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United States Securities and Exchange Commission

Washington, D.C. 20549

FORM 10-Q

(Mark One)

þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2003

OR

o   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: 0-49762

Triple-S Management Corporation

(Exact name of registrant as specified in its charter)

     
Puerto Rico
(State or other jurisdiction of
incorporation or organization)
  66-0555678
(I.R.S. Employer
Identification No.)
     
1441 F.D. Roosevelt Avenue
San Juan, Puerto Rico

(Address of principal executive offices)
  00920
(Zip code)

(787) 749-4949
(Registrant’s 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

     Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

     
Title of each class   Outstanding at September 30, 2003

 
Common Stock, $40.00 par value   9,060



 


TABLE OF CONTENTS

Part I — Financial Information
Item 1. Financial Statements
Consolidated Balance Sheets
Consolidated Statements of Operations (Unaudited)
Consolidated Statements of Stockholders’ Equity and Comprehensive Income (Unaudited)
Consolidated Statements of Cash Flows (Unaudited)
Notes to Consolidated Financial Statements
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 3. Quantitative and Qualitative Disclosures about Market Risk
Item 4. Controls and Procedures
Part II — Other Information
Item 1. Legal Proceedings
Item 2. Changes in Securities and Use of Proceeds
Item 3. Defaults Upon Senior Securities
Item 4. Submissions of Matters to a Vote of Security Holders
Item 5. Other Information
Item 6. Exhibits and Reports on Form 8-K
SIGNATURES
EX-31.1 SECTION 302 CERTIFICATION OF THE CEO
EX-31.2 SECTION 302 CERTIFICATION OF THE CFO
EX-32.1 SECTION 906 CERTIFICATION OF THE CEO
EX-32.2 SECTION 906 CERTIFICATION OF THE CFO


Table of Contents

Triple-S Management Corporation

FORM 10-Q

For the Quarter Ended September 30, 2003

Table of Contents

               
          PAGE
         
PART I — FINANCIAL INFORMATION
       
 
Item 1.
 
Financial Statements Consolidated Balance Sheets as of September 30, 2003 and December 31, 2002
    3  
      Consolidated Statements of Operations for the three months and nine months periods ended September 30, 2003 and 2002     4  
      Consolidated Statements of Stockholders’ Equity and Comprehensive Income for the nine months periods ended September 30, 2003 and 2002     5  
      Consolidated Statements of Cash Flows for the nine months periods ended September 30, 2003 and 2002     6  
      Notes to Consolidated Financial Statements     7  
  Item 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations     25  
  Item 3.   Quantitative and Qualitative Disclosures About Market Risk     42  
  Item 4.   Controls and Procedures     42  
PART II — OTHER INFORMATION
       
  Item 1.   Legal Proceedings     43  
  Item 2.   Changes in Securities and Use of Proceeds     44  
  Item 3.   Defaults Upon Senior Securities     44  
  Item 4.   Submissions of Matters to a Vote of Security Holders     44  
  Item 5.   Other Information     44  
  Item 6.   Exhibits and Reports on Form 8-K     45  
SIGNATURES
    46  

2


Table of Contents

Part I — Financial Information

Item 1. Financial Statements

TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Balance Sheets
(Dollar amounts in thousands)
                     
        (Unaudited)        
        September 30,   December 31,
        2003   2002
       
 
ASSETS
               
Investments and cash:
               
 
Securities held for trading, at fair value:
               
   
Fixed maturities
  $ 68,920       50,317  
   
Equity securities
    60,100       44,621  
 
Securities available for sale, at fair value:
               
   
Fixed maturities
    359,909       321,244  
   
Equity securities
    52,384       47,406  
 
Securities held to maturity, at amortized cost:
               
   
Fixed maturities
    5,265       5,982  
 
Cash and cash equivalents
    92,439       82,776  
 
   
     
 
Total investments and cash
    639,017       552,346  
 
   
     
 
Premiums and other receivables, net
    98,117       88,027  
Deferred policy acquisition costs
    16,460       13,770  
Property and equipment, net
    35,695       36,721  
Other assets
    38,016       34,814  
 
   
     
 
Total assets
  $ 827,305       725,678  
 
   
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Claim liabilities:
               
 
Claims processed and incomplete
  $ 122,805       127,628  
 
Unreported losses
    110,657       103,310  
 
Unpaid loss-adjustment expenses
    14,343       13,644  
 
   
     
 
Total claim liabilities
    247,805       244,582  
 
   
     
 
Unearned premiums
    79,332       70,961  
Individual retirement annuities
    24,251       15,143  
Liability to Federal Employees Health Benefits Program
    10,985       7,066  
Accounts payable and accrued liabilities
    97,327       88,034  
Short-term borrowings
    37,000        
Income tax payable
    32,613       716  
Net deferred tax liability
    5,365       8,048  
Additional minimum pension liability
    12,089       9,449  
Loans payable to bank
    48,922       50,015  
 
   
     
 
Total liabilities
    595,689       494,014  
 
   
     
 
Stockholders’ equity:
               
 
Common stock, $40 par value. Authorized 12,500 shares; issued and outstanding 9,060 and 9,337 at September 30, 2003 and December 31, 2002, respectively
    362       373  
 
Additional paid-in capital
    150,407       150,406  
 
Retained earnings
    69,452       62,499  
 
Accumulated other comprehensive income
    11,395       18,386  
 
   
     
 
Total stockholders’ equity
    231,616       231,664  
 
   
     
 
Total liabilities and stockholders’ equity
  $ 827,305       725,678  
 
   
     
 

See accompanying notes to unaudited consolidated financial statements.

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Table of Contents

TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Statements of Operations (Unaudited)
For the three months and nine months periods ended September 30, 2003 and 2002
(Dollar amounts in thousands, except net income per share)
                                   
      Three months ended   Nine months ended
      September 30,   September 30,
     
 
      2003   2002   2003   2002
     
 
 
 
REVENUES:
                               
 
Premiums earned, net
  $ 314,043       304,586       943,388       922,906  
 
Amounts attributable to self-funded arrangements
    40,790       38,524       120,974       110,789  
 
Less amounts attributable to claims under self-funded arrangements
    (38,410 )     (35,210 )     (112,960 )     (104,047 )
 
   
     
     
     
 
 
    316,423       307,900       951,402       929,648  
 
Net investment income
    5,868       6,186       18,252       18,535  
 
Net realized investment gains
    3,669       683       7,290       533  
 
Net unrealized investment gain (losses) on trading securities
    (345 )     (6,695 )     9,023       (12,072 )
 
Other income, net
    532       6,174       2,906       6,598  
 
   
     
     
     
 
Total revenue
    326,147       314,248       988,873       943,242  
 
   
     
     
     
 
BENEFITS AND EXPENSES:
                               
 
Claims incurred
    264,202       263,274       794,205       795,925  
 
Operating expenses, net of reimbursement for services
    37,301       35,550       115,708       112,903  
 
Interest expense
    776       830       2,244       2,821  
 
   
     
     
     
 
Total benefits and expenses
    302,279       299,654       912,157       911,649  
 
   
     
     
     
 
Income before taxes
    23,868       14,594       76,716       31,593  
 
   
     
     
     
 
INCOME TAX EXPENSE (BENEFIT):
                               
 
Current
    6,967       185       71,253       702  
 
Deferred
    139       460       (1,490 )     1,224  
 
   
     
     
     
 
Total income taxes
    7,106       645       69,763       1,926  
 
   
     
     
     
 
Net income
  $ 16,762       13,949       6,953       29,667  
 
   
     
     
     
 
Basic net income per share (see note 8)
  $ 1,844       187       753       779  
 
   
     
     
     
 

See accompanying notes to unaudited consolidated financial statements.

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Table of Contents

TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Statements of Stockholders’ Equity and Comprehensive Income (Unaudited)
For the nine months periods
ended September 30, 2003 and 2002
(Dollar amounts in thousands)
                       
          2003   2002
         
 
BALANCE AT JANUARY 1
  $ 231,664       186,028  
Stock redemption
    (10 )     (15 )
 
Comprehensive income:
               
   
Net income
    6,953       29,667  
   
Net unrealized change in investment securities
    (7,872 )     4,098  
   
Net change in minimum pension liability
    1,052        
   
Net change in fair value of cash flow hedges
    (171 )      
 
   
     
 
     
Total comprehensive income (loss)
    (38 )     33,765  
 
   
     
 
BALANCE AT SEPTEMBER 30
  $ 231,616       219,778  
 
   
     
 

See accompanying notes to unaudited consolidated financial statements.

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Statements of Cash Flows (Unaudited)
For the nine months periods ended September 30, 2003 and 2002
(Dollar amounts in thousands)
                     
        Nine months ended
        September 30,
       
        2003   2002
       
 
CASH FLOWS FROM OPERATING ACTIVITIES:
               
Premiums collected
  $ 941,702       920,027  
Cash paid to suppliers and employees
    (159,517 )     (110,906 )
Claims, losses and benefits paid
    (790,982 )     (776,803 )
Interest received
    19,109       18,256  
Proceeds from trading securities sold or matured:
               
 
Fixed maturities sold
    66,319       82,762  
 
Equity securities
    18,310       9,813  
Acquisitions of investments in trading portfolio:
               
 
Fixed maturities
    (84,367 )     (82,930 )
 
Equity securities
    (28,183 )     (12,447 )
Interest paid
    (1,367 )     (1,993 )
Expense reimbursement from Medicare
    9,437       9,648  
Contingency reserve funds from FEHBP
    13,023       5,976  
 
   
     
 
Net cash provided by operating activities
    3,484       61,403  
 
   
     
 
CASH FLOWS FROM INVESTING ACTIVITIES:
               
Proceeds from investments sold or matured:
               
 
Securities available for sale:
               
   
Fixed maturities sold
    81,093       33,239  
   
Fixed maturities matured
    174,645       143,006  
   
Equity securities
    13,527       3,681  
 
Securities held to maturity:
               
   
Fixed maturities matured
    700       1,458  
Acquisitions of investments:
               
 
Securities available for sale:
               
   
Fixed maturities
    (295,987 )     (187,383 )
   
Equity securities
    (12,823 )      
 
Securities held to maturity:
               
   
Fixed maturities
          (3,621 )
 
Capital expenditures
    (3,259 )     (4,463 )
 
Proceeds from sale of property and equipment
    55       1,113  
 
   
     
 
Net cash used in investing activities
    (42,049 )     (12,970 )
 
   
     
 
CASH FLOWS FROM FINANCING ACTIVITIES:
               
Change in outstanding checks in excess of bank balances
    4,100       (3,365 )
Proceeds from short-term borrowings
    37,000        
Payments of long term debt
    (1,093 )     (4,473 )
Redemption of common stock
    (10 )     (15 )
Proceeds from individual retirement annuities
    9,728       1,071  
Surrenders of individual retirement annuities
    (1,497 )     (5,141 )
 
   
     
 
Net cash provided by (used in) financing activities
    48,228       (11,923 )
 
   
     
 
Net increase in cash and cash equivalents
    9,663       36,510  
Cash and cash equivalents at beginning of the period
    82,776       80,970  
 
   
     
 
Cash and cash equivalents at end of the period
  $ 92,439       117,480  
 
   
     
 

See accompanying notes to unaudited consolidated financial statements.

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Notes to Consolidated Financial Statements
September 30, 2003
(Dollar amounts in thousands)
(Unaudited)

(1) Basis of Presentation

The accompanying consolidated interim financial statements prepared by Triple-S Management Corporation (TSM) and its subsidiaries (the Corporation) are unaudited, except for the balance sheet information as of December 31, 2002, which is derived from the Corporation’s audited consolidated financial statements, pursuant to the rules and regulations of the United States Securities and Exchange Commission. Accordingly, the consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. These consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Form 10-K for the year ended December 31, 2002.

Certain amounts in prior period financial statements were reclassified to conform to the 2003 presentation.

In the opinion of management, all adjustments, consisting of normal recurring adjustments, necessary for a fair presentation of such consolidated interim financial statements have been included. The results of operations for the three months and nine months periods ended September 30, 2003 are not necessarily indicative of the results for the full year.

(2) Segment Information

The following tables summarize the operations by major operating segment for the three months and nine months periods ended September 30, 2003 and 2002:

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2003
(Dollar amounts in thousands)
(Unaudited)

                                                   
      Operating Segments
     
      Health   Health                                
      Insurance   Insurance   Property   Life and                
      Commercial   Reform   and Casualty   Disability                
      Program   Program   Insurance   Insurance   Other*   Total