand support activities.
We lease retail stores located in strip malls or other visible locations on major thoroughfares where we believe our customers drive or live. Our retail stores provide customer contact at the point of sale, and most policy applications are completed in the retail stores. After completion of the initial insurance transaction, our customers often revisit these stores to make premium payments. During 2004, customers made approximately 67% of their installment payments at our retail locations. This direct contact gives us an opportunity to establish a personal relationship with our customers, who in our experience generally prefer face-to-face interaction, and helps us provide quality and efficient service and identify opportunities to provide additional products and services.
Our retail stores predominantly sell non-standard personal automobile insurance policies issued by our insurance companies. For the year ended December 31, 2004, the total commissions and fees earned by our retail agencies were $44.9 million, of which $9.3 million, or 20.6%, was generated through the sales of non-standard personal automobile policies issued by unaffiliated insurance companies as well as through the sales of certain other complementary insurance products and ancillary non-insurance products and services and not eliminated in consolidation.
Independent agencies. Our underwriting agencies also appoint independent agencies to sell insurance policies to individual customers. We believe that selling insurance policies through the independent agency distribution channel, in addition to selling through our retail stores, helps us better leverage our resources to maximize sales of our insurance companies policies when underwriting conditions are favorable. In 2004, our underwriting agencies utilized approximately 2,500 independent agencies to sell the policies that they administer and these independent agencies were responsible for 59.4% of the gross premiums written produced by our underwriting agencies. In 2004, no one independent agency accounted for more than 2.9% of the gross premiums written produced by our underwriting agencies, and only four independent agencies accounted for more than 1.0% of these gross premiums written. The ability of our underwriting agencies to develop strong and mutually beneficial relationships with independent agencies is important to the success of our multiple distribution strategy. We believe that strong product positioning and service standards are key to independent agency loyalty. We foster our independent agency relationships by providing them our agency interface software applications designed to strengthen and expand their sales and service capabilities for our products. These software applications provide our independent agencies with the ability to service their customers accounts and access their own commission information. We maintain strict and high standards for call answering and abandonment rate service levels in our customer service call centers. We believe the level and array of services that we offer our independent agencies creates value in their businesses.
Our underwriting agencies centralized marketing department is responsible for managing our relationships with independent agencies. This department is split into two key areas, promotion and service. The promotion function includes prospecting and establishing independent agency relationships, initial contracting and appointment of independent agencies, establishing initial independent agency production goals and implementing market penetration strategies. The service function includes training independent agencies to sell our products and supporting their sales efforts, ongoing monitoring of independent agency performance to ensure compliance with our production and profitability standards and paying independent agency commissions.
Pricing and Product Management
We believe that our product management approach to risk analysis and segmentation is a driving factor in maximizing underwriting performance. We employ a product management approach that requires the extensive involvement of product managers who are responsible for the profitability of a specific state or region, with the direct oversight of rate-level structure by our most senior managers. Our product managers are experienced insurance professionals with backgrounds in the major functional areas of the insurance business accounting, actuarial, claims, information technology, operations, pricing, product development and underwriting. In addition to broad insurance industry knowledge, all our product managers have extensive experience in the non-standard personal automobile insurance market, which enables them to develop products to meet the distinctive needs of non-standard customers. On average our product managers have 21 years of experience in the insurance industry and 12 years of experience in the non-standard personal automobile insurance market.
Our product managers work with our actuaries who provide them with profitability and rate assessments. These actuarial evaluations are combined with economic and business modeling information and competitive intelligence monitored by our product managers to be proactive in making appropriate revisions and enhancements to our rate levels, product structures and underwriting guidelines. As part of our pricing and product management process, pricing guidelines and policy attributes are developed by our product managers for each of the products that we administer and products underwritten by our insurance companies through underwriting agencies. These metrics are monitored on a weekly, monthly and quarterly basis to determine if there are deviations from expected results for each product. Based on the review of these metrics, our product managers make revisions and enhancements to products to assure that our underwriting profit targets are being attained.
We believe that the analysis of competitive intelligence is a critical element of understanding the performance of our products and our position in markets. Although we put more weight on our own product experience and performance data, we gain insights into our markets, our customers, our agents and trends in the business by monitoring changes made by our competitors. We routinely analyze changes made by competitors to understand the rate and product adjustments they are making, and we routinely compare and rank our rates against those of our competitors to understand our market position.
Claims Management
We believe that effective claims management is critical to our success. To this end, we have adopted a metrics-driven and customer-focused claims management process that we believe is cost efficient, delivers the appropriate claims service and produces superior claims results. Our claims management process is focused on controlling claims from their inception, accelerating communication to insureds and claimants, and compressing the cycle time of claims to control both loss costs and claims handling costs. We believe our
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process provides quality service and results in the appropriate handling of claims, allowing us to cost-effectively pay valid claims and contest fraudulent claims.
As of December 31, 2004, our claims management operation consisted of a staff of 223 employees, including adjusters, appraisers, special investigators, auditors and claims administrative personnel. We conduct our claims management operations out of two major regional claims centers in Chicago and Dallas that are responsible for handling claims in their region and two smaller branch offices responsible for individual programs. Our national claims practices group manages certain claims management functions, such as litigation management, total loss, salvage, subrogation and audit, on a national basis, which we believe produces greater efficiencies than can be achieved at the regional or local levels.
Claims are handled directly by our employees for the insurance policies we administer and our staff oversees the claims handling on the programs underwritten by our insurance companies through unaffiliated underwriting agencies. Whether through direct claims management or in standards established for claims management operations subject to our oversight, we are focused on implementing uniform best practices claims management processes that are regularly measured and audited.
Each regional claims center maintains a fully-staffed field operations team, which we believe allows us to control loss severity while improving customer service by shortening the time it takes to complete vehicle repairs. Through the utilization of well-trained field appraisal and reinspection personnel, we are able to maintain tighter control of the vehicle repair process, thereby reducing the amount we pay for repairs, storage costs and auto rental costs. In addition to field appraisals and reinspections, we audit vehicle damage appraisal through the use of industry-recognized vehicle damage appraisal software programs.
All of our claims employees have been trained to handle claims according to our metrics-driven and customer-focused claims management process, and all are subject to audit by our national quality assurance team as well as being measured against specific performance metric standards. We systematically conduct continuing education for our claims staff in the areas of best practices and claims metrics, fraud awareness, changes in legislation and litigation management. All our claims employees, whether or not they have prior claims experience or other qualifications, such as auto body or mechanical repair experience for field adjusters, are trained to handle claims according to our claims management processes.
Our national quality assurance team, a team of four full time auditors reporting directly to our Chief Claims Officer, continually reviews claims files, assessing each of our claims employees and particular units or teams against specific performance metric standards, evaluating the performance in investigations, file documentation, reasonableness of settlements and other relevant areas. This team, along with members of our senior claims management team, establishes standards for and audits the practices of the claims management operations of the unaffiliated underwriting agencies producing business for our insurance companies.
Our claims management process is designed to handle legitimate claims efficiently while defending against those without merit or that are fraudulent. Potentially fraudulent claims are identified through our fraud awareness program, which is designed to educate our claims employees and others throughout the organization of fraud indicators. Potentially fraudulent claims are referred to our special investigation unit, where suspicious claims are investigated and fraudulent claims are contested. As part of this strategy, we have aligned ourselves with a key industry vendor, who is able to provide us with software that delivers data on injuries sustained in motor vehicle collisions. This tool is important in helping us identify potentially exaggerated injury claims and achieve what we believe are more equitable settlements.
We maintain specialized liability teams that are responsible for overseeing all injury-related losses. The experienced adjusters on these teams focus on quality file handling, primarily through ongoing emphasis on proper investigations, evaluations and negotiating skills. In addition to maintaining highly trained staff, our management remains involved in the day-to-day handling of these files, providing appropriate settlement authority to adjusters, maintaining several key tracking reports and hosting a weekly claims committee meeting. In our claims committee meetings, the key managers of each regional office make presentations regarding potentially large-value cases, denials, coverage issues and other cases warranting review. In addition, claims, legal and underwriting personnel at the executive level attend these meetings in order to monitor these cases and provide input from their specific areas of expertise.
We will allow claims to go to litigation in matters such as value disputes and questionable liability and we will defend appropriate denials of coverage. We generally retain outside defense counsel to litigate such matters. We negotiate fee arrangements with retained defense counsel that are aimed at limiting our litigation costs. We are presently building a limited staff counsel operation in those areas in which there is a sufficient volume of claims to make staff counsel economical. Whether using outside defense counsel or staff counsel, our claims professionals manage the litigation process rather than ceding control to an attorney. Cases are constantly reviewed to adjust the litigation plan if necessary, and all cases going to trial are reviewed in committee to assess the value of trial or settlement.
Loss and Loss Adjustment Expense
Automobile accidents generally result in insurance companies paying settlements resulting from physical damage to an automobile or other property and injury to a person. Because our insureds and claimants typically notify us within a short time frame after an accident has occurred, our ultimate liability for loss and loss adjustment expenses on our policies generally emerges in a relatively short period of time. In some cases, however, the period of time between the occurrence of an insured event and the final settlement of a claim may be several months or years, and during this period it often becomes necessary to adjust the loss reserve estimates either upward or downward.
We record loss reserves to cover our estimated ultimate liability for reported and incurred but not reported losses under insurance policies that we write and for loss and loss adjustment expenses relating to the investigation and settlement of claims. We estimate liabilities for the cost of losses and loss adjustment expenses for both reported and unreported claims based on historical trends adjusted for changes in loss costs, underwriting standards, policy provisions and other factors. Estimating the liability for unpaid loss and loss adjustment expense is inherently a matter of judgment and is influenced by factors which are subject to significant variation.
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We monitor items such as the effect of inflation on medical, hospitalization, material repair and replacement costs, general economic trends and the legal environment. While the ultimate liability may be higher or lower than recorded loss reserves, the loss reserves for personal auto coverage can be established with a greater degree of certainty in a shorter period of time than that associated with many other property and casualty coverages which, due to the nature of the coverage being provided, take a longer period of time to establish a similar level of certainty.
Vesta transferred our insurance company subsidiaries to us on December 31, 2003. Before this time, these insurance companies had ceded 100% of the business that they wrote to Vesta Fire as part of an intercompany reinsurance agreement. In connection with a reinsurance restructuring agreement, Vesta Fire retained all liability with respect to any losses and allocated loss adjustment expenses occurring on or prior to December 31, 2003 on policies issued by our insurance companies, and retained all corresponding loss and loss adjustment expense reserves as of December 31, 2003. As a result, as of December 31, 2003, our insurance companies had no net loss or loss adjustment expense reserves. In connection with the acquisition of our insurance companies from Vesta, this reinsurance agreement was terminated as of December 31, 2003, and our insurance companies began accruing losses and loss adjustment expenses, subject only to third-party reinsurance arrangements, for reported and incurred but not reported losses for insurance policies issued or assumed by our insurance companies after December 31, 2003. Therefore, due to the termination of this 100% reinsurance agreement as of December 31, 2003, our insurance companies have recorded losses and loss adjustment expenses in their respective statements of operations beginning January 1, 2004. Although Vesta Fire remains liable as a reinsurer for all of our insurance companies losses and loss adjustment expenses associated with these policies occurring on or prior to December 31, 2003, we are subject to primary liability with respect to these policies. Consequently, we face exposure to credit risk with respect to Vesta Fires ability to satisfy its obligations to us. Vesta Fire is currently rated B (Fair) by A.M. Best. According to our reinsurance agreement, if Vesta Fires A.M. Best financial strength rating remains below B+ we have the right to require Vesta Fire to provide a letter of credit or establish a trust account to collateralize the net amounts due to us from Vesta Fire under these reinsurance agreements. On July 27, 2004, we notified Vesta to establish a trust account collateralizing the net amount due to us, due to the fact that Vesta Fires A.M. Best rating was below a B+. We have $8.9 million currently in a trust account and have requested Vesta to increase the collateral held in this account to $10.3 million to fully collateralize the net amount due to us as of December 31, 2004.
The following table provides a reconciliation of the beginning and ending reserves for unpaid losses and loss adjustment expenses, presented in conformity with generally accepted accounting principles, or GAAP, for the periods indicated:
| Years Ended December 31, | ||||||||||||
| 2004 | 2003 | 2002 | ||||||||||
| (in thousands) | ||||||||||||
Balance at the beginning of the period |
$ | 58,507 | $ | 64,677 | $ | 43,345 | ||||||
Less: Reinsurance recoverable |
58,507 | 64,677 | 43,345 | |||||||||
Net balance as of the beginning of the period |
| | | |||||||||
Incurred related to: |
||||||||||||
Current year |
128,969 | | | |||||||||
Prior years |
| | | |||||||||
Paid related to: |
||||||||||||
Current year |
79,302 | | | |||||||||
Prior years |
| | | |||||||||
Net balance as of the end of the period |
49,667 | | | |||||||||
Plus: Reinsurance recoverable |
43,363 | 58,507 | 64,677 | |||||||||
Balance at the end of the period |
$ | 93,030 | $ | 58,507 | $ | 64,677 | ||||||
The following table presents, on a GAAP basis, the development of reserves for unpaid losses and loss adjustment expenses from 1994 through 2004 for our insurance company subsidiaries, net of reinsurance recoveries or recoverables. The first line of the table presents the reserves at December 31 for each indicated year. This represents the estimated amounts of losses and loss adjustment expense for claims arising in that year and all prior years that are unpaid at the balance sheet date, including losses incurred but not reported to us. The upper portion of the table presents the cumulative amounts subsequently paid as of successive years with respect to those claims. The lower portion of the table presents the reestimated amount of the previously recorded reserves based upon the experience as of the end of each succeeding year. The estimates are revised as more information becomes known about the payments, frequency and severity of claims for individual years. A redundancy (deficiency) exists when the reestimated reserves at each December 31 is less (greater) than the prior reserve estimate. The cumulative redundancy (deficiency) depicted in the table, for any particular calendar year, represents the aggregate change in the initial estimates over all subsequent calendar years.
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| Years Ended December 31, | ||||||||||||||||||||||||||||||||||||||||||||
| 1994 | 1995 | 1996 | 1997 | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | ||||||||||||||||||||||||||||||||||
| (in thousands) | ||||||||||||||||||||||||||||||||||||||||||||
Liability for unpaid losses and LAE |
||||||||||||||||||||||||||||||||||||||||||||
Paid (cumulative) as of |
$ | 21,464 | $ | 28,395 | $ | 28,350 | $ | | $ | | $ | 1,215 | $ | 3,493 | $ | | $ | | $ | | $ | 49,667 | ||||||||||||||||||||||
One year later |
18,467 | 13,173 | 25,385 | | | 1,210 | 3,493 | | | | ||||||||||||||||||||||||||||||||||
Two years later |
24,568 | 26,082 | 25,239 | | | 1,339 | 3,493 | | | |||||||||||||||||||||||||||||||||||
Three years later |
30,164 | 25,975 | 25,239 | | | 1,339 | 3,493 | | ||||||||||||||||||||||||||||||||||||
Four years later |
30,086 | 25,975 | 25,239 | | | 1,339 | 3,493 | |||||||||||||||||||||||||||||||||||||
Five years later |
30,086 | 25,975 | 25,239 | | | 1,339 | ||||||||||||||||||||||||||||||||||||||
Six years later |
30,086 | 25,975 | 25,239 | | | |||||||||||||||||||||||||||||||||||||||
Seven years later |
30,086 | 25,975 | 25,239 | | ||||||||||||||||||||||||||||||||||||||||
Eight years later |
30,086 | 25,975 | 25,239 | |||||||||||||||||||||||||||||||||||||||||
Nine years later |
30,086 | 25,975 | &n | |||||||||||||||||||||||||||||||||||||||||