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Table of Contents

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-K

 

 

 

x ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2009

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 001-32899

EASTERN INSURANCE HOLDINGS, INC.

 

 

 

Incorporated in Pennsylvania   I.R.S. Employer Identification No.

25 Race Avenue, Lancaster, Pennsylvania

17603-3179

(717) 396-7095

  20-2653793

 

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of Each Class  

Name of Each Exchange on

Which Registered

Common Stock, No Par Value   NASDAQ Global Market

Securities registered pursuant to Section 12(g) of the Act: None.

 

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act:    Yes  ¨    No  x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act:    Yes  ¨    No  x

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 whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  ¨    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 registrant’s 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.  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer  ¨      Accelerated filer  x      Non-accelerated filer  ¨      Smaller reporting company  ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act):    Yes  ¨    No  x

The aggregate market value of the common stock held by non-affiliates of the registrant, based on the closing price of the registrant on June 30, 2009, as reported by the NASDAQ National Market, was $74,488,459.

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

 

Title of Each Class   Number of Shares Outstanding as of March 4, 2010
Common Stock, No Par Value   9,691,257 (Outstanding Shares)

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the Proxy Statement in connection with the 2010 Annual Meeting of Stockholders—Part III.

 

 

 


Table of Contents

Table of Contents

Eastern Insurance Holdings, Inc. and Subsidiaries

 

Item

  

Description

   Page

Part I

     

Item 1

  

Business

   1

Item 1A

  

Risk Factors

   27

Item 1B

  

Unresolved Staff Comments

   33

Item 2

  

Properties

   33

Item 3

  

Legal Proceedings

   33

Item 4

  

Submission of Matters to a Vote of Security Holders

   33

Part II

     

Item 5

  

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

   34

Item 6

  

Selected Financial Data

   38

Item 7

  

Management’s Discussion and Analysis of Consolidated Financial Condition and Results of Operations

   40

Item 7A

  

Quantitative and Qualitative Disclosures about Market Risk

   72

Item 8

  

Financial Statements and Supplementary Data

   74

Item 9

  

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

   112

Item 9A

  

Controls and Procedures

   112

Item 9B

  

Other Information

   112

Part III

     

Item 10

  

Directors and Officers of the Registrant

   113

Item 11

  

Executive Compensation

   113

Item 12

  

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

   113

Item 13

  

Certain Relationships and Related Transactions

   113

Item 14

  

Principal Accountant Fees and Services

   113

Part IV

     

Item 15

  

Exhibits, Financial Statement Schedules

   114


Table of Contents

PART I

Item 1—Business

Our History and Overview

Eastern Insurance Holdings, Inc. (“EIHI”) is an insurance holding company offering workers’ compensation and group benefits insurance and reinsurance products through its direct and indirect wholly-owned subsidiaries, Eastern Holding Company, Ltd. (“EHC”), Eastern Alliance Insurance Company (“Eastern Alliance”), Allied Eastern Indemnity Company (“Allied Eastern”), Eastern Advantage Assurance Company (“Eastern Advantage”), Eastern Re, Ltd., S.P.C. (“Eastern Re”), Employers Security Holding Company (“ESHC”), Employers Security Insurance Company (“ESIC”), Affinity Management Services, Inc. (“AMS”), Eastern Life and Health Insurance Company (“ELH”), Employers Alliance, Inc. (“Employers Alliance”), Global Alliance Holdings, Ltd. (“Global Alliance”), and Eastern Services Corporation (“Eastern Services”), collectively referred to as the “Company”, “we” and/or “our”.

On September 29, 2008, EIHI acquired all of the outstanding stock of ESHC and its wholly-owned subsidiaries, ESIC and AMS. ESIC is an Indiana-domiciled, mono-line workers’ compensation insurance company licensed to write business in Indiana, Illinois and Missouri.

The following provides a brief description of EIHI’s direct and indirect wholly-owned subsidiaries:

 

   

EHC is a holding company domiciled in the Commonwealth of Pennsylvania;

 

   

Eastern Alliance, Allied Eastern and Eastern Advantage are stock property/casualty insurance companies domiciled in the Commonwealth of Pennsylvania and, along with ESIC, do business as Eastern Alliance Insurance Group (“EAIG”). The four insurance companies provide EAIG with increased underwriting flexibility through the use of a tiered rating structure;

 

   

Eastern Re is a segregated portfolio cell reinsurance company domiciled in the Cayman Islands;

 

   

ESHC is a holding company domiciled in the State of Indiana;

 

   

ESIC is a stock property/casualty insurance company domiciled in the State of Indiana;

 

   

ELH is a stock life and accident and health insurance company domiciled in the Commonwealth of Pennsylvania;

 

   

Employers Alliance is a Pennsylvania corporation offering claims administration and risk management services to self-insured property/casualty customers;

 

   

AMS is an Indiana corporation offering claims administration and risk management services to self-insured property casualty customers;

 

   

Global Alliance is a holding company domiciled in the Commonwealth of Pennsylvania; and

 

   

Eastern Services is a Pennsylvania corporation that provides management services to EAIG, ELH, and Employers Alliance.

Effective December 31, 2009, the Company completed a reorganization of its corporate structure. The purpose of the corporate reorganization was to reduce the number of holding companies and consolidate entities with similar operations. The reorganization included the following transactions:

 

   

EHC was merged into EIHI with EIHI being the surviving entity;

 

   

ESHC was merged into Global Alliance with Global Alliance being the surviving entity; and

 

   

AMS was merged into Employers Alliance with Employers Alliance being the surviving entity.

The Company currently operates in five business segments: workers’ compensation insurance, segregated portfolio cell reinsurance, group benefits insurance, specialty reinsurance and corporate/other. Effective July 1, 2008, the specialty reinsurance segment was placed into run-off.

Overview of Business Segments

The following discussion provides information on each of our business segments:

Workers’ Compensation Insurance. The Company offers traditional workers’ compensation insurance coverage to employers, generally with 300 employees or less, primarily in the Mid-Atlantic, Southeast, and Midwest regions of the continental United States. The Company’s workers’ compensation products include guaranteed cost policies, policyholder dividend policies, retrospectively-rated policies, large deductible policies and captive programs.

 

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Segregated Portfolio Cell Reinsurance. Workers’ compensation insurance coverage is also underwritten through the Company’s alternative markets business unit and ceded 100% to the segregated portfolio cell reinsurance segment. The Company receives a fronting fee generally based upon a percentage of direct premiums written, a segregated portfolio cell rental fee, which is also based on a percentage of direct premiums written, and fees for claims administration and risk management services. As of December 31, 2009, the segregated portfolio cells and dividend participants provided $47.2 million of irrevocable, unconditional letters of credit to secure unfunded liabilities and collateralize reserves for unpaid losses and loss adjustment expenses (“LAE”) and unearned premiums.

Group Benefits Insurance. The Company offers group benefits insurance products to employer groups, generally with 300 employees or less, primarily in the Mid-Atlantic, Southeast and Midwest regions of the continental United States. The Company’s group benefits insurance products consist of dental, short-term and long-term disability, term life, and vision.

Run-off Specialty Reinsurance. Prior to July 1, 2008, the Company assumed business through its participation in reinsurance treaties with an unaffiliated insurance company related to an underground storage tank insurance program, referred to as “EnviroGuard,” and a non-hazardous waste transportation product, referred to as “EIA Liability” (“EIA”). The EnviroGuard program provided coverage to underground storage tank owners for third party off-site bodily injury and property damage claims as well as clean-up coverage and first party on-site claims. The EIA program provided commercial automobile liability coverage for non-hazardous waste haulers. Prior to terminating its participation in the reinsurance treaties effective July 1, 2008, the Company had reduced its participation in the EnviroGuard and EIA programs from a 25% quota share participation to a 15% quota share participation effective January 1, 2008.

Corporate/Other The corporate/other segment includes the holding company and third party administration activities of the Company, as well as certain eliminations necessary to reconcile the segment information to the consolidated statements of operations and comprehensive income (loss). The corporate/other segment also includes the Company’s 10% interest in a segregated portfolio cell with an unaffiliated primary carrier that writes insurance coverage for sprinkler contractors.

Products

Workers’ Compensation Insurance

The Company offers a complete line of workers’ compensation products including guaranteed cost policies, policyholder dividend policies, retrospectively-rated policies, large deductible policies, and alternative market products. Direct premiums written in the workers’ compensation insurance segment totaled $110.7 million for the year ended December 31, 2009.

 

   

Guaranteed cost policies. Guaranteed cost policies charge a fixed premium, which does not increase or decrease based upon loss experience during the policy period. For the year ended December 31, 2009, 56.7% of direct premiums written in the workers’ compensation insurance segment were derived from guaranteed cost policies.

 

   

Policyholder dividend policies. Policyholder dividend policies charge a fixed premium, but the customer may receive a dividend in the event of favorable loss experience during the policy period. Policyholder dividend plans are generally restricted to accounts with minimum annual premiums in excess of $20,000. For the year ended December 31, 2009, 9.9% of direct premiums written in the workers’ compensation insurance segment were derived from policyholder dividend policies.

 

   

Retrospectively-rated policies. Retrospectively-rated policies charge an initial premium that is subject to adjustment after the policy period expires, based upon the insured’s actual loss experience incurred during the policy period, subject to a minimum and maximum premium. These policies are typically subject to annual adjustment until all claims related to the policy year are closed. Retrospectively-rated policies are generally offered to employers with minimum annual premiums in excess of $150,000. For the year ended December 31, 2009, 2.3% of direct premiums written in the workers’ compensation insurance segment were derived from retrospectively-rated policies.

 

   

Large deductible policies. Large deductible policies generally result in a lower premium; however, the insured retains a greater share of the underwriting risk than under guaranteed cost or dividend paying policies, which reduces the risk to the Company and further encourages loss control practices by the insured. The customer is contractually obligated to pay its own losses up to the amount of the deductible for each occurrence. The deductibles under these policies generally range from $250,000 to $300,000. Large deductible policies are generally offered to employers with annual premiums of $500,000 or higher. For the year ended December 31, 2009, 4.7% of direct premiums written in the workers’ compensation insurance segment were derived from large deductible policies.

 

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Alternative market products. Alternative market products are offered to individual companies, groups, and trade associations. As described above in “Overview of Business Segments—Segregated Portfolio Cell Reinsurance” a policy is issued to an insured and 100% of the premium written, less a ceding commission, is ceded to a segregated portfolio cell. For the year ended December 31, 2009, 26.4% of direct premiums written in the workers’ compensation insurance segment were derived from alternative market products.

Segregated Portfolio Cell Reinsurance

Segregated portfolio cells, or segregated cells or rent-a-captives, are all referred to as alternative market programs or products. The Company provides a variety of products to this marketplace, including program design, fronting, claims administration, risk management, segregated portfolio cell rental, investment and segregated portfolio management services. Direct premiums written in the segregated portfolio cell reinsurance segment totaled $28.7 million for the year ended December 31, 2009. The segregated portfolio cell reinsurance segment generated fee revenue to the Company’s workers’ compensation insurance, run-off specialty reinsurance, and corporate/other segments totaling $4.1 million for the year ended December 31, 2009.

Group Benefits Insurance

The Company’s group benefits insurance products include dental insurance, short-term disability insurance, long-term disability insurance, term life insurance, and vision insurance, which are available on an employer or employee paid (i.e., voluntary) basis, or a combination thereof.

 

   

Dental Insurance. Dental plans include fee for service and managed care plans. Multiple variations of these products are available which offer different degrees of coverage, affordability and flexibility. Managed care plans utilize the networks of two unaffiliated dental Preferred Provider Organizations. Direct premiums written in the dental line totaled $22.5 million for the year ended December 31, 2009.

 

   

Short-Term Disability Insurance. Short-term disability plans pay flat weekly benefit amounts or a percentage of an individual claimant’s weekly earnings in the event of disability. Direct premiums written in the short-term disability line totaled $6.1 million for the year ended December 31, 2009.

 

   

Long-Term Disability Insurance. Long-term disability plans provide preset amounts or a preset percentage of an individual claimant’s monthly earnings in the event of disability. Direct premiums written in the long-term disability line totaled $3.8 million for the year ended December 31, 2009.

 

   

Term Life Insurance. Term life plans pay flat amounts or a multiple of an individual’s salary. Direct premiums written in the term life line totaled $6.1 million for the year ended December 31, 2009.

 

   

Vision Insurance. Vision plans are offered with different degrees of coverage, affordability and flexibility. Direct premiums written in the vision line totaled $79,000 for the year ended December 31, 2009.

Run-off Specialty Reinsurance

Prior to July 1, 2008, the Company participated as a reinsurer in treaties with a large primary insurer for the EnviroGuard program and the EIA program. Assumed premiums written in the run-off specialty reinsurance segment totaled $155,000 for the year ended December 31, 2009. The Company does not anticipate any premium to be recognized subsequent to December 31, 2009.

 

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Table of Contents

Marketing and Distribution

Workers’ Compensation Insurance

The Company distributes its workers’ compensation products and services primarily in the Mid-Atlantic, Southeast and Midwest regions of the continental United States through a network of carefully chosen independent insurance producers. The following table provides direct premiums written, before purchase accounting adjustments, by state, for the year ended December 31, 2009 (dollars in thousands):

 

State

   Direct
Premiums
Written
   Percentage  

Pennsylvania

   $ 88,306    79.8

Indiana

     9,400    8.5

North Carolina

     5,045    4.6

Maryland

     2,858    2.6

Delaware

     1,809    1.6

Virginia

     1,560    1.4

Other

     1,726    1.5
             

Total

   $ 110,704    100.0
             

The Company has its greatest representation and largest workers’ compensation premium volume in central Pennsylvania.

Producers are compensated through a fixed base commission plan with an opportunity for profit sharing depending on the producer’s premium volume and loss experience.

The Company proactively manages its valued relationships with producers through a detailed producer management process. The process is driven by regular interaction and strong relationships between senior management of the Company and the principals of each producer. The primary components of the producer management process are as follows:

 

   

The Company carefully selects producers through a process that assesses financial results, market potential, business philosophy and reputation of the producer and its staff. Senior management of the Company approves all producer appointments following extensive meetings with the producer’s principals. Following the agreement to appoint, the Company’s Senior Vice President of Marketing and other key personnel conduct a formal orientation process focusing on the Company’s workers’ compensation products and services, dedicated service team and the joint business objectives of the Company and the producer.

 

   

The Company’s senior management team conducts annual business planning meetings with the producer’s principals to mutually agree upon the producer’s financial goals for the following year. Senior management and the underwriting staff conduct regular visits to monitor results and build relationships.

 

   

The Company has established an Agency Advisory Council to promote an active dialogue between the Company and its producer group. The Agency Advisory Council is comprised of experienced insurance agency professionals. The Council meets twice a year to discuss such topics as market conditions, customer service, products, competition and areas of opportunity. In addition to the Agency Advisory Council, the Company has established a Select Business Focus Group with its producers. This group meets once a year to concentrate on issues that impact small workers’ compensation clients (under $20,000 in annual premium).

 

   

Producer management reports are distributed on a monthly basis, providing the producer with the data necessary to manage its relationship with the Company.

The Company attempts to optimize the franchise value of a workers’ compensation producer appointment by limiting the number of appointments in identified marketing territories. As a result of this producer management strategy, the average direct premiums written per agency contract was $1.1 million for the year ended December 31, 2009.

The Company’s ten largest producers in its workers’ compensation insurance segment accounted for 55.1% of its direct premiums written for the year ended December 31, 2009. The Company’s two largest producers, E.K. McConkey and The Alliance of Central PA, Inc., in its workers’ compensation insurance segment accounted for 12.9% and 11.6% of its direct premiums written, respectively, for the year ended December 31, 2009. These producers are subject to the terms and conditions of the Company’s Agency Agreement, which sets forth binding authority, premium remittance and collection and termination provisions, among other things. No other producer accounted for more than 10.0% of the Company’s direct premiums written in its workers’ compensation insurance segment for the year ended December 31, 2009.

 

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Segregated Portfolio Cell Reinsurance

The distribution of policies that may be submitted for consideration for reinsurance is substantially the same as that of the workers’ compensation insurance segment. The Company’s independent producers market the products to potential customer groups within the Company’s geographic target markets.

Group Benefits Insurance

The Company markets its group benefits insurance products through direct relationships with independent producers and general agencies, primarily in the Mid-Atlantic, Southeast, and Midwest regions of the continental United States.

The following table provides direct premiums written, by state, for the year ended December 31, 2009 (dollars in thousands):

 

State

   Direct
Premiums
Written
   Percentage  

Pennsylvania

   $ 14,215    36.7

North Carolina

     11,411    29.5

Maryland

     2,818    7.3

South Carolina

     2,816    7.3

Delaware

     1,917    4.9

Virginia

     1,798    4.6

Other

     3,765    9.7
             

Total

   $ 38,740    100.0
             

The Company has established an Agency Advisory Council with its group benefits insurance producers, similar to that described above in workers’ compensation insurance. The Company has established a separate Agent Advisory Council for its Mid-Atlantic and Southeast producers, both of which meet once a year to discuss topics such as market conditions, customer service, products, competition and areas of opportunity within each geographic market.

The Company provides sales, technical and educational training to its producers. Through its website, the Company provides its producers with online access to enrollment forms, product information, and online rate information for smaller groups (less than 10 employees). These marketing efforts are further supported by the group benefits insurance segment’s claims and administrative philosophy, which emphasizes prompt and efficient service.

The Company provides its group benefits insurance producers with competitive compensation packages consisting of multiple commission levels, varying by product line and level of premium produced. Because cost savings to the Company result when multiple products are sold to a single group, incentive bonuses are offered to producers that generate such sales.

Underwriting, Risk Management and Pricing

Workers’ Compensation Insurance

The Company’s workers’ compensation insurance segment is committed to an individual account underwriting strategy that is focused on selecting quality accounts. The goal of the workers’ compensation underwriting professionals is to select a diverse book of business with respect to risk classification, hazard level and geographic location. The Company expects to remain a rural underwriter focusing on territories, accounts and producers that generate acceptable underwriting margins.

The workers’ compensation underwriting strategy is focused on accounts with strong return to work and safety programs and low to middle hazard levels such as clerical office, light manufacturing, auto dealers and service industries.

For the year ended December 31, 2009, the average annual workers’ compensation traditional premium per policy was $16,696.

Within the workers’ compensation underwriting operation, the Company operates a risk management unit, which delivers loss consulting services to the Company’s staff, producers and customers. The objective of the risk management operation is to protect the Company from catastrophic loss, reduce claims frequency and provide value added consulting services to insureds. The Company has expanded consulting services to include health and wellness, which supports injury prevention and mitigates claim expense. These services are provided at no additional cost to the insured and are services that differentiate the Company’s workers’ compensation products from its competitors. The risk management unit also provides risk pre-screening in support of the underwriting selection process.

 

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Segregated Portfolio Cell Reinsurance

Underwriting and risk management services for the segregated portfolio cell reinsurance segment are substantially the same as the workers’ compensation insurance segment, although a separate alternative markets unit has been formed for the delivery of services on a group program basis. The independent producers’ knowledge of the Company’s workers’ compensation product offerings is an important component in the offering of different product proposals to customers, including the alternative market option. After successful completion of the underwriting process, if the risk is deemed to be an appropriate candidate for the alternative market, the risk is submitted for consideration of intercompany reinsurance. In general, a pool of risks such as a trade group, or for similarly situated customers of an agency, are most appropriate for submission to the alternative markets unit. If a pool of risks is accepted, reinsurance agreements and dividend participant agreements are executed, external reinsurance is bound and a segregated portfolio cell is established and presented to the Cayman Islands Monetary Authority for approval.

Group Benefits Insurance

The group benefits insurance underwriting department is responsible for managing the Company’s group benefits insurance book of business within established policies and procedures. The Company primarily underwrites small to medium size employer groups generally with 300 or less employees that fall within a low to moderate risk classification. Additionally, adequate levels of employee participation are required in order to underwrite a group.

Pricing levels for the group benefits insurance products are developed based on the Company’s historical experience, as well as industry experience, and are periodically assessed for adequacy. Dental rates are evaluated on a quarterly basis, whereas short-term disability and term life rates are generally evaluated on an annual basis. Pricing for the long-term disability product is developed by the Company’s long-term disability reinsurers.

Account pricing is determined by the individual underwriter based on the level of risk, taking into consideration a group’s demographics and selected plan design.

Claims

Workers’ Compensation Insurance

Workers’ compensation claims management focuses on early intervention and aggressive disability management, utilizing the professional services of medical case managers to supplement the expertise of in-house claims professionals when appropriate.

The Company believes in thorough education of its clients and their employees regarding the workers’ compensation law and workplace safety. The Company utilizes frequent communication with all parties as a means to maintain control of claims and minimize the influence of factors that increase costs such as attorney involvement and “doctor shopping.” The Company provides assistance and support to its clients in the implementation of physician panels and return to work programs.

The Company utilizes strategic vendor relationships rather than in-house personnel for services such as legal representation, private investigation, vocational rehabilitation and medical case management.

Medical cost management initiatives have been implemented with strategic vendors to reduce claim costs. Medical cost management services include preferred provider networks, physical therapy networks and a prescription drug program.

 

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The Company attempts to aggressively achieve final resolution of, and close, claims from prior accident years. The table below shows the number of prior years workers’ compensation claims received and closed and open claims, by accident year, as of December 31, 2009.

Traditional Business

(Exclusive of Alternative Markets)

Open Claims (1)

 

Accident Year

   Total Claims    Open    Closed    % Closed  

1994

   1    0    1    100.0

1995

   18    0    18    100.0

1996

   342    0    342    100.0

1997

   430    1    429    99.8

1998

   566    1    565    99.8

1999

   797    2    795    99.7

2000

   1,503    6    1,497    99.6

2001

   1,947    5    1,942    99.7

2002

   1,194    5    1,189    99.6

2003

   825    7    818    99.2

2004

   1,138    13    1,125    98.9

2005

   1,141    21    1,120    98.2

2006

   1,355    33    1,322    97.6

2007

   1,424    79    1,345    94.5

2008

   1,481    173    1,308    88.3

2009

   1,276    536    740    58.0
                     
   15,438    882    14,556    94.3
                     

 

(1) Excludes claims for medical only expenses because such claims are opened and closed in a short period of time. Excludes reinsured claims.

The table below shows the number of open lost time claims for accident years 2008 and prior as of December 31, 2009 and 2008:

Traditional Business

(Exclusive of Alternative Markets)

Open Claims (1)

 

Accident Year

   12-31-09
Open
   12-31-08
Open
   2008 and Prior
Claims Closed
During 2009
    % of 2008 Open Claims
Closed During 2009
 

1997

   1    1    0      0.0

1998

   1    1    0      0.0

1999

   2    1    (1   (100.0 )% 

2000

   6    7    1      14.3

2001

   5    8    3      37.5

2002

   5    10    5      50.0

2003

   7    8    1      12.5

2004

   13    24    11      45.8

2005

   21    34    13      38.2

2006

   33    61    28      45.9

2007

   79    179    100      55.9

2008

   173    606    433      71.5
                      
   346    940    594      63.2
                      

 

(1) Excludes claims for medical only expenses because such claims are opened and closed in a short period of time. Excludes reinsured claims.

 

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Segregated Portfolio Cell Reinsurance

The claims administration strategy for the alternative market programs is consistent with the workers’ compensation insurance segment.

Group Benefits Insurance

The group benefits insurance claims staff is responsible for investigating, processing and paying claims. Authority levels have been established for all individuals involved in the settlement of claims.

 

   

Dental Claims. The Company’s dental claims department is comprised of experienced personnel who function within designated areas of expertise. The Company utilizes an independent dental peer review firm for claims outside of its employees’ areas of clinical expertise and to assist with benefit determination appeals. The Company’s dental claim examiners are able to review claimant x-rays and provider treatment notes online, reducing the time and expense associated with manual claims processing. In addition, the Company’s administrative software provides automated batch processing for basic claims, which allows examiners to devote greater attention to complex claims. Quality technicians are utilized to assess the accuracy of benefit determinations, with all examiners and analysts randomly audited on claims that exceed a set dollar amount. On average, dental claims are processed within two weeks of receipt by the Company.

 

   

Short-Term Disability Claims. Short-term disability claims are reviewed within 3 to 5 business days of their receipt. Lump sum benefit payments are offered for maternity claims. The short term disability claims review process may be supplemented by outside physicians who conduct independent medical examinations and provide peer review services to determine if claims are medically accurate. Following such a medical examination, the Company’s short-term disability claim examiners make the ultimate decision as to whether or not a claimant is disabled by measuring the results of the medical examination against the appropriate provisions in the disability insurance policy.

 

   

Long-Term Disability Claims. The Company’s long term disability claims processing is outsourced to its long-term disability partners, Disability Reinsurance Management Services, Inc. (“DRMS”) and Custom Disability Solutions (“CDS”). Management believes these outsourcing arrangements provide the Company with more experienced claim personnel and resources in a more cost-effective manner than handling claims internally.

 

   

Term Life and Accidental Death & Dismemberment (“AD&D”) Claims. The manager of the life and disability claim department is responsible for the timely and accurate payment of term life and AD&D claims. Whenever death proceeds from an individual claimant’s policy exceed reinsurance limits, the Company’s life reinsurer participates in the benefit determination.

 

   

Vision Claims. Vision claims are submitted by the provider to VSP, the Company’s third party vendor for its vision product. VSP processes and pays all claims and bills the Company on a monthly basis.

Run-off Specialty Reinsurance

Claims management in the run-off specialty reinsurance segment is performed by the primary insurer. When the primary insurer sustains a loss, the Company receives an invoice on a quarterly basis for its pro rata share of the loss. The Company’s claims administration is limited to verification that the claim is a covered claim under the reinsurance contract between the Company and the primary insurer. The Company’s claim personnel conduct an annual audit of the primary insurer’s claim administration function.

Reinsurance

The Company’s insurance subsidiaries reinsure a portion of their loss exposure and pay to the reinsurers a portion of the premiums received on all policies reinsured. Insurance policies written by the Company’s insurance subsidiaries are reinsured with other insurance companies principally to:

 

   

reduce net liability on individual risks;

 

   

mitigate the effect of individual loss occurrences (including catastrophic losses);

 

   

stabilize underwriting results; and

 

   

decrease leverage and, accordingly, increase underwriting capacity.

 

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Reinsurance does not legally discharge the Company from primary liability for the full amount due under the reinsured policies. However, the assuming reinsurer is obligated to reimburse the Company to the extent of the coverage ceded. As of December 31, 2009, the Company’s reinsurance recoverables, by segment and before purchase accounting adjustments, were as follows (in thousands):

 

Segment

   Amount

Workers’ compensation insurance

   $ 8,815

Segregated portfolio cell reinsurance

     3,501

Group benefits insurance

     16,166

Run-off specialty reinsurance

     —  
      

Total

   $ 28,482
      

The Company determines the amount and scope of reinsurance coverage to purchase each year based on a number of factors, including the evaluation of the risks accepted, consultations with reinsurance representatives and a review of market conditions, including the availability and pricing of reinsurance.

The Company monitors the solvency of its reinsurers on an annual basis, at a minimum, through review of their financial statements and, if available, their A.M. Best financial strength ratings. The Company has not experienced difficulty collecting amounts due from reinsurers; however, the insolvency or inability of any reinsurer to meet its obligations could have a material adverse effect on the Company’s financial condition and results of operations.

Workers’ Compensation Insurance

The Company’s workers’ compensation traditional business is reinsured under an excess of loss arrangement with Lloyd’s of London and Aspen Insurance UK, Ltd., under which the Company retains the first $500,000 on each loss occurrence. Loss occurrences in excess of $500,000 are covered up to a maximum of $39.5 million per claim.

The following table sets forth the amounts recoverable from reinsurers for the workers’ compensation insurance segment as of December 31, 2009 (dollars in thousands):

 

Name

   Reinsurance
Recoverable
   A.M. Best
Rating
   Percentage of
Shareholders’
Equity
    Percentage of
Reinsurance
Recoverable
 

Lloyd’s of London

   $ 4,857    A        3.2   17.0

Aspen Insurance UK, Ltd.

     2,340    A        1.5   8.2

Swiss Reinsurance America Corporation

     512    A(1)    0.3   1.8

Max Bermuda, Ltd.

     312    A-       0.2   1.1

General Reinsurance Corporation

     300    A++(2)    0.2   1.1

Catalina London, Ltd.

     201    NR-3(3)    0.1   0.7

Alea Bermuda, Ltd.

     122    NR-5(4)    0.1   0.4

Reliastar Life Insurance Company

     108    A(5)    0.1   0.4

St. Paul Reinsurance Company Ltd.

     63    NR-3(3)    0.0   0.2
                      
   $ 8,815       5.7   30.9
                      

 

(1) Swiss Reinsurance America Corporation was downgraded by A.M. Best from “A+” (Superior) to “A” (Excellent) with a stable outlook on February 27, 2009. The stable outlook was affirmed by A.M. Best on December 14, 2009.
(2) General Reinsurance Corporation’s “A++” (Superior) rating was placed under review on November 6, 2009 with a negative outlook.
(3) Rating assigned to companies that are not rated by A.M. Best.
(4) Rating assigned to companies that are not formally followed by A.M. Best.
(5) Reliastar Life Insurance Company was downgraded by A.M. Best from “A+” (Superior) to “A” (Excellent) with a negative outlook on April 24, 2009.

 

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Segregated Portfolio Cell Reinsurance

Intercompany Reinsurance Structure. Intercompany reinsurance agreements are the mechanisms by which premiums paid by alternative markets customers are ceded to the segregated portfolio cells. Each segregated portfolio cell has the following reinsurance agreements:

 

   

100% Quota Share Reinsurance Agreements—Under this reinsurance agreement, all premiums received from the specific customer are ceded to the respective segregated portfolio cell, net of a ceding commission. As with any reinsurance arrangement, the ultimate liability for the payment of claims resides with the primary insurance company. The ceding commission paid by the segregated portfolio cell consists of charges customary to such arrangements including fronting fees, external reinsurance, producer’s commissions, premium taxes and assessments, claims administration and risk management services and segregated portfolio cell rental fees. In addition, the ceding commission includes the risk assumed under the aggregate excess reinsurance agreement described directly below.

 

   

Aggregate Excess Reinsurance Agreements—An aggregate excess reinsurance agreement exists for each respective segregated portfolio cell whereby the Company assumes 100% of aggregate losses over an aggregate attachment point (expressed as a percentage of direct premiums written), with a maximum loss limit of $100,000. The attachment points for the aggregate excess reinsurance agreements average 89.0% of direct premiums written. For example, in the case of a segregated portfolio cell with $1.0 million in assumed premium and an 89.0% attachment point, the segregated portfolio cell pays the first $890,000 in net losses and LAE, the Company pays the next $100,000 in net losses and LAE and the external aggregate reinsurer (as described below) pays net losses and LAE beyond the initial $990,000 covered by the segregated portfolio cell and the Company.

External Reinsurance. Each segregated portfolio cell purchases external reinsurance coverage directly from Lloyd’s of London. The segregated portfolio cell purchases per occurrence coverage to cover severity of claims and aggregate reinsurance coverage to cover frequency of claims on its segregated portfolio cell business.

Per Occurrence Reinsurance Agreements. Per occurrence reinsurance agreements cover each segregated portfolio cell for a catastrophic claim resulting from one event with respect to its segregated portfolio cell business. The specific retentions for per occurrence coverage for segregated portfolio cells range from $250,000 to $350,000, with limits ranging from $39.75 million to $39.65 million. For example, in the case of a segregated portfolio cell with a $300,000 retention that has a $3.0 million claim relating to the injury and/or death of a covered employee, the segregated portfolio cell would cover the first $300,000 of the claim with the third party reinsurer paying the remaining $2.7 million in claims.

Aggregate Reinsurance Coverage. Aggregate reinsurance agreements cover the segregated portfolio cells for losses and LAE beyond the $100,000 aggregate coverage provided by the Company. The need for this coverage would arise in the event of a series of losses as opposed to a single, catastrophic event. Aggregate reinsurance coverage purchased through Lloyd’s has ultimate loss limits of $1.0 million or $2.0 million, depending on the underlying risks. This external reinsurance combined with the aggregate coverage provided by the Company provides aggregate loss limits for each segregated portfolio cell ranging from $1.1 million to $2.1 million.

In addition to the reinsurance coverage on the segregated portfolio cell business, the dividend participants of each segregated portfolio cell provide a letter of credit that is equal to the difference between the loss fund (amount of funds available to pay losses after deduction of ceding commission) and the aggregate attachment point of the reinsurance. This is sometimes called the GAP, or unfunded liability. As an example, if a program has $1.0 million of assumed premiums, a 40% ceding commission and a 90% aggregate attachment point, the letter of credit amount is $300,000 calculated as follows:

 

Aggregate attachment point ($1,000,000 x .90)

   $ 900,000

Loss fund ($1,000,000 – ($1,000,000 x .40))

   $ 600,000

GAP

   $ 300,000

The difference between the premium and the ceding commission is deposited in each respective segregated portfolio cell’s Cayman Island bank account to create the loss fund.

 

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The following table sets forth the amounts recoverable from reinsurers for the segregated portfolio cell reinsurance segment as of December 31, 2009 (dollars in thousands):

 

Name

   Reinsurance
Recoverable
   A.M. Best
Rating
    Percentage of
Shareholders’
Equity
    Percentage of
Reinsurance
Recoverable
 

Lloyd’s of London

   $ 1,938    A      1.3   6.8

Aspen Insurance UK, Ltd.

     1,272    A      0.8   4.5

Catalina London, Ltd.

     283    NR-3 (1)    0.2   1.0

St. Paul Reinsurance Company Ltd.

     8    NR-3 (1)    0.0   0.0
                     
   $ 3,501      2.3   12.3
                     

 

(1) Rating assigned to companies that are not rated by A.M. Best.

Group Benefits Insurance

The Company reinsures a portion of its long-term disability and term life business. There is currently no reinsurance coverage on the dental, short-term disability, or vision business.

The Company’s long-term disability business is reinsured on a quota-share basis, under which the Company retains 20% of the first $6,000 in monthly disability benefits. Monthly benefits in excess of $6,000 are 100% reinsured. The long-term disability business is reinsured with Union Security Insurance Company and Reliance Standard Life Insurance Company.

The Company’s term life business is reinsured on an excess of loss basis, under which the Company retains the first $100,000 of each covered death claim and the first $50,000 of each covered accidental death or dismemberment claim. Effective August 1, 2007, the term life business was reinsured under an excess of loss arrangement with Reliastar Life Insurance Company. Prior to August 1, 2007, the term life business was reinsured by Swiss Re Life and Health America, Inc.

The Company has a block of active disability claims that it has completely ceded to The Hartford Life and Accident Insurance Company. These claims arose out of long term disability policies that ELH formerly offered to selected professional associations. The largest of these policies terminated in April 1997 and all but two of the remaining active claims pursuant to such policies were acquired by The Hartford in 1999. The Hartford manages and pays all such claims without any involvement from the Company and provides all financial information required for the Company’s financial reporting purposes. Under the terms of the reinsurance agreement, if The Hartford’s Standard & Poor’s credit rating falls below “A”, The Hartford, at the written request of the Company, must provide the Company with collateral in the form of a letter of credit equal to 103% of the statutory reserves associated with the reinsured claims covered by the reinsurance agreement or establish a trust with assets having a market value equal to at least the statutory reserves associated with the reinsured claims.

The following table sets forth the amounts recoverables from reinsurers for the group benefits insurance segment as of December 31, 2009 (dollars in thousands):

 

Carrier

   Reinsurance
Recoverable
   A.M Best
Rating
   Percentage of
Shareholders’
Equity
    Percentage of
Reinsurance
Recoverable
 

Union Security Insurance Company

   $ 8,091    A-        5.3   28.4

Hartford Life and Accident Insurance Company

     7,769    A(1)     5.0   27.3

Swiss Re Life and Health America, Inc.

     101    A(2)     0.1   0.4

Reliance Standard Life Insurance Company

     95    A(3)     0.1   0.3

Reliastar Life Insurance Company

     67    A(4)     0.0   0.2

United Teacher Associates Insurance Company

     25    A-(5)    0.0   0.1

Combined Insurance Company of America

     18    A          0.0   0.1
                      
   $ 16,166       10.5   56.8
                      

 

(1) Hartford Life and Accident Insurance Company was downgraded by A.M. Best from “A+” (Superior) to “A” (Excellent) with a negative outlook on February 27, 2009.
(2) Swiss Re Life and Health America was downgraded by A.M. Best from “A+” (Superior) to “A” (Excellent) with a stable outlook on February 27, 2009. The stable outlook was affirmed by A.M. Best on December 14, 2009.

 

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(3) Reliance Standard Life Insurance Company was put on a negative outlook by A.M. Best on December 22, 2008.
(4) Reliastar Life Insurance Company was downgraded by A.M. Best from “A+” (Superior) to “A” (Excellent) with a negative outlook on April 24, 2009.
(5) United Teacher Associates Insurance Company was put on a negative outlook by A.M. Best on March 27, 2009.

Run-off Specialty Reinsurance

The Company acts as a reinsurer in the run-off specialty reinsurance segment. None of the risks assumed in this segment are further reinsured.

Loss and LAE Reserves

The Company estimates its reserves for unpaid losses and LAE as of the balance sheet date. The adequacy of the Company’s reserves is inherently uncertain and represents a significant risk to the business. The Company attempts to mitigate the uncertainty inherent in its reserves by continually reviewing loss cost trends, attempting to set premium rates that are adequate to cover anticipated future costs, and by professionally managing its claims administration function. Additionally, the Company attempts to minimize the estimation risk inherent in its reserves by employing actuarial techniques on a quarterly basis. Significant judgment is required in actuarial estimation to ascertain the relevance of historical payment and claim settlement patterns under current facts and circumstances. No assurance can be given as to whether the ultimate liability for unpaid losses and LAE will be more or less than the Company’s current estimates. While management believes that the assumptions underlying the amounts recorded for the reserves for unpaid losses and LAE as of December 31, 2009 are reasonable, the ultimate net liability may differ materially from the amount provided.

The following table provides a summary of the activity in the Company’s reserves for unpaid losses and LAE, excluding term life premium waiver reserves, for the years ended December 31, 2009, 2008 and 2007. The 2008 activity related to ESIC’s reserves for unpaid losses and LAE is for the period from October 1, 2008 to December 31, 2008 (in thousands).

 

     2009     2008     2007  

Balance, beginning of period

   $ 155,314      $ 125,249      $ 121,396   

Reinsurance recoverables on unpaid losses and LAE

     25,636        23,429        24,236   
                        

Net balance, beginning of period

     129,678        101,820        97,160   

Net reserves acquired as a result of acquisition

     —          7,004        —     

Purchase accounting adjustments on acquisition date

     —          537        —     

Incurred related to:

      

Current year

     90,438        85,404        80,946   

Prior year

     (5,447     15,009        (6,189
                        

Total incurred before purchase accounting adjustments

     84,991        100,413        74,757   

Purchase accounting adjustments

     (493     (548     (848
                        

Total incurred

     84,498        99,865        73,909   

Paid related to:

      

Current year

     43,427        40,570        37,019   

Prior year

     47,371        38,978        32,230   
                        

Total paid

     90,798        79,548        69,249   
                        

Net balance, end of period

     123,378        129,678        101,820   

Reinsurance recoverables on unpaid losses and LAE

     24,368        25,636        23,429   
                        

Balance, end of period

   $ 147,746      $ 155,314      $ 125,249   
                        

Total reserves for unpaid losses and LAE

   $ 151,512      $ 159,117      $ 129,788   

Less: Term life premium waiver reserves

     3,741        3,766        4,481   

Less: Other

     25        37        58   
                        

Balance, end of period

   $ 147,746      $ 155,314      $ 125,249   
                        

 

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Incurred losses by segment were as follows for the year ended December 31, 2009 (in thousands):

 

     Workers’
Compensation
Insurance
Segment
    Segregated
Portfolio Cell
Reinsurance
Segment
    Group
Benefits
Insurance
Segment
    Specialty
Reinsurance
Segment
   Total  

Incurred related to:

           

Current year, gross of discount

   $ 48,326      $ 17,773      $ 25,492      $ 837    $ 92,428   

Current period discount

     (1,343     (647     —          —        (1,990

Prior year, gross of discount

     (3,749     (2,753     (611     —        (7,113

Accretion of prior period discount

     1,075        591        —          —        1,666   
                                       

Total incurred before purchase accounting adjustments

     44,309        14,964        24,881        837      84,991   

Purchase accounting adjustments

     (465     (41     —          13      (493
                                       

Total incurred

   $ 43,844      $ 14,923      $ 24,881      $ 850    $ 84,498   
                                       

Incurred losses by segment were as follows for the year ended December 31, 2008 (in thousands):

 

     Workers’
Compensation
Insurance
Segment
    Segregated
Portfolio Cell
Reinsurance
Segment
    Group
Benefits
Insurance
Segment
    Specialty
Reinsurance
Segment
   Total  

Incurred related to:

           

Current year, gross of discount

   $ 39,880      $ 15,274      $ 26,114      $ 5,746    $ 87,014   

Current period discount

     (1,078     (532     —          —        (1,610

Prior year, gross of discount

     (2,703     (1,960     (993     19,257      13,601   

Accretion of prior period discount

     928        480        —          —        1,408   
                                       

Total incurred before purchase accounting adjustments

     37,027        13,262        25,121        25,003      100,413   

Purchase accounting adjustments

     (492     (80     —          24      (548
                                       

Total incurred

   $ 36,535      $ 13,182      $ 25,121      $ 25,027    $ 99,865   
                                       

Incurred losses by segment were as follows for the year ended December 31, 2007 (in thousands):

 

     Workers’
Compensation
Insurance
Segment
    Segregated
Portfolio Cell
Reinsurance
Segment
    Group
Benefits
Insurance
Segment
    Specialty
Reinsurance
Segment
   Total  

Incurred related to:

           

Current year, gross of discount

   $ 34,962      $ 14,800      $ 24,536      $ 8,163    $ 82,461   

Current period discount

     (979     (536     —          —        (1,515

Prior year, gross of discount

     (8,398     (3,023     (961     4,844      (7,538

Accretion of prior period discount

     787        562        —          —        1,349   
                                       

Total incurred before purchase accounting adjustments

     26,372        11,803        23,575        13,007      74,757   

Purchase accounting adjustments

     (758     (132     —          42      (848
                                       

Total incurred

   $ 25,614      $ 11,671      $ 23,575      $ 13,049    $ 73,909   
                                       

 

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For the years ended December 31, 2009, 2008 and 2007, the Company (decreased) increased its reserves for unpaid losses and LAE, including the accretion of prior period discount on its workers’ compensation insurance and segregated portfolio cell reinsurance reserves for unpaid losses and LAE, by the following amounts (in thousands):

 

     2009     2008     2007  

Workers’ compensation insurance

   $ (2,674   $ (1,775   $ (7,611

Segregated portfolio cell reinsurance

     (2,162     (1,480     (2,461

Specialty reinsurance

     —          19,257        4,844   
                        

Subtotal

     (4,836     16,002        (5,228

Group benefits insurance

     (611     (993     (961
                        

Total

   $ (5,447   $ 15,009      $ (6,189
                        

Workers’ Compensation Insurance

For the years ended December 31, 2009, 2008 and 2007, the Company (decreased) increased its workers’ compensation insurance reserves for unpaid losses and LAE by the following amounts by accident year (in thousands):

 

Accident Year

   2009     2008     2007  

2008

   $ —        $ —        $ —     

2007

     (1,170     (1,203     —     

2006

     (1,504     (400     (2,048

2005

     —          (650     (3,400

2004

     (250     (200     (1,700

2003

     (325     (100     (750

2002

     (500     —          (500

2001

     —          —          —     

2000 and prior

     —          (150     —     
                        

Total before discount accretion

     (3,749     (2,703     (8,398

Discount accretion

     1,075        928        787   
                        

Total

   $ (2,674   $ (1,775   $ (7,611
                        

For the year ended December 31, 2009, the Company recognized net favorable development on prior accident year workers’ compensation loss reserves of $3.7 million, representing 6.8% of the Company’s estimated workers’ compensation net loss reserves as of December 31, 2008 and 5.1% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2009. The favorable development arose mostly from accident years 2006 and 2007, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs. Furthermore, the Company was able to settle a large amount of Pennsylvania claims via compromise and release, which is a lump sum cash payment in exchange for a full and final claim settlement. Management attributes the large amount of compromise and release claim closures to the difficult economic conditions and the claimants’ choosing a lump sum cash settlement over the continuation of a workers’ compensation annuity payment.

For the year ended December 31, 2008, the Company recognized net favorable development on prior accident year workers’ compensation loss reserves of $2.7 million, representing 6.3% of the Company’s estimated workers’ compensation net loss reserves as of December 31, 2007 and 4.1% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2008. The favorable development arose mostly from accident year 2007, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting the continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs and an improved economy in the Company’s underwriting territories during the first nine months of 2008.

For the year ended December 31, 2007, the Company recognized net favorable development on prior accident year workers’ compensation loss reserves of $8.4 million, representing 20.1% of the Company’s estimated workers’ compensation net loss reserves as of December 31, 2006 and 14.9% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2007. The favorable development arose mostly from accident years 2004, 2005 and 2006, and

 

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resulted from actual loss development being less than the Company had expected based on its historical loss development experience. The loss development factors used by the Company to determine its workers’ compensation loss reserves as of December 31, 2006 were based on its loss development history at that time. During 2007, the Company’s favorable loss development relative to its historical experience was driven by favorable effects from its loss mitigation efforts, which include greater availability and use of employers’ return to work programs, an improved economy relative to the historical experience of the Company, and significant claim settlements during 2007 at amounts less than reserves previously established.

Segregated Portfolio Cell Reinsurance

For the years ended December 31, 2009, 2008 and 2007, the Company (decreased) increased its segregated portfolio cell reinsurance reserves for unpaid losses and LAE by the following amounts by accident year (in thousands):

 

Accident Year

   2009     2008     2007  

2008

   $ (1,506   $ —        $ —     

2007

     (247     (1,011     —     

2006

     (663     (1,023     (2,404

2005

     76        402        (901

2004

     (268     (232     135   

2003

     68        (47     (56

2002

     (24     (26     84   

2001

     (45     (27     73   

2000 and prior

     (144     4        46   
                        

Total before discount accretion

     (2,753     (1,960     (3,023

Discount accretion

     591        480        562   
                        

Total

   $ (2,162   $ (1,480   $ (2,461
                        

The Company estimates and records reserves for its segregated portfolio cell reinsurance segment in the same manner as for its workers’ compensation insurance segment. Furthermore, the Company’s underwriting, claim administration and risk management services are consistent between its workers’ compensation insurance and segregated portfolio cell reinsurance segments. This is because the segregated portfolio cell reinsurance and workers’ compensation insurance segments derive their books of business from the same general business demographics and geography.

For the year ended December 31, 2009, the Company recognized net favorable development on prior accident year segregated portfolio cell reinsurance loss reserves of $2.8 million, representing 12.6% of the Company’s estimated segregated portfolio cell reinsurance net loss reserves as of December 31, 2008 and 11.1% of the Company’s segregated portfolio cell reinsurance net premiums earned for the year ended December 31, 2008. The favorable development arose mostly from accident years 2006 and 2008, but was generally prevalent in most prior accident years, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs.

For the year ended December 31, 2008, the Company recognized net favorable development on prior accident year segregated portfolio cell reinsurance loss reserves of $2.0 million, representing 9.4% of the Company’s estimated segregated portfolio cell reinsurance net loss reserves as of December 31, 2007 and 8.4% of the Company’s segregated portfolio cell reinsurance net premiums earned for the year ended December 31, 2008. The favorable development arose mostly from accident years 2006 and 2007, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs and an improved economy in the Company’s underwriting territories during the first nine months of 2008.

For the year ended December 31, 2007, the Company recognized net favorable development on prior accident year segregated portfolio cell reinsurance loss reserves of $3.0 million, representing 14.3% of the Company’s estimated segregated portfolio cell reinsurance net loss reserves as of December 31, 2006 and 13.2% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2007. The favorable development arose mostly from accident years 2005 and 2006, and resulted from actual loss development being less than the Company had expected based on its historical loss development experience. The loss development factors used by the Company to determine its segregated

 

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portfolio cell reinsurance loss reserves as of December 31, 2006 were based on its loss development history at that time. During 2007, the Company’s favorable loss development relative to its historical experience was driven by favorable effects from its loss mitigation efforts, which include greater availability and use of employers’ return to work programs, an improved economy relative to the historical experience of the Company, and significant claim settlements during 2007 at amounts less than previously established.

Group Benefits Insurance

For the year ended December 31, 2009, the Company recognized net favorable development on prior accident year group benefits insurance reserves of $611,000. The favorable development primarily reflects a decrease in prior accident year dental and short-term disability reserves of $457,000 as a result of better than expected claim experience. The Company’s long-term disability reserves also decreased $328,000, primarily related to prior year claim terminations.

For the year ended December 31, 2008, the Company recognized net favorable development on prior accident year group benefits insurance reserves of $993,000. The favorable development primarily reflects a decrease in prior accident year dental and short-term disability reserves of $613,000 as a result of better than expected claim experience. The Company also decreased its term life reserves by $264,000 as a result of lower than expected reported death claims.

For the year ended December 31, 2007, the Company recognized net favorable development on prior accident year group benefits insurance reserves of $961,000. The favorable development primarily reflects a decrease in prior accident year dental and short-term disability reserves of $709,000 as a result of better than expected claim experience. The Company’s long-term disability reserves decreased $286,000, primarily related to prior year claim terminations. The Company also decreased its term life reserves by $175,000 as a result of lower than expected reported death claims.

Run-Off Specialty Reinsurance

For the years ended December 31, 2009, 2008 and 2007, the Company increased (decreased) its specialty reinsurance reserves for unpaid losses and LAE by the following amounts by accident year (in thousands):

 

Accident Year

   2009    2008    2007  

2008

   $ —      $ —      $ —     

2007

     —        7,225      —     

2006

     —        4,088      423   

2005

     —        3,296      755   

2004

     —        1,357      859   

2003

     —        1,430      998   

2002

     —        783      1,891   

2001

     —        565      829   

2000 and prior

     —        513      (911
                      
   $ —      $ 19,257    $ 4,844   
                      

For the year ended December 31, 2009, there was no development recorded on prior accident year specialty reinsurance loss reserves. While there was no reserve development recorded in 2009, there is significant uncertainty related to the estimation of the specialty reinsurance loss and LAE reserves. The Company is dependent on the ceding company to provide accurate loss information on a quarterly basis from which management estimates the specialty reinsurance loss and LAE reserves. In the event the loss information received by the Company reflected higher losses than anticipated, as occurred in 2008 and 2007, the Company may incur additional losses related to this segment. See “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations, Critical Accounting Policies and Estimates” for additional information regarding the uncertainty related to the estimation of the specialty reinsurance loss and LAE reserves.

For the year ended December 31, 2008, the Company recognized net unfavorable development on prior accident year specialty reinsurance loss reserves of $19.3 million, representing 77.2% of the Company’s estimated specialty reinsurance net loss reserves as of December 31, 2007. The unfavorable development arose mostly from accident years 2005, 2006 and 2007, and was the result of a significant increase in reported losses from the ceding company, primarily related to the EnviroGuard program. The Company receives quarterly loss statements from the ceding company. The statements received for the fourth quarter of 2008 indicated reported losses much greater than the Company had observed in the past. As these reported losses were incorporated into the quarterly actuarial review, management also considered input from the annual

 

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claims audit, which was completed in January 2009. During the claims audit, management determined that the increase in losses reported by the ceding company was primarily attributable to adverse loss trends emerging in calendar year 2008 from prior accident years. Management also identified the primary factors that contributed to the increased losses reported to the Company. Those factors include 1) an improvement in the ceding company’s ability to estimate loss costs earlier in the claims process, including the receipt of damage estimates from contractors and consultants, 2) states becoming more aggressive in requiring quicker, more extensive clean-up and an increase in construction costs related to the clean-up, and 3) courts limiting the ability of insurance companies to enforce coverage limitations as the courts became more interested in an expeditious clean up due to environmental concerns. Based on the results of the claims audit, management updated its quarterly actuarial analysis as of December 31, 2008 to reflect higher loss development factors than had previously been applied to the reported loss data, which was previously based on the Company’s historical loss experience and industry loss development statistics.

For the year ended December 31, 2007, the Company recognized net unfavorable development on prior accident year specialty reinsurance loss reserves of $4.8 million, representing 24.6% of the Company’s estimated specialty reinsurance net loss reserves as of December 31, 2006. The unfavorable development arose mostly from accident years 2001, 2002, 2003, 2004 and 2005, and resulted from an increase in reported losses from the ceding company primarily related to the EIA liability product.

 

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The analysis in the following table presents the development of the Company’s reserves for unpaid losses and LAE from December 31, 1999 to December 31, 2009. The first line in the table shows the reserves for unpaid losses and LAE, net of reinsurance, as estimated at the end of each calendar year. The first section below that line shows the cumulative actual payments of losses and LAE, net of reinsurance, that relate to each year-end liability as they were paid at the end of subsequent annual periods. The next section shows revised estimates of the original unpaid amounts, net of reinsurance, that are based on the subsequent payments and re-estimates of the remaining unpaid liabilities. The next line shows the favorable or unfavorable development of the original estimates, net of reinsurance. Loss reserve development in this table is cumulative, the estimated favorable or unfavorable development for a particular year represents the cumulative amount by which all previous liabilities are currently estimated to have been over- or under-estimated. The “cumulative redundancy/(deficiency)” is as of December 31, 2009, which represents the difference between the latest re-estimated liability and the amounts as originally estimated. A redundancy means the original estimate was higher than the current estimate; a deficiency means that the current estimate is higher than the original estimate (in thousands).

 

    As of December 31,
    1999
(2)
    2000
(2)
    2001
(2)
    2002
(2)
    2003
(2)
    2004
(2)
    2005
(2)
    2006
(1)
    2007
(1)
    2008
(1)
  2009
(1)

Reserves for unpaid losses and LAE, net of reinsurance

  $ 34,279      $ 38,156      $ 43,363      $ 49,871      $ 58,500      $ 74,430      $ 83,389      $ 94,338      $ 99,801      $ 127,679   $ 121,945

Cumulative amount of liability paid through:

                     

One year later

    18,460        21,248        23,111        23,399        23,449        24,178        27,598        31,968        38,447        47,226     —  

Two years later

    20,344        25,890        30,462        34,122        34,882        37,688        43,235        51,612        61,078        —       —  

Three years later

    21,799        29,330        35,030        39,742        41,609        47,480        53,922        64,247        —          —       —  

Four years later

    23,050        31,022        37,812        43,186        46,805        52,500        60,738        —          —          —       —  

Five years later

    23,904        32,834        39,806        46,026        50,063        56,252        —          —          —          —       —  

Six years later

    24,833        34,194        40,842        48,040        52,253        —          —          —          —          —       —  

Seven years later

    25,580        34,615        42,314        49,140        —          —          —          —          —          —       —  

Eight years later

    26,127        35,798        42,597        —          —          —          —          —          —          —       —  

Nine years later

    27,049        35,884        —          —          —          —          —          —          —          —       —  

Ten years later

    27,121        —          —          —          —          —          —          —          —          —       —  

Liability estimated as of:

                     

One year later

    27,226        33,708        39,375        48,689        56,844        66,122        77,193        87,843        112,438        122,077     —  

Two years later

    28,329        36,018        42,664        50,143        57,247        66,045        75,401        96,890        107,868        —       —  

Three years later

    28,110        36,720        44,375        51,751        57,668        67,539        81,724        93,818        —          —       —  

Four years later

    28,330        37,693        45,808        52,986        59,744        70,976        80,572        —          —          —       —  

Five years later

    28,857        39,333        46,349        54,798        62,510        69,799        —          —          —          —       —  

Six years later

    29,743        39,603        46,582        56,438        61,707        —          —          —          —          —       —  

Seven years later

    29,812        38,925        47,661        55,822        —          —          —          —          —          —       —  

Eight years later

    29,171        39,440        47,643        —          —          —          —          —          —          —       —  

Nine years later

    29,453        39,498        —          —          —          —          —          —          —          —       —  

Ten years later

    29,635        —          —          —          —          —          —          —          —          —       —  

Cumulative total redundancy (deficiency)

  $ 4,644      $ (1,342   $ (4,280   $ (5,951   $ (3,207   $ 4,631      $ 2,817      $ 520      $ (8,067   $ 5,602   $ 121,945
                                                                                   

Gross liability—end of year

    39,042        44,141        49,327        57,955        67,549        84,555        97,755        107,027        113,068        144,280     138,544

Reinsurance recoverables

    4,763        5,985        5,964        8,084        9,049        10,125        14,366        12,689        13,267        16,601     16,599
                                                                                   

Net liability—end of year

  $ 34,279      $ 38,156      $ 43,363      $ 49,871      $ 58,500      $ 74,430      $ 83,389      $ 94,338      $ 99,801      $ 127,679   $ 121,945
                                                                                   

Gross re-estimated liability—latest

    33,996        47,770        56,947        69,234        74,051        81,951        94,941        106,169        120,370        136,663     —  

Re-estimated reinsurance recoverables—latest

    4,361        8,272        9,304        13,412        12,344        12,152        14,369        12,351        12,502        14,586     —  
                                                                                   

Net re-estimated liability—latest

  $ 29,635      $ 39,498      $ 47,643      $ 55,822      $ 61,707      $ 69,799      $ 80,572      $ 93,818      $ 107,868      $ 122,077   $ —  
                                                                                   

Gross cumulative redundancy (deficiency), including run-off group medical business

  $ 5,046      $ (3,629   $ (7,620   $ (11,279   $ (6,502   $ 2,604      $ 2,814      $ 858      $ (7,302   $ 7,617   $ —  

Less: Gross cumulative redundancy related to run-off group medical business (3)

    (5,201     (4,311     (6,314     (5,508     (1,937     (332     (290     (245     (245     —       —  
                                                                                   

Gross cumulative redundancy (deficiency), excluding run-off group medical business

  $ (155   $ (7,940   $ (13,934   $ (16,787   $ (8,439   $ 2,272      $ 2,524      $ 613      $ (7,547   $ 7,617   $ —  
                                                                                   

Gross liability, end of year

  $ 39,042      $ 44,141      $ 49,327      $ 57,955      $ 67,549      $ 87,555      $ 97,755      $ 107,027      $ 113,068      $ 144,280   $ 138,544

Professional group long-term disability reserves

    27,443        24,285        21,843        19,082        18,921        17,152        16,330        12,453        11,132        9,997     8,664

Term life premium waiver reserves

    3,868        4,474        4,458        4,305        4,661        4,783        5,333        4,815        4,482        3,766     3,742

Other

    109        74        73        52        39        41        74        256        57        37     25
                                                                                   

Total reserves for unpaid losses and LAE

  $ 70,462      $ 72,974      $ 75,701      $ 81,394      $ 91,170      $ 106,531      $ 119,492      $ 124,551      $ 128,739      $ 158,080   $ 150,975
                                                                                   

 

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(1) The reserves for unpaid losses and LAE as of December 31, 2009, 2008, 2007 and 2006 are reflected before the impact of purchase accounting adjustments of $537, $1,037, $1,049 and $1,895, respectively.
(2) The reserves for unpaid losses and LAE for December 31, 1999 through December 31, 2005 have been restated to reflect the workers’ compensation insurance, segregated portfolio cell reinsurance, and run-off specialty reinsurance operations.
(3) For purposes of understanding the Company’s reserve estimation results for its current lines of business, the gross cumulative redundancy related to the Company’s discontinued group medical business has been deducted from the total gross cumulative redundancy (deficiency) for the years ended December 31, 1999 through December 31, 2005.

A.M. Best Rating

A.M. Best rates insurance companies based on factors of concern to policyholders. In evaluating a company’s financial and operating performance, A.M. Best reviews the company’s profitability, leverage and liquidity, its book of business, the adequacy and soundness of its reinsurance programs, the quality and estimated fair value of its investments, the adequacy of its reserves and surplus, its capital structure, the experience and competence of its management, and its marketing presence. A.M. Best ratings are intended to provide an independent opinion of an insurer’s ability to meet its obligations to its policyholders. Their evaluation is not directed at investors. As of December 31, 2009, Eastern Alliance Insurance Group had a financial strength rating of “A-” (Excellent) with a positive outlook. ELH and Eastern Re had a financial strength rating of “A-” (Excellent) with a stable outlook. An “A-” (Excellent) financial strength rating is the fourth highest out of 16 rating classifications.

The financial strength ratings assigned by A.M. Best to the Company’s insurance subsidiaries are subject to periodic review and may be upgraded or downgraded by A.M. Best as a result of changes in the views of the rating agency or positive or adverse developments in the insurance subsidiaries’ financial conditions or results of operations.

Competition

The Company’s ability to compete successfully in its principal markets is dependent upon a number of factors, many of which are outside its control. Many of the Company’s business segments are subject to significant price competition. In addition to price, competition in the Company’s lines of insurance is based on quality of the products, quality and delivery of service, financial strength, ratings, distribution systems and technical expertise.

The property and casualty insurance market is highly competitive. The Company competes with stock insurance companies, mutual companies, local cooperatives and other underwriting organizations. In its workers’ compensation insurance segment, the Company considers its principal competitors to be PMA Capital Insurance Group, Erie Insurance Group, Guard Insurance Group, Selective Insurance Group, Cincinnati Insurance Company, Lackawanna Insurance Group, Accident Fund Insurance Company of America, and the Pennsylvania State Workers’ Insurance Fund.

Group benefits insurance products are relatively inexpensive to develop and market, and as such are offered by hundreds of insurance carriers, including a number of financial services companies which are not considered members of the insurance industry. In its group benefits insurance segment, the Company’s principal competitors include Aetna, Inc., Assurant, Inc., Guardian Life Insurance Company and Metropolitan Life Insurance Company.

Certain of the Company’s competitors have higher A.M. Best financial strength ratings and substantially greater financial, technical and operating resources than the Company.

Investments

The Company’s investment portfolio consists of fixed income securities, convertible bonds, equity securities, and other long-term investments in various limited partnerships. The management and accounting for the Company’s investment function is outsourced to third parties. The Company has established an investment policy, approved by the Finance/Investment Committee of the Board of Directors, which has been communicated to the Company’s external investment managers. In addition, the Company has hired an independent investment consultant to oversee the Company’s investment managers and to assist the Company in setting and monitoring its investment policy.

The Company’s investment objectives are:

 

   

to meet insurance regulatory requirements;

 

   

to maintain adequate liquidity in its insurance subsidiaries;

 

   

to preserve capital through a well diversified, high quality investment portfolio; and

 

   

to maximize after tax income while generating competitive after tax total rates of return.

 

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The Company evaluates the performance of its investments through the use of various industry benchmarks. Benchmarks have been selected for each investment manager and/or portfolio and are reviewed on a quarterly basis by management and the Company’s Finance/Investment Committee. For the year ended December 31, 2009, the Company’s taxable equivalent total return, net of management fees, was 10.26%, compared to the composite benchmark return of 14.36%.

The Company’s investments in fixed income and equity securities are classified as “available for sale” and are reported at estimated fair value, with changes in fair value reported as a component of accumulated other comprehensive income (loss), net of applicable taxes. The Company’s convertible bonds are considered hybrid financial instruments and are reported at estimated fair value, with changes in fair value reported as a realized gain or loss in the consolidated statements of operations and comprehensive income (loss). The Company periodically evaluates its investments for other-than-temporary impairment. At the time an investment is determined to be other-than-temporarily impaired, the Company records a realized loss in the consolidated statements of operations and comprehensive income (loss). Any subsequent increase in the investment’s market value would be reported as an unrealized gain. The Company’s other long-term investments include interests in various limited partnerships.

The Company accounts for its limited partnership investments under the equity method, with changes in the Company’s interest in the limited partnerships recorded in the change in equity interest in other long-term investments.

The following table sets forth consolidated information concerning the Company’s investments as of December 31, 2009 and 2008 (in thousands).

 

     At December 31,
     2009    2008
     Amortized
Cost or Cost
   Estimated
Fair Market
Value
   Amortized
Cost or Cost
   Estimated
Fair Market
Value

U.S. Treasuries and government agencies

   $ 22,795    $ 23,597    $ 26,463    $ 28,630

State, Municipalities and political subdivisions

     39,624      41,500      45,109      46,537

Corporate securities

     52,850      54,937      60,480      60,617

Residential mortgage-backed securities

     28,657      29,327      16,349      17,614

Commercial mortgage-backed securities

     8,932      8,652      12,896      11,445

Collateralized mortgage obligations

     18,045      18,079      13,477      13,109

Other structured securities

     702      639      5,328      5,184
                           

Total fixed income securities

     171,605      176,731      180,102      183,136
                           

Equity securities

     17,117      21,273      22,287      17,162

Convertible bonds

     14,921      16,677      13,783      12,346

Other long-term investments

     10,220      10,315      10,586      9,519
                           

Total investments

   $ 213,863    $ 224,996    $ 226,758    $ 222,163
                           

Other structured securities include other asset-backed securities collateralized by home equity loans, credit card receivables and manufactured homes.

As of December 31, 2009 and 2008, the estimated fair values of the Company’s limited partnership investments, by investment strategy, were as follows (in thousands):

 

     2009    2008

Multi-strategy fund of funds

   $ 4,908    $ 4,421

Natural resources

     2,361      2,130

Structured finance opportunity fund

     2,410      1,958

Municipal bond arbitrage

     —        466

Open-ended investment fund

     573      470

Real estate

     58      66
             

Total

   $ 10,310    $ 9,511
             

 

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The gross unrealized losses and estimated fair value of fixed income and equity securities, excluding those securities in the segregated portfolio cell reinsurance segment, classified as available-for-sale by category and length of time an individual security is in a continuous unrealized loss position as of December 31, 2009 were as follows (in thousands):

 

     Less Than 12 Months     12 Months or More     Total  

2009

   Estimated
Fair
Value
   Gross
Unrealized
Losses
    Estimated
Fair
Value
   Gross
Unrealized
Losses
    Estimated
Fair
Value
   Gross
Unrealized
Losses
 

U.S. Treasuries and government agencies

   $ 6,715    $ (39   $ —      $ —        $ 6,715    $ (39

States, municipalities, and political subdivisions

     2,757      (56     —        —          2,757      (56

Corporate securities

     4,491      (38     124      (2     4,615      (40

Residential mortgage-backed securities

     2,947      (21     —        —          2,947      (21

Commercial mortgage-backed securities

     1,991      (31     4,201      (308     6,192      (339

Collateralized mortgage obligations

     1,327      (44     1,771      (223     3,098      (267

Other structured securities

     —        —          564      (79     564      (79
                                             

Total fixed income securities

     20,228      (229     6,660      (612     26,888      (841

Equity securities

     —        —          —        —          —        —     
                                             

Total fixed income and equity securities

   $ 20,228    $ (229   $ 6,660    $ (612   $ 26,888    $ (841
                                             

Note: The Company has excluded the segregated portfolio cell reinsurance segment’s gross unrealized losses from the above table because changes in the estimated fair value of the segregated portfolio cell reinsurance segment’s fixed income and equity securities inures to the segregated portfolio cell dividend participant and, accordingly, is included in the segregated portfolio cell dividend payable and the related segregated portfolio dividend expense in the Company’s consolidated balance sheet and consolidated statement of operations, respectively. Management believes the exclusion of the segregated portfolio cell reinsurance segment from this disclosure provides a more transparent understanding of gross unrealized losses in the Company’s fixed income and equity security portfolios that could impact its consolidated financial position or results of operations.

As of December 31, 2009, the Company held 49 fixed income securities with gross unrealized losses totaling $841. Management has evaluated the unrealized losses related to those fixed income securities and determined that they are primarily due to the current liquidity issues in the fixed income markets or to a fluctuation in interest rates and not to credit issues of the issuer or the underlying assets in the case of asset-backed securities. The Company does not intend to sell the fixed income securities and it is not more likely than not that the Company will be required to sell the fixed income securities before recovery of their amortized cost bases, which may be maturity; therefore, management does not consider the fixed income securities to be other–than-temporarily impaired as of December 31, 2009.

For the year ended December 31, 2009, the Company recorded other-than-temporary impairments related to its fixed income and equity securities of $189,000 and $4.3 million, respectively. One fixed income security was impaired as a result of management’s intent to sell the security. This security was sold in the second quarter of 2009. The other fixed income security was impaired as a result of management determining that a credit loss had been incurred. The Company’s equity security impairments resulted from the securities being in an unrealized loss position for more than 12 months.

As of December 31, 2009, the Company held asset-backed securities with an estimated fair value of $56.7 million. The types of underlying assets collateralizing these securities, the weighted average issuance date, average credit rating and the estimated fair values as of December 31, 2009 are as follows:

 

Asset Type

   Weighted
Average Year
of Issuance
   Weighted Average
Credit Rating
   Estimated Fair
Value

Residential mortgage-backed securities (RMBS)

   2008    AAA    $ 29,327

Collateralized mortgage obligations (CMO)

   2006    AA+       18,079

Commercial mortgage-backed securities (CMBS)

   2005    AA+       8,652

Sub-prime home equity loans

   2002    AA-       374

Credit card receivables

   2004    AAA      198

Manufactured homes

   2003    AAA      68
            

Total

         $ 56,698
            

The Company held 49 RMBS securities as of December 31, 2009, all of which were rated AAA. These securities were all issued by government agencies.

The Company held 39 CMO securities with credit ratings that ranged from BB to AAA as of December 31, 2009. These securities were rated AAA, except for two securities with a BB rating.

 

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The Company held 24 CMBS securities as of December 31, 2009 with credit ratings that ranged from A- to AAA as of December 31, 2009. These securities were rated AAA, except for one security that was rated AA-, one security rated A, and one security rated A-.

The Company held three sub-prime home equity loan securities with credit ratings that ranged from BBB to AAA as of December 31, 2009. One security was rated AAA, one security was rated AA, and one security was rated BBB.

The Company held one security collateralized by credit card receivables and two securities collateralized by manufactured home loans. These securities were all rated AAA.

As of December 31, 2009, the Company held insurance enhanced securities, net of pre-refunded municipal bonds that are escrowed in U.S. government obligations, with an estimated fair value of $19.2 million, which represents approximately 8.5% of the Company’s total investments as of December 31, 2009. Municipal bonds made up 100% of the insurance enhanced securities.

The following table provides a breakdown of the ratings for these insurance enhanced securities, net of pre-refunded municipal bonds, with and without insurance (in thousands):

 

Ratings

   Ratings With
Insurance
   Ratings Without
Insurance

AAA

   $ 11,032    $ 2,704

AA

     6,745      12,082

A

     1,380      3,497

BBB

     —        387

Rating not available

     —        487
             

Total

   $ 19,157    $ 19,157
             

These securities had an average credit rating of AA+ as of December 31, 2009 (average credit rating of AA without the benefit of insurance).

The Company’s indirect exposure to third party insurers, by percent of estimated fair value as of December 31, 2009 was as follows:

 

Insurer

   Percentage of
Estimated Fair
Value
 

Assured Guaranty Municipal Corporation

   37.5

National Re

   27.6

National Re FGIC

   15.8

AMBAC Financial Group, Inc.

   14.5

Berkshire Hathaway Assurance Group

   3.0

Financial Guaranty Insurance Company

   1.6
      

Total

   100.0
      

The following table shows the ratings distribution of the Company’s fixed income securities and convertible bonds, excluding fixed income securities of the segregated portfolio cell reinsurance segment, as a percentage of the total market value of the fixed income portfolio as of December 31, 2009 (dollars in thousands).

 

     Total    Percentage of
Total Market
Value
 

“AAA”

   $ 97,671    59.9

“AA”

     25,198    15.5

“A”

     25,636    15.7

“BBB”

     6,385    3.9

Below Investment Grade

     6,778    4.2

Not Rated

     1,280    0.8
             

Total

   $ 162,948    100.0
             

Note: The Company has excluded the segregated portfolio cell reinsurance segment’s investment credit ratings from the above table because management believes the exclusion of the credit ratings of the segregated portfolio cell reinsurance segment’s fixed income securities provides a more transparent understanding of the underlying risk in the Company’s fixed income portfolio.

 

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The amortized cost and estimated fair value of fixed income securities and convertible bonds as of December 31, 2009, by contractual maturity, are shown below. Expected maturities could differ from contractual maturities because borrowers may have the right to call or prepay obligations, with or without call or prepayment penalties (in thousands).

 

     Amortized
Cost
   Estimated
Fair Value

Less than one year

   $ 20,135    $ 20,351

One through five years

     63,746      66,918

Five through ten years

     23,578      24,692

Greater than ten years

     23,433      25,389

Mortgage-backed securities

     55,634      56,058
             

Total

   $ 186,526    $ 193,408
             

Company Web Sites

The Company operates three Web sites. The Company’s Corporate Web site (www.easterninsuranceholdings.com) provides investor relations information and news. EAIG’s Web site (www.eains.com) provides information and news regarding workers’ compensation products and services, in addition to secured content accessible to producers and insureds. The secured sections include a risk management library that allows EAIG’s risk management personnel to disseminate safety information quickly and effectively to producers and insureds. ELH’s Web site (www.elhins.com) provides information and news regarding group benefits products as well as access to an online group administration system.

Employees

As of December 31, 2009, the Company had 198 full time employees. The Company’s employees are not represented by a union. The Company considers its relationship with its employees to be excellent.

Regulation

General

Insurance companies are subject to supervision and regulation in the jurisdictions in which they do business. Insurance authorities in each jurisdiction have broad administrative powers to administer statutes and regulations with respect to all aspects of the insurance business, including:

 

   

licensing of insurers and their producers;

 

   

approval of policy forms and premium rates;

 

   

mandating certain insurance benefits;

 

   

standards of solvency, including establishing statutory and risk-based capital requirements for statutory surplus;

 

   

classifying assets as admissible for purposes of determining statutory surplus;

 

   

regulating unfair trade and claim practices, including through the imposition of restrictions on marketing and sales practices, distribution arrangements and payment of inducements;

 

   

restrictions on the nature, quality and concentration of investments;

 

   

assessments by guaranty and other associations;

 

   

restrictions on the ability of insurance companies to pay dividends;

 

   

restrictions on transactions between insurance companies and their affiliates;

 

   

restrictions on acquisitions and dispositions of insurance companies;

 

   

restrictions on the size of risks insurable under a single policy;

 

   

requiring deposits for the benefit of policyholders;

 

   

requiring certain methods of accounting;

 

   

periodic examinations of insurance company operations and finances;

 

   

reviewing claims administration practices;

 

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prescribing the form and content of records of financial condition required to be filed; and

 

   

requiring reserves for unearned premiums, losses and other purposes.

State insurance laws and regulations require insurance companies to file financial statements with insurance departments everywhere they do business, and the operations of insurance companies are subject to examination by those departments at any time. EIHI’s domestic insurance subsidiaries prepare statutory financial statements in accordance with accounting practices and procedures prescribed or permitted by these departments.

Examinations

Examinations of the EIHI’s insurance subsidiaries are conducted by the domiciliary insurance department every three to five years. The Pennsylvania Insurance Department’s most recent examinations of Eastern Alliance, Allied Eastern and ELH for which a report was issued were as of December 31, 2006. The Indiana Insurance Department’s most recent examination of ESIC for which a report was issued was as of December 31, 2004. The Company has been notified by the Indiana Insurance Department that ESIC will be examined in 2010. These examinations did not result in any adjustments to the financial position of the insurance companies. In addition, there were no substantive qualitative matters indicated in the examination reports that had a material adverse impact on the Company’s operations. The Pennsylvania Insurance Department conducted an organizational examination of Eastern Advantage as of October 24, 2007.

Risk-Based Capital Requirements

Pennsylvania and Indiana impose the NAIC risk-based capital requirements that require insurance companies to calculate and report information under a risk-based formula. These risk-based capital requirements attempt to measure statutory capital and surplus needs based on the risks in an insurance company’s mix of products and investment portfolio. Under the formula, a company first determines its “authorized control level” risk-based capital. This authorized control level takes into account (i) the risk with respect to the insurer’s assets; (ii) the risk of adverse insurance experience with respect to the insurer’s liabilities and obligations; (iii) the interest rate risk with respect to the insurer’s business; and (iv) all other business and other relevant risks as are set forth in the risk-based capital instructions. As of December 31, 2009, the capital levels of EIHI’s insurance subsidiaries exceeded risk-based capital requirements.

Market Conduct Regulation

State insurance laws and regulations include numerous provisions governing trade practices and the marketplace activities of insurers, including provisions governing the form and content of disclosure to consumers, illustrations, advertising, sales practices and complaint handling. State regulatory authorities generally enforce these provisions through periodic market conduct examinations. To our knowledge, the Company is currently in compliance with these provisions.

Sarbanes-Oxley Act of 2002

The Company is subject to the Sarbanes-Oxley Act of 2002, which implemented legislative reforms intended to address corporate and accounting fraud. Among other reforms, the Sarbanes-Oxley Act requires chief executive officers and chief financial officers, or their equivalent, to certify to the accuracy of periodic reports filed with the SEC, subject to civil and criminal penalties if they knowingly or willfully violate this certification requirement. The Sarbanes-Oxley Act also increases the oversight of, and codifies, certain requirements relating to audit committees of public companies and how they interact with the company’s auditors. Audit committee members must be independent and are barred from accepting consulting, advisory or other compensatory fees from the Company. In addition, companies must disclose whether at least one member of the committee is a “financial expert,” as such term is defined by the SEC, and if not, why not. Pursuant to the Sarbanes-Oxley Act, the SEC has adopted rules requiring inclusion of an internal control report and assessment by management in the annual report to shareholders. The Sarbanes-Oxley Act requires the auditor that issues the audit report to attest to and report on management’s assessment of the company’s internal controls.

Insurance Guaranty Funds

Almost all states have guaranty fund laws under which insurers doing business in the state can be assessed to fund policyholder liabilities of insolvent insurance companies. Pennsylvania, Indiana and the other states in which our insurance companies do business have such laws. Under these laws, an insurer is subject to assessment depending upon its market share in the state of a given line of business. The most significant assessment fund to which the Company is subject is the Pennsylvania Workers’ Compensation Security Fund (the “Security Fund”), which assesses workers’ compensation insurers

 

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doing business in Pennsylvania for the purpose of providing funds to cover obligations to policyholders of insolvent insurance companies. The maximum assessment the Security Fund can impose is equal to 1.0% of the Company’s net workers’ compensation premiums written in Pennsylvania in the year of assessment. The Company establishes reserves relating to specific insurance company insolvencies upon notification of an assessment by the respective state guaranty association. We cannot predict the amount or timing of any future assessments under these laws.

Cayman Islands Regulation

Eastern Re is organized and licensed as a Cayman Islands unrestricted Class B insurance company and is subject to regulation by the Cayman Islands Monetary Authority. Applicable laws and regulations govern the types of policies that the Company can insure or reinsure, the amount of capital that it must maintain and the way it can be invested, and the payment of dividends without approval by the Cayman Islands Monetary Authority. Eastern Re is required to maintain minimum capital of $120,000.

As a result of the unfavorable loss reserve development recorded at Eastern Re for the year ended December 31, 2008, EIHI made a capital contribution of $23.0 million to Eastern Re on March 6, 2009 to ensure Eastern Re remained solvent and met the minimum capital requirement of $120,000. For additional information related to the capital contribution, refer to Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations, Liquidity and Capital Resources”.

Holding Company Regulation

EIHI is registered as an insurance holding company under the Insurance Holding Company Act amendments to the Pennsylvania Insurance Code of 1921, as amended, and is subject to regulation and supervision by the Pennsylvania Insurance Department. EIHI is required to annually file a report of its operations with, and is subject to examination by, the Pennsylvania Insurance Department.

Each insurance company in a holding company system is required to register with the insurance supervisory agency of its state of domicile and furnish certain information. This includes information concerning the operations of companies within the holding company system that may materially affect the operations, management or financial condition of the insurers within the system. Pursuant to these laws, the respective insurance departments may examine insurance companies and their holding companies at any time, require disclosure of material transactions by insurance companies and their holding companies and require prior notice or approval of certain transactions, such as “extraordinary dividends” distributed by insurance companies.

All transactions within the holding company system affecting insurance companies and their holding companies must be fair and equitable. Notice of certain material transactions between insurance companies and any person or entity in their holding company system will be required to be given to the applicable insurance commissioner. In some states, certain transactions cannot be completed without the prior approval of the insurance commissioner.

Approval by the state insurance commissioner is required prior to any transaction affecting the control of an insurer domiciled in that state. In Pennsylvania, the acquisition of 10% or more of the outstanding capital stock of an insurer or its holding company is presumed to be a change in control. Pennsylvania law also prohibits any person from (i) making a tender offer for, or a request or invitation for tenders of, or seeking to acquire or acquiring any voting security of a Pennsylvania insurer if, after the acquisition, the person would be in control of the insurer, or (ii) effecting or attempting to effect an acquisition of control of or merger with a Pennsylvania insurer, unless the offer, request, invitation, acquisition, effectuation or attempt has received the prior approval of the Insurance Department.

Dividend Restrictions

EIHI’s ability to declare and pay dividends will depend in part on dividends received from its insurance subsidiaries. Our domestic insurance subsidiaries’ ability to pay dividends to the Company is limited by the insurance laws and regulations of Pennsylvania and Indiana. The maximum annual dividends that the domestic insurance entities may pay without prior approval from the Pennsylvania or Indiana Insurance Departments is limited to the greater of 10% of statutory surplus or 100% of statutory net income for the most recently filed annual statement.

Eastern Re must receive approval from the Cayman Islands Monetary Authority before it can pay any dividend to EIHI.

 

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On March 6, 2009, the Pennsylvania Insurance Commissioner approved the payment of extraordinary dividends to EIHI from Eastern Alliance, Allied Eastern and ELH in the amount of $10.0 million, $2.0 million and $13.0 million, respectively. The $13.0 million dividend from ELH included $8.0 million previously approved by the Pennsylvania Insurance Commissioner in 2008, for which ELH had not made payment to EIHI. The proceeds from the dividends were used to fund EIHI’s capital contribution to Eastern Re of $23.0 million.

Note on Forward-Looking Statements

This document contains forward-looking statements, which can be identified by the use of such words as “estimate,” “project,” “believe,” “intend,” “anticipate,” “plan,” “seek,” “expect” and similar expressions. These forward-looking statements include:

 

   

statements of goals, intentions and expectations;

 

   

statements regarding prospects and business strategy; and

 

   

estimates of future costs, benefits and results.

These forward-looking statements are subject to significant risks, assumptions and uncertainties, including, among other things, the factors discussed under the heading “Risk Factors” that could affect the actual outcome of future events.

All of these factors are difficult to predict and many are beyond our control. These important factors include those discussed under “Risk Factors” and those listed below:

 

   

the ability to carry out our business plans;

 

   

future economic conditions in the regional and national markets in which we compete that are less favorable than expected;

 

   

the effect of legislative, judicial, economic, demographic and regulatory events in the states in which we do business;

 

   

the ability to obtain licenses and enter new markets successfully and capitalize on growth opportunities either through mergers or the expansion of our producer network;

 

   

financial market conditions, including, but not limited to, changes in interest rates and the credit and equity markets causing a reduction of investment income or investment gains, an acceleration of the amortization of deferred policy acquisition costs, reduction in the value of our investment portfolio or a reduction in the demand for our products;

 

   

the impact of acts of terrorism and acts of war;

 

   

the effects of terrorist related insurance legislation and laws;

 

   

changes in general economic conditions, including inflation, unemployment, interest rates and other factors;

 

   

the cost, availability and collectibility of reinsurance;

 

   

estimates and adequacy of loss reserves and trends in losses and LAE;

 

   

heightened competition, including specifically the intensification of price competition, increased underwriting capacity and the entry of new competitors and the development of new products by new and existing competitors;

 

   

the effects of mergers, acquisitions and dispositions;

 

   

changes in the coverage terms selected by insurance customers, including higher deductibles and lower limits;

 

   

changes in the underwriting criteria that we use resulting from competitive pressures;

 

   

our inability to obtain regulatory approval of, or to implement, premium rate increases;

 

   

the potential impact on our reported earnings that could result from the adoption of future accounting standards issued by the Financial Accounting Standards Board or other standard-setting bodies;

 

   

our inability to carry out marketing and sales plans, including, among others, development of new products or changes to existing products and acceptance of the new or revised products in the market;

 

   

unanticipated changes in industry trends and ratings assigned by nationally recognized rating organizations;

 

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adverse litigation or arbitration results; and

 

   

adverse changes in applicable laws, regulations or rules governing insurance holding companies and insurance companies, and tax or accounting matters including limitations on premium levels, increases in minimum capital and reserves, and other financial viability requirements, and changes that affect the cost of, or demand for our products.

Because forward-looking information is subject to various risks and uncertainties, actual results may differ materially from that expressed or implied by the forward-looking information. Therefore, we caution you not to place undue reliance on this forward-looking information.

All subsequent written and oral forward-looking information attributable to the Company or any person acting on our behalf is expressly qualified in its entirety by the cautionary statements contained or referred to in this section. We do not undertake any obligation to publicly release any revisions that may be made to any forward-looking statements.

Because of these and other uncertainties, our actual future results may be materially different from the results indicated by these forward-looking statements. The Company has no obligation to update or revise any forward-looking statements to reflect any changed assumptions, any unanticipated events or any changes in the future.

Item 1A—Risk Factors

Our business is subject to numerous risks and uncertainties, the outcome of which may impact future results of operations and financial condition. These risks are as follows:

Risk Factors Relating to Our Business

Our results may be adversely affected if our actual losses exceed our loss reserves.

The Company maintains loss reserves to cover estimated amounts needed to pay for insured losses and for the LAE necessary to settle claims with respect to insured events that have occurred, including events that have not yet been reported to us. Estimating the reserves for unpaid losses and LAE is a difficult and complex process involving many variables and subjective judgments; reserves do not represent an exact measure of liability. Accordingly, our loss reserves may prove to be inadequate to cover our actual losses. We regularly review our reserving techniques and our overall amount of reserves. We review historical data and consider the impact of various factors such as:

 

   

trends in claim frequency and severity;

 

   

information regarding each claim for losses;

 

   

legislative enactments, judicial decisions and legal developments regarding damages; and

 

   

trends in general economic conditions, including inflation and levels of employment.

If we determine that our reserves for unpaid losses and LAE are inadequate, we will have to increase them. This adjustment would reduce income during the period in which the adjustment is made, which could have a material adverse impact on our financial condition and results of operations. For additional information, see “Item 1—Business, Loss and LAE Reserves” and “Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations, Critical Accounting Polices and Estimates.”

Our run-off specialty reinsurance segment may experience additional losses in the event actual losses exceed our loss reserve estimates.

The estimation of the Company’s loss reserves in its run-off specialty reinsurance segment is subject to significant uncertainty and the reserves for unpaid losses and LAE as of December 31, 2009 could prove to be inadequate, which would require us to increase the reserves and incur additional losses. We are dependent on the ceding company to provide accurate paid loss information on a quarterly basis from which we estimate the run-off specialty reinsurance reserves. Furthermore, we use external and internal benchmark data to assist in the estimation of the loss and LAE reserves, both of which have limited loss development data to produce credible trends. For example, the run-off specialty reinsurance reserves were increased for the years ended December 31, 2008 and 2007 by $19.3 million and $4.8 million, respectively, as a result of an increase in reported losses from the ceding company that were much greater than we had observed in the past. For additional information related to our process for estimating the run-off specialty reinsurance reserves, see “Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations, Critical Accounting Policies and Estimates.”

 

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If we do not accurately establish our premium rates, our results of operations may be adversely affected.

In general, the premium rates for our insurance policies are established when coverage is initiated and therefore, before all of the underlying costs are known. Like other insurance companies, we rely on estimates and assumptions in setting our premium rates. Establishing adequate rates is necessary, together with investment income, to generate sufficient revenue to offset losses, LAE and other underwriting expenses and to earn a profit. If we fail to accurately assess the risks that we assume, we may fail to charge adequate premium rates to cover our losses and expenses, which could reduce income and cause us to become unprofitable. As a result, our actual costs for providing insurance coverage to our policyholders may be significantly higher than our premiums.

In order to set premium rates accurately, we must collect and properly analyze a substantial volume of data; develop, test, and apply appropriate rating formulae; closely monitor and recognize changes in trends; project both severity and frequency of losses with reasonable accuracy; and estimate customer retention. Customer retention represents the amount of exposure a policyholder retains on any one risk or group of risks. The term may apply to an insurance policy, where the policyholder is an individual, family or business, or a reinsurance policy, where the policyholder is an insurance company. We must also implement our pricing accurately in accordance with our assumptions. For example, as we expand the geographic market in which we offer our workers’ compensation insurance products we may not price these products accurately or adequately. Our ability to undertake these efforts successfully, and as a result set premium rates accurately, is subject to a number of risks and uncertainties, including:

 

   

inaccurate assessment of new markets in which we have little or no prior experience;

 

   

insufficient or unreliable data;

 

   

incorrect or incomplete analysis of available data;

 

   

uncertainties generally inherent in estimates and assumptions;

 

   

our inability to implement appropriate rating formulae or other pricing methodologies;

 

   

costs of ongoing medical treatment;

 

   

our inability to accurately estimate customer retention, investment yields and the duration of our liability for losses and LAE; and

 

   

unanticipated court decisions, legislation or regulatory action.

Consequently, we could set our premium rates too low, which could negatively affect our results of operations and our profitability, or we could set our premium rates too high, which could reduce our ability to obtain new or retain existing business and lead to lower net premiums earned.

If we do not effectively manage the growth of our operations we may not be able to compete or operate profitably.

Our growth strategy includes enhancing our market share in our existing markets, entering new geographic markets, introducing new insurance products and programs, further developing our agency relationships, and pursuing merger and acquisition opportunities. Our strategy is subject to various risks, including risks associated with our ability to:

 

   

identify profitable new geographic markets to enter;

 

   

obtain licenses in new states in which we wish to market and sell our products;

 

   

successfully implement our underwriting, pricing, claims management, and product strategies over a larger operating region;

 

   

properly design and price new and existing products and programs and reinsurance facilities;

 

   

identify, train and retain qualified employees;

 

   

identify, recruit and integrate new independent producers;

 

   

formulate and execute a merger and acquisition strategy; and

 

   

augment our internal monitoring and control systems as we expand our business.

We also may encounter difficulties in the implementation of our growth strategies, including unanticipated expenditures. In addition, our growth strategies may result in us entering into markets or product lines in which we have little or no prior experience. Any such difficulties could result in diversion of senior management time and adversely affect our financial results.

 

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Our ability to manage our exposure to underwriting risks depends on the availability and cost of reinsurance coverage.

We use reinsurance arrangements to limit and manage the amount of risk we retain, to stabilize our underwriting results and to increase our underwriting capacity. Although we have not recently experienced difficulty in obtaining reinsurance at reasonable prices, the availability and cost of reinsurance is subject to current market conditions and may vary significantly over time. Any decrease in the amount of our reinsurance will increase our risk of loss. We may be unable to maintain our desired reinsurance coverage or to obtain other reinsurance coverage in adequate amounts and at favorable rates. If we are unable to renew our expiring coverage or obtain new coverage, it will be difficult for us to manage our underwriting risks and operate our business profitably.

It is also possible that the losses we experience on insured risks for which we have obtained reinsurance will exceed the coverage limits of the reinsurance. If the amount of our reinsurance coverage is insufficient, our insurance losses could increase substantially.

If our reinsurers do not pay our claims in a timely manner, we may incur losses.

We are subject to credit risk with respect to the reinsurers with whom we deal because buying reinsurance does not relieve us of our liability to policyholders. The Company had net reinsurance recoverables of $28.5 million as of December 31, 2009. For example, some of our reinsurers have been adversely impacted by the current economic environment and deterioration in the investment markets and, as a result, have been downgraded by A.M. Best, which could negatively impact the reinsurers’ results of operations or financial condition. If our reinsurers are not capable of fulfilling their financial obligations to us, including the inability to secure the necessary collateral provided under the reinsurance agreements, our insurance losses would increase, which would negatively affect our financial condition and results of operations.

Our investment performance may suffer as a result of adverse capital market developments, which may affect our financial results and ability to conduct business.

We invest the premiums we receive from policyholders until cash is needed to pay insured claims or other expenses. As of December 31, 2009, the Company had investments of $225.0 million. For the year ended December 31, 2009, the Company had $7.1 million of net investment income, representing 4.9% of its total revenues. Our investments are subject to a variety of investment risks, including risks relating to general economic conditions, market volatility, interest rate fluctuations, liquidity risk and credit risk. In particular, an unexpected increase in the volume or severity of claims may force us to liquidate securities, which may cause us to incur capital losses. If we do not structure the duration of our investments to match our insurance and reinsurance liabilities, we may be forced to liquidate investments prior to maturity at a significant loss to cover such payments. Investment losses could significantly decrease our asset base and statutory surplus, thereby affecting our ability to conduct business.

Our revenues may fluctuate with changes in interest rates.

Our investment portfolio contains a significant amount of fixed income securities, including bonds, mortgage-backed securities (“MBSs”), collateralized mortgage obligations (“CMOs”), and other asset-backed securities. The market values of all of our investments fluctuate depending on economic and political conditions and other factors beyond our control. The market values of our fixed income securities are particularly sensitive to changes in interest rates.

For example, if interest rates rise, fixed income securities generally will decrease in value. If interest rates decline, these securities generally will increase in value, except for MBSs, which may decline due to higher prepayments on the mortgages underlying the securities.

As of December 31, 2009, MBSs, including CMOs, constituted 24.9% of the market value of the Company’s investment portfolio. MBSs and CMOs are subject to prepayment risks that vary with, among other things, interest rates. During periods of declining interest rates, MBSs generally prepay faster as the underlying mortgages are prepaid and/or refinanced by the borrowers in order to take advantage of lower interest rates. MBSs that have an amortized cost that is greater than par (i.e., purchased at a premium) may incur a reduction in yield or a loss as a result of prepayments. In addition, during such periods, we generally will be unable to reinvest the proceeds of any prepayment at comparable yields. Conversely, during periods of rising interest rates, the frequency of prepayments generally decreases, and we may receive interest payments that are below the then prevailing interest rate for longer than expected. MBSs that have an amortized cost that is less than par (i.e., purchased at a discount) may incur a decrease in yield or a loss as a result of slower prepayments.

 

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If we fail to comply with insurance industry regulations, or if those regulations become more burdensome, we may not be able to operate profitably.

Our insurance subsidiaries are regulated by government agencies in the states in which we do business, and we must comply with a number of state and federal laws and regulations. Most insurance regulations are intended to protect the interests of insureds rather than those of shareholders and other investors.

If we fail to comply with these laws and regulations, state insurance departments can exercise a range of remedies from the imposition of fines to being placed in rehabilitation or liquidation. State insurance departments also conduct periodic examinations of the affairs of insurance companies and require the filing of annual and other reports relating to financial condition, holding company issues and other matters. These regulatory requirements may adversely affect or inhibit our ability to achieve some or all of our business objectives.

Part of our strategy includes expanded licensing and product filings for the Company. Regulatory authorities, however, have broad discretion to deny or revoke licenses for various reasons, including the violation of regulations. If we do not have or obtain the requisite licenses and approvals or do not comply with applicable regulatory requirements, insurance regulatory authorities could preclude or temporarily suspend us from carrying on some or all of our activities, including our expansion objectives, or otherwise penalize us. Furthermore, changes in the level of regulation of the insurance industry or changes in laws or regulations or interpretations of such laws and regulations by regulatory authorities could adversely affect our ability to operate our business.

We are subject to various accounting and financial requirements established by the NAIC. Eastern Re is subject to the laws of the Cayman Islands and regulations promulgated by the Cayman Islands Monetary Authority. Failure to comply with these laws, regulations and requirements could result in consequences ranging from a regulatory examination to a regulatory takeover of one or more of our insurance subsidiaries. This would make our business less profitable. In addition, state regulators and the NAIC continually re-examine existing laws and regulations, with an emphasis on insurance company solvency issues and fair treatment of policyholders. Insurance laws and regulations could change or additional restrictions could be imposed that are more burdensome and make our business less profitable. Because these laws and regulations are for the protection of policyholders, any changes may not be in your best interest as a shareholder.

Compliance with applicable laws and regulations is time consuming and personnel-intensive, and changes in these laws and regulations may materially increase our direct and indirect compliance and other expenses of doing business, thus adversely affecting our financial condition and results of operations.

The group benefits insurance and workers’ compensation insurance markets in which we operate are highly competitive.

Competition in these markets is based on many factors. These factors include the perceived financial strength of the insurer, premiums charged, policy terms and conditions, services provided, reputation, financial ratings assigned by independent rating agencies and the experience of the insurer in the line of insurance to be written. The Company’s insurance subsidiaries compete with stock insurance companies, mutual companies, local cooperatives and other underwriting organizations. Our principal competitors in the group benefits market include Aetna, Inc., Assurant, Inc., Guardian Life Insurance Company, and Metropolitan Life Insurance Company. Our principal competitors in the workers’ compensation insurance market include PMA Capital Insurance Group, Erie Insurance Group, Guard Insurance Group, Penn National Insurance Company, Selective Insurance Group, Cincinnati Insurance Company, Lackawanna Insurance Group, Accident Fund Insurance Company of America, and the Pennsylvania State Workers’ Insurance Fund. Many of these competitors have higher ratings and substantially greater financial, technical and operating resources than we have. The group benefits and workers’ compensation lines of insurance are subject to significant price competition. If competitors price their products aggressively, our ability to grow or renew our business may be adversely affected. We pay producers on a commission basis to produce business. Some competitors may offer higher commissions to independent producers or offer insurance at lower premium rates through the use of salaried personnel or other distribution methods that do not rely on independent producers. Increased competition could adversely affect our ability to attract and retain business and thereby reduce our profits from operations.

We could be adversely affected by the loss of our key personnel.

The success of our business is dependent, to a large extent, on the efforts of certain key personnel, in particular, Bruce M. Eckert, our Chief Executive Officer, Michael L. Boguski, our President and Chief Operating Officer, Kevin M. Shook, our Treasurer and Chief Financial Officer, Robert A. Gilpin, our Senior Vice President of Marketing, and Suzanne M. Emmet, our Senior Vice President of Claims. We have employment agreements with each of Messrs. Eckert, Boguski,

 

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Shook, Gilpin, and Ms. Emmet, which contain covenants not to compete. We do not maintain key man life insurance on any of these executives. The loss of key personnel could prevent us from fully implementing our business strategy and could significantly and negatively affect our financial condition and results of operations. As we continue to grow, we will need to recruit and retain additional qualified management personnel, and our ability to do so will depend upon a number of factors, such as our results of operations and prospects and the level of competition then prevailing in the market for qualified personnel. The current market for qualified insurance personnel is highly competitive.

Our results of operations may be adversely affected by any loss of business from key producers and by the creditworthiness of our producers.

Our products are marketed by independent producers. Other insurance companies compete with the Company for the services and allegiance of these producers. Because they are independent, these producers are not obligated to direct business to the Company and may choose to direct business to our competitors, or may direct less desirable risks to us. The Company’s ten largest producers in its workers’ compensation insurance segment accounted for 55.1% of its direct premiums written for the year ended December 31, 2009. The Company’s two largest producers, E.K. McConkey and The Alliance of Central PA, Inc., in its workers’ compensation insurance segment accounted for 12.9% and 11.6% of direct premiums written, respectively, for the year ended December 31, 2009. No other producer accounted for more than 10.0% of direct premiums written in the Company’s workers’ compensation insurance segment for the year ended December 31, 2009. No independent producer accounted for more than 10.0% of the Company’s group benefits insurance direct premiums written for the year ended December 31, 2009. If premium volume produced by any of the Company’s large producers were to decrease significantly, it would have a material adverse effect on us.

In addition, in accordance with industry practice, our customers sometimes pay the premiums for their policies to producers for payment to us. These premiums are considered paid when received by the producer and, thereafter, the customer is no longer liable to us for those amounts, whether or not we have actually received the premiums from the producer. Consequently, we assume a degree of credit risk associated with our reliance on producers in connection with the collection of insurance premiums.

Because the Company’s workers’ compensation insurance business is concentrated in Pennsylvania, the Company is subject to local economic risks as well as to changes in the regulatory and legal climate in Pennsylvania.

For the year ended December 31, 2009, 79.8% of the Company’s workers’ compensation premium was written in Pennsylvania. The Company’s workers’ compensation insurance business is affected by the economic health of Pennsylvania for two principal reasons. First, premium growth is dependent upon payroll growth, which, in turn, is affected by economic conditions. Second, losses and LAE can increase in weak economic conditions because it is more difficult to return injured workers to the job when employers are otherwise reducing payrolls. Finally, as a result of the Company’s high concentration of Pennsylvania business, the Company can be adversely affected by any material change in Pennsylvania law or regulation or any Pennsylvania court decision affecting workers’ compensation carriers generally.

Future changes in financial accounting standards or practices or existing tax laws may adversely affect our reported results of operations.

Financial accounting standards in the United States are constantly under review and may be changed from time to time. We would be required to apply these changes when adopted. Once implemented, these changes could materially affect our results of operations and/or the way in which such results of operations are reported. Similarly, we are subject to taxation in the United States and a number of state jurisdictions. Rates of taxation, definitions of income, exclusions from income, and other tax policies are subject to change over time. Eastern Re is domiciled in the Cayman Islands. Changes in Cayman Islands tax laws could have a material impact on our consolidated results of operations.

Proposals to federally regulate the insurance business could affect our business.

Currently, the U.S. federal government does not directly regulate the insurance business. However, federal legislation and administrative policies in several areas can significantly and adversely affect insurance companies. These areas include financial services regulation, securities regulation, pension regulation, privacy, tort reform legislation and taxation. In addition, various forms of direct federal regulation of insurance have been proposed. These proposals include the State Modernization and Regulatory Transparency Act, which would maintain state-based regulation of insurance but would affect state regulation of certain aspects of the insurance business, including rates, producer and company licensing, and market conduct examinations, and the National Insurance Act of 2007, which would provide for optional federal charters for insurance companies. We cannot predict whether this or other proposals will be adopted, or what impact, if any, such proposals or, if enacted, such laws may have on our business, financial condition or results of operations.

 

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Risk Factors Relating to Our Common Stock

Directors and management could effectively control certain situations that may be viewed as contrary to your interests.

The extent of management’s control over the Company is related to the following factors:

 

   

Directors and management owned approximately 18.3% of the Company’s outstanding stock as of December 31, 2009.

 

   

The employee stock ownership plan (“ESOP”) owns 7.7%, or 747,500 shares, of the Company’s outstanding stock as of December 31, 2009. The shares held by the ESOP will be voted in the manner directed by the ESOP participants.

 

   

We have implemented a stock compensation plan pursuant to which shares of restricted stock and stock options have been issued to certain of our directors, officers and employees.

As a result of these factors, the Company’s directors and management, directly or indirectly, hold a substantial equity interest in the Company. If all members of management were to act together as a group, they could have a significant influence over the outcome of the election of directors and any other shareholder vote. Therefore, management might have the power to take actions that nonaffiliated shareholders may deem to be contrary to the shareholders’ best interests.

Provisions in our articles and bylaws and statutory provisions may serve to entrench management and also may discourage takeover attempts that you may believe are in your best interests.

We are subject to provisions of Pennsylvania corporate and insurance law that hinder a change of control. Pennsylvania law requires the Pennsylvania Insurance Department’s prior approval of a change of control of an insurance holding company. Under Pennsylvania law, the acquisition of 10% or more of the outstanding capital stock of an insurer or its holding company is presumed to be a change in control. Approval by the Pennsylvania Insurance Department may be withheld even if the transaction would be in the shareholders’ best interest if, among other things, the Pennsylvania Insurance Department determines that the transaction would be detrimental to policyholders.

Our articles of incorporation and bylaws also contain provisions that may discourage a change in control. These provisions include:

 

   

a classified Board of Directors divided into three classes serving for successive terms of three years each;

 

   

a provision that the Board of Directors has the authority to issue shares of authorized but unissued common stock and preferred stock and to establish the terms of any one or more series of preferred stock, including voting rights, without additional shareholder approval;

 

   

the prohibition of cumulative voting in the election of directors;

 

   

the requirement that nominations for the election of directors made by shareholders and any shareholder proposals for inclusion on the agenda at any annual meeting must be made by notice (in writing) delivered or mailed to us not less than 90 days or more than 120 days prior to the meeting;

 

   

the prohibition of shareholder action without a meeting and the prohibition of shareholders being able to call a special meeting;

 

   

the requirement that certain provisions of our articles of incorporation can only be amended by an affirmative vote of shareholders entitled to cast at least 80% of all votes that shareholders are entitled to cast, unless approved by an affirmative vote of at least 80% of the members of the Board of Directors; and

 

   

the requirement that certain provisions of our bylaws can only be amended by an affirmative vote of shareholders entitled to cast at least 66 2/3%, or in certain cases 80%, of all votes that shareholders are entitled to cast.

These provisions may serve to entrench management and may discourage a takeover attempt that you may consider to be in your best interest or in which you would receive a substantial premium over the current market price. These provisions may make it extremely difficult for any one person or group of affiliated persons to acquire voting control of the Company, with the result that it may be extremely difficult to bring about a change in the Board of Directors or management. Some of these provisions also may perpetuate present management because of the additional time required to cause a change in the control of the board. Other provisions make it difficult for shareholders owning less than a majority of the voting stock to be able to elect even a single director.

 

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Provisions of the Pennsylvania Business Corporation Law, which we refer to as the PBCL, that are applicable to publicly traded companies provide, among other things, that we may not engage in a business combination with an “interested shareholder” during the five-year period after the interested shareholder became such, except under certain specified circumstances. Under the PBCL, an interested shareholder is generally a holder of 20% or more of our voting stock. The PBCL also contains provisions providing for the ability of shareholders to object to the acquisition by a person, or group of persons acting in concert, of 20% or more of our outstanding voting securities and to demand that they be paid a cash payment for the fair value of their shares from the controlling person or group.

If our insurance subsidiaries are not sufficiently profitable, our ability to pay dividends will be limited by regulatory restrictions.

Our domestic insurance subsidiaries’ ability to pay dividends to the Company is limited by the insurance laws and regulations of Pennsylvania and Indiana. The maximum dividend that the domestic insurance entities may pay without prior approval from the Pennsylvania Insurance Department and the Indiana Insurance Department is limited to the greater of 10% of statutory surplus or 100% of statutory net income for the most recently filed annual statement.

Eastern Re must receive approval from the Cayman Islands Monetary Authority before it can pay any dividend. Furthermore, any dividends paid in excess of Eastern Re’s cumulative earnings and profits subsequent to June 16, 2006 would be subject to U.S. federal income tax.

Item 1B—Unresolved Staff Comments

Not applicable.

Item 2—Properties

The Company’s corporate headquarters are located at 25 Race Avenue in Lancaster, Pennsylvania. The Company leases its home office building under a 15-year, non-cancelable lease through February 2017. The annual base rent is subject to an annual increase based upon the consumer price index at the end of each preceding calendar year. In addition to the base rent, the Company is responsible for its proportionate share of expenses related to the building including, but not limited to, utilities, maintenance, real estate taxes, and insurance. The Company has a 5% interest in the limited partnership that owns the building.

The Company also has regional offices in Charlotte, North Carolina and Indianapolis, Indiana and leases office space in each of these locations under multi-year operating leases expiring in January 2013 and March 2017, respectively.

The home office building is used by the workers’ compensation insurance, group benefits insurance and corporate/other segments. The regional office space in North Carolina and Indiana is primarily used by the workers’ compensation insurance segment.

Item 3—Legal Proceedings

The Company is, from time to time, involved in legal proceedings that arise in the ordinary course of business. We believe we have sufficient loss reserves and reinsurance to cover claims under insurance policies issued by us. Although there can be no assurance as to the ultimate disposition of these matters, we do not believe, based upon the information available at this time, that any current pending legal proceedings, individually or in the aggregate, will have a material adverse effect on our business, financial condition, or results of operations.

Item 4—Submission of Matters to a Vote of Security Holders

We did not submit any matters to a vote of the holders of our common stock during the fourth quarter of 2009.

 

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PART II

Item 5—Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

The no par value common stock trades on the NASDAQ National Market under the symbol “EIHI”. As of March 3, 2010, there were 560 registered holders of record of our common stock.

During 2009, the Company paid four quarterly dividends of $0.07/share. Any payment of dividends in the future on the common stock is subject to determination and declaration by the Company’s Board of Directors, who will take into consideration the Company’s financial condition, results of operations and future prospects.

The table below sets forth information with respect to the amount and frequency of dividends declared on our common stock for the years ended December 31, 2009 and 2008. It is currently expected that cash dividends will continue to be paid in the future.

 

Date of Declaration

by EIHI Board

  

Type of and Amount of Dividend

  

Record Date for Payment

  

Payment Date

February 19, 2009

   Regular    $0.07 cash per share    March 13, 2009    March 27, 2009

May 14, 2009

   Regular    $0.07 cash per share    June 12, 2009    June 26, 2009

August 13, 2009

   Regular    $0.07 cash per share    September 11, 2009    September 25, 2009

November 12, 2009

   Regular    $0.07 cash per share    December 11, 2009    December 24, 2009

Date of Declaration

by EIHI Board

  

Type of and Amount of Dividend

  

Record Date for Payment

  

Payment Date

February 14, 2008

   Regular    $0.07 cash per share    March 14, 2008    March 28, 2008

May 13, 2008

   Regular    $0.07 cash per share    June 13, 2008    June 27, 2008

August 14, 2008

   Regular    $0.07 cash per share    September 12, 2008    September 26, 2008

November 13, 2008

   Regular    $0.07 cash per share    December 12, 2008    December 29, 2008

Information regarding restrictions and limitations on the payment of cash dividends can be found in Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the “Financial Condition, Liquidity and Capital Resources” section.

The table below sets forth the high and low sales prices of our common stock for each quarterly period as reported by the NASDAQ for the years ended December 31, 2009 and 2008.

 

     2009    2008
     Low    High    Low    High

1st quarter

   $ 5.56    $ 10.91    $ 13.41    $ 17.10

2nd quarter

   $ 6.94    $ 10.00    $ 14.25    $ 16.99

3rd quarter

   $ 8.77    $ 10.72    $ 12.77    $ 16.00

4th quarter

   $ 6.75    $ 9.90    $ 6.25    $ 14.72

 

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Equity Compensation Plan Information

The Company adopted the Eastern Insurance Holdings, Inc. 2006 Stock Incentive Plan (the “Stock Incentive Plan”) on December 18, 2006. Under the terms of the Stock Incentive Plan, stock awards may be made in the form of incentive stock options, non-qualified stock options or restricted stock. The following table provides the total number of stock awards outstanding, including the weighted average exercise price, as of December 31, 2009:

 

Plan category

   Number of securities to be
issued upon exercise of
outstanding options,
warrants and rights
   Weighted–average
exercise price of
outstanding options,
warrants and rights
   Number of securities
remaining available for
future issuance under
equity compensation plans
(excluding securities
reflected in column (a))
 
     (a)    (b)    (c)  

Equity compensation plans approved by security holders

   612,523    $ 14.36    383,235 (1) 

Equity compensation plans not approved by security holders

   —        —      —     

Total

   612,523    $ 14.36    383,235 (1) 

 

(1) Beginning with calendar year 2008, the number of securities available for future issuance under the Stock Incentive Plan is automatically increased on January 1 by an amount equal to 1.0% of the total outstanding common shares on the last trading day of December of the immediately preceding calendar year. The number of securities available for future issuance can be in the form of stock options or restricted stock.

 

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Performance Graph

Set forth below is a line graph comparing the dollar change in the cumulative total shareholder return on the Company’s common stock for the year ended December 31, 2009 compared to the cumulative total return of the NASDAQ Composite Index and the cumulative total return of the SNL Insurance Underwriter Index. The chart depicts the value on December 31, 2009 of a $100 investment made on June 19, 2006.

LOGO

 

     Period Ending

Index

   06/19/06    06/30/06    12/31/06    12/31/07    12/31/08    12/31/09

Eastern Insurance Holdings, Inc.  

   100.00    112.18    127.61    146.38    72.88    80.65

NASDAQ Composite

   100.00    102.92    114.45    125.68    74.73    107.52

SNL Insurance Underwriter Index

   100.00    101.66    116.30    116.88    60.74    70.53

 

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Unregistered Sales of Equity Securities and Use of Proceeds

Issuer Purchases of Equity Securities

On February 15, 2007, the Company’s Board of Directors authorized the repurchase of up to 5 percent of the Company’s issued and outstanding shares of common stock for the purpose of funding the issuance of stock under the Eastern Insurance Holdings, Inc. 2006 Stock Incentive Plan. On August 2, 2007, the Company’s Board of Directors authorized the repurchase of additional shares of the Company’s outstanding common stock up to an aggregate of 1,046,500 shares, which represented the total number of shares of common stock for which awards may be granted under the Company’s Stock Incentive Plan at that time. On September 27, 2007, the Company’s Board of Directors increased the share repurchase authorization to 2,046,500 shares. On March 24, 2008, the Company received approval from the Pennsylvania Insurance Department to repurchase up to $10 million of the Company’s issued and outstanding common stock, which is in addition to the 2,046,500 shares authorized in 2007.

There were no purchases of our common stock during the year ended December 31, 2009. As of December 31, 2009, the Company has repurchased 2,091,757 shares, and has approximately $9.6 million authorized for future repurchases.

The following table presents information with respect to those purchases of our common stock made during the year ended December 31, 2008:

 

Period

   Total number of
shares purchased
   Average price
paid per share
   Total number of
shares purchases as
part of publicly
announced plans
or programs
   Maximum number
(or approximate
dollar value) of
shares that may yet
be purchased under
the plans or
programs
 

January 1-31, 2008

   113,757    $ 16.23    113,757    915,878   

February 1-28, 2008

   540,271    $ 16.50    540,271    375,607   

March 1-31, 2008

   156,193    $ 15.38    156,193    219,414   

April 1-30, 2008

   74,610    $ 15.76    74,610    144,804   

May 1-31, 2008

   81,800    $ 15.99    81,800    63,004   

June 1-30, 2008

   31,797    $ 15.82    31,797    31,207 (a) 

July 1-31, 2008

   21,563    $ 15.05    21,563    9,644 (a) 

August 1-31, 2008

   10,826    $ 15.18    10,826    —   (a) 

September 1-30, 2008

   3,472    $ 15.16    3,472    —   (a) 

October 1-31, 2008

   8,290    $ 9.42    8,290    —   (a) 

November 1-30, 2008

   21,057    $ 8.81    21,057    —   (a) 

December 1-31, 2008

   11,256    $ 8.23    11,256    —   (a) 
                   

Total

   1,074,892    $ 15.86    1,074,892   
                   

 

(a) The maximum number of remaining shares represents the difference between 2,046,500 authorized shares and the number of shares repurchased. The approval to repurchase an additional $10 million of the Company’s common stock is not included in this amount.

 

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Item 6—Selected Financial Data

The following table sets forth selected historical financial information for the Company for the years ended and as of the dates indicated. This information is derived from the Company’s consolidated financial statements. You should read the following selected financial information along with the information contained in this annual report, including Part II, Item 7 of this annual report entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the consolidated financial statements and related notes and the reports of the independent registered public accounting firm included in Part II, Item 8 and elsewhere in this report. These historical results are not necessarily indicative of results to be expected from any future period (in thousands, except per share and share amounts).

 

     At or for the Years Ended December 31,  
   2009     2008 (1)     2007     2006 (2)     2005 (3)  

Income Statement Data:

          

Direct premiums written

   $ 120,187      $ 111,999      $ 101,761      $ 65,935      $ 40,994   

Reinsurance premiums assumed

     29,902        33,106        43,183        17,836        —     

Net premiums written

     138,433        134,712        131,889        67,529        38,700   

Net premiums earned

   $ 134,986      $ 135,807      $ 129,495      $ 74,919      $ 38,702   

Investment income, net of expenses

     7,097        9,631        11,669        8,678        3,715   

Change in equity interest in limited partnerships

     1,261        (3,970     759        314        100   

Net realized investment gains (losses)

     952        (11,117     2,888        2,757        445   

Other revenue

     645        853        683        313        1,066   
                                        

Total revenue

   $ 144,941      $ 131,204      $ 145,494      $ 86,981      $ 44,028   
                                        

Expenses:

          

Losses and LAE incurred

   $ 84,552      $ 99,188      $ 73,588      $ 47,913      $ 27,090   

Acquisition and other underwriting expenses

     18,183        18,918        17,056        7,242        5,452   

Other expenses

     26,382        25,338        21,801        14,390        9,674   

Amortization of intangibles

     1,732        1,373        1,738        1,087        —     

Policyholder dividend expense

     432        551        543        239        —     

Segregated portfolio dividend expense (4)

     1,238        2,155        4,423        2,890        —     
                                        

Total expenses

   $ 132,519      $ 147,523      $ 119,149      $ 73,761      $ 42,216   
                                        

Income (loss) before income taxes

   $ 12,422      $ (16,319   $ 26,345      $ 13,220      $ 1,812   

Income tax expense

     4,021        1,064        7,662        4,942        685   
                                        

Net income (loss)

   $ 8,401      $ (17,383   $ 18,683      $ 8,278      $ 1,127   
                                        

Selected Balance Sheet Data (at period end):

          

Total investments and cash and cash equivalents

   $ 292,013      $ 275,038      $ 299,061      $ 288,288      $ 82,319   

Total assets

     391,524        377,311        385,518        368,206        111,225   

Reserves for unpaid losses and LAE

     151,512        159,117        129,788        126,467        44,137   

Unearned premiums

     46,099        42,365        39,826        34,600        95   

Total liabilities

     237,659        239,174        207,687        194,462        49,116   

Total shareholders’ equity

     153,865        138,137        177,831        173,744        62,109   

U.S. GAAP Ratios:

          

Loss and LAE ratio (5)

     62.6     73.0     56.8     64.0     70.0

Expense ratio (6)

     34.3     33.6     31.4     30.3     39.1

Policyholder dividend expense ratio (7)

     0.3     0.4     0.4     0.3     —     

Combined ratio (8)

     97.2     107.0     88.6     94.6     109.1

Per Share Data:

          

Basic earnings per share

   $ 0.92      $ (1.90   $ 1.78      $ 0.67        N/A   

Diluted earnings per share

   $ 0.91      $ (1.90   $ 1.72      $ 0.65        N/A   

Cash dividends per share

   $ 0.28      $ 0.28      $ 0.20      $ —          N/A   

Weighted Average Shares:

          

Basic

     8,984,644        8,954,098        10,264,369        10,623,182        N/A   

Diluted

     9,051,701        8,954,098        10,604,349        N/A        N/A   

 

(1) Includes ESHC’s results of operations for the period from October 1, 2008 to December 31, 2008.
(2) Includes ELH’s results of operations for the year ended December 31, 2006 and the results of operations of EHC and its subsidiaries for the period from June 17, 2006 to December 31, 2006.

 

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(3) Represents the financial condition and results of operations for ELH.
(4) The net income of the segregated portfolio cell reinsurance segment is recorded as a segregated portfolio dividend expense, which represents the dividend earned by the segregated portfolio dividend participants during the period.
(5) Calculated by dividing losses and LAE incurred by net premiums earned.
(6) Calculated by dividing the sum of acquisition and other underwriting expenses, other expenses and amortization of intangibles by net premiums earned.
(7) Calculated by dividing the policyholder dividend expense by net premiums earned.
(8) The sum of the loss and LAE ratio, expense ratio and the policyholder dividend expense ratio.

 

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Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

The Company’s results of operations for the year ended December 31, 2009 reflect the improvement in the fixed income and equity security markets during 2009, partially offset by an increase in the combined ratios in the workers’ compensation insurance, segregated portfolio cell reinsurance and group benefits insurance segments. The 2009 results also reflect the run-off of the specialty reinsurance segment.

The workers’ compensation insurance segment’s combined ratio increased from 80.2% in 2008 to 87.7% in 2009. The increased combined ratio primarily reflects the impact of the current economic environment on the Company’s workers’ compensation loss and LAE ratio and an increase in the expense ratio. The increase in the loss and LAE ratio is due primarily to an increase in the 2009 accident year loss ratio reflecting management’s view of the current economic conditions. The increase in the expense ratio primarily reflects an increase in corporate expense allocations and the impact of premium rate decreases and audits of prior year policies that resulted in return premium to customers in 2009.

The segregated portfolio cell reinsurance segment’s combined ratio increased from 88.3% in 2008 to 91.3% in 2009. The increased combined ratio primarily reflects the impact of the current economic environment on the Company’s workers’ compensation loss and LAE ratio.

The group benefits insurance segment’s combined ratio increased from 97.4% in 2008 to 101.8% in 2009. The increased combined ratio primarily reflects an increase in the dental loss ratio and a higher expense ratio. The dental loss ratio has been affected by the competitive rate environment. The increased expense ratio primarily reflects higher salary costs, consulting expenses related to an upgrade of the group benefits policy administration system and an increase in corporate expense allocations.

Principal Revenue and Expense Items

The Company derives its revenue primarily from net premiums earned, including assumed premiums earned, net investment income and net realized investment gains.

Direct and net premiums written. Direct premiums written is the sum of both direct premiums and assumed premiums before the effect of ceded reinsurance. Direct premiums written include all premiums billed during a specified policy period. Net premiums written is the difference between direct premiums written and premiums ceded or paid to reinsurers (ceded premiums written). In the segregated portfolio cell reinsurance segment, assumed premiums are derived from insurance contracts written by the Company and ceded to the segregated portfolio cells. In the run-off specialty reinsurance segment, assumed premiums represent premiums that were received under the quota-share reinsurance treaties and were reported to the Company directly from the broker one quarter in arrears.

Net premiums earned. Net premiums earned represent the earned portion of the Company’s net premiums written. Premiums are earned over the term of the related policies. At the end of each accounting period, the portion of the premiums that are not yet earned are included in unearned premiums and are realized as revenue in subsequent periods over the remaining term of the policy. The Company’s workers’ compensation policies typically have a term of twelve months. Thus, for example, for a policy that is written on July 1, 2009, one-half of the premiums would be earned in 2009 and the other half would be earned in 2010. Workers’ compensation premiums are determined based upon the payroll of the insured, the applicable premium rates and, where applicable, an experience based modification factor. An audit of the policyholders’ records is conducted after policy expiration to make a final determination of applicable premiums. Included with net premiums earned is an estimate for earned but unbilled final audit premiums. The Company can estimate earned but unbilled premiums because it keeps track, by policy, of how much additional premium is billed in final audit invoices as a percentage to estimate the probable additional amount that it has earned but not yet billed as of the balance sheet date. The majority of the Company’s group benefits insurance policies are billed on a monthly basis with premiums being earned in the month in which coverage is provided. As a result, there is minimal unearned premium related to the group benefits insurance policies as of the balance sheet date.

Net investment income and realized gains and losses on investments. The Company invests its surplus and the funds supporting its insurance liabilities (including unearned premiums and unpaid losses and LAE) in cash, cash equivalents, fixed income securities, convertible bonds and equity securities. Investment income includes interest earned on invested assets, including the impacts of premium amortization and discount accretion. Realized gains and losses on invested assets are reported separately from net investment income. The Company recognizes realized gains when invested assets are sold for an

 

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amount greater than their cost or amortized cost (in the case of fixed income securities) and recognizes realized losses when investment securities are written down as a result of an other than temporary impairment or sold for an amount less than their cost or amortized cost. Realized gains and losses also include the change in fair value of convertible bonds.

Other revenue. Other revenue includes claim administration, risk management, and cell rental fees earned. There are other revenue items that the Company recognizes on a segmental basis that are eliminated in consolidation. Such items consist primarily of fees paid by the segregated portfolio cells to other entities within the consolidated group. The segregated portfolio cells recognize an expense for such items (included as part of its ceding commission) and a corresponding revenue item is recognized by the affiliate providing the service. For segment reporting purposes, such revenue items primarily include claims administration, risk management, and cell rental fees. Fronting fees are included in acquisition and other underwriting expenses as an offset to the direct costs incurred. For segment reporting purposes, such fees are recognized ratably over the period in which the service is provided, which generally corresponds to the earned portion of net premiums written for the underlying policies.

The Company’s expenses consist primarily of losses and LAE, acquisition and other underwriting expenses, policyholder dividends, other expenses, and income taxes.

Losses and LAE. Losses and LAE represent the largest expense item and include: (1) claim payments made, (2) estimates for future claim payments and changes in those estimates for prior periods, and (3) costs associated with investigating, defending and adjusting claims.

Acquisition and other underwriting expenses. In the workers’ compensation and group benefits insurance segments, expenses incurred to underwrite risks are referred to as acquisition and other underwriting expenses, which consist primarily of commissions, premium taxes, assessments and fees and other underwriting expenses incurred in acquiring, writing and administering the Company’s business. In the segregated portfolio cell reinsurance and run-off specialty reinsurance segments, acquisition and other underwriting expenses consist of ceding commissions earned under the respective reinsurance agreements. Ceding commissions received are netted against acquisition and other underwriting expenses.

Other expenses. Other expenses consist of general administrative expenses such as salaries, rent, office supplies, depreciation and all other operating expenses not otherwise classified separately. Other expenses also include interest expense related primarily to the Company’s junior subordinated debt and loan payable.

Policyholder dividend expense. Policyholder dividends represent the amount of dividends incurred during the period that are expected to be returned to policyholders. The dividend expense is based on the loss experience of the underlying workers’ compensation insurance policy.

Income tax expense. EIHI and certain of its subsidiaries pay federal, state and local income taxes. Income tax expense includes an amount for both current and deferred income taxes. Current income tax expense includes an amount for the Company’s current year federal income tax liability and any adjustments related to differences between the prior year federal income tax estimate and the actual income tax expense reported in the federal income tax return. Deferred tax expense represents the change in the Company’s net deferred tax asset, exclusive of the tax effect related to changes in unrealized gains and losses in the Company’s investment portfolio and changes in the unrecognized amounts related to the Company’s benefit plan liabilities.

Key Financial Measures

The Company evaluates its insurance operations by monitoring certain key measures of growth and profitability. The Company measures growth by monitoring changes in direct premiums written and net premiums written. The Company measures underwriting profitability by examining loss, expense, policyholder dividend expense and combined ratios. On a segmental basis, the Company measures a segment’s operating results by examining net income, diluted earnings per share, and return on average equity.

Loss ratio. The loss ratio is the ratio (expressed as a percentage) of losses and LAE incurred to net premiums earned and measures the underwriting profitability of a company’s insurance business. The Company measures the loss ratio on an accident year and calendar year loss basis to measure underwriting profitability. An accident year loss ratio measures losses and LAE for insured events occurring in a particular policy year, regardless of when they are reported, as a percentage of net premiums earned during that year. A calendar year loss ratio measures losses and LAE for insured events occurring during a particular policy year and the change in loss reserves from prior accident years as a percentage of net premiums earned during that year.

 

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Expense ratio. The expense ratio is the ratio (expressed as a percentage) of the sum of the acquisition and other underwriting expenses, other expenses and amortization of intangibles to net premiums earned, and measures the Company’s operational efficiency in producing, underwriting and administering its insurance business.

Policyholder dividend expense ratio. The policyholder dividend expense ratio is the ratio (expressed as a percentage) of policyholder dividend expense to net premiums earned and measures the impact of the Company’s policyholder dividend policies on its workers’ compensation insurance segment.

Combined ratio. The combined ratio is the sum of the loss ratio, expense ratio and policyholder dividend expense ratio and measures the Company’s overall underwriting profit. If the combined ratio is below 100%, the Company is making an underwriting profit. If the Company’s combined ratio is at or above 100%, the Company is not profitable without investment income and may not be profitable if investment income is insufficient.

Net premiums written to statutory surplus ratio. The net premiums written to statutory surplus ratio represents the ratio of net premiums written to statutory surplus. This ratio measures the Company’s insurance subsidiaries’ exposure to pricing errors in its current book of business. The higher the ratio, the greater the impact on surplus should pricing prove inadequate.

Net income, diluted earnings per share, and return on average equity. The Company uses net income and diluted earnings per share to measure its profits and return on average equity to measure its effectiveness in utilizing shareholders’ equity to generate net income. In determining return on average equity for a given year, net income is divided by the average of the beginning and ending shareholders’ equity for that year.

Critical Accounting Policies and Estimates

The preparation of financial statements in accordance with U.S. GAAP requires both the use of estimates and judgment relative to the application of appropriate accounting policies. The Company is required to make estimates and assumptions in certain circumstances that affect amounts reported in the consolidated financial statements and related footnotes. The Company evaluates these estimates and assumptions on an on-going basis based on historical developments, market conditions, industry trends and other information that is believed to be reasonable under the circumstances. There can be no assurance that actual results will conform to the estimates and assumptions and that reported results of operations will not be materially adversely affected by the need to make accounting adjustments to reflect changes in these estimates and assumptions from time to time. The Company believes the following policies are the most sensitive to estimates and judgments.

Reserves for Unpaid Losses and LAE

The Company establishes reserves for unpaid losses and LAE for its workers’ compensation, segregated portfolio cell reinsurance, group benefits insurance, and run-off specialty reinsurance products, which are estimates of future payments of reported and unreported claims for losses and related expenses. The adequacy of the Company’s reserves for unpaid losses and LAE are inherently uncertain because the ultimate amount that the Company may pay under many of the claims incurred as of the balance sheet date will not be known for many years. Establishing reserves is an imprecise process, requiring the use of informed estimates and judgments. The Company’s estimates and judgments may be revised as additional experience and other data becomes available and are reviewed as new or improved methodologies are developed, or as current laws change. Any such revisions could result in future changes in estimates of losses or reinsurance recoverables and would be reflected in the Company’s results of operations in the period in which the estimates are changed. Estimating the ultimate claims liability is necessarily a complex and judgmental process inasmuch as the amounts are based on management’s informed estimates and judgments using data currently available. If the Company’s ultimate losses, net of reinsurance, prove to differ substantially from the amounts recorded as of December 31, 2009, the related adjustments could have a material adverse effect on the Company’s financial condition, results of operations or liquidity.

Workers’ Compensation Insurance

On a quarterly basis, the Company prepares actuarial analyses to assess the reasonableness of the recorded reserves for unpaid losses and LAE in its workers’ compensation insurance segment. These actuarial analyses incorporate various methodologies, including paid loss development, incurred loss development and a combination of other actuarial methodologies that incorporate characteristics of incurred and paid methodologies combined with a review of the Company’s exposure base. The recorded amount in each accident year is then compared to the results of these methodologies, with consideration being given to the age of the accident year. As accident years mature, the various methodologies generally

 

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produce consistent loss estimates. For more recent accident years, the methodologies produce results that are not as consistent. Accordingly, more emphasis is placed on supplementing the methodologies in more recent accident years with trends in exposure base, medical expense inflation, general inflation, severity, and claim counts, among other things.

The Company’s reserves for unpaid losses and LAE in its workers’ compensation insurance segment as of December 31, 2009 and 2008 are summarized below (in thousands):

 

     2009     2008  

Case reserves

   $ 33,073      $ 34,897   

Case incurred development, IBNR and unallocated LAE reserves

     27,451        23,320   

Amount of discount

     (3,097     (2,994
                

Net reserves before reinsurance recoverables and purchase accounting

     57,427        55,223   

Reinsurance recoverables on unpaid losses and LAE

     4,909        4,932   

Purchase accounting adjustments

     514        986   
                

Reserves for unpaid losses and LAE

   $ 62,850      $ 61,141   
                

In its workers’ compensation insurance segment, the Company records reserves for estimated losses under insurance policies and for LAE related to the investigation and settlement of policy claims. The Company’s reserves for unpaid losses and LAE represent the estimated cost of reported and unreported losses and LAE incurred and unpaid at a given point in time. In establishing its workers’ compensation reserves, the Company uses loss discounting, which involves recognizing the time value of money and offsetting estimates of future payments by future expected investment income.

When a claim is reported, the Company’s claims adjusters establish a case reserve, which consists of anticipated medical costs, indemnity costs and certain defense and cost containment expenses that the Company refers to as allocated loss adjustment expenses, or ALAE. At any point in time, the amount paid on a claim, plus the case reserve for future amounts to be paid, represents the claims adjuster’s estimate at that time of the total cost of the claim, or the case incurred amount. The case reserve for each reported claim is based upon various factors, including:

 

   

type of loss;

 

   

severity of the injury or damage;

 

   

age and occupation of the injured employee;

 

   

estimated length of temporary disability;

 

   

anticipated permanent disability;

 

   

expected medical procedures, costs and duration;

 

   

knowledge of the circumstances surrounding the claim;

 

   

insurance policy provisions, including coverage, related to the claim;

 

   

jurisdiction of the occurrence; and

 

   

other benefits defined by applicable statute.

The case incurred amount can vary over time due to changes in expectations with respect to medical treatment and outcome, length and degree of disability, employment availability and wage levels and judicial determinations. As changes occur, the case incurred amount is adjusted. The initial estimate of the case incurred amount can vary significantly from the amount ultimately paid, especially in circumstances involving severe injuries with comprehensive medical treatment. Changes in case incurred amounts, or case incurred development, is an important component of the Company’s historical claim data.

In addition to case reserves, the Company establishes loss and ALAE reserves on an aggregate basis for case incurred development and IBNR claims. Case incurred development and IBNR reserves are primarily intended to provide for aggregate changes in preexisting case incurred amounts and, secondarily, to provide for the unpaid cost of IBNR claims for which an initial case reserve has not been established.

The third component of the Company’s reserves for unpaid losses and LAE is unallocated loss adjustment expense, or ULAE. The Company’s ULAE reserve is established for the costs of future unallocated loss adjustment expenses for known and unknown claims. The Company’s ULAE reserve covers primarily the estimated cost of administering claims.

 

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In estimating case incurred development and IBNR reserves, the Company performs most of its detailed analysis on a net of reinsurance basis, and then considers expected recoveries in arriving at its recorded amounts for unpaid losses and LAE. To estimate such reserves, the Company relies primarily on the historical claim data and trends from its workers’ compensation book of business. Using standard actuarial methods, the Company estimates reserves based on historical patterns of case development, payment patterns, mix of business, premium rates charged, case reserving adequacy, operational changes, adjustment philosophy and severity and duration trends. However, the number of variables and judgments involved in establishing reserve estimates, combined with some random variation in loss development patterns, results in uncertainty regarding projected ultimate losses.

To estimate reserves, the Company stratifies its data using variations of the following different categorizations of claims:

 

   

All loss and LAE data developed together;

 

   

Lost time claims developed independently;

 

   

Medical only claims developed independently;

 

   

The indemnity portion of lost time claims developed independently;

 

   

The medical portion of a lost time claim and medical only claims developed together; and

 

   

LAE developed independently.

The term “developed together” refers to the summation of the claims data for a particular data stratification. For example, “All loss and LAE data developed together” represents all loss and LAE data of the Company, regardless of medical, indemnity or expense components, developed together using the historical data for this particular data stratification. The term “developed independently” refers to a specific data element. For example, “The indemnity portion of lost time claims developed independently” represents the development of the indemnity portion of a claim separately using historical data for this particular type of claim. Developing claims using different data stratifications allows the Company to identify trends for a specific group of claims that would not necessarily be readily identifiable if the data were included with other types of claim information. For example, developing the medical portion of a claim separately may allow the Company to identify a medical inflation trend that may not have been evident if it had been included with indemnity claim information. The combination of the different data stratifications and standard actuarial methods, including the following, produce different actuarial indications for the Company to evaluate:

Incurred Loss Development Method. The incurred (case incurred) loss development method relies on the assumption that, at any given state of maturity, ultimate losses can be predicted by multiplying cumulative reported losses (paid losses plus case reserves) by a cumulative development factor. The validity of the results of this method depends on the stability of claim reporting and settlement rates, as well as the consistency of case reserve levels. Case reserves do not have to be adequately stated for this method to be effective; they only need to have a fairly consistent level of adequacy at all stages of maturity. “Age-to-age” loss development factors (“LDFs”) are calculated to measure the relative development of an accident year from one maturity point to the next.

Paid Loss Development Method. The paid loss development method relies on paid losses to estimate ultimate losses and is mechanically identical to the incurred loss development method described above. The paid method does not rely on case reserves or claim reporting patterns in making projections. The validity of the results from using a paid loss development approach can be affected by many conditions, such as internal claim department processing changes, legal changes or variations in a company’s mix of business from one year to the next. Also, since the percentage of losses paid for immature years is often low, development factors are more volatile. A small variation in the number of claims paid can have a leveraging effect that can lead to significant changes in estimated ultimate liability for losses and LAE. Therefore, ultimate values for immature accident years are often based on alternative estimation techniques.

Bornhuetter-Ferguson Methodology. The Bornhuetter-Ferguson expected loss projection method based on reported loss data relies on the assumption that remaining unreported losses are a function of the total expected ultimate losses rather than a function of the currently reported losses. The expected ultimate losses in this analysis are based on historical results, adjusted for known pricing changes and inflationary trends. The expected ultimate losses are multiplied by the unreported percentage to produce expected unreported losses. The unreported percentage is calculated as one minus the reciprocal of the selected cumulative incurred LDFs. Finally, the unreported losses are added to the current reported losses to produce ultimate losses. The Bornhuetter-Ferguson method is most useful as an alternative to other models for immature accident years. For these immature accident years, the amounts reported or paid may be small and unstable and therefore not predictive of future development. Therefore, future development is assumed to follow an expected pattern that is supported by more stable historical data or by emerging trends. This method is also useful when changing reporting patterns distort historical development of losses.

 

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The Bornhuetter-Ferguson method can also be applied with paid losses.

In estimating ULAE reserves, the Company reviews past loss adjustment expenses in relation to paid claims and estimated future costs based on expected claims activity and duration. The sum of the Company’s net loss and ALAE reserve and ULAE reserves represents its total net reserve for unpaid losses and LAE.

In determining management’s best estimate, the Company considers the various accident year loss indications produced by the actuarial methods. Considering the results of the methods, the inherent strengths and weaknesses of each method as described above, as well as other statistical information such as ultimate loss ratios, ultimate loss to exposure ratios and average ultimate claim values, the Company determines and records its best estimate of unpaid losses and ALAE. Management believes its best estimate of recorded reserves for unpaid losses and LAE is representative of the inherent uncertainty surrounding reserving for a long-tail line of business such as workers’ compensation as well as the relative immature accident year historical experience of its workers’ compensation insurance segment, which completed its first full year of operations in 1998.

As of December 31, 2009, the Company’s best estimate of its ultimate liability for losses and LAE, net of amounts recoverable from reinsurers and before purchase accounting adjustments, for its workers’ compensation insurance segment was $57.4 million.

For each of the methods described above that are used to estimate reserves for losses and LAE, the estimated paid and incurred loss development factors are key assumptions. Loss development factors are estimated based on the Company’s historical paid and incurred loss development patterns, and an estimate of the “tail factor”, or a factor to account for development beyond the maturity of the historical data. In addition, for the Bornhuetter-Ferguson methods, a key assumption is an estimate of the expected loss ratio. The expected loss ratio is determined based on estimated historical loss ratios adjusted to reflect current underwriting and rate change activity. The assumptions used in these methods by the Company over time have reflected a consistent application of the Company’s estimating processes to emerging experience. The tail factors used in the calculation of loss development factors requires considerable judgment. Selecting representative tail factors requires substantially more judgment than the historical loss development factors. While loss development factors are based on the historical claim payment and reserving patterns of the Company over a period of time, tail factors are estimated based on loss development trends in more mature accident years and industry information, and therefore are estimated in the absence of direct historical loss development history.

Management believes that changes in tail factors are reasonably likely considering the impact that changing economic conditions and medical inflation may have on the loss and LAE estimation process. There are loss and LAE risk factors that affect workers’ compensation claims that can change over time and also cause the Company’s loss reserves to fluctuate. Some examples of these risk factors include, but are not limited to, the following:

 

   

recovery time from the injury;

 

   

degree of patient responsiveness to treatment;

 

   

use of pharmaceutical drugs;

 

   

type and effectiveness of medical treatments;

 

   

frequency of visits to healthcare providers;

 

   

changes in costs of medical treatments;

 

   

availability of new medical treatments and equipment;

 

   

types of healthcare providers used;

 

   

availability of light duty for early return to work;

 

   

attorney involvement;

 

   

wage inflation in states that index benefits; and

 

   

changes in administrative policies of second injury funds.

Although many factors influence the actual cost of claims and the corresponding reserves for unpaid losses and LAE estimates, we do not measure and estimate values for all of these variables individually. This is due to the fact that many of the factors that are known to impact the cost of claims cannot be measured directly. In most instances, we rely on historical

 

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experience and tail factors to estimate values for the variables that are explicitly used in the unpaid loss and LAE analysis. For the most recent accident year, we rely on selecting an expected loss ratio to estimate the reserves for unpaid losses and LAE. In addition to the examples above that represent reasonably likely changes in our tail factor, another example of potential variability in our loss and LAE estimation process involves selecting an expected loss ratio for the most recent accident year. For example, if our expected loss ratio for the 2009 accident year were to increase by 5 percentage points, our reserves for unpaid losses and LAE as of December 31, 2009 would increase by $3.7 million, which would result in an after-tax reduction in our earnings of $2.4 million. Management believes that changes in the most recent year accident year loss ratio are reasonably likely due to variability in underwriting and rate changes. It is important to note that actual claims costs will vary from our estimate of ultimate claim costs, perhaps by substantial amounts, due to the inherent variability of the business written, the potentially significant claim settlement lags and the fact that not all events affecting future claim costs can be estimated.

In the event that our estimates of ultimate reserves for unpaid losses and LAE prove to be greater or less than the ultimate liability, our future earnings and financial position could be positively or negatively impacted. Future earnings would be reduced by the amount of any deficiencies in the year(s) in which the claims are paid or the reserves for unpaid losses and LAE are increased. For example, if we determined our reserves for unpaid losses and LAE, net of reinsurance, of $57.4 million as of December 31, 2009 to be 5% inadequate, this would result in an after-tax reduction in our earnings of approximately $1.9 million. This reduction could be realized in one year or multiple years, depending on when the deficiency is identified. The deficiency would also impact our financial position because our statutory surplus would be reduced by an amount equivalent to the reduction in net income. Any deficiency is typically recognized in the reserves for unpaid losses and LAE and, accordingly, it typically does not have a material effect on our liquidity because the claims have not been paid. Since the claims will typically be paid out over a multi-year period, we have generally been able to adjust our investments to match the anticipated future claim payments. Conversely, if our estimates of ultimate reserves for unpaid losses and LAE prove to be redundant, our future earnings and financial position would be improved.

The Company has utilized the following tail factors for the years ended December 31, 2009, 2008, and 2007:

 

     2009    2008    2007

Incurred loss development

   1.020    1.020    1.020

Paid loss development

   1.035    1.035    1.035

Following is a sensitivity analysis of the Company’s workers’ compensation reserves to reasonably likely changes in the tail factors used to project actual current losses to ultimate losses (dollars in thousands):

 

Change in Tail Factor Assumption

   Increase (Decrease)
in Net Reserves
    Impact on Net
Income
    Percentage of
Shareholders’
Equity
 

2 basis point increase

   $ 6,223      $ (4,045   -2.6

1 basis point increase

   $ 3,128      $ (2,033   -1.3

1 basis point decrease

   $ (3,160   $ 2,054      1.3

2 basis point decrease

   $ (6,354   $ 4,130      2.7

The estimates above rely on substantial judgment. There is inherent uncertainty in estimating reserves for unpaid losses and LAE. It is possible that the actual losses and LAE incurred may vary significantly from the Company’s estimates.

Segregated Portfolio Cell Reinsurance

The Company’s reserves for unpaid losses and LAE in its segregated portfolio cell reinsurance segment as of December 31, 2009 and 2008 are summarized below (in thousands):

 

     2009     2008  

Case reserves

   $ 10,978      $ 11,808   

Case incurred development, IBNR and unallocated LAE reserves

     12,196        11,210   

Amount of discount

     (1,159     (1,151
                

Net reserves before reinsurance recoverables and purchase accounting

     22,015        21,867   

Reinsurance recoverables on unpaid losses and LAE

     3,603        2,903   

Purchase accounting adjustments

     41        82   
                

Reserves for unpaid losses and LAE

   $ 25,659      $ 24,852   
                

 

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The Company estimates and records reserves for its segregated portfolio cell reinsurance segment in the same manner as for its workers’ compensation insurance segment.

The reporting and paid loss development patterns in the segregated portfolio cell reinsurance segment are also consistent with that of the workers’ compensation insurance segment. Accordingly, the tail factors used to project actual current losses to ultimate losses for claims covered in the Company’s segregated portfolio cell reinsurance segment require considerable judgment. The difference between total revenue for the segregated portfolio cell reinsurance segment for each period and the sum of losses and LAE, acquisition and other underwriting expenses, policyholder dividend expense and other expenses is accrued as a segregated portfolio dividend expense. Accordingly, any change in the reserve for unpaid losses and LAE is recorded to the segregated portfolio dividend payable/receivable account and would only impact the Company’s net income or shareholders’ equity if the Company were a segregated portfolio cell dividend participant.

Group Benefits

The reserves for unpaid losses and LAE in the group benefits insurance segment include an estimate of future amounts for reported but unpaid and IBNR claims related to the Company’s dental, long-term disability, short-term disability, term life and vision products, as well as an estimate of the costs associated with investigating, processing and paying the related claims.

The Company utilizes a number of methodologies, explained below, to estimate its reserves for unpaid losses in its group benefits insurance segment. These methods include the lag factor development, loss ratio, and tabular reserve methods.

Lag Factor Development Method. The lag factor development method is used to estimate the reserve for insurance products that are “short-tail” by nature, in which claims related to the products are settled shortly after they are reported by the insured. The method uses historical paid claims data to estimate the reserve for claims in the course of settlement (reported claims) and IBNR claims. The method involves the use of a claim model, or a loss triangle, in which paid claims data is aggregated into categories based on the dates on which the claims in question were incurred and paid. Data in the loss triangle is reviewed to evaluate historical claim payment patterns. A point estimate is then determined based on the historical claim payment patterns.

Loss Ratio Method. The loss ratio method involves the use of historical loss ratios to estimate the reserve for unpaid claims. Under the loss ratio method, the reserve is determined by multiplying the selected loss ratio, which is based on historical loss ratio trends, by the amount of net premiums earned or the in-force premium at the valuation date.

Tabular Reserve Method. The tabular reserve method is used to estimate the reserve for insurance products that are longer tail by nature and for which the claim payment patterns are relatively predictable. Under the tabular reserve method, the reserve for reported but unpaid claims is estimated using industry-standard valuation tables. These tables incorporate expected death and recovery rate assumptions (based on an insured’s age and length of disability) that impact the reserve for unpaid claims.

The Company’s reserves for unpaid losses and LAE in its group benefits insurance segment, by line business, as of December 31, 2009 and 2008, were as follows (in thousands):

 

     2009    2008

Case reserves

   $ 9,928    $ 10,690

Case incurred development, IBNR and unallocated LAE reserves

     4,458      3,956
             

Net reserves before reinsurance recoverables

     14,386      14,646

Reinsurance recoverables on unpaid losses and LAE

     16,033      17,939
             

Reserves for unpaid losses and LAE

   $ 30,419    $ 32,585
             

Dental, Short-term Disability and Vision Reserves

The dental, short-term disability and vision reserves represent the Company’s estimate of future amounts due on in-process and IBNR. The Company estimates its dental, short-term disability, and vision reserves using a combination of the lag factor development method and the loss ratio method, which results in the development of a point estimate. The loss ratio method is generally applied to the last three months (or most recent quarter), based on recent loss ratio trends.

 

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Long-Term Disability Reserves

The long-term disability tabular reserve represents the Company’s estimate of future amounts due on reported long-term disability claims. The Company establishes a reserve at the time a long-term disability claim is reported using the 1987 Commissioners Group Disability Table. Due to the long-term nature of long-term disability claims, management discounts the liability using an interest rate that reflects the estimated investment return in the Company’s group benefits insurance segment that will be earned over the expected life of the claim. In establishing the discount rate, the Company’s management evaluates the current interest rate environment at the end of each year and, if necessary, adjusts the interest rate for the following year based on the expected rate of return on new investments. The discount rates for claims incurred in 2009, 2008 and 2007 were 4.00%, 3.85%, and 5.25%, respectively. A lower discount rate results in a higher claim reserve and an increase in losses and LAE, whereas a higher discount rate results in a lower claim reserve and a decrease in losses and LAE. The reserve established represents the present value of expected future claim payments based on the terms of the underlying long-term disability insurance contract. With the exception of the discount rate, the assumptions that impact the reserve amount, such as recovery, morbidity and mortality rates, are embedded in the table. The long-term disability IBNR reserve is estimated on a policy-by-policy basis, taking into consideration the average monthly premium, the policy elimination period, and an expected loss ratio.

Term Life Reserves

Term life reserves consist of reported but unpaid and IBNR claims on the Company’s term life product, as well as a life premium waiver reserve. Reported but unpaid life claims represent those claims reported to the Company as of the balance sheet date for which payment has not yet been made. Term life IBNR claims are estimated based on historical patterns of losses incurred as a percent of in-force premium as of the balance sheet date.

The term life reported claim reserve represents the Company’s liability for reported but unpaid death benefits and accidental death or dismemberment (AD&D) claims. The reserve is based on the death or dismemberment benefit of the underlying term life insurance contract.

The term life IBNR claim reserve represents the Company’s estimate of future amounts to be paid under existing term life insurance contracts for insured deaths and dismemberments that have occurred but not yet been reported. The Company estimates the term life IBNR claim reserve by applying a reserve factor to the current in-force volume of life insurance and AD & D benefits, resulting in the development of a point estimate. The reserve factor is based on past experience and is evaluated against actual results on an annual basis for reasonableness.

Life premium waiver reserves represent the present value of future life insurance benefits under those term life policies for which the premiums have been waived due to the insured’s disability and are calculated using the tabular reserve method. The Company establishes a reserve at the time the insured’s disability is reported using the 2005 Group Term Life Waiver Reserve Table for claims reported on and after October 1, 2007 and the 1970 Intercompany Group Life Disability Table for claims reported prior to October 1, 2007.

The term life premium waiver IBNR reserve represents the Company’s estimate of unreported premium waiver claims. The Company utilizes the lag factor development method to estimate the number of unreported premium waiver claims and then applies the number of estimated outstanding claims to an average reserve amount, resulting in the development of a point estimate.

Run-off Specialty Reinsurance

With respect to the run-off specialty reinsurance segment, numerous internal and external factors will affect the ultimate settlements of future claims including, but not necessarily limited to, changes in the cost of environmental remediation, impacts of relevant federal or state legislation, changes in technology and the resulting impact on costs, and reliance on ceding companies to handle claims and remit proper loss information in a timely manner. Reserving for assumed reinsurance requires evaluating loss information received from the ceding company. On a quarterly basis, the Company receives a statement from the ceding company which includes premium and loss settlement activity for the period with corresponding reserves as established by the ceding company. Claims reported to the ceding company by insureds are entered into its claim system and ceded to the Company on a quarterly basis. The claim information received from the ceding company is compiled into loss development triangles. Generally accepted actuarial methodologies, supplemented by judgment where appropriate, are used to develop the appropriate IBNR reserves for the Company. Each quarter the Company compares its actual reported losses for the quarter, and cumulative reported losses since the most recently completed reserve study, to expected reported losses for the respective period, which may result in the Company increasing its losses and LAE, and its corresponding loss

 

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reserves in that quarter. This information is used as a tool in the judgmental process by which management assesses the overall adequacy of the reserves for unpaid losses and LAE at the Company. The evaluation of the reserves for unpaid losses and LAE related to the Company’s run-off specialty reinsurance segment requires that loss development be estimated over an extended period of time. Because the primary insurer under the reinsurance program changed in 1999 and the claims management philosophy of the two primary insurers differed, historical loss data for years prior to 1999 has limited relevance. Therefore, reliance has been placed on a blend of historical loss development data, industry loss development patterns and estimated loss ratios, adjusted to reflect considerations particular to the exposure. The reliance on external benchmarks and estimated loss ratios, while necessary, creates an additional element of uncertainty.

The Company’s reserves for unpaid losses and LAE in its run-off specialty reinsurance segment as of December 31, 2009 and 2008 are summarized below (in thousands):

 

     2009     2008  

Case reserves

   $ 15,761      $ 15,632   

Case incurred development, IBNR and unallocated LAE reserves

     16,841        24,938   
                

Net reserves before purchase accounting

     32,602        40,570   

Purchase accounting adjustments

     (18     (31
                

Reserves for unpaid losses and LAE

   $ 32,584      $ 40,539   
                

In its run-off specialty reinsurance segment, the Company categorizes unpaid losses and LAE into case reserves and IBNR reserves. Case reserves represent unpaid losses reported by the ceding company. The Company updates its reserve estimates on a quarterly basis using information received from the ceding companies.

The Company analyzes its ultimate losses and LAE for the run-off specialty reinsurance segment after consideration of the loss experience on each treaty for each underwriting year on a quarterly basis. The methodologies that the Company employs include, but may not be limited to, paid loss development methods and incurred loss development methods similar to those described in the workers’ compensation insurance and segregated portfolio cell reinsurance segments above.

In applying these methods, the Company evaluates loss development trends by underwriting year to determine various assumptions that are required as inputs in the actuarial methodologies it employs. These typically involve the analysis of historical loss development trends by underwriting year. In addition to the use of historical loss development data, the Company utilizes external or internal benchmark sources of information for which it has limited loss development data to calculate credible trends. External benchmarks are not precise with respect to the run-off specialty reinsurance segment’s environmental claims and historical data is subject to changes in claim payment patterns at the ceding company, which adds additional uncertainty related to the estimation of the reserves for unpaid losses and LAE. The evaluation of the reserve for unpaid losses and LAE related to the run-off specialty reinsurance segment requires that loss development be estimated over an extended period of time.

The Company relies on information provided by ceding companies regarding premiums and reported claims, and then uses that data as a key input to estimate unpaid losses and LAE. Since the Company relies on claims information reported by ceding companies, the estimation of unpaid losses and LAE for the run-off specialty reinsurance segment includes certain risks and uncertainties that do not exist with its other segments, and include, but are not necessarily limited to, the following:

 

   

The case reserves recorded by the ceding company may not represent a reasonable estimate of the underlying exposure, be otherwise inaccurate or necessary case reserve increases may not be recorded in a timely manner.

 

   

The reported claims information could be inaccurate, and/or could be subject to significant reporting lags. Such potential inaccuracies or reporting lags would increase the risk of reserve estimation error.

 

   

A significant amount of time can lapse between the assumption of risk, occurrence of a loss event, the reporting of the event to an insurance company, often referred to as the primary company or cedant, the subsequent reporting to the reinsurance company, referred to as the reinsurer, and the ultimate payment of the claim on the loss event by the reinsurer.

 

   

Because the primary insurer under these programs changed in 1999, historical loss data has limited relevance. Therefore, reliance has been placed on a blend of historical loss development data and industry loss development patterns adjusted, based on the management’s judgment, to reflect considerations particular to the exposure. The reliance on external benchmarks, while necessary, creates an additional element of uncertainty.

 

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In order to mitigate the above risks, the Company performs quarterly reviews of the ceding companies’ detailed claim reports to assess the reasonableness of the reported claim information. Additionally, Company claim personnel perform an annual claims audit at the ceding company to evaluate internal controls surrounding the claims handling and administration.

As of December 31, 2009, the Company’s best estimate of its ultimate liability for unpaid losses and LAE, before purchase accounting adjustments, for its run-off specialty reinsurance segment was $32.6 million.

The evaluation of the reserves for unpaid losses and LAE in the run-off specialty reinsurance segment requires that loss development be estimated over an extended period of time using historical loss development data with limited relevance. As the historical loss development data has limited relevance, reliance has been placed on loss development patterns based on a blend of historical loss development data and industry loss development patterns, judgmentally adjusted to reflect considerations particular to the exposure. The reliance on external benchmarks, while necessary, creates an additional element of uncertainty. Following is a sensitivity analysis of the reserves for unpaid losses and LAE to reasonably likely changes in the blend of historical loss development data, industry loss development factors and expected loss ratios used to project current losses to ultimate losses (dollars in thousands):

 

Change in Actual Loss Development as a Percentage of Total and Expected Loss Ratio

   Increase (Decrease)
in Net Loss Reserves
    Impact on Net
Income
    Percentage of
Shareholders’
Equity
 

30 basis point increase

   $ 10,179      $ (10,179   -6.6

20 basis point increase

   $ 6,506      $ (6,506   -4.2

10 basis point increase

   $ 3,118      $ (3,118   -2.0

10 basis point decrease

   $ (2,859   $ 2,859      1.9

20 basis point decrease

   $ (5,470   $ 5,470      3.6

30 basis point decrease

   $ (7,841   $ 7,841      5.1

Increases or decreases in the run-off specialty reinsurance segment’s reserves for unpaid losses and LAE, as a result of changes in loss development based on actual loss results, would result in an equivalent increase or decrease in net income. There is no tax effect related to the run-off specialty reinsurance segment’s operating results as a result of the significant losses incurred in the segment for the year ended December 31, 2008.

While management believes that the assumptions underlying the amounts recorded for the reserves for unpaid losses and LAE as of December 31, 2009 are reasonable, the ultimate net liability may differ materially from the amount recorded.

“Other Than Temporary” Investment Impairments

Unrealized investment gains or losses on investments carried at fair value, net of applicable income taxes, are reflected directly in shareholders’ equity as a component of comprehensive income (loss) and, accordingly, have no effect on net income. When, in the opinion of management, a decline in the fair value of an investment below its cost or amortized cost is considered to be “other-than-temporary,” such investment is written-down to its fair value. The amount written-down is recorded in earnings as a realized loss on investments. Generally, the determination of other-than-temporary impairment includes, in addition to other relevant factors, a presumption that if the market value is below cost by a significant amount for a period of time, a write-down is necessary. Notwithstanding this presumption, the determination of other-than-temporary impairment requires judgment about future prospects for an investment and is therefore a matter of inherent uncertainty. For the years ended December 31, 2009 and 2008, the Company recorded other-than-temporary impairments of $4.5 million and $9.5 million, respectively, including other-than-temporary impairments of $749,000 and $1.2 million, respectively in the segregated portfolio cell reinsurance segment. The Company did not record any impairments in 2007. As of December 31, 2009, the Company held fixed income securities, excluding the segregated portfolio cell reinsurance segment, with gross unrealized losses of $841,000, of which $612,000 were in an unrealized loss position for more than twelve months. Adverse investment market conditions, or poor operating results of underlying investments, could result in impairment charges in the future. The Company generally applies the following standards in determining whether the decline in fair value of an investment is other-than-temporary:

Equity securities. An equity security is considered impaired when one of the following conditions exist: 1) an equity security’s market value is less than 80% of its cost for a continuous period of 6 months, 2) an equity security’s market value is less than 50% of its cost, regardless of the amount of time the security’s market value has been below cost, and 3) an equity security’s market value has been less than cost for a continuous period of 12 months or more, regardless of the magnitude of the decline in market value. Equity securities that are in an unrealized loss position, but do not meet the above quantitative thresholds are evaluated to determine if the decline in market value is other than temporary.

 

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For the year ended December 31, 2009, the Company recorded other-than-temporary impairments of $4.3 million related to its equity portfolio. The securities were impaired because they had been in an unrealized loss position for more than 12 months.

Fixed income securities. A fixed income security is considered to be other-than-temporarily impaired when the security’s fair value is less than its amortized cost basis and 1) the Company intends to sell the security, 2) it is more likely than not that the Company will be required to sell the security before recovery of the security’s amortized cost basis, or 3) the Company believes it will be unable to recover the entire amortized cost basis of the security (i.e., a credit loss has occurred). When the Company determines a credit loss has been incurred, but the Company does not intend to sell the security and it is not more likely than not that the Company will be required to sell the security before recovery of the security’s amortized cost basis, the portion of the other-than-temporary impairment that is credit related is recorded as a realized loss in the consolidated statements of operations and comprehensive income (loss), and the portion of the other-than-temporary impairment that is not credit related is included in other comprehensive income (loss). A fixed income security is reviewed for potential credit loss if any of the following situations occur:

 

   

A review of the financial condition and prospects of the issuer indicates that the security should be evaluated;

 

   

Moody’s or Standard & Poor’s rate the security below investment grade; or

 

   

The security has a market value below 80% of amortized cost due to deterioration in credit quality.

For the year ended December 31, 2009, the Company recorded other-than-temporary impairments of $189,000 related to two fixed income securities. One security was impaired as a result of management’s intent to sell the security. This security was sold in the second quarter of 2009. The other security was impaired as a result of management determining that a credit loss had been incurred.

Limited partnerships. A limited partnership investment is generally written down if the Company is unable to hold or otherwise intends to sell its interest in the limited partnership at a loss, or if management has received information that suggests the Company will be unable to recover its original investment in the limited partnership. The amount written down is recorded in the change in equity interest in other long-term investments in the consolidated statement of operations.

There were no impairments related to the Company’s limited partnership investments in 2009. For the year ended December 31, 2008, the Company recorded a permanent impairment of $1.4 million related to one of its limited partnership investments.

At the time a security is determined to be other-than-temporarily impaired, the cost or amortized cost is written down to market value at the balance sheet date and the impairment is recorded as a realized loss in the consolidated statement of operations.

Goodwill

In accordance with the requirements of ASC 350, Intangibles—Goodwill and Other, goodwill is not amortized but is tested for impairment at the reporting unit level, which is at the operating segment level or one level below an operating segment. Impairment is the condition that exists when the carrying amount of goodwill exceeds its implied fair value. Goodwill is required to be tested for impairment annually and between annual tests if events or circumstances change, such as adverse changes in the business climate, that would more likely than not reduce the fair value of the reporting unit below its carrying value.

Goodwill is assigned to one or more reporting units at the date of acquisition. The Company has allocated 100% of the goodwill recorded on its consolidated balance sheet as of September 30, 2009 to its workers’ compensation insurance segment. The goodwill impairment test, performed as of September 30 of each year, is a two-step test. The first step identifies whether there is potential impairment by comparing the fair value of a reporting unit to the carrying amount, including goodwill. If the fair value of a reporting unit is less than its carrying amount, the second step of the impairment test is required to measure the amount of any impairment loss.

For the 2009 annual impairment test, the fair value of the workers’ compensation insurance segment was estimated using a discounted cash flow analysis, a form of the income approach, using management’s internal four-year forecast for the workers’ compensation insurance segment and a terminal value estimated using a long-term growth rate of 5.0%, which is reflective of the segment’s historical growth rate, and a discount rate of 13.0%, which is reflective of the risks inherent in the segment. Cash flows were adjusted as necessary to maintain adequate capital requirements.

 

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In addition to the discounted cash flow analysis, management assessed the Company’s stock price relative to the book value of the workers’ compensation insurance segment. As of September 30, 2009, the Company’s stock price was trading below book value, primarily reflecting the impact of market conditions over the past year; therefore, management also considered an estimate of the Company’s value in a potential transaction and allocated that value to the Company’s reporting units, including the workers’ compensation insurance segment.

Both the discounted cash flow analysis and the estimate of the Company’s value in a potential transaction resulted in the workers’ compensation insurance segment’s estimated fair value exceeding its carrying value as of September 30, 2009; therefore, goodwill was considered not impaired, and the second step of impairment testing was not necessary.

In the event the operating results of the Company’s workers’ compensation insurance segment were to be adversely impacted by a significant loss of business or higher than expected losses and LAE, management’s internal forecast may need to be re-evaluated, which could result in a fair value that is less than the carrying value of the workers’ compensation insurance segment and the need to recognize a goodwill impairment.

Deferred Income Taxes

The temporary differences between the tax and book bases of assets and liabilities are recorded as deferred income taxes. Management evaluates the recoverability of the net deferred tax asset based on historical trends of generating taxable income or losses, as well as expectations of future taxable income or loss. As of December 31, 2009, the Company recorded a net deferred tax asset of $1.3 million. Management expects that the net deferred tax asset is fully recoverable. If this assumption were to change, any amount of the net deferred tax asset that the Company could not expect to recover would be provided for as an allowance and would be reflected as an increase in income tax expense in the period in which it was established.

As of December 31, 2009, the Company has not recognized a deferred tax asset related to its run-off specialty reinsurance segment of $7.3 million, which represents the excess of the tax basis over the amount for financial reporting (i.e., outside basis difference) of Eastern Re as of December 31, 2009. The outside basis difference primarily arises from losses at Eastern Re recognized for financial statement purposes, which have not yet been recognized for tax purposes. Management presently believes that the Company will not be able to recognize these tax benefits in the foreseeable future and, therefore has not recognized these tax benefits as of December 31, 2009.

As of December 31, 2009, the Company recognized a deferred tax asset of $2.0 million related to other-than-temporary investment impairments. Under United States federal income tax rules and regulations, capital losses can only be utilized to offset income generated from capital gains. Capital losses can be carried back to offset capital gains reported in the three prior tax periods and can be carried forward for five tax periods. Management has determined, based on a review of its investment portfolio and giving consideration to capital gains reported in prior tax periods, that the Company’s deferred tax asset related to other-than-temporary investment impairments and net unrealized losses on investments is recoverable; therefore, a valuation allowance has not been recorded as of December 31, 2009. Due to the significant volatility in the investment markets, management’s conclusion on the recoverability of the deferred tax asset could change in future periods. Further declines in the estimated fair value of the Company’s investments may result in the need for a valuation allowance, which could have an adverse impact of the Company’s financial condition and/or results of operations.

Reinsurance Recoverables

Amounts recoverable from Company’s reinsurers are estimated in a manner consistent with the reserves for unpaid losses and LAE associated with the reinsured policy. Amounts paid for reinsurance contracts are expensed over the contract period during which insured events are covered by the reinsurance contracts. Reinsurance balances recoverable on paid and unpaid loss and LAE are reported separately as assets, instead of being netted with the appropriate liabilities, because reinsurance does not relieve the Company of its legal liability to its policyholders. Reinsurance balances recoverable are subject to credit risk associated with the particular reinsurer. Additionally, the same uncertainties associated with estimating unpaid losses and LAE affect the estimates for the ceded portion of these liabilities. The Company continually monitors the financial condition of its reinsurers and where necessary obtains collateral. As of December 31, 2009, the Company had reinsurance recoverables of $28.5 million.

 

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Recent Accounting Guidance

Fair Value Measurements—Investments in Certain Entities that Calculate Net Asset Value per Share

In September 2009, the Financial Accounting Standards Board (“FASB”) issued new accounting and disclosure guidance related to the determination of fair value of investments in entities (investees) that permit the investor to redeem its investments directly with the investee or receive distributions from the investee at times specified under the terms of the investee’s governing documents. Many of these investees do not have readily determinable fair values and provide their investors with a net asset value per share (or its equivalent, such as member units or an ownership interest in partners’ capital). Under the new guidance, investments in entities that calculate net asset value per share (or its equivalent) may be measured at fair value using the investee’s net asset value per share (or its equivalent) if the net asset value of the investment is calculated in a manner consistent with the measurement principles of investment companies as of the reporting entity’s measurement date, including measurement of all or substantially all of the underlying investments of the investee in accordance with the fair value measurement principles. The new guidance also requires enhanced disclosure related to the reporting entity’s investment is such investees including, but not limited to, the nature of any restrictions on the reporting entity’s ability to redeem its investments at the measurement date, any unfunded commitments, and the investment strategies of the investee. The Company’s limited partnership interests are currently reported in the consolidated balance sheets using the net asset value per share (or its equivalent) of the investee. The Company adopted the new accounting guidance effective December 31, 2009. The adoption had no impact on the estimated fair value of our limited partnership interests. The Company’s enhanced disclosures related to its limited partnership interests are included in Note 10.

FASB Accounting Standards Codification

In June 2009, the FASB established the FASB Accounting Standards Codification (“Codification”) as the single source of authoritative accounting principles in the preparation of financial statements in conformity with GAAP. The Codification explicitly recognizes rules and interpretive releases of the Securities and Exchange Commission (“SEC”) under federal securities laws as authoritative GAAP for SEC registrants. The Codification was effective for financial statements issued for periods ending after September 15, 2009. The Company adopted the Codification effective September 30, 2009 and revised its disclosures to reflect Codification as the source of authoritative accounting principles.

Subsequent Events

In May 2009, the FASB issued new accounting and disclosure guidance related to subsequent events. The new guidance defines subsequent events as either “recognized” or “nonrecognized” and is consistent with existing guidance related to the reporting of subsequent events. Recognized subsequent events are those events that provide additional evidence about conditions that existed at the balance sheet date and must be recognized in an entity’s financial statements. Nonrecognized events are those events that provide evidence about conditions that did not exist at the balance sheet date but arose before the financial statements are issued or are available to be issued. Nonrecognized events may require disclosure in an entity’s financial statements to prevent the financial statements from being misleading. Publicly traded entities must evaluate subsequent events through the financial statement issuance date. The new guidance was effective for interim or annual financial periods ending after June 15, 2009. The Company adopted the new accounting and disclosure requirements effective June 30, 2009, which are included in Note 22.

Other-than-Temporary Investment Impairments

In April 2009, the FASB issued new accounting guidance related to the recognition and presentation of other-than-temporary investment impairments. The new guidance requires entities to separate an other-than-temporary impairment of a debt security into two components when there are credit related losses associated with the impaired debt security for which management asserts that it does not have the intent to sell the security, and it is more likely than not that it will not be required to sell the security before recovery of its cost basis. The amount of the other-than-temporary impairment related to a credit loss is recorded as a net realized investment loss in the statements of operations, and the amount of the other-than-temporary impairment related to other factors is recorded as an other comprehensive loss. The new guidance was effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. The Company adopted the new guidance effective April 1, 2009, which resulted in the Company recording a cumulative effect adjustment that increased retained earnings and decreased accumulated other comprehensive income (loss), net, as of April 1, 2009, by $685 and $445, respectively, resulting in an increase to shareholders’ equity of $240. The increase in shareholders’ equity reflects the reversal of a prior period deferred tax valuation allowance, of which $240 was applied to the retained earnings cumulative effect adjustment.

 

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Fair Value Measurements

In April 2009, the FASB issued new accounting guidance related to determining fair value of an asset or liability when the volume or level of activity for the asset or liability has significantly decreased and for identifying transactions that are not orderly. Under the new guidance, if an entity determines that there has been a significant decrease in the volume and level of activity for the asset or the liability in relation to the normal market activity for the asset or liability (or similar assets or liabilities), then transactions or quoted prices may not accurately reflect fair value. In addition, if there is evidence that the transaction for the asset or liability is not orderly, the entity shall place little, if any weight on that transaction price as an indicator of fair value. The new guidance was effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. The Company adopted the new guidance effective June 30, 2009. The adoption of the new guidance did not have a material effect on the Company’s consolidated financial statements.

Disclosures About Fair Value of Financial Instruments

In April 2009, the FASB issued new accounting guidance related to the interim disclosures about fair value of financial instruments. The new guidance requires disclosures about fair value of financial instruments in interim and annual financial statements and was effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. The Company adopted the interim period disclosure requirements of effective June 30, 2009, which are included in Notes 10 and 11.

YEAR ENDED DECEMBER 31, 2009 COMPARED TO YEAR ENDED DECEMBER 31, 2008

RESULTS OF OPERATIONS

The major components of consolidated revenue were as follows for the years ended December 31, 2009 and 2008 (in thousands):

 

     2009    2008  

Net premiums written

   $ 138,433    $ 134,712   
               

Net premiums earned

   $ 134,986    $ 135,807   

Net investment income

     7,097      9,631   

Change in equity interest in limited partnerships

     1,261      (3,970

Net realized investment gains (losses)

     952      (11,117

Other revenue

     645      853   
               

Consolidated revenue

   $ 144,941    $ 131,204   
               

The increase in consolidated revenue from 2008 to 2009 primarily reflects an improvement in the Company’s investment portfolio, partially offset by lower investment income. The Company’s limited partnership investments experienced an increase in value during 2009, compared to significant losses in 2008. Other-than-temporary impairments in the Company’s investment portfolio decreased from 2008 to 2009, which contributed to the improvement in net realized investment gains during 2009. The decrease in net investment income is reflective of a decrease in the Company’s fixed income security holdings, and lower interest rates on new fixed income security purchases and cash and short-term investment holdings. The decrease in net premiums earned reflects the July 2008 termination of the quota-share reinsurance treaties in the run-off reinsurance segment, partially offset by increased premiums in the workers’ compensation insurance segment.

The components of consolidated net income (loss), by segment, for the years ended December 31, 2009 and 2008 were as follows (in thousands):

 

     2009     2008  

Workers’ compensation insurance

   $ 9,120      $ 6,829   

Segregated portfolio cell reinsurance

     —          —     

Group benefits insurance

     2,808        (1,156

Run-off specialty reinsurance

     (314     (18,673

Corporate/other

     (3,213     (4,383
                

Consolidated net income (loss)

   $ 8,401      $ (17,383
                

 

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The improvement in the Company’s net income from 2008 to 2009 primarily reflects the improvement in the run-off specialty reinsurance segment and the aforementioned improvement in the Company’s investment portfolio. The run-off specialty reinsurance segment’s 2008 financial results were adversely impacted by unfavorable loss reserve development related to prior accident years.

WORKERS’ COMPENSATION INSURANCE

The following table represents the operations of the workers’ compensation insurance segment for the years ended December 31, 2009 and 2008 (in thousands). The results of operations for the year ended December 31, 2008 include the operating results of ESIC for the period from October 1, 2008 to December 31, 2008:

 

     2009     2008  

Revenue:

    

Direct premiums written

   $ 110,108      $ 101,907   

Reinsurance premiums assumed

     1,086        652   

Ceded premiums written

     (34,241     (33,996
                

Net premiums written

     76,953        68,563   

Change in unearned premiums

     (3,740     (2,601
                

Net premiums earned

     73,213        65,962   

Net investment income

     3,313        4,045   

Change in equity interest in limited partnerships

     845        (3,051

Net realized investment losses

     (237     (4,174

Other revenue

     —          119   
                

Total revenue

   $ 77,134      $ 62,901   
                

Expenses:

    

Losses and LAE

   $ 43,843      $ 36,535   

Acquisition and other underwriting expenses

     6,207        4,920   

Other expenses

     13,754        10,915   

Policyholder dividend expense

     432        551   
                

Total expenses

   $ 64,236      $ 52,921   
                

Income before income taxes

     12,898        9,980   

Income tax expense

     3,778        3,151   
                

Net income

   $ 9,120      $ 6,829   
                

Net Income

The increase in net income primarily reflects a decrease in net realized investment losses and an increase in the value of the segment’s limited partnership investments. The decrease in net realized investment losses primarily reflects a reduction in other-than-temporary impairments from 2008 to 2009. The improved investment results were partially offset by an increase in the combined ratio from 2008 to 2009. The increase in the loss and LAE ratio from 2008 to 2009 primarily reflects an increase in the 2009 accident year loss ratio reflecting management’s view of the expected impact of the current economic environment on the Company’s workers’ compensation book of business. The increase in the expense ratio primarily reflects an increase in corporate expense allocations and the impact of premium rate decreases and audits of prior year policies that resulted in return premium to customers in 2009.

The workers’ compensation insurance ratios were as follows for the years ended December 31, 2009 and 2008:

 

     2009     2008  

Loss and LAE ratio

   59.9   55.4

Expense ratio

   27.2   24.0

Policyholders’ dividend expense ratio

   0.6   0.8
            

Combined ratio

   87.7   80.2
            

 

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Premiums

The increase in direct premiums written from 2008 to 2009 primarily reflects new business sales of $28.0 million and direct premiums written of $6.1 million related to the acquisition of ESIC, partially offset by a reduction in the renewal retention rate from 87.6% in 2008 to 84.1% in 2009 and renewal rate decreases of 3.9%. Traditional and alternative market direct premiums written were $81.4 million and $28.7 million, respectively, for the year ended December 31, 2009, compared to $72.8 million and $29.1 million, respectively, for the same period in 2008.

Net Investment Income

The decrease in net investment income primarily reflects a decline in the average yield on the fixed income portfolio and a decline in short-term interest rates from 2008 to 2009. The average yield on the fixed income portfolio was 3.61% as of December 31, 2009, compared to 4.18% as of December 31, 2008.

Net Realized Investment Losses

The decrease in net realized investment losses from 2008 to 2009 primarily reflects a reduction in other-than-temporary impairments. Other-than-temporary impairments totaled $1.7 million in 2009, compared to $3.4 million in 2008. In addition, the convertible bond portfolio experienced an increase in fair value of $877,000 in 2009, compared to a decrease in fair value of $623,000 in 2008.

Losses and LAE

The increase in the calendar period loss and LAE ratio primarily reflects an increase in the accident period loss ratio, partially offset by an increase in favorable loss reserve development related to prior accident periods. The accident period loss ratio was 65.6% and 60.2% for the years ended December 31, 2009 and 2008, respectively. The increase in the accident period loss ratio primarily reflects management’s estimate of the impact of the current economic environment on the Company’s workers’ compensation book of business, including the impact of rising unemployment on management’s return to work controls. Favorable loss reserve development totaled $3.7 million for the year ended December 31, 2009, compared to favorable loss reserve development of $2.7 million for the same period in 2008. The favorable development primarily reflects continued improvements in loss mitigation and underwriting, including greater availability and use of employers’ return to work programs. Furthermore, the Company was able to settle a large amount of Pennsylvania claims via compromise and release, which is a lump sum cash payment in exchange for a full and final claim settlement. Management attributes the large amount of compromise and release claim closures to the difficult economic conditions and the claimants’ choosing a lump sum cash settlement over the continuation of a workers’ compensation annuity payment.

Acquisition and Other Underwriting Expenses

The increase in acquisition and other underwriting expenses primarily reflects the impact of the Indiana state tax liability related to ESIC’s operating results for the year ended December 31, 2009.

Other Expenses

The increase in other expenses as a percent of net premiums earned from 2008 to 2009 primarily reflects the impact of the lower net premiums earned and the increase in corporate expense allocations.

Policyholder Dividends

The decrease in policyholder dividend expense primarily reflects an increase in the aforementioned accident period loss ratio from 2008 to 2009. As of December 31, 2009 and 2008, approximately 10.0% of the Company’s workers’ compensation insurance policies were written on a participating basis.

Tax Expense

The effective tax rate was 29.3% and 31.6% for the years ended December 31, 2009 and 2008, respectively. The difference between the statutory tax rate of 35.0% and the effective tax rate primarily reflects tax exempt income on municipal bond securities. The decrease in the effective tax rate primarily reflects a prior year tax return adjustment that decreased income tax expense in 2009, compared to a prior year tax return adjustment that increase income tax expense in 2008.

 

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SEGREGATED PORTFOLIO CELL REINSURANCE

The following table represents the operations of the segregated portfolio cell reinsurance segment for the years ended December 31, 2009 and 2008 (in thousands):

 

     2009     2008  

Revenue:

    

Reinsurance premiums assumed

   $ 28,661      $ 29,113   

Ceded premiums written

     (3,278     (3,023
                

Net premiums written

     25,383        26,090   

Change in unearned premiums

     (680     (2,650
                

Net premiums earned

     24,703        23,440   

Net investment income

     691        1,112   

Net realized investment losses

     (625     (1,381
                

Total revenue

   $ 24,769      $ 23,171   
                

Expenses:

    

Losses and LAE

   $ 14,923      $ 13,182   

Acquisition and other underwriting expenses

     7,500        7,238   

Other expenses

     123        286   

Segregated portfolio dividend expense (1)

     2,223        2,465   
                

Total expenses

   $ 24,769      $ 23,171   
                

Net income (1)

   $ —        $ —     
                

 

(1) The workers’ compensation insurance, run-off specialty reinsurance and corporate/other segments provide services to the segregated portfolio cell reinsurance segment. The fees paid by the segregated portfolio cell reinsurance segment for these services are included in the revenue of the segment providing the service. The segregated portfolio cell reinsurance segment records the fees associated with these services as ceding expense, which is included in its underwriting expenses. The difference between total revenue for the segregated portfolio cell reinsurance segment for each period and the sum of losses and loss adjustment expenses, underwriting expenses, policyholder dividend expenses and other expenses is accrued as a segregated portfolio dividend expense. As a result, the segregated portfolio cell reinsurance segment has no net income for the period presented in this table.

The segregated portfolio cell reinsurance ratios were as follows for the years ended December 31, 2009 and 2008:

 

     2009     2008  

Loss and LAE ratio

   60.4   56.2

Expense ratio

   30.9   32.1
            

Combined ratio

   91.3   88.3
            

Reinsurance Premiums Assumed

The decrease in reinsurance premiums assumed from 2008 to 2009 primarily reflects the impact of renewal rate decreases of 1.0% and return premium of $714,000 related to policy audits. New business sales totaled $4.1 million and the renewal retention rate increased from 87.7% in 2008 to 89.1% in 2009. In 2008, policy audits resulted in return premium of $383,000.

Net Investment Income

The decrease in net investment income primarily reflects a reduction in short-term interest rates from 2008 to 2009.

Net Realized Investment Losses

The decrease in net realized investment losses from 2008 to 2009 primarily reflects a reduction in other-than-temporary impairments. Other-than-temporary impairments totaled $749,000 in 2009, compared to $1.2 million in 2008.

 

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Losses and LAE

The increase in the calendar period loss and LAE ratio primarily reflects an increase in the accident period loss ratio, partially offset by an increase in favorable loss reserve development related to prior accident periods. The accident period loss ratio was 71.7% and 64.9% for the years ended December 31, 2009 and 2008, respectively. The increase in the accident period loss ratio primarily reflects management’s estimate of the impact of the current economic environment on the Company’s workers’ compensation book of business, including the impact of rising unemployment on management’s return to work controls. Favorable loss reserve development totaled $2.8 million for the year ended December 31, 2009, compared to favorable loss reserve development of $2.0 million for the same period in 2008. The favorable loss reserve development relates primarily to a decrease in the prior accident period loss development factors used to estimate losses and LAE. The decrease in prior accident period loss development factors primarily reflects prior year claim settlements during 2009 for amounts at, or less than, previously established case and IBNR reserves. This decrease had the effect of lowering loss development factors as of December 31, 2009. In the aggregate, the claims were closed at amounts lower than the provision established for IBNR claims. Management believes that the realization of the benefits of its return-to-work controls enabled it to record losses and LAE that were lower than the amount reserved for claim settlements.

Acquisition and Other Underwriting Expenses

The expense ratios are consistent with the contractual ceding commissions for the years ended December 31, 2009 and 2008.

Segregated Portfolio Dividend Expense

The segregated portfolio dividend expense represents the amount of net income or loss in a specific period that may be payable to the segregated portfolio dividend participants.

GROUP BENEFITS INSURANCE

The following table represents the operations of the group benefits insurance segment for the years ended December 31, 2009 and 2008 (in thousands):

 

     2009     2008  

Revenue:

    

Direct premiums written

   $ 38,740      $ 39,205   

Ceded premiums written

     (2,798     (2,487
                

Net premiums written

     35,942        36,718   

Change in unearned premiums

     (5     5   
                

Net premiums earned

     35,937        36,723   

Net investment income

     1,590        2,578   

Change in equity interest in limited partnerships

     195        (430

Net realized investment gains (losses)

     3,021        (5,366

Other revenue

     2        —     
                

Total revenues

     40,745        33,505   
                

Expenses:

    

Losses and LAE

     24,936        24,444   

Acquisition and other underwriting expenses

     5,389        5,602   

Other expenses

     6,263        5,698   
                

Total expenses

     36,588        35,744   
                

Income (loss) before income taxes

     4,157        (2,239

Income tax expense (benefit)

     1,349        (1,083
                

Net income (loss)

   $ 2,808      $ (1,156
                

Net Income (Loss)

The improvement in the segment’s operating results from 2008 to 2009 primarily reflects a reduction in other-than-temporary impairments and the increase in the fair value of the convertible bond portfolio. The improved investment results were partially offset by an increase in the combined ratio and a decrease in net investment income. The increase in the

 

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combined ratio primarily reflects the increase in the dental loss ratio and an increase in the expense ratio. The increase in the dental loss ratio reflects the competitive rate environment. The increase in the expense ratio primarily reflects the reduction of net premiums earned from 2008 to 2009, consulting expenses related to an upgrade of the segment’s policy administration system and an increase in corporate expense allocations.

The group benefits insurance ratios were as follows for the years ended December 31, 2009 and 2008:

 

     2009     2008  

Loss and LAE ratio

   69.4   66.6

Expense ratio

   32.4   30.8
            

Combined ratio

   101.8   97.4
            

Premiums

Direct premiums written, by line of business, for the years ended December 31, 2009 and 2008 were as follows (in thousands):

 

     2009    2008

Dental

   $ 22,544    $ 22,742

Short-term disability

     6,141      6,567

Long-term disability

     3,834      3,827

Term life

     6,142      6,069

Vision

     79      —  
             

Total

   $ 38,740    $ 39,205
             

The decrease in direct premiums written primarily reflects a decline in the renewal retention rate, partially offset by new business sales.

Net Investment Income

The decrease in net investment income primarily reflects a lower invested asset base. The average yield on the fixed income portfolio was 2.76% as of December 31, 2009, compared to 4.88% as of December 31, 2008.

Net Realized Investment Gains (Losses)

The decrease in net realized investment losses from 2008 to 2009 primarily reflects a reduction in other-than-temporary impairments. Other- than-temporary impairments totaled $120,000 in 2009, compared to $3.9 million in 2008. In addition, the convertible bond portfolio experienced an increase in fair value of $2.3 million in 2009, compared to a decrease in fair value of $2.1 million in 2008

Losses and LAE

The calendar period loss ratios, by line of business, for the years ended December 31, 2009 and 2008 were as follows:

 

     2009     2008  

Dental

   78.7   74.1

Short-term disability

   59.7   63.8

Long-term disability

   24.0   42.5

Term life

   53.3   48.8

Vision

   57.5   0.0

Total group benefits

   69.4   66.6

Dental

The increase in the dental loss ratio for year ended December 31, 2009, compared to the same period in 2008, primarily reflects an increase in the accident period loss ratio from 75.6% in 2008 to 79.5% in 2009. Favorable development on prior accident year reserves reduced the loss ratio by 0.8 percentage points, or $161,000, for the year ended December 31, 2009, compared to 1.5 percentage points, or $325,000, for the same period in 2008. The increase in the accident period loss ratio primarily reflects the impact of the competitive rate environment.

 

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Short-term Disability

The decrease in the short-term disability loss ratio for the year ended December 31, 2009, compared to the same period in 2008, primarily reflects a decrease in the accident period loss ratio from 65.6% in 2008 to 62.1% in 2009. Favorable development on prior accident year reserves further reduced the loss ratio by 2.4 percentage points, or $146,000, for the year ended December 31, 2009, compared to 1.8 percentage points, or $120,000, for the same period in 2008. The decrease in the accident period loss ratio primarily reflects lower claim frequency and severity.

Long-term Disability

The decrease in the long-term disability loss ratio primarily reflects the impact of prior year claim terminations.

Term Life

The increase in the term life loss ratio primarily reflects a reduction in premium waiver claim terminations from 2008 to 2009, partially offset by a reduction in reported death claims.

Vision

The Company introduced a vision product in 2009. The loss ratio reflects management’s estimated losses for the year ended December 31, 2009.

Acquisition and Other Underwriting Expenses

Acquisition and other underwriting expenses as a percent of direct premiums written totaled 13.9% and 14.3% for the years ended December 31, 2009 and 2008, respectively. The decrease primarily reflects lower commissions paid to general agents, primarily IBSi, the Company’s former general agent in the Southeast.

Other Expenses

The increase in other expenses from 2008 to 2009 primarily reflects the aforementioned salary costs, consulting expenses and corporate expense allocations.

Tax Expense

The effective tax rate was 32.5% and 48.4% for the years ended December 31, 2009 and 2008, respectively. The difference between the statutory tax rate of 35% and the effective tax rate primarily reflects tax exempt income on municipal bond securities. The decrease in the effective tax rate primarily reflects the impact of tax-exempt income, which increased the income tax benefit in 2008.

 

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RUN-OFF SPECIALTY REINSURANCE

The following table represents the operations of the run-off specialty reinsurance segment for the years ended December 31, 2009 and 2008 (in thousands):

 

     2009     2008  

Revenue:

    

Reinsurance premiums assumed

   $ 155      $ 3,341   

Change in unearned premiums

     978        6,341   
                

Net premiums earned

   $ 1,133      $ 9,682   

Net investment income

     1,054        1,343   

Change in equity interest in limited partnerships

     221        (489

Net realized investment losses

     (1,230     (440

Other revenue

     457        782   
                

Total revenue

   $ 1,635      $ 10,878   
                

Expenses:

    

Losses and LAE

   $ 850      $ 25,027   

Acquisition and other underwriting expenses

     542        2,903   

Other expenses

     562        637   
                

Total expenses

   $ 1,954      $ 28,567   
                

Loss before income taxes

     (319     (17,689

Income tax (benefit) expense

     (5     984   
                

Net loss

   $ (314   $ (18,673
                

Net Loss

The results of operations for the year ended December 31, 2009 reflect the run-off of the segment and the impact of other-than-temporary investment impairments of $1.8 million.

Reinsurance Premiums Assumed

Reinsurance premiums assumed, by line of business, were as follows for the years ended December 31, 2009 and 2008 (in thousands):

 

     2009     2008

EnviroGuard

   $ 196      $ 1,855

EIA

     (41     1,477

Other

     —          9
              

Total assumed premiums

   $ 155      $ 3,341
              

The decrease in reinsurance premiums assumed reflects the termination of the quota-share reinsurance treaties.

Net Investment Income

The average yield on the fixed income portfolio was 3.16% as of December 31, 2009, compared to 3.97% as of December 31, 2008.

Net Realized Investment Losses

The increase in net realized investment losses primarily reflects the aforementioned other-than-temporary investment impairments. The impairments were related to equity securities that had been in an unrealized loss position for more than twelve months.

 

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CORPORATE/OTHER

The decrease in the net loss from 2008 to 2009 primarily reflects a reduction in audit and consulting fees related to Sarbanes Oxley outsourcing, a decrease in stock compensation expense related to the ESOP of $390,000 and an increase in the Company’s equity interest in the segregated portfolio cells of $676,000. The decrease in ESOP compensation expense reflects the decline in the Company’s stock price.

YEAR ENDED DECEMBER 31, 2008 COMPARED TO YEAR ENDED DECEMBER 31, 2007

RESULTS OF OPERATIONS

The major components of consolidated revenue were as follows for the years ended December 31, 2008 and 2007 (in thousands):

 

     2008     2007

Net premiums written

   $ 134,712      $ 131,889
              

Net premiums earned

   $ 135,807      $ 129,495

Net investment income

     9,631        11,669

Change in equity interest in limited partnerships

     (3,970     759

Net realized investment (losses) gains

     (11,117     2,888

Other revenue

     853        683
              

Consolidated revenue

   $ 131,204      $ 145,494
              

The decrease in consolidated revenue reflects the impact of net realized investment losses, primarily related to other-than-temporary impairments, a decline in the fair value of limited partnership investments and a reduction in net investment income due to a decline in the Company’s invested asset base. These declines in revenue were partially offset by an increase in net premiums earned, primarily in the workers’ compensation insurance segment.

The components of consolidated net (loss) income, by segment, for the years ended December 31, 2008 and 2007 were as follows (in thousands):

 

     2008     2007  

Workers’ compensation insurance

   $ 6,829      $ 17,118   

Segregated portfolio cell reinsurance

     —          —     

Group benefits insurance

     (1,156     4,777   

Run-off specialty reinsurance

     (18,673     (286

Corporate/other

     (4,383     (2,926
                

Consolidated net (loss) income

   $ (17,383   $ 18,683   
                

The consolidated net loss for the year ended December 31, 2008 primarily reflects the unfavorable loss reserve development and the unrecognized federal income tax benefits in the run-off specialty reinsurance segment, other-than-temporary investment impairments, and a decline in the fair value of limited partnership investments.

 

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WORKERS’ COMPENSATION INSURANCE

The following table represents the operations of the workers’ compensation insurance segment for the years ended December 31, 2008 and 2007 (in thousands). The results of operations for the year ended December 31, 2008 include the operating results of ESIC for the period from October 1, 2008 to December 31, 2008:

 

     2008     2007  

Revenue:

    

Direct premiums written

   $ 101,907      $ 91,466   

Reinsurance premiums assumed

     652        1,341   

Ceded premiums written

     (33,996     (34,318
                

Net premiums written

     68,563        58,489   

Change in unearned premiums

     (2,601     (2,170
                

Net premiums earned

     65,962        56,319   

Net investment income

     4,045        4,221   

Change in equity interest in limited partnerships

     (3,051     537   

Net realized investment (losses) gains

     (4,174     797   

Other revenue

     119        —     
                

Total revenue

   $ 62,901      $ 61,874   
                

Expenses:

    

Losses and LAE

   $ 36,535      $ 25,614   

Acquisition and other underwriting expenses

     4,920        2,495   

Other expenses

     10,915        8,300   

Policyholder dividend expense

     551        543   
                

Total expenses

   $ 52,921      $ 36,952   
                

Income before income taxes

     9,980        24,922   

Income tax expense

     3,151        7,804   
                

Net income

   $ 6,829      $ 17,118   
                

Net Income

The decrease in net income primarily reflects the impact of other-than-temporary investment impairments, a decline in the fair value of limited partnership investments, and an increase in the combined ratio. Other-than-temporary impairments totaled $3.6 million for the year ended December 31, 2008. The increase in the combined ratio primarily reflects a decrease in favorable loss reserve development from 2007 to 2008 and an increase in expenses related to the Company’s Southeast expansion, state licensing initiatives and the integration expenses associated with the acquisition of ESHC.

The workers’ compensation insurance ratios were as follows for the years ended December 31, 2008 and 2007:

 

     2008     2007  

Loss and LAE ratio

   55.4   45.5

Expense ratio

   24.0   19.1

Policyholders’ dividend expense ratio

   0.8   1.0
            

Combined ratio

   80.2   65.6
            

Premiums

The increase in direct premiums written from 2007 to 2008 primarily reflects new business sales of $23.3 million and premium of $1.9 million related to the acquisition of ESIC, partially offset by a reduction in the renewal retention rate from 88.2% in 2007 to 87.6% in 2008 and renewal rate decreases of 6.9%. Traditional and alternative market direct premiums written were $72.8 million and $29.1 million, respectively, for the year ended December 31, 2008, compared to $65.4 million and $26.1 million, respectively, for the same period in 2007.

Purchase accounting adjustments reduced direct premiums written by $513,000 in 2008, compared to a reduction of $1.2 million for the same period in 2007.

 

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Net Investment Income

The decrease in net investment income primarily reflects a decline in the average yield on the fixed income portfolio and a decline in short-term interest rates from 2007 to 2008. The average yield on the fixed income portfolio was 4.18% as of December 31, 2008, compared to 4.44% as of December 31, 2007.

Net Realized Investment (Losses) Gains

The net realized investment losses for the year ended December 31, 2008 primarily reflect other-than-temporary impairments of $3.4 million. There were no impairments recorded in 2007. In addition, the change in the fair value of convertible bond securities increased the net realized investment losses by $623,000 in 2008, compared to a decrease in net realized investment gains of $35,000 in 2007.

Losses and LAE

The increase in the calendar period loss and LAE ratio primarily reflects a decrease in favorable loss reserve development related to prior accident periods. The accident period loss ratio was 58.8% and 60.3% for the years ended December 31, 2008 and 2007, respectively. Favorable loss reserve development totaled $2.7 million for the year ended December 31, 2008, compared to favorable loss reserve development of $8.4 million for the same period in 2007. The favorable loss reserve development primarily reflects a decrease in the prior accident period loss development factors used to estimate losses and LAE. The decrease in prior accident period loss development factors primarily reflects significant prior year claim settlements during 2008 for amounts at, or less than, previously established case and IBNR reserves. This decrease had the effect of lowering loss development factors as of December 31, 2008. For the year ended December 31, 2008, the Company closed 360, or 63.2% of the 570 open lost time claims as of December 31, 2007. In the aggregate, the claims were closed at amounts lower than the provision established for IBNR claims. Management believes that the realization of the benefits of its return-to-work controls coupled with strong economies in its underwriting territories during 2006, 2007, and the first half of 2008 enabled it to record losses and LAE that were lower than the amount reserved for claim settlements.

Acquisition and Other Underwriting Expenses

The increase in acquisition and other underwriting expenses primarily reflects growth in net premiums earned and a decrease in fee based revenue from the segregated portfolio cell reinsurance segment during 2008. In addition, the Company recorded an accrual for an expected assessment by the Security Fund on 2008 premiums as of December 31, 2008. No accrual was recorded as of December 31, 2007 due to the Company receiving communication from the Security Fund that no assessment was going to be made on 2007 premium.

Other Expenses

The increase in other expenses primarily reflects start-up costs incurred in conjunction with the Company’s expansion into the Southeast, due diligence and integration expenses associated with the acquisition of ESHC and other state licensing initiatives.

Policyholder Dividends

Policyholder dividend expense remained consistent from 2007 to 2008. As of December 31, 2008 and 2007, approximately 10.0% of the Company’s workers’ compensation insurance policies were written on a participating basis.

Tax Expense

The effective tax rate was 31.6% and 31.3% for the years ended December 31, 2008 and 2007, respectively. The difference between the statutory tax rate of 35% and the effective tax rate primarily reflects tax exempt income on municipal bond securities. The 2007 effective tax rate also includes a reduction in income tax expense related to non-recurring rehabilitation tax credits.

 

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SEGREGATED PORTFOLIO CELL REINSURANCE

The following table represents the operations of the segregated portfolio cell reinsurance segment for the years ended December 31, 2008 and 2007 (in thousands):

 

     2008     2007  

Revenue:

    

Reinsurance premiums assumed

   $ 29,113      $ 26,143   

Ceded premiums written

     (3,023     (2,676
                

Net premiums written

     26,090        23,467   

Change in unearned premiums

     (2,650     (606
                

Net premiums earned

     23,440        22,861   

Net investment income

     1,112        1,284   

Net realized investment (losses) gains

     (1,381     320   
                

Total revenue

   $ 23,171      $ 24,465   
                

Expenses:

    

Losses and LAE

   $ 13,182      $ 11,671   

Acquisition and other underwriting expenses

     7,238        6,933   

Other expenses

     286        463   

Segregated portfolio dividend expense (1)

     2,465        5,398   
                

Total expenses

   $ 23,171      $ 24,465   
                

Net income (1)

   $ —        $ —     
                

 

(1) The workers’ compensation insurance, run-off specialty reinsurance and corporate/other segments provide services to the segregated portfolio cell reinsurance segment. The fees paid by the segregated portfolio cell reinsurance segment for these services are included in the revenue of the segment providing the service. The segregated portfolio cell reinsurance segment records the fees associated with these services as ceding expense, which is included in its underwriting expenses. The difference between total revenue for the segregated portfolio cell reinsurance segment for each period and the sum of losses and loss adjustment expenses, underwriting expenses, policyholder dividend expenses and other expenses is accrued as a segregated portfolio dividend expense. As a result, the segregated portfolio cell reinsurance segment has no net income for the period presented in this table.

The segregated portfolio cell reinsurance ratios were as follows for the years ended December 31, 2008 and 2007:

 

     2008     2007  

Loss and LAE ratio

   56.2   51.1

Expense ratio

   32.1   32.4
            

Combined ratio

   88.3   83.5
            

Reinsurance Premiums Assumed

The increase in reinsurance premiums assumed from 2007 to 2008 primarily reflects new business sales of $4.7 million, partially offset by a reduction in the renewal retention rate from 88.4% in 2007 to 87.7% in 2008 and renewal rate decreases of 3.9%. Further offsetting the increase in reinsurance premiums assumed were audit premiums, which reduced premiums by $383,000 in 2008, compared to an increase in premiums of $623,000 in 2007.

Purchase accounting adjustments reduced reinsurance premiums assumed by $451,000 in 2007. There were no purchase accounting adjustments in 2008.

Net Investment Income

The decrease in net investment income primarily reflects a reduction in short-term interest rates from 2007 to 2008.

Net Realized Investment (Losses) Gains

The net realized investment losses for the year ended December 31, 2008 primarily reflect other-than-temporary impairments of $1.2 million. There were no impairments recorded in 2007.

 

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Losses and LAE

The increase in the calendar period loss and LAE ratio primarily reflects a decrease in favorable loss reserve development related to prior accident periods. The accident period loss ratio was 62.9% and 62.4% for the years ended December 31, 2008 and 2007, respectively. Favorable loss reserve development totaled $2.0 million for the year ended December 31, 2008, compared to favorable loss reserve development of $3.0 million for the same period in 2007. The decrease in favorable loss reserve development from 2007 to 2008 primarily reflects management’s consideration of the current economic conditions and the potential impact on prior year open claims. As a result, management determined it was prudent to maintain higher reserve levels in light of the possibility that it could be more difficult to implement return to work initiatives in the current economic conditions. The favorable loss reserve development primarily reflects a decrease in the prior accident period loss development factors used to estimate losses and LAE. The decrease in prior accident period loss development factors primarily reflects significant prior year claim settlements during 2008 for amounts at, or less than, previously established case and IBNR reserves. This decrease had the effect of lowering loss development factors as of December 31, 2008.

Acquisition and Other Underwriting Expenses

The expense ratios are consistent with the contractual ceding commissions for the years ended December 31, 2008 and 2007.

Segregated Portfolio Dividend Expense

The segregated portfolio dividend expense represents the amount of net income or loss in a specific period that may be payable to the segregated portfolio dividend participants.

GROUP BENEFITS INSURANCE

The following table represents the operations of the group benefits insurance segment for the years ended December 31, 2008 and 2007 (in thousands):

 

     2008     2007  

Revenue:

    

Direct premiums written

   $ 39,205      $ 38,519   

Ceded premiums written

     (2,487     (2,655
                

Net premiums written

     36,718        35,864   

Change in unearned premiums

     5        (1
                

Net premiums earned

     36,723        35,863   

Net investment income

     2,578        3,277   

Change in equity interest in limited partnerships

     (430     (39

Net realized investment (losses) gains

     (5,366     1,531   
                

Total revenues

     33,505        40,632   
                

Expenses:

    

Losses and LAE

     24,444        23,253   

Acquisition and other underwriting expenses

     5,602        5,556   

Other expenses

     5,698        5,073   
                

Total expenses

     35,744        33,882   
                

(Loss) income before income taxes

     (2,239     6,750   

Income tax (benefit) expense

     (1,083     1,973   
                

Net (loss) income

   $ (1,156   $ 4,777   
                

Net Income

The net loss in the group benefits insurance segment for the year ended December 31, 2008 primarily reflects the impact of other-than-temporary investment impairments, a decline in net investment income, and an increase in the combined ratio. Other-than-temporary investment impairments totaled $3.9 million. The decline in net investment income reflects a decrease in the invested asset base, which reflects dividends paid to EIHI during 2008. The increase in the combined ratio primarily reflects an increase in the dental loss ratio and an increase in the expense ratio. The 2007 expense ratio includes the impact of a settlement gain related to the defined benefit plan, which reduced the expense ratio by 1.1 percentage points.

 

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The group benefits insurance ratios were as follows for the years ended December 31, 2008 and 2007:

 

     2008     2007  

Loss and LAE ratio

   66.6   64.8

Expense ratio

   30.8   29.6
            

Combined ratio

   97.4   94.4
            

Premiums

Direct premiums written, by line of business, for the years ended December 31, 2008 and 2007 were as follows (in thousands):

 

     2008    2007

Dental

   $ 22,742    $ 21,827

Short-term disability

     6,567      6,628

Long-term disability

     3,827      4,049

Term life

     6,069      6,015
             

Total

   $ 39,205    $ 38,519
             

The increase in direct premiums written primarily reflects the impact of new business sales and a slight increase in renewal rates, partially offset by a decline in the renewal retention rate from 80.8% in 2007 to 78.6% in 2008.

Net Investment Income

The decrease in net investment income primarily reflects a lower invested asset base. The average yield on the fixed income portfolio was 4.88% as of December 31, 2008, compared to 5.60% as of December 31, 2007.

Net Realized Investment (Losses) Gains

The net realized investment losses for the year ended December 31, 2008 primarily reflect the aforementioned other-than-temporary impairments. There were no impairments recorded in 2007. In addition, the change in the fair value of convertible bond securities increased the net realized investment losses by $2.1 million in 2008, compared to a decrease in net realized investment gains of $422,000 in 2007.

Losses and LAE

The calendar period loss ratios, by line of business, for the years ended December 31, 2008 and 2007 were as follows:

 

     2008     2007  

Dental

   74.1   69.0

Short-term disability

   63.8   69.3

Long-term disability

   42.5   22.5

Term life

   48.8   52.5

Total group benefits

   66.6   64.8

Dental

The increase in the dental calendar period loss ratio primarily reflects a 1.4% decrease in premiums per certificate per month (“PCPM”) and a 5.9% increase in claims expense PCPM from 2007 to 2008. The decrease in the premiums PCPM primarily reflects the impact of premium discounts on new business written in 2007 and early 2008. The accident period loss ratio increased from 70.8% in 2007 to 75.6% in 2008. The increase in the accident period loss ratio primarily reflects the impact of the aforementioned premium rate discounts. In addition to the increase in the accident period loss ratio, there was a slight decrease in favorable loss reserve development from 2007 to 2008.

 

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Short-term Disability

The decrease in the short-term disability calendar period loss ratio primarily reflects a reduction in claim frequency and severity from 2007 to 2008. The accident period loss ratio decreased from 71.5% in 2007 to 65.6% in 2008. The decrease in the accident period loss ratio was partially offset by a decline in favorable loss reserve development from $148,000, or 2.2 percentage points, in 2007, to $120,000, or 1.8 percentage points, in 2008.

Long-term Disability

The 2008 long-term disability loss ratio reflects a net reduction in open claims, which reduced claim reserves by $557,000, compared to a net reduction in claim reserves of $992,000 for the same period in 2007.

Term Life

The decrease in the term life loss ratio primarily reflects an increase in premium waiver reserve reductions from 2007 to 2008. The loss ratio related to reported death claims increased slightly from 58.2% in 2007 to 60.2% in 2008.

Acquisition and Other Underwriting Expenses

Acquisition and other underwriting expenses as a percent of direct premiums written remained consistent from 2007 to 2008.

Other Expenses

The increase in other expenses from 2007 to 2008 primarily reflects an increase in consulting costs related to actuarial services and costs associated with the acquisition of software. In addition, the 2007 expenses include a reduction of $384,000 related to the defined benefit plan settlement gain.

Tax Expense

The effective tax rate was 48.4% and 29.2% for the years ended December 31, 2008 and 2007, respectively. The difference between the statutory tax rate of 35% and the effective tax rate primarily reflects tax exempt income on municipal bond securities. The 2008 effective tax rate also includes a prior year tax return adjustment that increased the income tax benefit, and the 2007 effective tax rate includes the release of a contingency reserve related to prior tax years that decreased income tax expense.

RUN-OFF SPECIALTY REINSURANCE

The following table represents the operations of the run-off specialty reinsurance segment for the years ended December 31, 2008 and 2007 (in thousands):

 

     2008     2007  

Revenue:

    

Reinsurance premiums assumed

   $ 3,341      $ 14,069   

Change in unearned premiums

     6,341        383   
                

Net premiums earned

   $ 9,682      $ 14,452   

Net investment income

     1,343        1,298   

Change in equity interest in limited partnerships

     (489     261   

Net realized investment (losses) gains

     (440     7   

Other revenue

     782        593   
                

Total revenue

   $ 10,878      $ 16,611   
                

Expenses:

    

Losses and LAE

   $ 25,027      $ 13,050   

Acquisition and other underwriting expenses

     2,903        3,932   

Other expenses

     637        647   
                

Total expenses

   $ 28,567      $ 17,629   
                

Loss before income taxes

     (17,689     (1,018

Income tax expense (benefit)

     984        (732
                

Net loss

   $ (18,673   $ (286
                

 

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Net Loss

The increase in the net loss reflects the unfavorable loss reserve development of $19.3 million, the reduction in net premiums earned as a result of terminating participation in the reinsurance treaties, investment losses related to other-than-temporary impairments and limited partnership interests, and an increase in income tax expense due to the inability to recognize federal income tax benefits generated by the segment’s operating losses.

The run-off specialty reinsurance ratios were as follows for the years ended December 31, 2008 and 2007:

 

     2008     2007  

Loss and LAE ratio

   258.5   90.3

Expense ratio

   36.6   31.7
            

Combined ratio

   295.1   122.0
            

Reinsurance Premiums Assumed

Reinsurance premiums assumed, by line of business, were as follows for the years ended December 31, 2008 and 2007 (in thousands):

 

     2008    2007  

EnviroGuard

   $ 1,855    $ 11,300   

EIA

     1,477      3,068   

Other

     9      550   

Purchase accounting adjustments

     —        (849
               

Total assumed premiums

   $ 3,341    $ 14,069   
               

The decrease in reinsurance premiums assumed reflects the termination of the reinsurance treaties.

Purchase accounting adjustments reduced reinsurance premiums assumed by $849,000 in 2007. There were no purchase accounting adjustments in 2008.

Net Investment Income

The average yield on the fixed income portfolio was 3.97% as of December 31, 2008, compared to 4.64% as of December 31, 2007.

Net Realized Investment (Losses) Gains

The net realized investment losses for the year ended December 31, 2008 primarily reflect other-than-temporary impairments of $732,000. There were no impairments recorded in 2007.

Losses and LAE

The increase in the calendar period loss and LAE ratio primarily reflects the aforementioned unfavorable loss reserve development. The accident period loss ratios were 59.3% and 56.5% for the years ended December 31, 2008 and 2007, respectively. The 2008 unfavorable loss reserve development of $19.3 million primarily reflects additional information acquired by the Company during the annual claims audit in January 2009. The claims audit revealed several factors which contributed to the increased case reserves reported to the Company and, therefore, resulted in management increasing the loss development factors utilized in estimating the IBNR reserves. Those factors include 1) an improvement in the ceding company’s ability to estimate loss costs earlier in the claims process, including the receipt of damage estimates from contractors and consultants, 2) jurisdictions becoming more aggressive in requiring quicker, more extensive clean-up and an increase in construction costs related to the clean-up, and 3) courts limiting the ability of insurance companies to enforce policy coverage limitations as the courts are more interested in an expeditious clean up due to environmental concerns.

Acquisition and Other Underwriting Expenses

The increase in the expense ratio is related to a decrease in net earned premium due to the termination of the reinsurance treaties. As part of its previously in-force quota share reinsurance agreement with the primary insurer, the Company paid the primary insurer a ceding commission of 30.0% based on assumed premiums.

 

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Tax Expense

The effective tax rate was (5.6%) and 71.9% for the years ended December 31, 2008 and 2007, respectively. The 2008 effective tax rate reflects the impact of the unrecognized tax benefits of $7.2 million. The 2007 effective tax rate reflects a prior year tax return adjustment that increased income tax expense.

CORPORATE/OTHER

The increase in the net loss in the corporate/other segment primarily reflects a decline in net investment income. The decrease in net investment income reflects the decline in short-term interest rates as well as the decrease in cash related to the stock buyback program and the repayment of the junior subordinated debentures.

Financial Position

December 31, 2009 compared to December 31, 2008. Total assets were $391.5 million as of December 31, 2009, compared to $377.3 million as of December 31, 2008. Cash and investments increased $17.0 million, primarily reflecting an increase in the estimated fair value of the Company’s investment portfolio, partially offset by the sale and maturity of investments during 2009. Premiums receivable increased $2.8 million, primarily reflecting the increase in direct premiums written. Net deferred income taxes decreased $4.9 million, primarily reflecting the increase in the fair value of the Company’s investment portfolio, and federal income taxes recoverable increased $2.2 million, primarily reflecting estimated federal income tax payments and the recognition of a recoverable related to the carryback of capital losses incurred in 2008 to prior tax years.

Total liabilities were $237.6 million as of December 31, 2009, compared to $239.2 million as of December 31, 2008. Reserves for unpaid losses and LAE decreased $7.6 million primarily reflecting the run-off of the specialty reinsurance segment. Unearned premiums increased $3.7 million, primarily reflecting higher direct premiums written. The segregated portfolio cell dividend payable increased $3.5 million, reflecting positive operating results in the segregated portfolio cell reinsurance segment and an increase in the estimated fair value of the segment’s investment portfolio.

Total shareholders’ equity was $153.9 million as of December 31, 2009, compared to $138.1 million as of December 31, 2008. The increase in shareholders’ equity primarily reflects 2009 consolidated net income and the increase in the estimated fair value of the Company’s fixed income and equity security portfolios.

Liquidity and Capital Resources

Liquidity is a measure of an entity’s ability to secure sufficient cash to meet its contractual obligations and operating needs. The Company’s principal sources of funds are premiums, investment income and proceeds from sales and maturities of investments. The Company’s primary use of funds is to pay claims and operating expenses and to purchase investments. The Company’s investment portfolio is structured so that investments mature periodically over time in reasonable relation to current expectations of future claim payments. The Company’s fixed income investment portfolio as of December 31, 2009 had an effective duration of 3.22 years.

For the years ended December 31, 2009, 2008 and 2007, the Company’s cash inflows from premiums and investment activity were sufficient to support the Company’s cash outflows related to claims and operating expenses. Management expects future cash flows from operations in its workers’ compensation insurance, segregated portfolio cell reinsurance and group benefits insurance segments to be sufficient to cover claims and operating expenses. However, in the event cash flows from operations are not sufficient, the Company may have to liquidate investments to cover such costs. As of December 31, 2009, the Company’s investment portfolio included securities with gross unrealized gains totaling $10.2 million; therefore, based on current gross unrealized gains in the investment portfolio as of December 31, 2009, management does not believe it would have to sell securities at a loss in the event cash flows from operations proved insufficient to cover the Company’s operating needs.

The Company has a $2.6 million line of credit available to provide additional liquidity if needed. In addition to the line of credit, the Company has obtained letters of credit totaling $45.8 million for the purpose of securing obligations to reinsurers, if necessary. As of December 31, 2009, there was approximately $5.9 million still available under the Company’s letter of credit facilities.

The Company’s ability to manage liquidity results, in part, from the purchase of reinsurance to protect the Company against severe claims and catastrophic events. See “Item 1—Business, Reinsurance.”

 

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Our domestic insurance subsidiaries’ ability to pay dividends to EIHI is limited by the insurance laws and regulations of Pennsylvania and Indiana. The maximum annual dividends that the domestic insurance entities may pay without prior approval from the Pennsylvania Insurance Department and the Indiana Insurance Department is limited to the greater of 10% of statutory surplus or 100% of statutory net income for the most recently filed annual statement.

Eastern Re must receive approval from the Cayman Islands Monetary Authority before it can pay any dividend to the Company.

Cash Flows

The primary sources of cash flows for the Company are net premiums written, investment income, and proceeds from the sale or maturity of investments. The major components of cash flow are as follows for the years ended December 31, 2009, 2008, and 2007 (in thousands):

 

     December 31,  
     2009     2008     2007  

Cash provided by operating activities

   $ 6,529      $ 21,318      $ 23,917   

Cash provided by (used in) investing activities

     10,664        13,146        (10,883

Cash used in financing activities

     (3,051     (27,529     (17,797

Cash Flows for the Years Ended December 31, 2009 and 2008. The decrease in cash flows from operating activities from 2008 to 2009 primarily reflects the run-off of the specialty reinsurance segment and a reduction in net investment income.

Cash flows from investing activities for the year ended December 31, 2009 primarily reflects the sale of investments to fund the Eastern Re capital contribution in March 2009.

Cash flows from financing activities for the year ended December 31, 2009 primarily reflects the payment of the quarterly shareholder dividends and the semi-annual loan payments.

Cash Flows for the Years Ended December 31, 2008 and 2007. The decrease in cash flows from operating activities from 2007 to 2008 primarily reflects a reduction in net investment income and the termination of the Company’s participation in the reinsurance treaties in the run-off specialty reinsurance segment.

The increase in cash flows from investing activities from 2007 to 2008 primarily reflects the use of proceeds from sales and maturities of securities to fund the Company’s stock repurchase program, the acquisition of ESHC and the repayment of the junior subordinated debentures.

The decrease in cash flows from financing activities for the year ended December 31, 2008 reflects an increase in share repurchases under the Company’s stock repurchase program, and increase in the quarterly shareholder dividend from $0.05/share in 2007 to $0.07/share in 2008, and the repayment of the junior subordinated debentures.

Contractual Commitments

The following table summarizes information about contractual obligations and commercial commitments before the impact of purchase accounting adjustments. The minimum payments under these agreements as of December 31, 2009 were as follows (in thousands):

 

     Payments Due By Period
     Total    Less than
1 year
   1-3 years    4-5 years    After 5 years

Long term debt obligations:

              

Loan payable (1)

   $ 2,150    $ 500    $ 1,000    $ 650    $ —  
                                  

Total long term debt obligations

   $ 2,150    $ 500    $ 1,000    $ 650    $ —  

Real estate lease obligation

     8,016      1,109      2,277      2,200      2,430

Loss reserves (2)

     150,975      54,898      54,228      15,307      26,542
                                  

Total contractual obligations

   $ 161,141    $ 56,507    $ 57,505    $ 18,157    $ 28,972
                                  

 

(1) The loan payable balance in the above table represents the remaining principal balance as of December 31, 2009. Interest on the loan is based on the 30-day LIBOR rate plus 165 basis points and resets on the first day of each month, based on the 30-day LIBOR rate as of the last day of the immediately preceding month. The interest rate effective on December 31, 2009 was 1.883%.
(2) The payments related to the loss reserves are shown before purchase accounting adjustments of $537,000.

 

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The loss reserves payments due by period in the table above are based upon the loss and LAE reserves estimates as of December 31, 2009 and actuarial estimates of expected payout patterns by line of business. As a result, our calculation of loss reserve payments due by period is subject to the same uncertainties associated with determining the level of reserves and to the additional uncertainties arising from the difficulty of predicting when claims (including claims that have not yet been reported to us) will be paid. For a discussion of our reserving process, see “Item 1—Business, Loss and LAE Reserves.” Actual payments of loss and LAE by period will vary, perhaps materially, from the above table to the extent that current estimates of loss reserves vary from actual ultimate claims amounts and as a result of variations between expected and actual payout patterns.

Off-Balance Sheet Arrangements

As of December 31, 2009, the Company has no off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on the Company’s financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

Item 7A—Quantitative and Qualitative Disclosures About Market Risk

Market risk is the potential economic loss principally arising from adverse changes in the fair value of financial instruments. The major components of market risk affecting the Company are credit risk, interest rate risk, and equity risk.

Credit Risk. Credit risk is the potential economic loss principally arising from adverse changes in the financial condition of a specific debt issuer. The Company addresses this risk by investing primarily in fixed-income securities which are rated “A” or higher by Standard & Poor’s. The Company also independently, and through the Company’s outside investment manager, monitors the financial condition of all of the issuers of fixed-income securities in the portfolio. To limit the Company’s exposure to risk, the Company employs diversification rules that limit the credit exposure to any single issuer or business sector.

Interest Rate Risk. Interest rate risk is the risk that we will incur economic loss due to adverse changes in interest rates. The Company had fixed-income investments, including convertible bonds, with a fair value of $193.4 million at December 31, 2009, that are subject to interest rate risk. The Company manages the exposure to interest rate risk through an asset/liability matching and capital management process. In the management of this risk, the characteristics of duration, credit and variability of cash flows are critical elements. These risks are assessed regularly and balanced within the context of the Company’s liability and capital position.

The table below summarizes the Company’s interest rate risk. It illustrates the sensitivity of the fair value of the Company’s fixed income portfolio, excluding the segregated cell reinsurance segment, to selected hypothetical changes in interest rates as of December 31, 2009. The selected scenarios are not predictions of future events, but rather illustrate the effect that such events may have on the fair value of the Company’s fixed income and convertible bond portfolio and shareholders’ equity (dollars in thousands).

 

Hypothetical Change in Interest Rates

   Estimated Change in
Fair Value
    Estimated
Fair Value
   Hypothetical
Percentage Increase
(Decrease) in
Shareholders’ Equity,
Net of Tax
 

200 basis point increase

   $ (9,617   $ 136,654    (4.6 )% 

100 basis point increase

     (4,810     141,461    (2.3 )% 

50 basis increase

     (2,373     143,898    (1.1 )% 

No change

     —          146,271    —     

50 basis point decrease

     2,265        148,536    1.1

100 basis point decrease

     4,464        150,735    2.1

200 basis point decrease

     8,704        154,975    4.1

Equity Risk. Equity risk is the risk that the Company may incur economic loss due to adverse changes in equity prices. The Company’s exposure to changes in equity prices primarily results from its holdings of exchange traded funds and other equities. The Company’s portfolio of equity securities is carried on the balance sheet at fair value.

 

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Impact of Inflation

Inflation rates may impact the Company’s financial condition and operating results in several ways. Fluctuations in rates of inflation influence interest rates, which in turn affect the market value of the investment portfolio and yields on new investments. Inflation also affects the portion of losses and loss reserves that relates to hospital and medical expenses and property claims and loss adjustment expenses, but not the portion of losses and loss reserves that relates to workers’ compensation indemnity payments for lost wages, which are fixed by statute. Adjustments for inflationary effects are included as part of the continual review of loss reserve estimates. Increased costs are considered in setting premium rates, and this is particularly important in the health care area where hospital and medical inflation rates have exceeded general inflation rates. Operating expenses, including payrolls, are affected to a certain degree by the inflation rate.

 

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Item 8—Financial Statements and Supplementary Data

LOGO

Report of Independent Registered Public Accounting Firm

To the Board of Directors and Shareholders

of Eastern Insurance Holdings, Inc.:

In our opinion, the consolidated financial statement listed in the index appearing under Item 15 a)(1) present fairly, in all material respects, the financial position of Eastern Insurance Holdings, Inc. and its subsidiaries (the “Company”) at December 31, 2009 and December 31, 2008, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2009 in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedules listed in the index appearing under Item 15 a)(2) present fairly, in all material respects the information set forth therein when read in conjunction with the related consolidated financial statements. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2009, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company’s management is responsible for these financial statements and financial statement schedules, for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in “Management’s Report on Internal Controls Over Financial Reporting” appearing under Item 9A—Controls and Procedures. Our responsibility is to express opinions on these financial statements, on the financial statement schedules, and on the Company’s internal control over financial reporting based on our integrated audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.

As discussed in Note 2 to the consolidated financial statements, the Company changed its method of accounting for the recognition and presentation of other-than-temporary impairments of debt securities as required by accounting guidance adopted on April 1, 2009.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ PricewaterhouseCoopers LLP

Philadelphia, Pennsylvania

March 5, 2010

 

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EASTERN INSURANCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share data)

 

     December 31,
2009
    December 31,
2008
 

ASSETS

    

Investments:

    

Fixed income securities, at estimated fair value (amortized cost, $171,605; $180,102)

   $ 176,731      $ 183,136   

Convertible bonds, at estimated fair value (amortized cost, $14,921; $13,783)

     16,677        12,346   

Equity securities, at estimated fair value (cost, $17,117; $22,287)

     21,273        17,162   

Other long-term investments at estimated fair value (cost, $10,220; $10,586)

     10,315        9,519   
                

Total investments

     224,996        222,163   

Cash and cash equivalents

     67,017        52,875   

Accrued investment income

     1,664        2,058   

Premiums receivable (net of allowance, $632; $581)

     32,457        29,615   

Reinsurance recoverable on paid and unpaid losses and loss adjustment expenses

     28,521        29,637   

Deferred acquisition costs

     6,487        5,760   

Deferred income taxes, net

     1,349        6,281   

Federal income taxes recoverable

     2,234        16   

Intangible assets

     7,448        9,179   

Goodwill

     10,752        10,752   

Other assets

     8,599        8,975   
                

Total assets

   $ 391,524      $ 377,311   
                

LIABILITIES

    

Reserves for unpaid losses and loss adjustment expenses

   $ 151,512      $ 159,117   

Unearned premium reserves

     46,099        42,365   

Advance premium

     1,720        1,594   

Accounts payable and accrued expenses

     13,245        13,136   

Ceded reinsurance balances payable

     6,102        6,886   

Benefit plan liabilities

     311        497   

Segregated portfolio cell dividend payable

     16,684        13,140   

Loan payable

     1,986        2,439   
                

Total liabilities

     237,659        239,174   
                

Commitments and contingencies (Note 17)

    

SHAREHOLDERS’ EQUITY

    

Series A preferred stock, par value $0, auth. shares—5,000,000; no shares issued and outstanding

     —          —     

Common capital stock, par value $0, auth. shares—20,000,000; issued—11,783,014 and 11,602,723, respectively; outstanding—9,691,257 and 9,512,366, respectively

     —          —     

Unearned ESOP compensation

     (4,859     (5,606

Additional paid in capital

     113,049        111,772   

Treasury stock, at cost (2,091,757 and 2,090,357 shares, respectively)

     (32,666     (32,655

Retained earnings

     73,038        66,492   

Accumulated other comprehensive income (loss), net

     5,303        (1,866
                

Total shareholders’ equity

     153,865        138,137   
                

Total liabilities and shareholders’ equity

   $ 391,524      $ 377,311   
                

See accompanying notes to consolidated financial statements.

 

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EASTERN INSURANCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

AND COMPREHENSIVE INCOME (LOSS)

(In thousands, except per share data)

 

     For the Years Ended December 31,
     2009    2008     2007

REVENUE

       

Net premiums earned

   $ 134,986    $ 135,807      $ 129,495

Net investment income

     7,097      9,631        11,669

Change in equity interest in limited partnerships

     1,261      (3,970     759

Net realized investment gains (losses)

     952      (11,117     2,888

Other revenue

     645      853        683
                     

Total revenue

     144,941      131,204        145,494
                     

EXPENSES

       

Losses and LAE incurred

     84,552      99,188        73,588

Acquisition and other underwriting expenses

     18,183      18,918        17,056

Other expenses

     26,382      25,338        21,801

Amortization of intangibles

     1,732      1,373        1,738

Policyholder dividend expense

     432      551        543

Segregated portfolio dividend expense

     1,238      2,155        4,423
                     

Total expenses

     132,519      147,523        119,149
                     

Income (loss) before income taxes

     12,422      (16,319     26,345

Income tax expense

     4,021      1,064        7,662
                     

Net income (loss)

   $ 8,401    $ (17,383   $ 18,683
                     

Other comprehensive income (loss)

       

Unrealized holding gains (losses) arising during period, net of tax of $4,407, $(4,751), and $1,209

     8,185      (8,823     1,877

Amortization of unrecognized benefit plan amounts, net of tax of $127, $(558), and $58

     235      (1,037     108

Less: Reclassification adjustment for gains (losses) included in net income (loss), net of tax of $434, $(2,557), and $644

     806      (4,749     1,195
                     

Other comprehensive income (loss)

     7,614      (5,111     790
                     

Comprehensive income (loss)

   $ 16,015    $ (22,494   $ 19,473
                     

EARNINGS PER SHARE (SEE NOTE 5):

       

Net income (loss)

   $ 8,401    $ (17,383   $ 18,683

Basic earnings per share

   $ 0.92    $ (1.90   $ 1.78

Diluted earnings per share

   $ 0.91    $ (1.90   $ 1.72

See accompanying notes to consolidated financial statements.

 

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EASTERN INSURANCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands, except share data)

 

    Outstanding Shares                                          
  Series A
Preferred
Stock
  Common Capital
Stock
    Common
Capital
Stock
  Unearned
ESOP
Compensation
    Additional
Paid-In
Capital
    Treasury
Stock
    Retained
Earnings
    Accumulated
Other
Comprehensive
(Loss) Income,
Net of Taxes
    Total  

Balance, January 1, 2007

  —     11,351,048        —       (7,101     108,502        —          69,483        2,860        173,744   

Adoption of SFAS 155

  —     —          —       —          —          —          405        (405     —     

ESOP shares released

  —     —          —       747        409        —          —          —          1,156   

Equity awards

  —     246,675        —       —          1,255        —          —          —          1,255   

Repurchase of common stock

  —     (1,016,865     —       —          —          (15,589     —          —          (15,589

Shareholder dividend

  —     —          —       —          —          —          (2,208     —          (2,208

Net income

  —     —          —       —          —          —          18,683        —          18,683   

Other comprehensive income, net of tax

  —     —          —       —          —          —          —          790        790   
                                                               

Balance, December 31, 2007

  —     10,580,858        —       (6,354     110,166        (15,589     86,363        3,245        177,831   

ESOP shares released

  —     —          —       748        297        —          —          —          1,045   

Equity awards

  —     5,000        —       —          1,277        —          —          —          1,277   

Excess tax benefit from vested restricted stock

  —     —          —       —          32        —          —          —          32   

Repurchase of common stock

  —     (1,073,492     —       —          —          (17,066     —          —          (17,066

Shareholder dividend

  —     —          —       —          —          —          (2,488     —          (2,488

Net loss

  —     —          —       —          —          —          (17,383     —          (17,383

Other comprehensive loss, net of tax

  —     —          —       —          —          —          —          (5,111     (5,111
                                                               

Balance, December 31, 2008

  —     9,512,366      $ —     $ (5,606   $ 111,772      $ (32,655   $ 66,492      $ (1,866   $ 138,137   
                                                               

Cumulative effect adjustment

  —     —          —       —          —          —          685        (445     240   

ESOP shares released

  —     —          —       747        (92     —          —          —          655   

Equity awards

  —     180,291        —       —          1,369        —          —          —          1,369   

Repurchase of common stock

  —     (1,400     —       —          —          (11     —          —          (11

Shareholder dividend

  —     —          —       —          —          —          (2,540     —          (2,540

Net income

  —     —          —       —          —          —          8,401        —          8,401   

Other comprehensive income, net of tax

  —     —          —       —          —          —          —          7,614        7,614   
                                                               

Balance, December 31, 2009

  —     9,691,257      $ —     $ (4,859   $ 113,049      $ (32,666   $ 73,038      $ 5,303      $ 153,865   
                                                               

See accompanying notes to consolidated financial statements.

 

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EASTERN INSURANCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands)

 

     2009     2008     2007  

Cash flows from operating activities:

      

Net income (loss)

   $ 8,401      $ (17,383   $ 18,683   

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

      

Depreciation and amortization

     702        561        397   

Net amortization of bond premium/discount

     224        452        282   

Net realized investment losses (gains)

     (952     11,117        (2,888

Change in equity interest in other long-term investments

     (1,261     3,970        (759

Loss on disposal of property and equipment

     —          5        1   

Deferred tax benefit

     3,062        (4,355     (1,795

Stock compensation

     2,025        2,354        2,411   

Intangible asset amortization

     1,732        1,373        1,738   

Changes in assets and liabilities:

      

Accrued investment income

     394        396        (54

Premiums receivable

     (2,842     400        (3,621

Reinsurance recoverable on paid and unpaid losses and loss adjustment expenses

     1,116        (1,273     1,222   

Deferred acquisition costs

     (727     497        (1,756

Other assets

     514        (43     (2,006

Reserves for unpaid losses and loss adjustment expenses

     (7,605     19,741        3,321   

Unearned and advance premium

     3,860        (389     4,851   

Ceded reinsurance balances payable

     (784     124        1,139   

Accounts payable and accrued expenses

     157        3,328        345   

Benefit plan liabilities

     (191     (8     (52

Federal income taxes recoverable/payable

     (2,218     479        (2,748

Segregated portfolio cell dividend payable

     922        (28     5,206   
                        

Net cash provided by operating activities

     6,529        21,318        23,917   
                        

Cash flows from investing activities:

      

Purchase of fixed income securities

     (119,946     (43,355     (122,853

Purchase of equity securities

     (6,998     (11,239     (13,280

Purchase of other long-term investments

     —          (3,000     (500

Proceeds from sale of fixed income securities

     95,518        41,058        50,309   

Proceeds from maturities/calls of fixed income securities

     34,276        33,575        61,947   

Proceeds from the sale of equity securities

     7,823        4,699        11,956   

Proceeds from sale of other long-term investments

     461        820        1,876   

Acquisition of Employers Security Holding Company, net of cash received

     —          (8,025     —     

Principal payments received on mortgage loans

     3        8        15   

Purchase of equipment, net

     (473     (1,395     (353
                        

Net cash provided by (used in) investing activities

     10,664        13,146        (10,883
                        

Cash flows from financing activities:

      

Repurchase of common stock

     (11     (17,066     (15,589

Shareholder dividend

     (2,540     (2,488     (2,208

Repayment of junior subordinated debentures

     —          (8,007     —     

Repayment of long-term debt

     (500     —          —     

Excess tax benefit from vested restricted stock

     —          32        —     
                        

Net cash (used in) provided by financing activities

     (3,051     (27,529     (17,797
                        

Net increase (decrease) in cash and cash equivalents

     14,142        6,935        (4,763

Cash and cash equivalents, beginning of period

     52,875        45,940        50,703   
                        

Cash and cash equivalents, end of period

   $ 67,017      $ 52,875      $ 45,940   
                        

Supplemental disclosure of cash flow information:

      

Cash paid for income taxes

   $ 3,175      $ 4,875      $ 11,800   

Cash paid for interest

   $ 65      $ 468      $ 606   

See accompanying notes to consolidated financial statements.

 

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Eastern Insurance Holdings, Inc. and Subsidiaries

Notes to Consolidated Financial Statements

(Dollars in thousands except share and per share data)

1. Background and Nature of Operations

Eastern Insurance Holdings, Inc. (“EIHI”) is an insurance holding company offering workers’ compensation and group benefits insurance products and reinsurance products through its direct and indirect wholly-owned subsidiaries. Eastern Services Corporation (“Eastern Services”), Global Alliance Holdings, Ltd. (“Global Alliance”), Eastern Alliance Insurance Company (“Eastern Alliance”), Allied Eastern Indemnity Company (“Allied Eastern”), Eastern Advantage Assurance Company (“Eastern Advantage”), Eastern Re Ltd., S.P.C. (“Eastern Re”), ELH, and Employers Alliance, Inc. (“Employers Alliance”), collectively referred to as the “Company.”

On September 29, 2008, EIHI acquired all of the outstanding stock of Employers Security Holding Company (“ESHC”) and its wholly-owned subsidiaries, Employers Security Insurance Company (“ESIC”) and Affinity Management Services (“AMS”) (See Note 3). ESIC is an Indiana-domiciled, mono-line workers’ compensation insurance company licensed to write business in Indiana, Illinois and Missouri.

Effective December 31, 2009, the Company completed a reorganization of its corporate structure. The purpose of the corporate reorganization was to reduce the number of holding companies and consolidate entities with similar operations. The reorganization included the following transactions:

 

   

EHC was merged into EIHI with EIHI being the surviving entity;

 

   

ESHC was merged into Global Alliance with Global Alliance being the surviving entity; and

 

   

AMS was merged into Employers Alliance with Employers Alliance being the surviving entity.

The Company currently operates in five segments: workers’ compensation insurance, segregated portfolio cell reinsurance, group benefits insurance, specialty reinsurance and corporate/other. The specialty reinsurance segment was placed into run-off effective July 1, 2008. See Note 16 for a description of each segment.

2. Significant Accounting Policies

Basis of Presentation

The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”).

All inter-company transactions and related account balances have been eliminated in consolidation.

Certain amounts in the prior year consolidated financial statements have been reclassified to conform to the current year presentation.

Use of Estimates

The preparation of the consolidated financial statements requires management to make estimates and assumptions that affect the amount of reported assets and liabilities and disclosures of contingent assets and liabilities as of the date of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. The most significant estimates in the consolidated financial statements include reserves for unpaid losses and loss adjustment expenses (“LAE”), earned but unbilled premium, deferred acquisition costs, return premiums under reinsurance contracts, and current and deferred income taxes. Actual results could differ from these estimates.

Cash and Cash Equivalents

The Company considers all investments with original maturity dates of three months or less to be cash equivalents for purposes of the consolidated statements of cash flows. The carrying amount of cash equivalents approximates their fair value.

 

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Investments

Fixed Income Securities

The Company’s investments in fixed income securities are classified as available-for-sale and are carried at estimated fair value, with unrealized gains and losses reported in accumulated other comprehensive income (loss), net of tax. Fixed income securities include publicly traded and private placement bonds. The estimated fair value of publicly traded bonds are based on prices obtained from an independent pricing service. Prices obtained from the independent pricing service are determined based on quoted market prices or, in the absence of quoted market prices, dealer quotes or matrix pricing, all of which are based on observable market-based inputs when available. Adverse credit market conditions have caused some markets to become relatively illiquid, thus reducing the availability of certain data used by the independent pricing services and dealers. When prices provided by the independent pricing service vary significantly from week to week, management reviews and validates such prices with other recognized market information sources or independent broker/dealers. Other criteria used by management to determine whether a market has become inactive include price quotations not based on current information, price quotations varying among brokers, significant increases in the bid-ask spread of a security and a significant decline or absence of a market for new issuances. The estimated fair value of private placement bonds is determined using valuation models, taking into consideration the securities’ coupon rate, maturity date, and other pertinent features.

Premiums or discounts are amortized using the effective interest method. Realized gains or losses are based on amortized cost and are computed using the specific identification method. The Company monitors its fixed income securities for unrealized losses that appear to be other-than-temporary. A fixed income security is considered to be other-than-temporarily impaired when the security’s fair value is less than its amortized cost basis and 1) the Company intends to sell the security, 2) it is more likely than not that the Company will be required to sell the security before recovery of the security’s amortized cost basis, or 3) the Company believes it will be unable to recover the entire amortized cost basis of the security (i.e., a credit loss has occurred). When the Company determines a credit loss has been incurred, but the Company does not intend to sell the security and it is not more likely than not that the Company will be required to sell the security before recovery of the security’s amortized cost basis, the portion of the other-than-temporary impairment that is credit related is recorded as a realized loss in the consolidated statements of operations and comprehensive income (loss), and the portion of the other-than-temporary impairment that is not credit related is included in other comprehensive income (loss). Any subsequent increase in the security’s estimated fair value would be reported as an unrealized gain.

Convertible Bond Securities

The Company’s investments in convertible bond securities are considered hybrid financial instruments and are carried at estimated fair value, with changes in estimated fair value reported as a realized gain or loss in the consolidated statement of operations and comprehensive income (loss). Prior to January 1, 2007, the Company bifurcated the fixed income and equity components of its convertible bond securities and reported the change in fair value of the fixed income component in accumulated other comprehensive income (loss). Effective January 1, 2007, the Company adopted new accounting guidance that provided for changes in fair value of the fixed income component of the convertible bond securities to be reported in the statement of operations. This change in accounting was reported as a cumulative effect adjustment to shareholders’ equity, as of January 1, 2007, and resulted in a reclassification between retained earnings and accumulated other comprehensive income of $405. The carrying value of the Company’s convertible bond securities did not change as a result of adopting the new accounting guidance.

Equity Securities

The Company’s investments in equity securities, which consist primarily of index and exchange-traded mutual funds, are classified as available-for-sale and are carried at estimated fair value, with unrealized gains and losses reported in accumulated other comprehensive income (loss), net of tax. The estimated fair value of equity securities is determined based on quoted market prices or independent broker quotes.

Realized gains or losses are based on cost and are computed using the specific identification method. The Company monitors its equity securities for unrealized losses that appear to be other-than-temporary. The Company performs a detailed review of these securities to determine the underlying cause of the unrealized loss and whether the security is impaired. At the time a security is determined to be other-than-temporarily impaired, the Company reduces the cost of the security to the current estimated fair value as of the balance sheet date and records a realized loss in the consolidated statements of operations and comprehensive income (loss). Any subsequent increase in the security’s estimated fair value would be reported as an unrealized gain.

 

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Other Long-Term Investments

Other long-term investments consist primarily of investments in limited partnerships. Investments in limited partnerships are reported in the consolidated financial statements using the equity method. The carrying value of the Company’s limited partnership investments are based on the Company’s allocable share of the limited partnerships’ net asset value. Changes in the value of the Company’s proportionate share of its limited partnership investments are included in the change in equity interest in limited partnerships in the consolidated statements of operations and comprehensive income (loss). The Company reports changes in the value of its limited partnership investments on a month lag as a result of the timing of statements being received from the limited partnership.

The Company monitors its limited partnership investments for declines in value that may be other-than-temporary. When a limited partnership interest is determined to be other-than-temporarily impaired, the Company reduces its interest in the limited partnership to its current estimated fair value at the balance sheet date. The impairment is recorded in the change in equity interest in limited partnerships in the consolidated statements of operations and comprehensive income (loss).

Premiums

Premiums generated by the Company’s workers’ compensation insurance segment, including estimates of additional premiums resulting from audits of insureds’ records, are generally recognized as written upon inception of the policy. Premiums written are primarily earned on a daily pro rata basis over the terms of the policies to which they relate. Accordingly, unearned premiums represent the portion of premiums written which is applicable to the unexpired portion of the policies in force. Workers’ compensation premiums are determined based upon the payroll of the insured, the applicable premium rates and, where applicable, an experience based modification factor. An audit of the policyholders’ records is conducted after policy expiration to make a final determination of applicable premiums. Included in net premiums earned is an estimate for earned but unbilled final audit premiums. The Company estimates earned but unbilled premiums by tracking, by policy, how much additional premium is billed in final audit invoices as a percentage of payroll exposure to estimate the probable additional amount that it has earned, but not yet billed, as of the balance sheet date. Earned but unbilled premiums accrued as of December 31, 2009 and 2008, and included in net premiums earned, totaled $1,351 and $1,800, respectively.

Premiums generated by the Company’s group benefits insurance segment are generally billed on a monthly basis with premiums being earned in the month in which the coverage is provided. Unearned premiums represent premiums that have been received but for which the coverage period has not expired. Advance premiums represent premiums that have been received in advance of the coverage period. Premiums receivable represent only those premiums that have been billed to policyholders for coverage periods through the balance sheet date.

Reinsurance premiums assumed by the Company’s run-off specialty reinsurance operations are estimated based on information provided by the ceding companies. The information used in establishing these estimates is reviewed and subsequent adjustments are recorded in the period in which they are reported. These premiums are earned over the terms of the related reinsurance contracts.

Other Revenue

Other revenue primarily consists of service revenue related to claims adjusting and risk management services. Claims adjusting and risk management service revenue is earned over the term of the related contracts in proportion to the actual services rendered.

Losses and Loss Adjustment Expenses

A liability is established for the estimated unpaid losses and LAE of the Company’s workers’ compensation insurance segment under the terms of, and with respect to, its policies and agreements and includes amounts determined on the basis of claims adjusters’ evaluations and an amount based on past experience for losses incurred but not reported (“IBNR”).

The Company discounts its reserves for unpaid losses and LAE for workers’ compensation claims on a non-tabular basis, using a discount rate of 3.0%, based upon regulatory guidelines. The reserves for unpaid losses and LAE have been reduced for the effects of discounting by approximately $4,256 and $4,145 as of December 31, 2009 and 2008, respectively.

 

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A liability is established for the estimated unpaid losses and LAE of the Company’s group benefits insurance segment as follows:

 

   

The liability for reported but unpaid long-term disability claims is calculated using the 1987 Commissioners Group Disability Table. The long-term disability reserves are discounted based on the expected rate of return of ELH’s fixed income portfolio in the year that the claim was incurred. The discount rate for claims incurred in 2009, 2008 and 2007 was 4.00%, 3.85% and 5.25%, respectively. The liability for IBNR claims is estimated on a policy-by-policy basis, taking into consideration average monthly premium, policy elimination periods, and an expected loss ratio.

 

   

The liability for reported but unpaid and IBNR dental and short-term disability claims is estimated using statistical claim development models, taking into consideration historical claim severity and frequency patterns and changes in benefit structures that may impact the amount at which claims are ultimately settled. For the most recent incurral months, which usually consist of the last three months, the liability is estimated by applying an expected loss ratio to net premiums earned, less claim payments through the balance sheet date.

 

   

The liability for reported but unpaid term life claims represent those claims reported to the Company as of the balance sheet date for which payment has not yet been made. Term life IBNR claims are estimated based on historical patterns of claims incurred as a percent of in-force premium as of the balance sheet date.

 

   

The liability for life premium waiver reserves represents the present value of future life insurance benefits under those term life insurance policies for which premium has been waived due to the insured’s disability. The liability for life premium waiver reserves is calculated using the 2005 Group Term Life Waiver Reserve Table for claims reported on or after October 1, 2007 and the 1970 Intercompany Group Life Disability Table for claims reported prior to October 1, 2007.

A liability is established for the estimated unpaid losses and LAE of the Company’s run-off specialty reinsurance operations based on information provided by the ceding company. Premiums and reported claims data provided by the ceding company is utilized by management to estimate the ultimate losses and LAE, including an amount for IBNR claims. As a result of a lag in receiving quarterly premium and reported claim data from the ceding company, the estimated unpaid losses and LAE are based on claim data one quarter in arrears.

The methods used to estimate the reserves for unpaid losses and LAE are reviewed periodically and any adjustments resulting therefrom are reflected in current operations.

Management believes that its reserves for unpaid losses and LAE is adequate as of December 31, 2009. However, estimating the ultimate liability is necessarily a complex and judgmental process inasmuch as the amounts are based on management’s informed estimates and judgments using data currently available. If the Company’s ultimate losses, net of reinsurance, prove to differ substantially from the amounts recorded as of December 31, 2009, the related adjustments could have a material adverse effect on the Company’s financial condition, results of operations or liquidity.

Reinsurance

In the ordinary course of business, the Company assumes and cedes reinsurance with other insurance companies. These arrangements provide greater diversification of business and minimize the net loss potential arising from large claims. Ceded reinsurance contracts do not relieve the Company of its obligation to its insureds. Premiums and claims under the Company’s reinsurance contracts are accounted for on a basis consistent with those used in accounting for the underlying policies reinsured and the terms of the reinsurance contracts. The Company has certain reinsurance contracts that provide for return premium based on the actual loss experience of the written and reinsured business. The Company estimates the amounts to be recorded for return premium based on the terms set forth in the reinsurance agreements and the expected loss experience.

The reinsurance recoverable for unpaid losses and LAE includes the balances due from reinsurance companies for unpaid losses and LAE that are expected to be recovered from reinsurers, based on contracts in force.

Policy Acquisition Costs

Policy acquisition costs consist primarily of commissions and premium taxes that vary with and are primarily related to the production of premium. Policy acquisition costs are deferred and amortized over the period in which the related premiums are earned. Deferred acquisition costs are limited to the estimated amounts recoverable after providing for losses and loss adjustment expenses that are expected to be incurred based upon historical and current experience. Anticipated investment income is considered in determining recoverability.

 

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The Company’s group benefits insurance policies are cancelable and are not guaranteed renewable. In addition, the group benefits insurance policies provide coverage on a month-to-month basis with most policies’ coverage effective on the first of each month. As a result, most of the Company’s group benefits insurance premiums are earned as of the balance sheet date. Based on the nature of the Company’s group benefits insurance policies, costs related to the acquisition of new and renewal business are expensed as incurred.

Amortization of policy acquisition costs, before the impact of purchase accounting, totaled $6,202, $6,872, and $6,033 for the years ended December 31, 2009, 2008 and 2007, respectively.

Income Taxes

Deferred tax assets and liabilities are determined based on differences between the financial reporting and tax basis of assets and liabilities and are measured using enacted tax rates and laws that are expected to be in effect when the difference is reversed. A valuation allowance is recorded against gross deferred tax assets if it is more likely than not that all or some portion of the benefits related to the deferred tax assets will not be realized.

EIHI’s insurance subsidiaries are not generally subject to state income taxes; rather, they are subject to state premium tax in the jurisdictions in which they write business. Employers Alliance and Eastern Services are subject to state income tax in the states in which they operate.

Eastern Re is an exempt entity under the Companies Law of the Cayman Islands; however, Eastern Re’s earnings and profits are subject to federal income tax for earnings subsequent to June 16, 2006, as a result of the redomestication of EHC.

The Company includes income tax-related interest and penalties as a component of income tax expense. The Company did not incur any income tax-related interest or penalties during 2009, 2008 or 2007.

The Company’s federal income tax returns for tax years subsequent to December 31, 2004 are subject to examination by the Internal Revenue Service.

Policyholder Dividends

The Company issues certain workers’ compensation insurance policies with dividend payment features. These policyholders share in the operating results of their respective policies in the form of dividends. Dividends to policyholders are accrued during the period in which the related premiums are earned and are determined based on the terms of the individual policies. As of December 31, 2009 and 2008, the Company recorded accrued dividends payable of $1,157 and $1,311, respectively, which are included in accounts payable and accrued expenses on the consolidated balance sheets.

Property and Equipment

Property and equipment, including expenditures for significant improvements and purchased software, is carried at cost less accumulated depreciation and amortization. Maintenance, repairs and minor improvements are expensed as incurred. When property and equipment is retired or otherwise disposed of, the cost and related accumulated depreciation are removed from the accounts and any resulting gain or loss is included in operations. Depreciation is computed under the straight-line method. The estimated useful lives of property and equipment range from 3-7 years. Accumulated depreciation and amortization expense totaled $7,674 and $7,246 as of December 31, 2009 and 2008, respectively. Depreciation and amortization expense totaled $702, $561, and $397 for the years ended December 31, 2009, 2008 and 2007, respectively.

Assessments

The Company is subject to state guaranty fund assessments in the states in which it is licensed, which provide for the payment of covered claims or to meet other insurance obligations from insurance company insolvencies. The Company’s assessments consist primarily of charges from the Workers’ Compensation Security Fund of Pennsylvania (“Security Fund”). The Security Fund serves as a guaranty fund to provide claim payments for those workers entitled to workers’ compensation benefits when the insurance company originally providing the benefits was placed into liquidation by a court. Security Fund assessments are established on an actuarial basis to provide an amount sufficient to pay the outstanding and anticipated claims in a timely manner, to meet the costs of the Pennsylvania Insurance Department to administer the fund and to maintain a minimum balance in the fund of $500 million. If the Security Fund determines that the balance in the Security Fund is less than $500 million based on the actuarial study, then an assessment up to one percent of direct written premium is made to all companies licensed to write workers’ compensation in Pennsylvania. Eastern Alliance, Allied Eastern and

 

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Eastern Advantage recognize a liability and the related expense for the assessments when premiums covered under the Security Fund are written; when an assessment from the Security Fund has been imposed or it is probable that an assessment will be imposed; and the amount of the assessment is reasonably estimable. The Company accrued an assessment related to the Security Fund of $2,108 and $1,052 as of December 31, 2009 and 2008, respectively. The 2009 accrual includes an amount related to the 2008 Security Fund assessment, which was paid in January 2010.

Goodwill and Intangible Assets

Goodwill represents the excess of cost over the fair value of net assets of businesses acquired. Goodwill and other intangible assets acquired in a purchase business combination and determined to have an indefinite useful life are not amortized, but are instead tested for impairment at least annually. Intangible assets with estimable useful lives are amortized over their respective estimated useful lives to their estimated residual values, and reviewed for impairment in accordance with Accounting Standards Codification (“ASC”) 350, Intangibles—Goodwill and Other.

Goodwill is assigned to one or more reporting units at the date of acquisition. The goodwill reported by the Company has been allocated 100% to the workers’ compensation insurance segment, which is considered a reporting unit for goodwill purposes. The annual goodwill impairment test, performed as of September 30, each year, consists of a two-step process. The first step identifies whether potential impairment exists by comparing the fair value of the reporting unit to its carrying value, including goodwill. If the fair value of a reporting unit is less than its carrying amount, the second step is required to measure the amount of any impairment loss. There have been no historical impairments of goodwill.

Management tested goodwill for impairment as of September 30, 2009 using a discounted cash flow analysis. The discounted cash flow analysis was based on management’s internal four-year forecast for the workers’ compensation insurance segment, assuming a long-term growth rate of 5.0% and a discount rate of 13.0%. Cash flows were adjusted as necessary to maintain adequate capital requirements. As of September 30, 2009, the Company’s stock price was trading below book value, primarily reflecting the impact of market conditions over the past year. Therefore, management also considered an estimate of the Company’s value in a potential transaction and allocated that value to the Company’s reporting units, including the workers’ compensation insurance segment. Both the discounted cash flow analysis and the estimate of the Company’s value in a potential transaction resulted in the workers’ compensation insurance segment’s estimated fair value exceeding its carrying value as of September 30, 2009; therefore, goodwill was considered not impaired.

Treasury Stock

The Company records the repurchase of shares of its common stock using the cost method. Under the cost method, treasury stock is recorded based on the actual cost of the shares repurchased.

Stock-Based Compensation

The Company adopted the Eastern Insurance Holdings, Inc. 2006 Stock Incentive Plan (the “Stock Incentive Plan”) on December 18, 2006. Under the terms of the Stock Incentive Plan, stock awards may be made in the form of incentive stock options, non-qualified stock options or restricted stock. The Company records compensation expense based on the fair value of the stock award on the grant date using the straight-line attribution method.

Employee Stock Ownership Plan

The Company recognizes compensation expense related to its employee stock ownership plan (“ESOP”) equal to the product of the number of shares earned, or committed to be released, during the period, and the average price of the Company’s common stock during the period. The estimated fair value of unearned ESOP shares is calculated based on the average price of the Company’s common stock for the period. For purposes of calculating earnings per share, the Company includes the weighted average of ESOP shares committed to be released for the period.

Concentrations of Credit Risk

Financial instruments, which potentially expose the Company to concentrations of credit risk, consist primarily of cash and cash equivalents, investments, premiums receivable, and amounts recoverable from reinsurers.

 

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Comprehensive Income (Loss)

Comprehensive income (loss) includes all changes in shareholders’ equity during the reporting period, net of tax. The components of accumulated other comprehensive income, net of tax, as of December 31, 2009 and 2008 were as follows (in thousands):

 

     2009     2008  

Unrealized gains (losses) on investments

   $ 7,367      $ (1,223

Unrecognized benefit plan (liabilities) assets

     (416     (778

Tax effect

     (1,648     135   
                

Total

   $ 5,303      $ (1,866
                

Cash Flow Information

Purchases and sales or maturities of short-term investments are recorded net for purposes of the consolidated statements of cash flows and are included with fixed income securities.

Recent Accounting Guidance

Fair Value Measurements—Investments in Certain Entities that Calculate Net Asset Value per Share

In September 2009, the Financial Accounting Standards Board (“FASB”) issued new accounting and disclosure guidance related to the determination of fair value of investments in entities (investees) that permit the investor to redeem its investments directly with the investee or receive distributions from the investee at times specified under the terms of the investee’s governing documents. Many of these investees do not have readily determinable fair values and provide their investors with a net asset value per share (or its equivalent, such as member units or an ownership interest in partners’ capital). Under the new guidance, investments in entities that calculate net asset value per share (or its equivalent) may be measured at fair value using the investee’s net asset value per share (or its equivalent) if the net asset value of the investment is calculated in a manner consistent with the measurement principles of investment companies as of the reporting entity’s measurement date, including measurement of all or substantially all of the underlying investments of the investee in accordance with the fair value measurement principles. The new guidance also requires enhanced disclosure related to the reporting entity’s investment is such investees including, but not limited to, the nature of any restrictions on the reporting entity’s ability to redeem its investments at the measurement date, any unfunded commitments, and the investment strategies of the investee. The Company’s limited partnership interests are currently reported in the consolidated balance sheets using the net asset value per share (or its equivalent) of the investee. The Company adopted the new accounting guidance effective December 31, 2009. The adoption had no impact on the estimated fair value of our limited partnership interests. The Company’s enhanced disclosures related to its limited partnership interests is included in Note 10.

FASB Accounting Standards Codification

In June 2009, the FASB established the FASB Accounting Standards Codification (“Codification”) as the single source of authoritative accounting principles in the preparation of financial statements in conformity with GAAP. The Codification explicitly recognizes rules and interpretive releases of the Securities and Exchange Commission (“SEC”) under federal securities laws as authoritative GAAP for SEC registrants. The Codification was effective for financial statements issued for periods ending after September 15, 2009. The Company adopted the Codification effective September 30, 2009 and revised its disclosures to reflect Codification as the source of authoritative accounting principles.

Subsequent Events

In May 2009, the FASB issued new accounting and disclosure guidance related to subsequent events. The new guidance defines subsequent events as either “recognized” or “nonrecognized” and is consistent with existing guidance related to the reporting of subsequent events. Recognized subsequent events are those events that provide additional evidence about conditions that existed at the balance sheet date and must be recognized in an entity’s financial statements. Nonrecognized events are those events that provide evidence about conditions that did not exist at the balance sheet date but arose before the financial statements are issued or are available to be issued. Nonrecognized events may require disclosure in an entity’s financial statements to prevent the financial statements from being misleading. Publicly traded entities must evaluate subsequent events through the financial statement issuance date. The new guidance was effective for interim or annual financial periods ending after June 15, 2009. The Company adopted the new accounting and disclosure requirements effective June 30, 2009, which are included in Note 22.

 

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Other-than-Temporary Investment Impairments

In April 2009, the FASB issued new accounting guidance related to the recognition and presentation of other-than-temporary investment impairments. The new guidance requires entities to separate an other-than-temporary impairment of a debt security into two components when there are credit related losses associated with the impaired debt security for which management asserts that it does not have the intent to sell the security, and it is more likely than not that it will not be required to sell the security before recovery of its cost basis. The amount of the other-than-temporary impairment related to a credit loss is recorded as a net realized investment loss in the statements of operations, and the amount of the other-than-temporary impairment related to other factors is recorded as an other comprehensive loss. The new guidance was effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. The Company adopted the new guidance effective April 1, 2009, which resulted in the Company recording a cumulative effect adjustment that increased retained earnings and decreased accumulated other comprehensive income (loss), net, as of April 1, 2009, by $685 and $445, respectively, resulting in an increase to shareholders’ equity of $240. The increase in shareholders’ equity reflects the reversal of a prior period deferred tax valuation allowance, of which $240 was applied to the retained earnings cumulative effect adjustment.

Fair Value Measurements

In April 2009, the FASB issued new accounting guidance related to determining fair value of an asset or liability when the volume or level of activity for the asset or liability has significantly decreased and for identifying transactions that are not orderly. Under the new guidance, if an entity determines that there has been a significant decrease in the volume and level of activity for the asset or the liability in relation to the normal market activity for the asset or liability (or similar assets or liabilities), then transactions or quoted prices may not accurately reflect fair value. In addition, if there is evidence that the transaction for the asset or liability is not orderly, the entity shall place little, if any weight on that transaction price as an indicator of fair value. The new guidance was effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. The Company adopted the new guidance effective June 30, 2009. The adoption of the new guidance did not have a material effect on the Company’s consolidated financial statements.

Disclosures About Fair Value of Financial Instruments

In April 2009, the FASB issued new accounting guidance related to the interim disclosures about fair value of financial instruments. The new guidance requires disclosures about fair value of financial instruments in interim and annual financial statements and was effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. The Company adopted the interim period disclosure requirements of effective June 30, 2009, which are included in Notes 10 and 11.

3. Business Combinations

Acquisition of ESHC

On September 29, 2008, EIHI acquired all of the outstanding stock of ESHC in a transaction valued at $14,820, including the assumption of $2,650 in debt. The acquisition of ESHC resulted in the recognition of certain intangible assets and goodwill totaling $4,180 and $2,760, respectively. The intangible assets included renewal rights, agency relationships, and state insurance licenses of $1,841, $1,814, and $525, respectively. ESHC reported total assets and total liabilities of $25,856 and $19,203, respectively, on the date of the transaction. ESHC’s shareholders’ equity of $6,653 on the date of the transaction was reduced by $10 as a result of purchase accounting adjustments to reflect the fair value of certain acquired assets and liabilities. The most significant purchase accounting adjustments related to the elimination of deferred acquisition costs, an increase to reserves for losses and LAE, and a decrease to unearned premiums. Direct costs related to the acquisition totaling $107 were capitalized and included in goodwill.

4. Intangible Assets

The Company’s acquisition of EHC and ESHC resulted in the identification of certain intangible assets. The renewal rights and agency relationships will be amortized over their estimated useful lives of 15 years. The state insurance licenses are considered to have an infinite life and will not be amortized.

 

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As of December 31, 2009 and 2008, intangible assets consisted of the following (in thousands):

 

Intangible Assets with Finite Life

   December 31, 2009    December 31, 2008
   Gross
Balance
   Accumulated
Amortization
   Gross
Balance
   Accumulated
Amortization

Agency relationships (15 year amortization period)

   $ 3,564    $ 1,288    $ 3,564    $ 715

Renewal rights (15 year amortization period)

     8,238      4,641      8,238      3,483
                           
   $ 11,802    $ 5,929    $ 11,802    $ 4,198
                           

Intangible Assets with Indefinite Life

                   

State insurance licenses

     1,575      —        1,575      —  
                           

Total intangible assets

   $ 13,377    $ 5,929    $ 13,377    $ 4,198
                           

Amortization expense totaled $1,732, $1,373 and $1,738 for the years ended December 31, 2009, 2008 and 2007, respectively.

The estimated aggregated amortization expense for each of the next five years is as follows (in thousands):

 

2010

     1,284

2011

     1,016

2012

     806

2013

     640

2014

     509
      

Total

   $ 4,255
      

5. Earnings Per Share

Basic earnings per share are computed by dividing net (loss) income by the weighted average number of shares outstanding for the respective period. Diluted earnings per share are computed by dividing net (loss) income by the weighted average number of shares outstanding for the period, including dilutive potential common shares outstanding for the period. For the years ended December 31, 2009, 2008 and 2007, there were 797,141, 1,170,297 and 843,058 stock options and restricted stock awards, respectively, that were not included in the Company’s earnings per share calculation because to do so would have been anti-dilutive. For the years ended December 31, 2009, 2008 and 2007, dilutive potential common shares outstanding included 67,057, 0, and 339,980 restricted stock awards and stock warrants, respectively.

In June 2008, the FASB issued new accounting guidance with respect to determining whether instruments granted in share-based payment transactions are considered participating securities. The new guidance provides that unvested share-based payment awards that contain non-forfeitable rights to dividends are participating securities and shall be included in the computation of earnings per share pursuant to the two-class method described in ASC 260—Earnings Per Share. The two-class method of computing earnings per share is an earnings allocation formula that determines earnings per share for common stock and any participating securities according to dividends declared (whether paid or unpaid) and participation rights in undistributed earnings. The Company’s unvested restricted stock are considered participating securities since the share-based awards contain a non-forfeitable right to dividends irrespective of whether the awards ultimately vest. The new guidance is effective for financial statements issued for fiscal years beginning after December 15, 2008 and interim periods within those years. Upon adoption, earnings per share data must be retrospectively adjusted to conform to the new guidance. The Company adopted the new guidance effective January 1, 2009 and computed earnings per common share using the two-class method for all periods presented. The new guidance increased basic and diluted earnings per share from $(1.94) to $(1.90) for the year ended December 31, 2008 and decreased basic and diluted earnings per share by $0.04 for the year ended December 31, 2007.

 

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Consolidated net (loss) income, basic shares outstanding, diluted shares outstanding, basic earnings per share, diluted earnings per share and cash dividends per share for the years ended December 31, 2009, 2008 and 2007 were as follows (in thousands, except share and per share data):

 

     2009     2008     2007  

Net income (loss) for basic and diluted earnings per share

   $ 8,401      $ (17,383   $ 18,683   

Less: Dividends declared—common and unvested restricted share units

     (2,540     (2,488     (2,208
                        

Undistributed earnings

     5,861        (19,871     16,475   

Percent allocated to common shareholders

     98.3     97.8     97.7
                        
     5,763        (19,431     16,088   

Add: Dividends declared—common shares

     2,497        2,433        2,156   
                        
   $ 8,260      $ (16,998   $ 18,244   
                        

Denominator for basic earnings per share

     8,984,644        8,954,098        10,264,369   

Effect of dilutive securities

     67,057        —          339,980   
                        

Denominator for diluted earnings per common share

     9,051,701        8,954,098        10,604,349   
                        

Basic earnings per share

   $ 0.92      $ (1.90   $ 1.78   

Diluted earnings per share

   $ 0.91      $ (1.90   $ 1.72   

Cash dividends per share

   $ 0.28      $ 0.28      $ 0.20   

6. Exercise of Outstanding Warrants

As of January 1, 2009, contingent warrants to purchase 306,099 common shares of EIHI stock at an exercise price of $1.63 were outstanding. These warrants were awarded in 1999 as compensation to a Director of the Company who acted as the insurance broker for premium production in the Company’s run-off specialty reinsurance segment. The number of warrants ultimately earned was contingent upon achievement of predetermined direct premiums written thresholds. As of January 1, 2009, 244,879 warrants were earned. The remaining 61,220 warrants will not be earned because the specialty reinsurance segment was placed into run-off on July 1, 2008 and, therefore, there is no additional premium production. On March 10, 2009, the Director notified the Company that he was exercising the 244,879 earned warrants. Furthermore, as provided in the terms of the warrant, the Director instructed the Company to retain 64,588 shares in payment of the exercise price. Accordingly, on March 31, 2009, 180,291 shares of EIHI common stock were issued to the Director in full satisfaction of the 244,879 warrants earned. This was a non-cash transaction that had no impact on cash flows from operating or financing activities.

7. Share Repurchase

On February 15, 2007, the Company’s Board of Directors authorized the repurchase of up to 5 percent, or 567,552 shares, of the Company’s issued and outstanding shares of common stock. On August 2, 2007, the Company’s Board of Directors authorized the repurchase of additional shares of the Company’s outstanding common stock up to an aggregate of 1,046,500 shares, which represents the total number of shares of common stock for which awards may be granted under the Company’s Stock Incentive Plan. On September 27, 2007, the Company’s Board of Directors increased the share repurchase authorization to 2,046,500 shares. The share repurchases will be held as treasury stock and are available for issuance in connection with the Company’s Stock Incentive Plan. For the years ended December 31, 2009 and 2008, the Company repurchased 1,400 and 1,073,492 shares at a cost of $11 and $17,066, respectively, representing a weighted average cost of $8.03 and $15.90 per share, respectively.

8. Stock-Based Compensation

Awards under the Stock Incentive Plan may be made in the form of incentive stock options, nonqualified stock options, restricted stock or any combination to employees and non-employee directors. The Stock Incentive Plan limits the number of shares that may be initially awarded as restricted stock to 299,000, and the number of shares for which incentive stock options may be granted to 500,000. The total number of shares initially authorized in the Stock Incentive Plan was 1,046,500 shares, with an annual increase equal to 1% of the shares outstanding at the end of each year. The Stock Incentive Plan provides that stock options and restricted stock awards may include vesting restrictions and performance criteria at the discretion of the Compensation Committee of the Board of Directors. The stock options and restricted stock awards vest over a five year period and are not subject to performance criteria. The term of options may not exceed ten years for incentive stock options, and ten years and one month for nonqualified stock options, and the option price may not be less than fair

 

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market value on the date of grant. There were no stock options or restricted stock awards granted or forfeited for the year ended December 31, 2009. For the year ended December 31, 2008, grants of 15,000 incentive stock options and 5,000 restricted stock awards were made to employees. A total of 32,741 stock options were forfeited during the year ended December 31, 2008. For the year ended December 31, 2007, grants of 17,500 incentive stock options were made to employees. There were no stock options or restricted stock awards exercised in 2009 or 2008.

Total stock-based compensation expense recognized in the consolidated statement of operations and comprehensive income for the years ended December 31, 2009 and 2008 is shown in the following table (in thousands):

 

     2009    2008    2007

Stock compensation expense related to:

        

Stock options

   $ 575    $ 565    $ 547

Restricted stock

     794      712      708

Total related tax benefit

     388      359      356

Total unrecognized compensation expense

   $ 2,568    $ 3,956    $ 5,095

As of December 31, 2009, there were 242,009 and 109,896 vested stock options and restricted stocks awards, respectively. As of December 31, 2008, there were 119,505 and 49,335 vested stock options and restricted stock awards, respectively. The total unrecognized stock compensation expense related to non-vested stock options was $1,173 and $1,766, respectively, and the total unrecognized stock compensation expense related to non-vested restricted stock awards was $1,395 and $2,190, respectively, as of December 31, 2009 and 2008. The unrecognized stock compensation expense related to the non-vested stock options and restricted stock awards is expected to be recognized over a weighted average period of approximately 31.0 months and 34.5 months, respectively.

There were no stock options granted in 2009. The fair values of stock options granted during the years ended December 31, 2008 and 2007 were determined on the dates of grant using a lattice-based binomial option valuation model with the following assumptions:

 

Expected terms (years)

     10.00   

Expected stock price volatility

     35.00

Risk-free interest rate

     4.52

Expected dividend yield

     3.00

Weighted average fair value per option

   $ 5.06   

The expected life shown above was imputed based upon the combination of vesting provisions and the termination, retirement and early exercise assumptions input to the binomial option valuation model. As trading in the Company’s stock began in June 2006, the expected stock price volatility reflects a weighting of the average historical volatility over a 10-year period for 17 comparable companies and the average 6-month implied volatility for those comparable companies with listed options. A yield curve of risk free interest rates was developed for each valuation date based on quoted prices of US Treasury STRIPs.

The assumptions used to calculate the fair value of future options granted are evaluated and revised, as necessary, to reflect market conditions and the Company’s historical experience and future expectations. The calculated fair value is recognized as compensation expense in the Company’s consolidated statements of operations and comprehensive income over the requisite service period of the entire award. Compensation expense is recognized only for those options expected to vest, with forfeitures estimated at the date of grant and evaluated and adjusted periodically to reflect the Company’s historical experience and future expectations. Any change in the forfeiture assumption is accounted for as a change in estimate, with the cumulative effect of the change on periods previously reported being reflected in the financial statements of the period in which the change is made.

 

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The following table summarizes stock option activity for the year ended December 31, 2009:

 

     Shares
Subject to
Options
   Weighted
Average
Exercise
Price per
Share
   Weighted
Average
Remaining
Contractual
Life (years)
   Aggregate
Intrinsic
Value (in
thousands)

Outstanding as of January 1, 2009

   612,523    $ 14.36    8.07    $ —  

Granted

   —           

Forfeited

   —           

Exercised

   —           

Cancelled

   —           
             

Outstanding as of December 31, 2009

   612,523    $ 14.36    7.07    $ —  
             

Exercisable as of December 31, 2009

   242,009    $ 14.37    7.05    $ —  

The aggregate intrinsic value of the stock options in the above table is $0 because the Company’s closing stock price of $8.62 on December 31, 2009 was below the weighted average exercise price of the stock options.

As of December 31, 2009, there were 383,235 shares of common stock available for issuance of future share-based awards. The following table presents additional information regarding options outstanding as of December 31, 2009:

 

     Number
Outstanding
   Weighted
Average
Remaining
Contractual
Life (years)
   Weighted
Average
Exercise
Price per
Share

Range of Exercise Prices

        

$14.35

   576,099    7.01    $ 14.35

$14.50

   3,924    7.01    $ 14.35

$14.86

   7,500    7.47    $ 14.86

$15.22

   5,000    7.63    $ 15.22

$15.47

   5,000    7.67    $ 15.47

$13.83

   15,000    8.75    $ 13.83
          

Outstanding as of December 31, 2009

   612,523    7.07    $ 14.36
          

The following table summarizes restricted stock activity for the year ended December 31, 2009.

 

     Number
of Shares
   Weighted
Average
Remaining
Contractual
Life (years)

Outstanding as of January 1, 2009

   251,675    8.04

Granted

   —     

Forfeited

   —     

Exercised

   —     

Cancelled

   —     
       

Outstanding as of December 31, 2009

   251,675    7.04
       

Exercisable as of December 31, 2009

   109,896    7.02

9. Statutory Financial Information

The Company’s domestic insurance subsidiaries prepare statutory-basis financial statements in accordance with accounting practices prescribed or permitted by the insurance department in the subsidiaries’ domiciliary state. The Pennsylvania Insurance Department and the Indiana Insurance Department requires that insurance companies domiciled in their respective states prepare their statutory-basis financial statements in accordance with the National Association of Insurance Commissioners’ (“NAIC”) Accounting Practices and Procedures manual, subject to any deviations prescribed or permitted by domiciliary insurance commissioner (“SAP”).

 

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Permitted statutory accounting practices encompass all accounting practices that are not prescribed; such practices differ from state to state, may differ from company to company within a state, and may change in the future. The Company’s domestic insurance subsidiaries did not have any permitted practices as of or for the year ended December 31, 2009.

The principal differences between GAAP and SAP relate to the carrying value of fixed income securities, deferred acquisition costs, deferred income taxes, dividends payable, benefit plan liabilities, the non-admissibility of certain assets for SAP purposes, and the reporting of reserves for unpaid losses and loss adjustment expenses and the related reinsurance recoverables on a gross versus net basis.

Financial Information

The statutory surplus and statutory net income (loss) of Eastern Alliance, Allied Eastern, Eastern Advantage, ESIC and ELH as of December 31, 2009 and 2008 and for the years ended December 31, 2009, 2008, and 2007 was as follows (in thousands):

 

     Statutory Surplus as of
December 31,
   Net Income (Loss) for the
Year Ended December 31,
       2009            2008        2009    2008     2007

Eastern Alliance

   $ 41,342    $ 41,665    $ 4,428    $ 4,643      $ 14,792

Allied Eastern

   $ 8,534    $ 10,269    $ 214    $ 1,013      $ 2,036

Eastern Advantage

   $ 8,231    $ 8,112    $ 46    $ (583   $ —  

ESIC

   $ 10,704    $ 8,052    $ 2,826    $ 1,845      $ 2,226

ELH

   $ 28,676    $ 37,817    $ 2,122    $ (710   $ 4,581

Risk-Based Capital/Minimum Capital Requirements

Risk-based capital is designed to measure the acceptable amount of capital an insurer should have based on the inherent risks of the insurer’s business. Insurers failing to meet adequate capital levels may be subject to insurance department scrutiny and ultimately rehabilitation or liquidation. Based on established standards, Eastern Alliance, Allied Eastern, Eastern Advantage, ESIC and ELH maintained statutory-basis surplus in excess of minimum prescribed risk-based capital requirements as of December 31, 2009.

Under Cayman Islands regulations, Eastern Re is required to maintain minimum capital of $120.

Dividend Restrictions

The ability of Eastern Alliance, Allied Eastern, Eastern Advantage, ESIC and ELH to pay dividends to EIHI is limited by the laws and regulations of Pennsylvania and Indiana. The maximum annual dividends that EIHI’s insurance subsidiaries may pay without the prior approval from the Pennsylvania Insurance Department and Indiana Insurance Department is limited to the greater of 10% of statutory surplus or 100% of statutory net income for the most recently filed annual statement.

10. Fair Value Measurements

The Company’s assets and liabilities that are measured at fair value on a recurring basis are segregated between those assets and liabilities that are valued based on quoted prices (unadjusted) in active markets for identical assets or liabilities, which the reporting entity can access at the measurement date (Level 1), direct or indirect observable inputs other than Level 1 quoted prices (Level 2), or unobservable inputs to the extent that observable inputs are not available (Level 3).

The following is a description of the Company’s categorization of the inputs used in the recurring fair value measurements of its financial assets included in its consolidated balance sheet as of December 31, 2009:

Level 1—Represents financial assets whose fair value is determined based upon observable unadjusted quoted market prices for identical financial assets in active markets that the Company has the ability to access. An example of a Level 1 input utilized to measure fair value includes the closing price of one share of common stock on an active exchange market. The Company considers U.S. Treasuries and equity securities as Level 1 assets.

Level 2—Represents financial assets whose fair value is determined based upon: quoted market prices for similar assets in active markets; quoted market prices for identical assets in inactive markets; inputs other than quoted market prices that

 

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are observable for the asset such as interest rates or yield curves; or other inputs derived principally from or corroborated from other observable market information. An example of a Level 2 input utilized to measure fair value, specifically for the Company’s fixed income portfolio, is “matrix pricing.” “Matrix pricing” relies on observable inputs from active markets other than quoted market prices including, but not limited to, benchmark securities and yields, latest reported trades, quotes from brokers or dealers, issuer spreads, bids, offers, and other relevant reference data to determine fair value. “Matrix pricing” is used to measure the fair value of fixed income securities where obtaining individual quoted market prices is impractical. The Company considers U.S. Government agencies, municipal bonds, mortgage-backed securities, collateralized mortgage obligations, asset-backed securities, corporate bonds, and convertible bonds as Level 2 assets.

Level 3—Represents financial assets whose fair value is determined based upon inputs that are unobservable, including the Company’s own determinations of the assumptions that a market participant would use in pricing the asset. The Company considers its limited partnership investments as Level 3 assets.

The following table provides a summary of the fair value measurements of the Company’s fixed income securities, convertible bonds, and equity securities, as of December 31, 2009 and 2008, excluding the segregated portfolio cell segment (in thousands):

 

     12/31/09    Fair Value Measurements at Reporting
Date Using
          Level 1            Level 2            Level 3    

Fixed income securities—available for sale

   $ 146,271    $ 11,161    $ 135,110    $ —  

Convertible bonds

     16,677      —        16,677      —  

Equity securities—available for sale

     16,767      16,767      —        —  
                           

Total

   $ 179,715    $ 27,928    $ 151,787    $ —  
                           
     12/31/08    Fair Value Measurements at Reporting
Date Using
      Level 1    Level 2    Level 3

Fixed income securities—available for sale

   $ 161,948    $ 12,647    $ 149,301    $ —  

Convertible bonds

     12,346      —        12,346      —  

Equity securities—available for sale

     14,128      14,128      —        —  
                           

Total

   $ 188,422    $ 26,775    $ 161,647    $ —  
                           

The estimated fair values of the Company’s investments in fixed income securities, convertible bonds, and equity securities are based on prices provided by an independent, nationally recognized pricing service. Approximately 99.0% of the Company’s fixed income and equity security prices are obtained from the independent pricing service. The prices provided by the independent pricing service are based on quoted market prices, when available, non-binding broker quotes, or matrix pricing. The independent pricing service provides a single price or quote per security and the Company does not adjust security prices. The Company obtains an understanding of the methods, models and inputs, used by the independent pricing service, and has controls in place to validate that amounts provided represent current exit values. The Company’s controls include, but are not limited to, initial and ongoing evaluation of the methodologies used by the independent pricing service as well as comparing the fair value estimates to the Company’s knowledge of the current market. Fixed income securities include U.S. Treasuries, agencies backed by the U.S. Government, municipal bonds, mortgage-backed securities, collateralized mortgage obligations, asset-backed securities, and corporate bonds.

The Company’s fixed income securities and convertible bonds consist primarily of publicly traded securities for which there are observable inputs and/or broker quotes. Most fixed income security prices provided by the independent pricing service are based on observable inputs and, therefore, are classified as Level 2 securities. The Company does not hold any fixed income securities, for which pricing was based on significant unobservable inputs; therefore, the Company has not classified any of its fixed income securities as Level 3 securities.

The Company’s equity securities consist primarily of mutual fund instruments for which there is an active market and quoted market prices; therefore, the Company has classified its equity securities as Level 1 securities.

Other long-term investments include the Company’s interest in various limited partnerships, including a low volatility multi-strategy fund of funds, two natural resource limited partnerships, a structured finance opportunity fund, an open-ended investment fund and a real estate limited partnership. The Company records its investment in the limited partnerships using the equity method. The carrying value of the Company’s limited partnership investments are based on the Company’s

 

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allocable share of the limited partnerships’ net asset value. Changes in the Company’s investments are based on statements received directly from the limited partnership and/or the limited partnership’s administrator. The estimated fair values of the underlying investments in the limited partnerships may be based on Level 1, Level 2, or Level 3 inputs, or a combination thereof.

As of December 31, 2009 and 2008, the estimated fair values of the Company’s limited partnership investments, by investment strategy, were as follows (in thousands):

 

     2009    2008

Multi-strategy fund of funds

   $ 4,908    $ 4,421

Natural resources

     2,361      2,130

Structured finance opportunity fund

     2,410      1,958

Municipal bond arbitrage

     —        466

Open-ended investment fund

     573      470

Real estate

     58      66
             

Total

   $ 10,310    $ 9,511
             

Following is a summary of the investment objectives of each of the Company’s limited partnership investments, by investment strategy:

Multi-strategy fund of funds—The fund seeks to build and manage low volatility, multi-manager portfolios that have little or no correlation to the broader fixed income and equity security markets.

Natural resources—The Company invests in two separate natural resource funds. The investment objective of one of the funds is to achieve long-term capital appreciation primarily through investments in hard asset securities and hard asset commodities. The investment objective of the other fund is to provide an enhancement to an investor’s portfolio of investments and to provide a partial inflation hedge with an attractive risk/return profile as compared to other products using a commodity index or pool of commodities.

Structured finance opportunity fund—The fund seeks superior risk-adjusted absolute returns by acquiring and actively managing a diversified portfolio of debt securities, including bonds, loans, and other asset-backed instruments.

Open-ended investment fund—The fund seeks above-average capital growth through investment in domestic equity securities and equity related securities that are publicly traded in the United States.

Real estate partnership—The partnership was formed for the purpose of acquiring, rehabilitating, operating, leasing, and managing an apartment complex in Lancaster, Pennsylvania. The apartments are primarily marketed to low income individuals.

As of December 31, 2009, the only restrictions on the Company’s ability to redeem its interest in its limited partnership investments relate to the timing of redemption (i.e., monthly, quarterly). There are no restrictions related to the amount the Company can redeem, in the event it chooses to redeem all or a portion of its interest in its limited partnership investments. The Company has no unfunded commitments related to these investments as of December 31, 2009.

The activity in the Company’s limited partnership investments for the years ended December 31, 2009, 2008 and 2007 was as follows (in thousands):

 

     Years Ended December 31,  
       2009             2008             2007      

Balance, beginning of period

   $ 9,511      $ 11,300      $ 11,572   

Contributions

     —          3,000        500   

Withdrawals

     (462     (820     (1,876

Unrealized change in interest

     1,261        (3,969     1,104   
                        

Balance, end of period

   $ 10,310      $ 9,511      $ 11,300   
                        

The change in interest in the Company’s limited partnership investments is included in the change in equity interest in other long-term investments in the consolidated statements of operations and comprehensive income (loss). As a result of the

 

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current credit market conditions, the municipal bond arbitrage fund experienced a permanent decline in value during 2008 and will be dissolved. The estimated fair value of the Company’s interest in the limited partnership as of December 31, 2008 reflects management’s best estimate of the proceeds the Company is expected to receive upon dissolution of the fund. As a result of these events, the Company recorded an impairment write-down of $1,397 for the year ended December 31, 2008. There were no impairments in 2007 or 2006.

11. Investments

The following tables provide the amortized cost and estimated fair value of the Company’s fixed income and equity securities as of December 31, 2009 and 2008 (in thousands):

 

2009

   Cost or
Amortized
Cost
   Gross
Unrealized
Gains
   Gross
Unrealized
Losses
    Estimated
Fair Value

U.S. Treasuries and government agencies

   $ 22,795    $ 841    $ (39   $ 23,597

States, municipalities, and political subdivisions

     39,624      1,932      (56     41,500

Corporate securities

     52,850      2,152      (65     54,937

Residential mortgage-backed securities

     28,657      691      (21     29,327

Commercial mortgage-backed securities

     8,932      60      (340     8,652

Collateralized mortgage obligations

     18,045      301      (267     18,079

Other structured securities

     702      16      (79     639
                            

Total fixed income securities

     171,605      5,993      (867     176,731

Equity securities

     17,117      4,169      (13     21,273
                            

Total fixed income and equity securities

   $ 188,722    $ 10,162    $ (880   $ 198,004
                            

 

2008

   Cost or
Amortized
Cost
   Gross
Unrealized
Gains
   Gross
Unrealized
Losses
    Estimated
Fair Value

U.S. Treasuries and government agencies

   $ 26,463    $ 2,170    $ (3   $ 28,630

States, municipalities, and political subdivisions

     45,109      1,611      (183     46,537

Corporate securities

     60,480      991      (854     60,617

Residential mortgage-backed securities

     16,349      1,265      —          17,614

Commercial mortgage-backed securities

     12,896      12      (1,463     11,445

Collateralized mortgage obligations

     13,477      324      (692     13,109

Other structured securities

     5,328      7      (151     5,184
                            

Total fixed income securities

     180,102      6,380      (3,346     183,136

Equity securities

     22,287      50      (5,175     17,162
                            

Total fixed income and equity securities

   $ 202,389    $ 6,430    $ (8,521   $ 200,298
                            

Other structured securities include other asset-backed securities collateralized by home equity loans, credit card receivables and manufactured homes.

Certain insurance departments in the states in which the Company is licensed to do business require a deposit to protect the Company’s policyholders should the Company become insolvent. In order to satisfy these requirements, the Company had fixed income securities with an estimated fair value of $13,846 and $13,519 on deposit with various insurance departments as of December 31, 2009 and 2008, respectively.

The amortized cost and estimated fair value of fixed income securities and convertible bonds as of December 31, 2009, by contractual maturity, are shown below (in thousands). Expected maturities could differ from contractual maturities because borrowers may have the right to call or prepay obligations, with or without call or prepayment penalties.

 

     Amortized
Cost
   Estimated
Fair Value

Less than one year

   $ 20,135    $ 20,351

One through five years

     63,746      66,918

Five through ten years

     23,578      24,692

Greater than ten years

     23,433      25,389

Mortgage-backed securities

     55,634      56,058
             

Total

   $ 186,526    $ 193,408
             

 

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The gross unrealized losses and estimated fair value of fixed income and equity securities, excluding those securities in the segregated portfolio cell reinsurance segment, classified as available-for-sale by category and length of time an individual security has been in a continuous unrealized position as of December 31, 2009 and 2008 are as follows (in thousands):

 

2009

   Less Than 12 Months     12 Months or More     Total  
   Estimated
Fair
Value
   Gross
Unrealized
Losses
    Estimated
Fair
Value
   Gross
Unrealized
Losses
    Estimated
Fair
Value
   Gross
Unrealized
Losses
 

U.S. Treasuries and government agencies

   $ 6,715    $ (39   $ —      $ —        $ 6,715    $ (39

States, municipalities, and political subdivisions

     2,757      (56     —        —          2,757      (56

Corporate securities

     4,491      (38     124      (2     4,615      (40

Residential mortgage-backed securities

     2,947      (21     —        —          2,947      (21

Commercial mortgage-backed securities

     1,991      (31     4,201      (308     6,192      (339

Collateralized mortgage obligations

     1,327      (44     1,771      (223     3,098      (267

Other structured securities

     —        —          564      (79     564      (79
                                             

Total fixed income securities

     20,228      (229     6,660      (612     26,888      (841

Equity securities

     —        —          —        —          —        —     
                                             

Total fixed income and equity securities

   $ 20,228    $ (229   $ 6,660    $ (612   $ 26,888    $ (841
                                             

Note: The Company has excluded the segregated portfolio cell reinsurance segment’s gross unrealized losses from the above table because changes in the estimated fair value of the segregated portfolio cell reinsurance segment’s fixed income and equity securities inures to the segregated portfolio cell dividend participant and, accordingly, is included in the segregated portfolio cell dividend payable and the related segregated portfolio dividend expense in the Company’s consolidated balance sheet and consolidated statement of operations, respectively. Management believes the exclusion of the segregated portfolio cell reinsurance segment from this disclosure provides a more transparent understanding of gross unrealized losses in the Company’s fixed income and equity security portfolios that could impact its consolidated financial position or results of operations.

 

2008

   Less Than 12 Months     12 Months or More     Total  
   Estimated
Fair
Value
   Gross
Unrealized
Losses
    Estimated
Fair
Value
   Gross
Unrealized
Losses
    Estimated
Fair
Value
   Gross
Unrealized
Losses
 

U.S. Treasuries and government agencies

   $ 200    $ (3   $ —      $ —        $ 200    $ (3

States, municipalities, and political subdivisions

     6,631      (169     246      (14     6,877      (183

Corporate securities

     15,506      (552     1,398      (67     16,904      (619

Commercial mortgage-backed securities

     6,834      (284     4,229      (1,179     11,063      (1,463

Collateralized mortgage obligations

     3,435      (644     160      (48     3,595      (692

Other structured securities

     3,401      (60     637      (91     4,038      (151
                                             

Total fixed income securities

     36,007      (1,712     6,670      (1,399     42,677      (3,111

Equity securities

     9,047      (4,184     —        —          9,047      (4,184
                                             

Total fixed income and equity securities

   $ 45,054    $ (5,896   $ 6,670    $ (1,399   $ 51,724    $ (7,295
                                             

As of December 31, 2009, the Company held 49 fixed income securities with gross unrealized losses totaling $841. Management has evaluated the unrealized losses related to those fixed income securities and determined that they are primarily due to the current liquidity issues in the fixed income markets or to a fluctuation in interest rates and not to credit issues of the issuer or the underlying assets in the case of asset-backed securities. The Company does not intend to sell the fixed income securities and it is not more likely than not that the Company will be required to see the fixed income securities before recovery of their amortized cost bases, which may be maturity; therefore, management does not consider the fixed income securities to be other-than-temporarily impaired as of December 31, 2009.

Proceeds from the sale of fixed income securities totaled $95,518, $41,058, and $50,309 for the years ended December 31, 2009, 2008 and 2007, respectively. Proceeds from the sale of equity securities totaled $7,823, $4,699, and $11,956 for the years ended December 31, 2009, 2008, and 2007, respectively. Proceeds from the sale of other long-term investments totaled $461, $820, and $1,876 for the years ended December 31, 2009, 2008, and 2007, respectively.

 

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The gross realized gains and gross realized losses recognized by the Company as a result of the sale of investments were as follows for the years ended December 31, 2009, 2008, and 2007 (in thousands):

 

2009

   Fixed
Income
Securities
    Equity
Securities
    Other
Invested
Assets
   Total  

Gross realized gains

   $ 3,349      $ 852      $ —      $ 4,201   

Gross realized losses

     (1,252     (695     —        (1,947
                               

Net realized gains

   $ 2,097      $ 157      $ —      $ 2,254   
                               

 

2008

   Fixed
Income
Securities
    Equity
Securities
    Other
Invested
Assets
   Total  

Gross realized gains

   $ 1,414      $ 380      $ —      $ 1,794   

Gross realized losses

     (576     (145     —        (721
                               

Net realized gains

   $ 838      $ 235      $ —      $ 1,073   
                               

 

2007

   Fixed
Income
Securities
    Equity
Securities
    Other
Invested
Assets
   Total  

Gross realized gains

   $ 2,284      $ 1,116      $ 344    $ 3,744   

Gross realized losses

     (136     (263     —        (399
                               

Net realized gains

   $ 2,148      $ 853      $ 344    $ 3,345   
                               

For the years ended December 31, 2009 and 2008, the Company recorded other-than-temporary impairments related to its fixed income and equity securities totaling $4,497 and $9,507, respectively. There were no impairments recorded in 2007.

The following table provides a rollforward of the Company’s other-than-temporary impairments related to credit losses for which a portion of the other-than-temporary impairment was recognized in other comprehensive income for the year ended December 31, 2009.

 

Balance, January 1, 2009

   $ —     

Credit loss remaining in retained earnings related to adoption of new accounting guidance on April 1, 2009

     1,737   

Credit loss impairment recognized in current period on securities not previously impaired

     29   

Credit loss impairments previously recognized on securities which matured, paid down, or were sold during the period

     (1,737
        

Balance, December 31, 2009

   $ 29   
        

For the years ended December 31, 2009, 2008 and 2007, the change in the estimated fair value of convertible bonds included in net realized investment (losses) gains in the consolidated statement of operations and comprehensive income totaled $3,195, $(2,674) and $(457), respectively.

The change in the Company’s net unrealized gains and losses for the years ended December 31, 2009, 2008, and 2007 was as follows (in thousands):

 

2009

   Fixed
Income
Securities
    Equity
Securities
    Total  

Change in unrealized gains and losses, gross of tax

   $ 1,246      $ 7,508      $ 8,754   

Tax effect

     (373     (1,681     (2,054
                        

Change in net unrealized gains and losses

   $ 873      $ 5,827      $ 6,700   
                        

 

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2008

   Fixed
Income
Securities
    Equity
Securities
    Total  

Change in unrealized gains and losses, gross of tax

   $ (647   $ (4,751   $ (5,398

Tax effect

     159        1,165        1,324   
                        

Change in net unrealized gains and losses

   $ (488   $ (3,586   $ (4,074
                        

 

2007

   Fixed
Income
Securities
    Equity
Securities
    Total  

Change in unrealized gains and losses, gross of tax

   $ 995      $ 56      $ 1,051   

Tax effect

     (349     (20     (369
                        

Change in net unrealized gains and losses

   $ 646      $ 36      $ 682   
                        

Net investment income for the years ended December 31, 2009, 2008, and 2007 was as follows (in thousands):

 

     2009     2008     2007  

Fixed income and convertible bond securities

   $ 7,570      $ 9,276      $ 10,345   

Equity securities

     387        346        290   

Cash and cash equivalents

     143        896        2,277   

Other

     90        123        60   
                        

Gross investment income

     8,190        10,641        12,972   

Investment expenses

     (1,093     (1,010     (1,303
                        

Net investment income

   $ 7,097      $ 9,631      $ 11,669   
                        

For the year ended December 31, 2009, the Company recognized an increase of $1,261 related to its equity interest in limited partnerships. The Company’s limited partnership investments include a multi-strategy fund of funds, natural resource funds, a structured finance opportunity fund and open-ended investment fund and a real estate partnership. The Company obtains audited financial statements of its limited partnership investments on an annual basis. The total assets, total liabilities and results of operations of the limited partnerships in which the Company invests as of and for the year ended December 31, 2008, based on the limited partnerships’ audited financial statements, were as follows (in thousands):

 

     Total
Assets
   Total
Liabilities
   Results
of Operations
 

Multi-strategy fund of funds

   $ 627,658    $ 56,084    $ (222,389

Natural resource funds

   $ 222,351    $ 18,957    $ (135,691

Structured finance opportunity fund

   $ 78,181    $ 50    $ (1,595

Open-ended investment fund

   $ 91,176    $ 1,657    $ (29,904

Real estate partnership

   $ 4,098    $ 2,802    $ (157

 

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12. Reserves for Unpaid Losses and LAE

The following table provides a summary of the activity in the Company’s reserves for unpaid losses and LAE, excluding term life premium waiver reserves, for the years ended December 31, 2009, 2008, and 2007 (in thousands):

 

     2009     2008     2007  

Balance, beginning of period

   $ 155,314      $ 125,249      $ 121,396   

Reinsurance recoverables on unpaid losses and LAE

     25,636        23,429        24,236   
                        

Net balance, beginning of period

     129,678        101,820        97,160   

Net reserves acquired as a result of acquisition

     —          7,004        —     

Purchase accounting adjustments on acquisition date

     —          537        —     

Incurred related to:

      

Current year

     90,438        85,404        80,946   

Prior year

     (5,447     15,009        (6,189
                        

Total incurred before purchase accounting adjustments

     84,991        100,413        74,757   

Purchase accounting adjustments

     (493     (548     (848
                        

Total incurred

     84,498        99,865        73,909   

Paid related to:

      

Current year

     43,427        40,570        37,019   

Prior year

     47,371        38,978        32,230   
                        

Total paid

     90,798        79,548        69,249   
                        

Net balance, end of period

     123,378        129,678        101,820   

Reinsurance recoverables on unpaid losses and LAE

     24,368        25,636        23,429   
                        

Balance, end of period

   $ 147,746      $ 155,314      $ 125,249   
                        

Total reserves for unpaid for losses and LAE

   $ 151,512      $ 159,117      $ 129,788   

Less: Term life premium waiver reserves

     3,741        3,766        4,481   

Less: Other

     25        37        58   
                        

Balance, end of period

   $ 147,746      $ 155,314      $ 125,249   
                        

Incurred losses by segment were as follows for the year ended December 31, 2009 (in thousands):

 

     Workers’
Compensation
Insurance
Segment
    Segregated
Portfolio Cell
Reinsurance
Segment
    Group
Benefits
Insurance
Segment
    Specialty
Reinsurance
Segment
   Total  

Incurred related to:

           

Current year, gross of discount

   $ 48,326      $ 17,773      $ 25,492      $ 837    $ 92,428   

Current period discount

     (1,343     (647     —          —        (1,990

Prior year, gross of discount

     (3,749     (2,753     (611     —        (7,113

Accretion of prior period discount

     1,075        591        —          —        1,666   
                                       

Total incurred before purchase accounting adjustments

     44,309        14,964        24,881        837      84,991   

Purchase accounting adjustments

     (465     (41     —          13      (493
                                       

Total incurred

   $ 43,844      $ 14,923      $ 24,881      $ 850    $ 84,498   
                                       

 

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Incurred losses by segment were as follows for the year ended December 31, 2008 (in thousands):

 

     Workers’
Compensation
Insurance
Segment
    Segregated
Portfolio Cell
Reinsurance
Segment
    Group
Benefits
Insurance
Segment
    Specialty
Reinsurance
Segment
   Total  

Incurred related to:

           

Current year, gross of discount

   $ 39,880      $ 15,274      $ 26,114      $ 5,746    $ 87,014   

Current period discount

     (1,078     (532     —          —        (1,610

Prior year, gross of discount

     (2,703     (1,960     (993     19,257      13,601   

Accretion of prior period discount

     928        480        —          —        1,408   
                                       

Total incurred before purchase accounting adjustments

     37,027        13,262        25,121        25,003      100,413   

Purchase accounting adjustments

     (492     (80     —          24      (548
                                       

Total incurred

   $ 36,535      $ 13,182      $ 25,121      $ 25,027    $ 99,865   
                                       

Incurred losses by segment were as follows for the year ended December 31, 2007 (in thousands):

 

     Workers’
Compensation
Insurance
Segment
    Segregated
Portfolio Cell
Reinsurance
Segment
    Group
Benefits
Insurance
Segment
    Specialty
Reinsurance
Segment
   Total  

Incurred related to:

           

Current year, gross of discount

   $ 34,962      $ 14,800      $ 24,536      $ 8,163    $ 82,461   

Current period discount

     (979     (536     —          —        (1,515

Prior year, gross of discount

     (8,398     (3,023     (961     4,844      (7,538

Accretion of prior period discount

     787        562        —          —        1,349   
                                       

Total incurred before purchase accounting adjustments

     26,372        11,803        23,575        13,007      74,757   

Purchase accounting adjustments

     (758     (132     —          42      (848
                                       

Total incurred

   $ 25,614      $ 11,671      $ 23,575      $ 13,049    $ 73,909   
                                       

For the years ended December 31, 2009, 2008 and 2007, the Company (decreased) increased its reserves for unpaid losses and LAE, including the accretion of prior period discount on its workers’ compensation insurance and segregated portfolio cell reinsurance reserves for unpaid losses and LAE, by the following amounts (in thousands):

 

     2009     2008     2007  

Workers’ compensation insurance

   $ (2,674   $ (1,775   $ (7,611

Segregated portfolio cell reinsurance

     (2,162     (1,480     (2,461

Specialty reinsurance

     —          19,257        4,844   
                        

Subtotal

     (4,836     16,002        (5,228

Group benefits insurance

     (611     (993     (961
                        

Total

   $ (5,447   $ 15,009      $ (6,189
                        

 

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Workers’ Compensation Insurance

For the years ended December 31, 2009, 2008 and 2007, the Company (decreased) increased its workers’ compensation insurance reserves for unpaid losses and LAE by the following amounts by accident year (in thousands):

 

Accident Year

   2009     2008     2007  

2008

   $ —        $ —        $ —     

2007

     (1,170     (1,203     —     

2006

     (1,504     (400     (2,048

2005

     —          (650     (3,400

2004

     (250     (200     (1,700

2003

     (325     (100     (750

2002

     (500     —          (500

2001

     —          —          —     

2000 and prior

     —          (150     —     
                        

Total before discount accretion

     (3,749     (2,703     (8,398

Discount accretion

     1,075        928        787   
                        

Total

   $ (2,674   $ (1,775   $ (7,611
                        

For the year ended December 31, 2009, the Company recognized net favorable development on prior accident year workers’ compensation loss reserves of $3.7 million, representing 6.8% of the Company’s estimated workers’ compensation net loss reserves as of December 31, 2008 and 5.1% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2009. The favorable development arose mostly from accident years 2006 and 2007, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs. Furthermore, the Company was able to settle a large amount of Pennsylvania claims via compromise and release, which is a lump sum cash payment in exchange for a full and final claim settlement. Management attributes the large amount of compromise and release claim closures to the difficult economic conditions and the claimants’ choosing a lump sum cash settlement over the continuation of a workers’ compensation annuity payment.

For the year ended December 31, 2008, the Company recognized net favorable development on prior accident year workers’ compensation loss reserves of $2.7 million, representing 6.3% of the Company’s estimated workers’ compensation net loss reserves as of December 31, 2007 and 4.1% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2008. The favorable development arose mostly from accident year 2007, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting the continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs and an improved economy in the Company’s underwriting territories during the first nine months of 2008.

For the year ended December 31, 2007, the Company recognized net favorable development on prior accident year workers’ compensation loss reserves of $8.4 million, representing 20.1% of the Company’s estimated workers’ compensation net loss reserves as of December 31, 2006 and 14.9% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2007. The favorable development arose mostly from accident years 2004, 2005 and 2006, and resulted from actual loss development being less than the Company had expected based on its historical loss development experience. The loss development factors used by the Company to determine its workers’ compensation loss reserves as of December 31, 2006, were based on its loss development history at that time. During 2007, the Company’s favorable loss development relative to its historical experience was driven by favorable effects from its loss mitigation efforts, which include greater availability and use of employers’ return to work programs, an improved economy relative to the historical experience of the Company, and significant claim settlements during 2007 at amounts less than reserves previously established.

 

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Segregated Portfolio Cell Reinsurance

For the years ended December 31, 2009, 2008 and 2007, the Company (decreased) increased its segregated portfolio cell reinsurance reserves for unpaid losses and LAE by the following amounts by accident year (in thousands):

 

Accident Year

   2009     2008     2007  

2008

   $ (1,506   $ —        $ —     

2007

     (247     (1,011     —     

2006

     (663     (1,023     (2,404

2005

     76        402        (901

2004

     (268     (232     135   

2003

     68        (47     (56

2002

     (24     (26     84   

2001

     (45     (27     73   

2000 and prior

     (144     4        46   
                        

Total before discount accretion

     (2,753     (1,960     (3,023

Discount accretion

     591        480        562   
                        

Total

   $ (2,162   $ (1,480   $ (2,461
                        

The Company estimates and records reserves for its segregated portfolio cell reinsurance segment in the same manner as for its workers’ compensation insurance segment. Furthermore, the Company’s underwriting, claim administration and risk management services are consistent between its workers’ compensation insurance and segregated portfolio cell reinsurance segments. This is because the segregated portfolio cell and workers’ compensation segments derive their books of business from the same general business demographics and geography.

For the year ended December 31, 2009, the Company recognized net favorable development on prior accident year segregated portfolio cell reinsurance loss reserves of $2.8 million, representing 12.6% of the Company’s estimated segregated portfolio cell reinsurance net loss reserves as of December 31, 2008 and 11.1% of the Company’s segregated portfolio cell reinsurance net premiums earned for the year ended December 31, 2008. The favorable development arose mostly from accident years 2006 and 2008, but was generally prevalent in most prior accident years, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs.

For the year ended December 31, 2008, the Company recognized net favorable development on prior accident year segregated portfolio cell reinsurance loss reserves of $2.0 million, representing 9.4% of the Company’s estimated segregated portfolio cell reinsurance net loss reserves as of December 31, 2007 and 8.4% of the Company’s segregated portfolio cell reinsurance net premiums earned for the year ended December 31, 2008. The favorable development arose mostly from accident years 2006 and 2007, and resulted from actual loss development being somewhat lower than the Company had expected based on its historical loss development experience, reflecting continued improvements in loss mitigation and underwriting. The improvements in loss mitigation and underwriting include greater availability and use of employers’ return to work programs and an improved economy in the Company’s underwriting territories during the first nine months of 2008.

For the year ended December 31, 2007, the Company recognized net favorable development on prior accident year segregated portfolio cell reinsurance loss reserves of $3.0 million, representing 14.3% of the Company’s estimated segregated portfolio cell reinsurance net loss reserves as of December 31, 2006 and 13.2% of the Company’s workers’ compensation net premiums earned for the year ended December 31, 2007. The favorable development arose mostly from accident years 2005 and 2006, and resulted from actual loss development being less than the Company had expected based on its historical loss development experience. The loss development factors used by the Company to determine its segregated portfolio cell reinsurance loss reserves as of December 31, 2006, were based on its loss development history at that time. During 2007, the Company’s favorable loss development relative to its historical experience was driven by favorable effects from its loss mitigation efforts, which include greater availability and use of employers’ return to work programs, an improved economy relative to the historical experience of the Company, and significant claim settlements during 2007 at amounts less than previously established.

 

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Group Benefits Insurance

For the year ended December 31, 2009, the Company recognized net favorable development on prior accident year group benefits insurance reserves of $611,000. The favorable development primarily reflects a decrease in prior accident year dental and short-term disability reserves of $457,000 as a result of better than expected claim experience. The Company’s long-term disability reserves also decreased $328,000, primarily related to prior year claim terminations.

For the year ended December 31, 2008, the Company recognized net favorable development on prior accident year group benefits insurance reserves of $993,000. The favorable development primarily reflects a decrease in prior accident year dental and short-term disability reserves of $613,000 as a result of better than expected claim experience. The Company also decreased its term life reserves by $264,000 as a result of lower than expected reported death claims.

For the year ended December 31, 2007, the Company recognized net favorable development on prior accident year group benefits insurance reserves of $961,000. The favorable development primarily reflects a decrease in prior accident year dental and short-term disability reserves of $709,000 as a result of better than expected claim experience. The Company’s long-term disability reserves decreased $286,000, primarily related to prior year claim terminations. The Company also decreased its term life reserves by $175,000 as a result of lower than expected reported death claims.

Run-Off Specialty Reinsurance

For the years ended December 31, 2009, 2008 and 2007, the Company increased (decreased) its specialty reinsurance reserves for unpaid losses and LAE by the following amounts by accident year (in thousands):

 

Accident Year

   2009    2008    2007  

2008

   $ —      $ —      $ —     

2007

     —        7,225      —     

2006

     —        4,088      423   

2005

     —        3,296      755   

2004

     —        1,357      859   

2003

     —        1,430      998   

2002

     —        783      1,891   

2001

     —        565      829   

2000 and prior

     —        513      (911
                      
   $ —      $ 19,257    $ 4,844   
                      

For the year ended December 31, 2009, there was no development recorded on prior accident year specialty reinsurance loss reserves. While there was no reserve development recorded in 2009, there is significant uncertainty related to the estimation of the specialty reinsurance loss and LAE reserves. The Company is dependent on the ceding company to provide accurate loss information on a quarterly basis from which management estimates the specialty reinsurance loss and LAE reserves. In the event the loss information received by the Company reflected higher losses than anticipated, as occurred in 2008 and 2007, the Company may incur additional losses related to this segment.

For the year ended December 31, 2008, the Company recognized net unfavorable development on prior accident year specialty reinsurance loss reserves of $19.3 million, representing 77.2% of the Company’s estimated specialty reinsurance net loss reserves as of December 31, 2007. The unfavorable development arose mostly from accident years 2005, 2006 and 2007, and was the result of a significant increase in reported losses from the ceding company, primarily related to the EnviroGuard program. The Company receives quarterly loss statements from the ceding company. The statements received for the fourth quarter of 2008 indicated reported losses much greater than the Company had observed in the past. As these reported losses were incorporated into the quarterly actuarial review, management also considered input from the annual claims audit, which was completed in January 2009. During the claims audit, management determined that the increase in losses reported by the ceding company was primarily attributable to adverse loss trends emerging in calendar year 2008 from prior accident years. Management also identified the primary factors that contributed to the increased losses reported to the Company. Those factors include 1) an improvement in the ceding company’s ability to estimate loss costs earlier in the claims process, including the receipt of damage estimates from contractors and consultants, 2) states becoming more aggressive in requiring quicker, more extensive clean-up and an increase in construction costs related to the clean-up, and 3) courts limiting the ability of insurance companies to enforce coverage limitations as the courts became more interested in an expeditious clean up due to environmental concerns. Based on the results of the claims audit, management updated its

 

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quarterly actuarial analysis as of December 31, 2008 to reflect higher loss development factors than had previously been applied to the reported loss data, which was previously based on the Company’s historical loss experience and industry loss development statistics.

For the year ended December 31, 2007, the Company recognized net unfavorable development on prior accident year specialty reinsurance loss reserves of $4.8 million, representing 24.6% of the Company’s estimated specialty reinsurance net loss reserves as of December 31, 2006. The unfavorable development arose mostly from accident years 2001, 2002, 2003, 2004 and 2005, and resulted from an increase in reported losses from the ceding company primarily related to the EIA liability product.

13. Reinsurance

The Company purchases reinsurance to manage its loss exposure. Although reinsurance agreements contractually obligate the Company’s reinsurers to reimburse the Company for the agreed upon portion of its gross paid losses, they do not discharge the primary liability of the Company.

The following table provides a summary of the Company’s premiums on a direct, assumed, ceded, and net basis for the years ended December 31, 2009, 2008, and 2007 (in thousands):

 

     2009     2008     2007  
     Written     Earned     Written     Earned     Written     Earned  

Direct premiums

   $ 120,783      $ 116,667      $ 112,512      $ 109,518      $ 104,263      $ 102,260   

Assumed premiums

     29,902        30,142        33,106        36,915        43,183        42,890   

Ceded premiums

     (11,656     (11,227     (10,393     (10,113     (13,055     (13,153
                                                

Net premiums before purchase accounting

     139,029        135,582        135,225        136,320        134,391        131,997   

Purchase accounting adjustment

     (596     (596     (513     (513     (2,502     (2,502
                                                

Net premiums

   $ 138,433      $ 134,986      $ 134,712      $ 135,807      $ 131,889      $ 129,495   
                                                

The following table provides a summary of the Company’s losses and loss adjustment expenses incurred on a direct, assumed, ceded and net basis for the years ended December 31, 2009, 2008, and 2007 (in thousands):

 

     2009     2008     2007  

Direct losses and LAE incurred

   $ 71,532      $ 62,829      $ 52,023   

Assumed losses and LAE incurred

     16,839        39,325        25,791   

Ceded losses and LAE incurred

     (3,326     (2,418     (3,378
                        

Net losses and LAE incurred before purchase accounting

     85,045        99,736        74,436   

Purchase accounting adjustment

     (493     (548     (848
                        

Net losses and LAE

   $ 84,552      $ 99,188      $ 73,588   
                        

As a result of A.M. Best upgrading ELH’s financial strength rating from “B++” (Very Good) to “A-” (Excellent) in June 2007, the Company terminated its coinsurance agreement with London Life Reinsurance Company (LLRC) and the related stop loss reinsurance agreement with London Life International Reinsurance Corporation effective June 30, 2007. The termination of these agreements had no effect on the consolidated financial statements.

ELH entered into a coinsurance agreement in 1999, under which it ceded an existing block of outstanding claims related to a program that provided long-term disability coverage to certain professional associations. The Company recorded a reinsurance recoverable totaling $7,769 and $9,034 as of December 31, 2009 and 2008, related to this block of ceded claims.

 

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14. Income Taxes

The components of the income tax provision for the years ended December 31, 2009, 2008, and 2007 are as follows (in thousands):

 

     2009    2008     2007  

Current tax expense

   $ 958    $ 5,418      $ 9,458   

Deferred tax (benefit) expense

     2,795      (4,681     (1,066
                       

Income tax expense before purchase accounting

   $ 3,753    $ 737      $ 8,392   

Purchase accounting adjustment

     268      327        (730
                       

Income tax expense

   $ 4,021    $ 1,064      $ 7,662   
                       

In addition to the income tax provision, the net deferred tax asset (decreased) increased by $(2,162), $1,022, and $(696) in 2009, 2008, and 2007, respectively, as a result of changes in the unrealized gains and losses on the Company’s fixed income and equity securities. The net deferred tax asset was also (decreased) increased by $(127), $558 and $(58) in 2009, 2008 and 2007, respectively, related to unrecognized benefit plan gains. The tax effect of these items is recorded directly to accumulated other comprehensive income, which is a component of equity.

The provision for income taxes for the years ended December 31, 2009, 2008, and 2007 is as follows (in thousands):

 

     2009     2008     2007  

Income tax (benefit) expense at statutory rate

   $ 4,078      $ (6,099   $ 8,963   

Outside basis difference related to Eastern Re

     107        7,155        —     

Non-deductible intangible asset amortization

     —          —          608   

Adoption of FAS 115-2

     240        —          —     

Tax-exempt interest

     (655     (554     (608

Other

     (17     235        (571
                        

Income tax expense before purchase accounting adjustment

     3,753        737        8,392   

Purchase accounting adjustment

     268        327        (730
                        

Income tax expense

   $ 4,021      $ 1,064      $ 7,662   
                        

 

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The components of the net deferred tax asset as of December 31, 2009 and 2008 are as follows (in thousands):

 

     2009    2008

Deferred tax assets:

     

Reserve discounting

   $ 2,397    $ 2,256

Unearned/advance premiums

     2,532      2,257

Other-than-temporary investment impairments

     1,958      2,687

Unrealized loss on investments

     —        715

Basis difference in limited partnerships

     —        1,210

Policyholder dividends

     372      389

Stock compensation expense

     799      646

Other

     361      398
             

Total deferred tax assets

     8,419      10,558
             

Deferred tax liabilities:

     

Intangible assets

     2,239      2,845

Unrealized gain on investments

     2,568      —  

Deferred acquisition costs

     1,035      898

Basis difference in limited partnerships

     230      —  

Basis difference in foreign operations

     664      470

Other

     449      267
             

Total deferred tax liabilities

     7,185      4,480
             

Net deferred tax asset before purchase accounting

     1,234      6,078

Purchase accounting adjustment

     115      203
             

Net deferred tax asset

   $ 1,349    $ 6,281
             

As of December 31, 2009, the net deferred tax asset of $1,349 has not been reduced by a valuation allowance because management believes that, while it is not assured, it is more likely than not that the Company will generate sufficient future taxable income to utilize these net future tax deductions. The amount of the net deferred tax asset considered realizable, however, could be materially reduced in the near term if estimates of future taxable income in the years in which the differences are expected to reverse are decreased.

As of December 31, 2009, the Company has not recognized a deferred tax asset related to its run-off specialty reinsurance segment of $7,261, which represents the excess of the tax basis over the amount for financial reporting (i.e., outside basis difference) of Eastern Re as of December 31, 2009. The outside basis difference primarily arises from losses at Eastern Re recognized for financial statement purposes, which have not yet been recognized for tax purposes. Management presently believes that the Company will not be able to recognize these tax benefits in the foreseeable future and, therefore, has not recognized the future tax benefits as of December 31, 2009.

As of December 31, 2009, the Company has no tax positions for which management believes a provision for uncertainty is necessary. The Company’s federal income tax returns for tax years subsequent to December 31, 2005 are subject to examination by the Internal Revenue Service.

15. Employee Benefit Plans

ESOP

The Company sponsors an ESOP. Eligible employees generally include those employees who have reached the age of 21 and have completed one year of service. All employees that were employed by EHC or ELH on June 16, 2006 were determined to have met the eligibility requirements on that date. ESOP shares are allocated to participants based on the ratio of their individual compensation during the plan year to the total compensation of eligible employees during the plan year.

 

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The Company issued 747,500 shares of its common stock to the ESOP on June 16, 2006, and the ESOP signed a promissory note in the amount of $7,475 for the purchase of the shares, which is due in ten equal installments, with interest accruing annually at 4%. Shares purchased are held in a suspense account for allocation among participating employees as the loan is repaid.

Suspense shares, allocated shares, shares committed to be released, average price per share and stock compensation expense as of and for the years ended December 31, 2009 and 2008 were as follows (in thousands, except share data):

 

     As of and for the Years
Ended December 31,
     2009    2008

Suspense shares

     560,625      635,375

Allocated shares

     186,875      112,125

Shares committed to be released

     74,750      74,750

Average price per share

   $ 8.76    $ 13.98

Stock compensation expense

   $ 655    $ 1,045

Suspense shares represent shares held by the ESOP that have not been allocated to participant accounts. Allocated shares have been earned and allocated to participant accounts, while shares committed to be released have been earned, but have not yet been allocated to participant accounts.

As of December 31, 2009 and 2008, the estimated fair value of unearned ESOP shares were $4,256 and $7,838, respectively.

For the years ended December 31, 2009, 2008, and 2007 the Company made a cash contribution of $937, $858, and $1,100 to the ESOP, respectively. The ESOP used these contributions, along with dividends received on the unallocated shares of the Company’s stock held by the ESOP, to make the semi-annual principal and interest payments to the Company related to the outstanding balance of the promissory note. Dividends used by the ESOP to fund the semi-annual principal and interest payments totaled $163, $242, and $0 in 2009, 2008, and 2007, respectively. The transactions between the Company and the ESOP are considered non-cash transactions for purposes of the consolidated statements of cash flows.

Defined Contribution Plan

The Company sponsors a contributory defined contribution plan covering eligible employees. Employees are eligible to participate in the defined contribution plan upon the attainment of 21 years of age. The Company provides a matching contribution up to 75% of the first 4% of an employee’s contributions. Employees are immediately vested in the employer matching contributions regardless of years of service. The Company’s contributions to the defined contribution plan for the years ended December 31, 2009, 2008, and 2007 totaled $309, $237, and $195, respectively.

Employees may invest the contributions to their account in a variety of mutual funds. The estimated fair values of the mutual fund investments are based on quoted net asset values; therefore, the estimated fair values are considered Level 1 fair value measurements.

Other Benefit Plans

ELH sponsors a non-contributory defined benefit pension plan (the “pension plan”) and a defined benefit postretirement plan (the “postretirement plan”), both of which are frozen as to the earning of additional benefits.

As of December 31, 2009 and 2008, the projected benefit obligation, fair value of plan assets and funded status of the pension plan and the postretirement plan were as follows (in thousands):

 

     Pension Plan    Postretirement Plan
     2009     2008        2009            2008    

Projected benefit obligation at end of year

   $ 6,020      $ 5,673    $ 311    $ 312

Fair value of plan assets at end of year

     6,135        5,489      —        —  

Funded status

     (115     184      311      312

Based on the funded status of the pension plan as of December 31, 2009, the Company does not anticipate making a contribution in 2010.

 

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The assumptions used in the measurement of the Company’s benefit obligation are shown in the following table:

 

     Pension Plan     Postretirement Plan  
     2009     2008         2009             2008      

Weighted average discount rate

   6.00   6.00   5.30   6.18

Rate of increase in compensation levels

   N/A      N/A      3.50   3.50

The net periodic benefit cost incurred by the Company for the years ended December 31, 2009, 2008 and 2007 totaled $68, $(59), and $(533) for the pension plan and $(5), $(3), and $(12) for the postretirement plan.

The assumptions used in the measurement of the Company’s net periodic benefit cost for the pension plan and the postretirement plan are shown in the following table:

 

     Pension Plan     Postretirement Plan  
     2009     2008     2007     2009     2008     2007  

Weighted average discount rate

   6.00   6.50   5.60   6.18   6.10   5.60

Expected long-term rate of return on plan assets

   6.00   6.00   6.75   N/A      N/A      N/A   

Rate of increase in compensation levels

   N/A      N/A      N/A      3.50   3.50   3.50

Benefits paid totaled $39, $234, and $424 for the pension plan and $1, $21, and $134 for the postretirement plan for the years ended December 31, 2009, 2008, and 2007, respectively. The estimated future benefits to be paid over the next ten years are as follows (in thousands):

 

     Pension
Plan
   Postretirement
Plan

2010

     110      34

2011

     100      34

2012

     240      33

2013

     200      25

2014

     210      26

2015-2019

     1,700      123
             

Total

   $ 2,560    $ 273
             

The pension plan’s assets were comprised of the following at December 31, 2009 and 2008 (in thousands):

 

     2009    2008

Equity securities

   $ 601    $ 441

Fixed income securities

     5,534      5,048
             

Total

   $ 6,135    $ 5,489
             

The pension plan’s equity securities consist of a small-cap index mutual fund. The mutual fund’s estimated fair value is based on a quoted net asset value; therefore, the estimated fair value is considered a Level 1 fair value measurement. The pension plan’s fixed income securities consist of pooled separate accounts that are valued at the net participation value of participation units held by the pension plan. The value of the participation units is determined by the trustee based on the estimated fair values of the underlying assets of the pooled separate account; therefore, the estimated fair value of the pooled separate accounts is considered a Level 2 fair value measurement.

The primary investment objective of the pension plan is to achieve maximum rates of return commensurate with safety of principal. The pension plan asset allocation is reviewed annually to determine whether the portfolio mix is within an acceptable range of the target allocation. Target asset allocations are based on asset and liability studies with the goal to enhance the expected return of the pension plan portfolio while maintaining acceptable levels of risk. As of December 31, 2009 the target asset allocation for the portfolio is 10% equity securities and 90% fixed income securities.

Historical and future expected returns of multiple asset classes were analyzed to develop a risk-free real rate of return and risk premiums for each asset class. The overall rate for each asset class was developed by combining a long-term inflation component, the risk-free real rate of return, and the associated risk premium. A weighted average rate was developed based on those overall rates and the target asset allocation of the pension plan.

 

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16. Segment Information

The Company’s current operates in five business segments. The specialty reinsurance segment was placed into run-off effective July 1, 2008.

Workers’ Compensation Insurance

The Company offers traditional workers’ compensation insurance coverage to employers, primarily in the Mid-Atlantic, Southeast and Midwest regions of the continental United States. The Company’s workers’ compensation products include guaranteed cost policies, policyholder dividend policies, retrospectively-rated policies and large deductible policies.

Segregated Portfolio Cell Reinsurance

The Company offers alternative market workers’ compensation solutions to individual companies, groups and associations (referred to as “segregated portfolio cell dividend participants”) through the creation of segregated portfolio cells. The segregated portfolio cells are segregated pools of assets that function as insurance companies within an insurance company. The pool of assets and associated liabilities of each segregated portfolio cell are solely for the benefit of the segregated portfolio cell dividend participants, and the pool of assets of one segregated portfolio cell are statutorily protected from the creditors of the others. This permits the Company to provide customers with a turn-key alternative markets solution that includes program design, fronting, claims administration, risk management, segregated portfolio cell rental, investment and segregated portfolio management services. The segregated portfolio cell structure provides dividend participants the opportunity to share in both underwriting profit and investment income derived from their respective segregated portfolio cell’s financial results. The segregated portfolio cell reinsurance segment generated fee revenue to the Company’s workers’ compensation, run-off specialty reinsurance, and corporate/other segments totaling approximately $4,054,$4,188 and $3,900 for the years ended December 31, 2009, 2008 and 2007, respectively.

Group Benefits Insurance

The Company’s group benefits insurance products include dental, short and long-term disability, term life, and vision insurance. The group benefits insurance products are marketed to employers, primarily in the Mid-Atlantic, Southeast, and Midwest regions of the continental United States. Net premiums earned, by product, for the years ended December 31, 2009, 2008, and 2007 were as follows (in thousands):

 

     2009    2008    2007

Dental

   $ 22,536    $ 22,737    $ 21,819

Short-term disability

     6,139      6,571      6,627

Long-term disability

     1,554      1,591      1,691

Term life

     5,629      5,824      5,726

Vision

     79      —        —  
                    

Total

   $ 35,937    $ 36,723    $ 35,863
                    

Run-off Specialty Reinsurance

Prior to July 1, 2008, the Company assumed business through its participation in reinsurance treaties with an unaffiliated insurance company related to an underground storage tank insurance program, referred to as “EnviroGuard,” and a non-hazardous waste transportation product, referred to as “EIA liability” (“EIA”). The EnviroGuard program provided coverage to underground tank owners for third party off-site bodily injury and property damage claims as well as clean-up coverage and first party on-site claims. The EIA program provided commercial automobile liability coverage for non-hazardous waste haulers. Prior to terminating its participation in the reinsurance treaties effective July 1, 2008, the Company had reduced its participation in the EnviroGuard and EIA programs from a 25% quota share participation to a 15% quota share participation effective January 1, 2008. Net premiums earned, by program and before purchase accounting adjustments, for the years ended December 31, 2009, 2008 and 2007 were as follows (in thousands):

 

     2009    2008    2007

EnviroGuard

   $ 860    $ 6,697    $ 11,241

EIA

     273      2,976      3,510

Other

     —        9      550
                    

Total

   $ 1,133    $ 9,682    $ 15,301
                    

 

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Corporate/Other

The corporate/other segment includes the holding company and third party administration activities of the Company, as well as certain eliminations necessary to reconcile the segment information to the consolidated statements of operations and comprehensive income (loss). The corporate/other segment also includes the Company’s 10% interest in a segregated portfolio cell with an unaffiliated primary carrier that writes insurance coverage for sprinkler contractors.

The following table represents the segment results for the year ended December 31, 2009 (in thousands):

 

    Workers’
Compensation
Insurance
    Segregated
Portfolio Cell
Reinsurance
    Group
Benefits
Insurance
  Run-Off
Specialty
Reinsurance
    Corporate/
Other
    Total

Revenue:

           

Net premiums earned

  $ 73,213      $ 24,703      $ 35,937   $ 1,133      $ —        $ 134,986

Net investment income

    3,313        691        1,590     1,054        449        7,097

Change in equity interest in limited partnerships

    845        —          195     221        —          1,261

Net realized investment (losses) gains

    (237     (625     3,021     (1,230     23        952

Other revenue

    —          —          2     457        186        645
                                           

Total revenue

    77,134        24,769        40,745     1,635        658        144,941
                                           

Expenses:

           

Losses and LAE incurred

    43,843        14,923        24,936     850        —          84,552

Acquisition and other underwriting expenses

    6,207        7,500        5,389     542        (1,455     18,183

Other expenses

    13,754        123        6,263     562        5,680        26,382

Amortization of intangibles

    —          —          —       —          1,732        1,732

Policyholder dividend expense

    432        —          —       —          —          432

Segregated portfolio dividend expense

    —          2,223        —       —          (985     1,238
                                           

Total expenses

    64,236        24,769        36,588     1,954        4,972        132,519
                                           

Income (loss) before income taxes

    12,898        —          4,157     (319     (4,314     12,422

Income tax expense (benefit)

    3,778        —          1,349     (5     (1,101     4,021
                                           

Net income (loss)

  $ 9,120      $ —        $ 2,808   $ (314   $ (3,213   $ 8,401
                                           

Total assets

  $ 237,509      $ 57,382      $ 66,935   $ 56,415      $ (26,717   $ 391,524
                                           

The following table represents the segment results for the year ended December 31, 2008 (in thousands):

 

    Workers’
Compensation
Insurance
    Segregated
Portfolio Cell
Reinsurance
    Group
Benefits
Insurance
    Run-Off
Specialty
Reinsurance
    Corporate/
Other
    Total  

Revenue:

           

Net premiums earned

  $ 65,962      $ 23,440      $ 36,723      $ 9,682      $ —        $ 135,807   

Net investment income

    4,045        1,112        2,578        1,343        553        9,631   

Change in equity interest in limited partnerships

    (3,051     —          (430     (489     —          (3,970

Net realized investment (losses) gains

    (4,174     (1,381     (5,366     (440     244        (11,117

Other revenue

    119        —          —          782        (48     853   
                                               

Total revenue

    62,901        23,171        33,505        10,878        749        131,204   
                                               

Expenses:

           

Losses and LAE incurred

    36,535        13,182        24,444        25,027        —          99,188   

Acquisition and other underwriting expenses

    4,920        7,238        5,602        2,903        (1,745     18,918   

Other expenses

    10,915        286        5,698        637        7,802        25,338   

Amortization of intangibles

    —          —          —          —          1,373        1,373   

Policyholder dividend expense

    551        —          —          —          —          551   

Segregated portfolio dividend expense

    —          2,465        —          —          (310     2,155   
                                               

Total expenses

    52,921        23,171        35,744        28,567        7,120        147,523   
                                               

Income (loss) before income taxes

    9,980        —          (2,239     (17,689     (6,371     (16,319

Income tax expense (benefit)

    3,151        —          (1,083     984        (1,988     1,064   
                                               

Net income (loss)

  $ 6,829      $ —        $ (1,156   $ (18,673   $ (4,383   $ (17,383
                                               

Total assets

  $ 230,307      $ 51,975      $ 78,875      $ 39,706      $ (23,552   $ 377,311   
                                               

 

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The following table represents the segment results for the year ended December 31, 2007 (in thousands):

 

    Workers’
Compensation
Insurance
  Segregated
Portfolio Cell
Reinsurance
  Group
Benefits
Insurance
    Run-Off
Specialty
Reinsurance
    Corporate/
Other
    Total

Revenue:

           

Net premiums earned

  $ 56,319   $ 22,861   $ 35,863      $ 14,452      $ —        $ 129,495

Net investment income

    4,221     1,284     3,277        1,298        1,589        11,669

Change in equity interest in limited partnerships

    537     —       (39     261        —          759

Net realized investment gains

    797     320     1,531        7        233        2,888

Other revenue

    —       —       —          593        90        683
                                         

Total revenue

    61,874     24,465     40,632        16,611        1,912        145,494
                                         

Expenses:

           

Losses and LAE incurred

    25,614     11,671     23,253        13,050        —          73,588

Acquisition and other underwriting expenses

    2,495     6,933     5,556        3,932        (1,860     17,056

Other expenses

    8,300     463     5,073        647        7,318        21,801

Amortization of intangibles

    —       —       —          —          1,738        1,738

Policyholder dividend expense

    543     —       —          —          —          543

Segregated portfolio dividend expense

    —       5,398     —          —          (975     4,423
                                         

Total expenses

    36,952     24,465     33,882        17,629        6,221        119,149
                                         

Income (loss) before income taxes

    24,922     —       6,750        (1,018     (4,309     26,345

Income tax expense (benefit)

    7,804     —       1,973        (732     (1,383     7,662
                                         

Net income (loss)

  $ 17,118   $ —     $ 4,777      $ (286   $ (2,926   $ 18,683
                                         

Total assets

  $ 189,028   $ 47,118   $ 107,470      $ 51,228      $ (9,326   $ 385,518
                                         

17. Commitments and Contingencies

Lease Commitments

The Company’s corporate headquarters are located at 25 Race Avenue in Lancaster, Pennsylvania. The Company leases its home office building under a 15-year, non-cancelable lease through February 2017. The annual base rent is subject to an annual increase based upon the consumer price index at the end of each preceding calendar year. In addition to the base rent, the Company is responsible for its proportionate share of expenses related to the building including, but not limited to, utilities, maintenance, real estate taxes, and insurance. The Company has a 5% interest in the limited partnership that owns the building.

The Company maintains regional offices in North Carolina and Indiana and leases office space under multi-year operating leases through January 2013 and March 2017, respectively.

Minimum monthly lease commitments for the remainder of the office lease terms are as follows (in thousands):

 

2009

   $ 1,109

2010

     1,118

2011

     1,159

2012

     1,100

2013

     1,100

2014 thereafter

     2,430
      

Total

   $ 8,016
      

Rent expense totaled $1,084, $953, and $748 for the years ended December 31, 2009, 2008 and 2007, respectively.

 

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18. Junior Subordinated Debentures

On May 15, 2008, the Company called its junior subordinated debentures at par. The Company paid cash of $8,400 to satisfy its outstanding obligation related to the debentures, including accrued interest of $253.

For the years ended December 31, 2008 and 2007, the Company incurred interest expense of $468 and $606, respectively, related to the junior subordinated debentures.

19. Loan Payable

As of December 31, 2009, the Company had a loan payable with an outstanding principal balance of $2,150. Semi-annual principal payments of $250 are due on or before January 1 and July 1 each year through July 1, 2013. Interest on the loan is based on the 30-day LIBOR rate plus 165 basis points and resets on the first day of each month, based on the LIBOR rate as of the last day of the immediately preceding month. The outstanding loan balance can be prepaid at any time without penalty. Under the terms of the loan, ESHC must maintain 1) a consolidated debt service coverage ratio of not less than 1.0 calculated annually on December 31, 2) consolidated net equity of $3,000 on December 31, and 3) invested assets equal to at least 125% of the outstanding principal balance of the loan. As of December 31, 2009 and for the year then ended, ESHC met the financial covenants. The Company incurred interest expense of $46 and $30 related to the loan for the years ended December 31, 2009 and 2008, respectively.

20. Agency Stock Purchase Plan

On June 17, 2008, the Company announced its 2008 Agency Stock Purchase Plan (the “Stock Purchase Plan”). The purpose of the Stock Purchase Plan is to provide eligible insurance agencies of the Company with the opportunity to purchase the Company’s common stock at a discount from fair market value and is designed to foster the common interests of the Company and agencies in achieving long-term profitable growth for the Company. The Company has reserved 125,000 shares of its common stock for purchase under the Stock Purchase Plan for the five-year period ending June 30, 2013. Common stock issued under the Stock Purchase Plan may be issued from treasury stock.

21. Eastern Re Capital Contribution

As a result of Eastern Re’s net loss for the year ended December 31, 2008, EIHI made a capital contribution of $23.0 million to Eastern Re on March 6, 2009 to improve Eastern Re’s capital position and to maintain Eastern Re’s current A.M. Best financial strength rating of “A-” (Excellent). The capital contribution was funded by dividends paid to EIHI from Eastern Alliance, Allied Eastern and ELH in the amount of $10.0 million, $2.0 million and $13.0 million, respectively, on March 6, 2009, of which $2.0 million was retained by EIHI. The dividends were approved by the Pennsylvania Insurance Department.

22. Subsequent Events

Management performed an evaluation of subsequent events and determined there were no recognized or unrecognized subsequent events that would require an adjustment and/or additional disclosure in the consolidated financial statements as of December 31, 2009.

23. Quarterly Financial Data (Unaudited, in thousands, except per share data)

 

2009

   March 31     June 30    September 30    December 31

Total revenue

   $ 34,156      $ 36,173    $ 37,885    $ 36,727

Income from operations

   $ 578      $ 3,698    $ 4,626    $ 3,520

Net (loss) income

   $ (555   $ 2,977    $ 3,291    $ 2,688

Basic earnings per share

   $ (0.06   $ 0.33    $ 0.36    $ 0.30

Diluted earnings per share

   $ (0.06   $ 0.33    $ 0.36    $ 0.30

 

2008

   March 31    June 30    September 30     December 31  

Total revenue

   $ 35,540    $ 36,052    $ 29,522      $ 30,090   

Income (loss) from operations

   $ 3,643    $ 2,214    $ (4,849   $ (17,327

Net income (loss)

   $ 2,574    $ 1,503    $ (3,089   $ (18,371

Basic earnings per share

   $ 0.27    $ 0.17    $ (0.35   $ (2.10

Diluted earnings per share

   $ 0.26    $ 0.16    $ (0.35   $ (2.10

 

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Item 9—Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None

Item 9A—Controls and Procedures

 

  a) Evaluation of Disclosure Controls and Procedures.

Our disclosure controls and procedures, as that term is defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), are designed with the objective of providing reasonable assurance that information required to be disclosed in our reports filed or submitted under the Exchange Act, such as this report, is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission (the “SEC”). In designing and evaluating our disclosure controls and procedures, our management recognizes that any disclosure controls and procedures, no matter how well designed and operated, can provide only reasonable, rather than absolute, assurance of achieving the desired control objectives.

An evaluation was performed by our management, with the participation of our chief executive officer (“CEO”) and chief financial officer (“CFO”), of the effectiveness of the design and operation of the our disclosure controls and procedures as of the end of the period covered by this report. Based on this evaluation, our CEO and CFO have concluded that, as of the end of such period, our disclosure controls and procedures are effective to provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms and made known to our management, including our CEO and CFO, as appropriate, to allow timely decisions regarding required disclosures.

 

  b) Changes in Internal Controls.

There have been no changes in EIHI’s internal control over financial reporting identified in connection with the evaluation described in the above paragraph that have materially affected, or are reasonably likely to materially affect, EIHI’s internal control over financial reporting.

 

  (c) Management’s Report on Internal Control Over Financial Reporting.

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Rule 13a-15(f) under the Securities Exchange Act of 1934. Under the supervision and with the participation of our management, including the principal executive officer and principal financial officer, we have conducted an evaluation of the effectiveness of our internal control over financial reporting based on the framework in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this evaluation under the framework in Internal Control-Integrated Framework, we have concluded that the internal control over financial reporting was effective as of December 31, 2009.

Because of its inherent limitations, internal control over the financial reporting may not prevent or detect misstatements. Projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

 

  (d) The Report of Independent Registered Public Accounting Firm on internal control over financial reporting is included in this Annual Report on Form 10-K immediately before the consolidated financial statements.

Item 9B—Other Information

None

 

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PART III

Item 10—Directors and Officers of the Registrant

Incorporated by reference from the Company’s 2010 Proxy Statement.

Item 11—Executive Compensation

Incorporated by reference from the Company’s 2010 Proxy Statement.

Item 12—Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Incorporated by reference from the Company’s 2010 Proxy Statement.

Item 13—Certain Relationships and Related Transactions

Incorporated by reference from the Company’s 2010 Proxy Statement.

Item 14—Principal Accountant Fees and Services

Incorporated by reference from the Company’s 2010 Proxy Statement.

 

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Part IV

Item 15—Exhibits, Financial Statement Schedules

 

  a) (1) Financial Statements.

The following consolidated financial statements are filed as part of this report in Item 8:

Consolidated Financial Statements

Consolidated Balance Sheets as of December 31, 2009 and 2008

Consolidated Statements of Operations and Comprehensive Income (Loss) for Years Ended December 31, 2009, 2008 and 2007

Consolidated Statements of Changes in Shareholders’ Equity for Years Ended December 31, 2009, 2008 and 2007

Consolidated Statements of Cash Flows for Years Ended December 31, 2009, 2008 and 2007

Notes to Consolidated Financial Statements

(2) Financial Statement Schedules.

The following financial statement schedules for the years 2009, 2008 and 2007 are submitted herewith:

Schedule I—Summary of Investments

Schedule II—Condensed Financial Information of Parent Company

Schedule III—Supplementary Schedule Information

Schedule IV—Reinsurance

Schedule VI—Supplemental Information

The information required by Schedule V—Allowance for Uncollectible Premiums and Other Receivables has been included within the consolidated financial statements or notes thereto.

(3) Exhibits.

 

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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

EASTERN INSURANCE HOLDINGS, INC.

By:

 

/s/    KEVIN M. SHOOK        

  Kevin M. Shook, Chief Financial Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons in the capacities indicated on the date indicated:

 

Signature

        

/S/    BRUCE M. ECKERT        

Bruce M. Eckert

  

Chief Executive Officer

(Principal Executive Officer) and Director

  March 5, 2010
    

/S/    KEVIN M. SHOOK        

Kevin M. Shook

   Treasurer and Chief Financial Officer (Principal Financial and Accounting Officer)   March 5, 2010
    

/S/    ROBERT M. MCALAINE        

Robert M. McAlaine

   Chairman and Director   March 5, 2010
    

/S/    LAWRENCE W. BITNER        

Lawrence W. Bitner

   Director   March 5, 2010
    

/S/    PAUL R. BURKE        

Paul R. Burke

   Director   March 5, 2010
    

/S/    RONALD L. KING        

Ronald L. King

   Director   March 5, 2010
    

/S/    SCOTT C. PENWELL        

Scott C. Penwell

   Director   March 5, 2010
    

/S/    JOHN O. SHIRK        

John O. Shirk

   Director   March 5, 2010
    

/S/    W. LLOYD SNYDER III        

W. Lloyd Snyder III

   Director   March 5, 2010
    

/S/    CHARLES H. VETTERLEIN, JR.        

Charles H. Vetterlein, Jr.

   Director   March 5, 2010
    

 

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EXHIBIT INDEX

 

Exhibit
Number

  

Description

  2.1    Plan of Conversion from Mutual to Stock Organization of Educators Mutual Life Insurance Company adopted March 17, 2005, as amended June 9, 2005. (Incorporated by reference from Exhibit 2.1 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
  2.2    Agreement and Plan of Reorganization dated March 17, 2005, between and among Educators Mutual Life Insurance Company, Eastern Insurance Holdings, Inc., and Eastern Holding Company, Ltd. (Incorporated by reference from Exhibit 2.2 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-131215 on Form S-4)
  2.3    Agreement and Plan of Merger by and among Eastern Insurance Holdings, Inc., Eastern Acquisition Corp. and Employers Security Holding Company, dated as of August 6, 2008. (Incorporated by reference from Exhibit 2.1 to the Eastern Insurance Holdings, Inc. Current Report on Form 8-K filed on August 7, 2008)
  3.1    Articles of Incorporation of Eastern Insurance Holdings, Inc. (Incorporated by reference from Exhibit 3.1 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
  3.2    Bylaws of Eastern Insurance Holdings, Inc. (Incorporated by reference from Exhibit 3.2 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
  4.1    Form of Stock Certificate of Eastern Insurance Holdings, Inc. (Incorporated by reference from Exhibit 4.1 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.1    Transition Agreement, dated March 4, 2005, between Educators Insurance Company and Alex T. Schneebacher (Incorporated by reference from Exhibit 10.1 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.2    Employee Stock Ownership Plan of Eastern Insurance Holdings, Inc. (Incorporated by reference from Exhibit 10.2 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.3    Stock Compensation Plan of Eastern Insurance Holdings, Inc. (Incorporated by reference from Exhibit 10.3 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.4    Employment Agreement, dated March 17, 2005, between Eastern Holding Company, Ltd. and Bruce M. Eckert (Incorporated by reference from Exhibit 10.4 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.5    Employment Agreement, dated March 17, 2005, between Eastern Holding Company, Ltd. and Michael L. Boguski (Incorporated by reference from Exhibit 10.5 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.6    Employment Agreement, dated March 17, 2005, between Eastern Holding Company, Ltd. and Kevin M. Shook (Incorporated by reference from Exhibit 10.6 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.7    Employment Agreement, dated March 17, 2005, between Eastern Holding Company, Ltd. and Robert A. Gilpin (Incorporated by reference from Exhibit 10.7 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.8    Employment Agreement, dated March 17, 2005, between Eastern Holding Company, Ltd. and Suzanne M. Emmet (Incorporated by reference from Exhibit 10.8 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.9    Coinsurance Agreement, effective October 1, 2003, between Educators Mutual Life Insurance Company and London Life Reinsurance Company (Incorporated by reference from Exhibit 10.10 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.10    Agreement of Sale for IBSi (Incorporated by reference from Exhibit 10.26 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)
10.11    Officer Retention Agreement dated March 4, 2005, between M. Christine Gimber and Educators Mutual Life Insurance Company (Incorporated by reference from Exhibit 10.27 to the Eastern Insurance Holdings, Inc. Registration Statement No. 333-128913 on Form S-1)

 

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Exhibit
Number

  

Description

10.12    Eastern Insurance Holdings, Inc. 2006 Stock Incentive Plan (Incorporated by reference from Exhibit 4.1 to EIHI’s Registration Statement on Form S-8 filed on April 2, 2007)
10.13    Loan Agreement, effective December 17, 2007, between Eastern Insurance Holdings, Inc. and Fulton Bank (Incorporated by reference to Exhibit 10.13 to EIHI’s Form 10-K filed on March 14, 2008)
10.14    Eastern Insurance Holdings, Inc. 2008 Agency Stock Purchase Plan, effective July 1, 2008 (Incorporated by reference to Exhibit 99.1 to EIHI’s Registration Statement No. 333-151706 on Form S-3 filed on June 17, 2008)
14.1    Eastern Insurance Holdings, Inc. Code of Conduct and Ethics (Incorporated by reference from Exhibit 14 to EIHI’s Current Report on Form 8-K filed on February 14, 2008.
21.1    Subsidiaries of Eastern Insurance Holdings, Inc. (filed herewith as Exhibit 21.1)
23.1    Consent of PricewaterhouseCoopers LLP, dated March 12, 2009 (filed herewith as Exhibit 23.1)
31.1    Certification of Chief Executive Officer in accordance with Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
31.2    Certification of Chief Financial Officer in accordance with Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
32.1    Certification of Chief Executive Officer in accordance with Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith)
32.2    Certification of Chief Financial Officer in accordance with Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith)
99.1    Eastern Insurance Holdings, Inc. Audit Committee Charter and Policy (filed herewith as Exhibit 99.1)

 

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Eastern Insurance Holdings, Inc. and Subsidiaries

Schedule I—Summary of Investments—Other than

Investments in Related Parties as of December 31, 2009

 

Column A

   Column B    Column C    Column D

Type of Investment

   Cost    Market
Value
   Balance
Sheet
     (Dollars in thousands)

Fixed maturities:

        

Bonds:

        

United States Government and government agencies and authorities

   $ 22,795    $ 23,597    $ 23,597

States, municipalities and political subdivisions

     39,624      41,500      41,500

Convertibles and bonds with warrants attached

     14,921      16,677      16,677

All other corporate bonds

     109,186      111,634      111,634
                    

Total fixed maturities

     186,526      193,408      193,408
                    

Equity securities:

        

Common stocks:

        

Industrial, miscellaneous and all other

     17,117      21,273      21,273
                    

Total equity securities

     17,117      21,273      21,273
                    

Other long-term investments

     10,220      10,315      10,315
                    

Total investments

   $ 213,863    $ 224,996    $ 224,996
                    

 

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Eastern Insurance Holdings, Inc.

Schedule II—Condensed Financial Information of Parent Company

Condensed Balance Sheets

December 31, 2009 and 2008

(In thousands, except share data)

 

     2009     2008  
ASSETS     

Investment in common stock of subsidiaries (equity method)

   $ 135,787      $ 118,731   

Cash and cash equivalents

     782        1,569   

Intangible assets

     7,448        9,179   

Goodwill

     10,752        10,752   

Federal income taxes recoverable

     944        238   

Other assets

     191        222   
                

Total assets

   $ 155,904      $ 140,691   
                
LIABILITIES AND STOCKHOLDERS’ EQUITY     

Liabilities:

    

Accounts payable and accrued expenses

   $ 136      $ 202   

Deferred tax liability, net

     1,423        2,182   

Due to subsidiaries, net

     480        170   
                

Total liabilities

     2,039        2,554   
                

Equity:

    

Series A preferred stock, par value $0; authorized shares—5,000,000; no shares issued and outstanding

     —          —     

Common stock, par value $0, authorized shares—20,000,000; issued—11,783,014 and 11,602,723, respectively; outstanding—9,691,257 and 9,512,366, respectively

     —          —     

Unearned ESOP compensation

     (4,859     (5,606

Additional paid-in capital

     113,049        111,772   

Treasury stock, at cost (2,091,757 and 2,090,357 shares, respectively)

     (32,666     (32,655

Accumulated other comprehensive income:

    

Unrealized gains in investments, net of taxes

     5,573        (1,361

Unrecognized benefit plan gains, net of taxes

     (270     (505

Retained Earnings

     73,038        66,492   
                

Total stockholders’ equity

     153,865        138,137   
                

Total liabilities and stockholders’ equity

   $ 155,904      $ 140,691   
                

See accompanying notes to consolidated financial statements.

 

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Eastern Insurance Holdings, Inc.

Schedule II—Condensed Financial Information of Parent Company

Condensed Statement of Earnings

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands)

 

     2009     2008     2007  

Revenue

      

Investment income, net of expenses

   $ 424      $ 594      $ 1,320   

Net realized investment gains

     105        276        233   
                        

Total revenue

     529        870        1,553   
                        

Expenses:

      

Other expenses

     3,512        4,767        4,898   

Amortization of intangibles

     1,732        1,373        1,738   
                        

Total expenses

     5,244        6,140        6,636   
                        

Loss before income tax expense

     (4,715     (5,270     (5,083

Income tax benefit

     (1,276     (1,532     (2,016
                        

Loss before equity in income of subsidiaries

     (3,439     (3,738     (3,067

Equity in income (loss) of subsidiaries

     11,840        (13,645     21,750   
                        

Net income (loss)

   $ 8,401      $ (17,383   $ 18,683   
                        

See accompanying notes to consolidated financial statements.

 

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Eastern Insurance Holdings, Inc.

Schedule II—Condensed Financial Information of Parent Company

Condensed Statements of Cash Flows

For the Years ended December 31, 2009, 2008 and 2007

(In thousands)

 

     2009     2008     2007  

Cash flows from operating activities:

      

Net (loss) income

   $ 8,401      $ (17,383   $ 18,683   

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

      

Equity in undistributed income of subsidiaries

     (11,840     13,645        (21,750

Dividends from subsidiaries

     25,750        28,500        10,000   

Stock compensation

     2,025        2,353        2,410   

Intangible asset amortization

     1,732        1,373        1,738   

Deferred income tax provision

     (338     (376     (1,076

Other

     (951     (435     (1,748
                        

Net cash provided by operating activities

     24,779        27,677        8,257   
                        

Cash flows from investing activities:

      

Acquisition of ESHC

     —          (12,277     —     

Capital contributions to subsidiaries

     (23,015     (4,326     —     
                        

Net cash used in investing activities

     (23,015     (16,603     —     
                        

Cash flows from financing activities:

      

Repurchase of common stock

     (11     (17,066     (17,066

Shareholder dividends

     (2,540     (2,488     (2,488
                        

Net cash used in financing activities

     (2,551     (19,554     (19,554
                        

Net decrease in cash and cash equivalents

     (787     (8,480     (8,480

Cash and cash equivalents at beginning of period

     1,569        10,049        10,049   
                        

Cash and cash equivalents at end of period

   $ 782      $ 1,569      $ 1,569   
                        

Cash received during the year for:

      

Income taxes

   $ (232   $ (1,889   $ (129

See accompanying notes to consolidated financial statements.

 

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Eastern Insurance Holdings, Inc. and Subsidiaries

Schedule III—Supplementary Schedule Information

(In thousands)

 

Column A

   Column B    Column C    Column D    Column E    Column F
     Deferred
Policy
Acquisition
Costs
   Future Policy
Benefits,
Losses, Claims,
and Loss
Expenses
   Unearned
Premiums
   Other Policy
Claims and
Benefits
Payable
   Premium
Revenue

December 31, 2009

              

Workers’ compensation insurance

   $ 3,468    $ 62,546    $ 34,969    $ —      $ 73,213

Group benefits insurance

     —        30,419      83      —        35,937

Run-off specialty reinsurance

     —        32,584      —        —        1,133

Segregated portfolio cell reinsurance

     3,019      25,659      11,047      —        24,703

Corporate and other

     —        —        —        —        —  
                                  

Total

   $ 6,487    $ 151,208    $ 46,099    $ —      $ 134,986
                                  

December 31, 2008

              

Workers’ compensation insurance

   $ 2,617    $ 61,141    $ 30,941    $ —      $ 65,962

Group benefits insurance

     —        32,585      79      —        36,723

Run-off specialty reinsurance

     294      40,539      978      —        9,682

Segregated portfolio cell reinsurance

     2,849      24,852      10,367      —        23,440

Corporate and other

     —        —        —        —        —  
                                  

Total

   $ 5,760    $ 159,117    $ 42,365    $ —      $ 135,807
                                  

December 31, 2007

              

Workers’ compensation insurance

   $ 1,924    $ 46,485    $ 24,707    $ —      $ 56,319

Group benefits insurance

     —        35,282      83      —        35,863

Run-off specialty reinsurance

     2,196      24,937      7,320      —        14,452

Segregated portfolio cell reinsurance

     2,137      23,084      7,716      —        22,861

Corporate and other

     —        —        —        —        —  
                                  

Total

   $ 6,257    $ 129,788    $ 39,826    $ —      $ 129,495
                  
     Column G    Column H    Column I    Column J    Column K
     Net
Investment
Income
   Benefits,
Claims, Losses
and Settlement
Expenses
   Amortization
of DPAC
   Other
Operating
Expenses
   Premiums
Written

December 31, 2009

              

Workers’ compensation insurance

   $ 3,313    $ 43,843    $ 3,059    $ 17,334    $ 76,953

Group benefits insurance

     1,590      24,936      —        11,652      35,942

Run-off specialty reinsurance

     1,054      850      294      810      155

Segregated portfolio cell reinsurance

     691      14,923      2,849      4,774      25,383

Corporate and other

     449      —        —        5,957      —  
                                  

Total

   $ 7,097    $ 84,552    $ 6,202    $ 40,527    $ 138,433
                                  

December 31, 2008

              

Workers’ compensation insurance

   $ 4,045    $ 36,535    $ 2,159    $ 14,227    $ 68,563

Group benefits insurance

     2,578      24,444      —        11,300      36,718

Run-off specialty reinsurance

     1,343      25,027      2,196      1,344      3,341

Segregated portfolio cell reinsurance

     1,112      13,182      2,137      5,387      26,090

Corporate and other

     553      —        —        7,430      —  
                                  

Total

   $ 9,631    $ 99,188    $ 6,492    $ 39,688    $ 134,712
                                  

December 31, 2007

              

Workers’ compensation insurance

   $ 4,221    $ 25,614    $ 1,524    $ 9,814    $ 58,489

Group benefits insurance

     3,277      23,253      —        10,629      35,864

Run-off specialty reinsurance

     1,298      13,050      1,773      2,806      14,069

Segregated portfolio cell reinsurance

     1,284      11,671      1,497      5,899      23,467

Corporate and other

     1,589      —        —        7,196      —  
                                  

Total

   $ 11,669    $ 73,588    $ 4,794    $ 36,344    $ 131,889
                                  

 

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Eastern Insurance Holdings, Inc. and Subsidiaries

Schedule IV—Reinsurance

For the years ended December 31, 2009, 2008 and 2007

(In thousands)

 

Column A

   Column B    Column C    Column D    Column E    Column F  
     Gross
Amount
   Ceded to
Other
Companies
   Assumed
from Other
Companies
   Net Amount    Percentage
of Amount
Assumed to
Net
 

Premiums Earned

              

For the year ended December 31, 2009

              

Life insurance in force

   $ 1,742,954    $ 178,359    $ —      $ 1,564,595    0.0

Premiums:

              

Life insurance

   $ 6,140    $ 510    $ —      $ 5,630    0.0

Accident and health insurance

   $ 32,596    $ 2,289    $ —      $ 30,307    0.0

Property and liability insurance

   $ 77,335    $ 8,428    $ 30,142    $ 99,049    30.4

For the year ended December 31, 2008

              

Life insurance in force

   $ 1,758,863    $ 91,095    $ —      $ 1,667,768    0.0

Premiums:

              

Life insurance

   $ 6,068    $ 244    $ —      $ 5,824    0.0

Accident and health insurance

   $ 33,142    $ 2,243    $ —      $ 30,899    0.0

Property and liability insurance

   $ 69,795    $ 7,626    $ 36,915    $ 99,084    37.3

For the year ended December 31, 2007

              

Life insurance in force

   $ 1,782,647    $ 87,476    $ —      $ 1,695,171    0.0

Premiums:

              

Life insurance

   $ 6,014    $ 289    $ —      $ 5,725    0.0

Accident and health insurance

   $ 32,502    $ 2,364    $ —      $ 30,138    0.0

Property and liability insurance

   $ 61,242    $ 10,500    $ 42,890    $ 93,632    45.8

 

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Eastern Insurance Holdings, Inc.

Schedule VI—Supplemental Information

For the year ended December 31, 2009

 

Column A

   Column B    Column C    Column D    Column E    Column F    Column G

Affiliation with Registrant

   Deferred
Policy
Acquisition
Costs
   Reserve for
Losses and
Loss Adj.
Expenses
   Discount if
any Deducted
in Column C
   Unearned
Premiums
   Net Earned
Premiums
   Net
Investment
Income
     (Dollars in thousands)

Consolidated property-casualty entities:

                 

Year ended December 31, 2009

   $ 6,487    $ 120,789    $ 3,097    $ 46,016    $ 99,049    $ 5,058

Year ended December 31, 2008

   $ 5,760    $ 126,532    $ 4,145    $ 42,286    $ 99,084    $ 6,500

Year ended December 31, 2007

   $ 6,257    $ 94,506    $ 3,474    $ 39,743    $ 93,632    $ 6,803

 

     Column H
Losses and LAE
Incurred
    Column I    Column J    Column K
     Current
Period
   Prior
Year
    Amortization
of DPAC
   Paid
Losses and
Adjustment
Expenses
   Net Written
Premiums
     (Dollars in thousands)

Consolidated property-casualty entities:

             

Year ended December 31, 2009

   $ 64,453    $ (4,836   $ 6,202    $ 65,733    $ 102,491

Year ended December 31, 2008

   $ 58,742    $ 16,002      $ 6,492    $ 53,352    $ 97,994

Year ended December 31, 2007

   $ 55,562    $ (5,228   $ 4,794    $ 44,840    $ 96,025

 

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