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10-Q - 10-Q - AMIC Holdings, Inc.amic10q.pdf




 


UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D. C. 20549




FORM 10-Q


[ X]

Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.

For the quarterly period ended September 30, 2015

OR

[    ]

Transition Report under Section 13 or 15(d) of the Securities Exchange Act of 1934.

For the transition period from:________to________


Commission File Number:  001-05270


AMERICAN INDEPENDENCE CORP.

(Exact name of registrant as specified in its charter)


Delaware

11-1817252

(State or other jurisdiction of incorporation or organization)

(I.R.S. Employer Identification No.)

 

 

485 Madison Avenue, New York, NY

10022

(Address of principal executive offices)

(Zip Code)


Registrant's telephone number, including area code:  (212) 355-4141


Not Applicable

Former name, former address and former fiscal year, if changed since last report


Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  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 [X] No [   ]


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" in Rule 12b-2 of the Exchange Act.  (Check one):


Large accelerated filer [   ]               Accelerated filer [  ]

       Non-accelerated filer [ X ]             Smaller reporting company [   ]


Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes [   ] No [X]


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



Class

Outstanding at November 9, 2015

Common stock, $0.01 par value

8,088,105 shares




1




 

American Independence Corp. and Subsidiaries

Index

 

 

Page

 

 

PART I – FINANCIAL INFORMATION

 

 

 

Item 1.

 Financial Statements

 

 

 

Condensed Consolidated Balance Sheets (Unaudited)

4

 

 

Condensed Consolidated Statements of Income (Unaudited)

5

 

 

Condensed Consolidated Statements of Comprehensive Income (Loss) (Unaudited)

6

 

 

Condensed Consolidated Statement of Changes in Stockholders’ Equity (Unaudited)

7

 

 

Condensed Consolidated Statements of Cash Flows (Unaudited)

8

 

 

Notes to Condensed Consolidated Financial Statements (Unaudited)

9

 

 

Item 2.

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

21

 

 

Item 3.

 Quantitative and Qualitative Disclosures About Market Risk

33

 

 

Item 4.    Controls and Procedures

33

 

 

PART II – OTHER INFORMATION

 

 

 

Item 1.

 Legal Proceedings

34

 

 

Item 1A. Risk Factors

34

 

 

Item 2.

 Unregistered Sales of Equity Securities and Use of Proceeds

34

 

 

Item 3.

 Defaults Upon Senior Securities

34

 

 

Item 4.

 Mine Safety Disclosures

34

 

 

Item 5.

 Other Information

34

 

 

Item 6.

 Exhibits

35

 

 

Signatures

36

 

 



Copies of the Company’s SEC filings can be found on its website at www.americanindependencecorp.com.



2



Forward-Looking Statements


This report on Form 10Q contains certain forwardlooking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, which are intended to be covered by the safe harbors created by those laws. We have based our forwardlooking statements on our current expectations and projections about future events. Our forwardlooking statements include information about possible or assumed future results of our operations. All statements, other than statements of historical facts, included or incorporated by reference in this report that address activities, events or developments that we expect or anticipate may occur in the future, including such things as the growth of our business and operations, our business strategy, competitive strengths, goals, plans, future capital expenditures and references to future successes may be considered forwardlooking statements. Also, when we use words such as anticipate, believe, estimate, expect, intend, plan, probably or similar expressions, we are making forwardlooking statements.


Numerous risks and uncertainties may impact the matters addressed by our forwardlooking statements, any of which could negatively and materially affect our future financial results and performance.  We describe some of these risks and uncertainties in greater detail in Item 1A, Risk Factors, of AMICs annual report on Form 10-K as filed with Securities and Exchange Commission.


Although we believe that the assumptions underlying our forwardlooking statements are reasonable, any of these assumptions, and, therefore, also the forwardlooking statements based on these assumptions, could themselves prove to be inaccurate. In light of the significant uncertainties inherent in the forwardlooking statements that are included in this report, our inclusion of this information is not a representation by us or any other person that our objectives and plans will be achieved. Our forwardlooking statements speak only as of the date made, and we will not update these forwardlooking statements unless the securities laws require us to do so. In light of these risks, uncertainties and assumptions, any forwardlooking event discussed in this report may not occur.



3



PART I – FINANCIAL INFORMATION

Item 1.

Financial Statements


American Independence Corp. and Subsidiaries

Condensed Consolidated Balance Sheets

(In thousands, except share data)


 

 

September 30,

 

 

 

 

 

2015

 

 

December 31,

ASSETS:

 

(Unaudited)

 

 

2014

 

Investments:

 

 

 

 

 

 

Securities purchased under agreements to resell

$

4,616 

 

$

3,143 

 

Trading securities

 

1,107 

 

 

1,138 

 

Fixed maturities available-for-sale, at fair value

 

84,840 

 

 

73,608 

 

Equity securities available-for-sale, at fair value

 

1,025 

 

 

1,013 

 

 

 

 

 

 

 

Total investments

 

91,588 

 

 

78,902 

 

 

 

 

 

 

 

Cash and cash equivalents

 

6,235 

 

 

4,569 

 

Restricted cash ($14,470 and $15,867, respectively, restricted by related parties)

 

17,531 

 

 

18,881 

 

Accrued investment income

 

772 

 

 

652 

 

Premiums receivable ($13,557 and $9,115, respectively, due from related parties)

 

17,797 

 

 

13,257 

 

Net deferred tax asset

 

7,694 

 

 

12,025 

 

Due from reinsurers ($3,419 and $2,869, respectively, due from related parties)

 

5,703 

 

 

5,532 

 

Goodwill

 

6,134 

 

 

 

Intangible assets

 

14,476 

 

 

9,915 

 

Accrued fee income ($2,212 and $1,384, respectively, due from related parties)

 

5,027 

 

 

4,469 

 

Due from securities brokers

 

533 

 

 

293 

 

Other assets ($124 and $165, respectively, due from related parties)

 

14,012 

 

 

17,286 

 

 

 

 

 

 

 

TOTAL ASSETS

$

187,502 

 

$

165,781 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY:

 

 

 

 

 

 

LIABILITIES:

 

 

 

 

 

 

Policy benefits and claims ($27,867 and $19,843, respectively, due to related parties)

$

43,819 

 

$

33,616 

 

Premium and claim funds payable ($14,470 and $15,867, respectively,

 

 

 

 

 

 

 

due to related parties)

 

17,516 

 

 

18,881 

 

Commission payable ($4,992 and $3,747, respectively, due to related parties)

 

6,132 

 

 

4,672 

 

Accounts payable, accruals and other liabilities ($2,184 and $1,784, respectively,

 

 

 

 

 

 

 

due to related parties)

 

16,476 

 

 

11,283 

 

Debt

 

3,189 

 

 

 

State income taxes payable

 

618 

 

 

597 

 

Due to securities brokers

 

78 

 

 

58 

 

Due to reinsurers ($65 and $597, respectively, due to related parties)

 

786 

 

 

2,334 

 

 

 

 

 

 

 

Total liabilities

 

88,614 

 

 

71,441 

 

 

 

 

 

 

 

STOCKHOLDERS’ EQUITY:

 

 

 

 

 

 

American Independence Corp. stockholders’ equity:

 

 

 

 

 

 

 

Preferred stock, $0.10 par value, 1,000 shares designated; no shares issued

 

 

 

 

 

 

 

    and outstanding

 

 

 

 

 

Common stock, $0.01 par value, 15,000,000 shares authorized; 9,181,793 shares

 

 

 

 

 

 

 

    issued, respectively; 8,088,105 and 8,079,215 shares outstanding, respectively

 

92 

 

 

92 

 

 

Additional paid-in capital

 

80,116 

 

 

79,746 

 

 

Accumulated other comprehensive gain (loss)

 

484 

 

 

(154)

 

 

Treasury stock, at cost, 1,093,688 and 1,102,578 shares, respectively

 

(10,161)

 

 

(10,243)

 

 

Retained earnings

 

25,303 

 

 

22,139 

 

 

Total American Independence Corp. stockholders’ equity

 

95,834 

 

 

91,580 

 

Non-controlling interest in subsidiaries

 

3,054 

 

 

2,760 

 

 

Total equity

 

98,888 

 

 

94,340 

 

 

TOTAL LIABILITIES AND EQUITY

$

187,502 

 

$

165,781 


See the accompanying Notes to Condensed Consolidated Financial Statements.



4



American Independence Corp. and Subsidiaries

Condensed Consolidated Statements of Income

(In thousands, except per share data)

(Unaudited)


 

 

Three Months

 

Nine Months

 

 

Ended September 30,

 

Ended September 30,

 

 

2015

 

2014

 

2015

 

2014

REVENUES:

 

 

 

 

 

 

 

 

 

Premiums earned ($20,625, $17,217, $61,133 and

 

 

 

 

 

 

 

 

 

 

$51,036, respectively, from related parties)

$

37,429 

$

33,927 

$

110,878 

$

100,055 

 

Fee and agency income ($5,606, $3,987, $15,776

 

 

 

 

 

 

 

 

 

 

and $11,490, respectively, from related parties)

 

8,821 

 

5,944 

 

22,443 

 

21,481 

 

Net investment income

 

586 

 

544 

 

1,696 

 

1,645 

 

Net realized investment gains (losses)

 

(162)

 

580 

 

190 

 

863 

 

Other income

 

57 

 

162 

 

691 

 

220 

 

 

46,731 

 

41,157 

 

135,898 

 

124,264 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPENSES

 

 

 

 

 

 

 

 

 

Insurance benefits, claims and reserves ($8,916, $10,597,

 

 

 

 

 

 

 

 

 

 

$34,410 and $34,259, respectively, from related parties)

 

24,189 

 

21,229 

 

73,455 

 

64,012 

 

Selling, general and administrative expenses ($6,891, $5,838,

 

 

 

 

 

 

 

 

 

 

$18,583 and $16,394, respectively, from related parties)

 

19,407 

 

16,215 

 

55,933 

 

53,703 

 

Amortization and depreciation

 

449 

 

418 

 

1,128 

 

1,280 

 

 

44,045 

 

37,862 

 

130,516 

 

118,995 

 

 

 

 

 

 

 

 

 

Income before income tax

 

2,686 

 

3,295 

 

5,382 

 

5,269 

Provision for income taxes

 

1,050 

 

1,339 

 

2,037 

 

1,988 

 

 

 

 

 

 

 

 

 

Net income

 

1,636 

 

1,956 

 

3,345 

 

3,281 

 

Less: Net (income) loss attributable to the non-controlling interest

 

 

101 

 

(95)

 

(125)

 

 

 

 

 

 

 

 

 

Net income attributable to American Independence Corp.

$

1,641 

$

2,057 

$

3,250 

$

3,156 

 

 

 

 

 

 

 

 

 

Basic income per common share:

 

 

 

 

 

 

 

 

 

Net income attributable to

 

 

 

 

 

 

 

 

 

 

American Independence Corp. common stockholders

$

.20 

$

.25 

$

.40 

$

.39 

 

 

 

 

 

 

 

 

 

Weighted-average shares outstanding

 

8,083 

 

8,079 

 

8,080 

 

8,076 

 

 

 

 

 

 

 

 

 

Diluted income per common share:

 

 

 

 

 

 

 

 

 

Net income attributable to

 

 

 

 

 

 

 

 

 

 

American Independence Corp. common stockholders

$

.20 

$

.25 

$

.40 

$

.39 

 

 

 

 

 

 

 

 

 

Weighted-average diluted shares outstanding

 

8,094 

 

8,097 

 

8,092 

 

8,102 


See the accompanying Notes to Condensed Consolidated Financial Statements.




5




American Independence Corp. and Subsidiaries

Condensed Consolidated Statements of Comprehensive Income (Loss)

(In thousands)

(Unaudited)


 

 

Three Months

 

Nine Months

 

 

Ended September 30,

 

Ended September 30,

 

 

2015

 

2014

 

2015

 

2014

 

 

 

 

 

 

 

 

 

Net Income

$

1,636 

$

1,956 

$

3,345 

$

3,281 

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

 

Unrealized holding gains (losses) arising during the period, net of tax

 

 

 

 

 

 

 

 

 

 

expense of $329, $0, $385 and $0, respectively

 

611 

 

(188)

 

868 

 

2,136 

 

Less: reclassification adjustment for gains included in net income, net of

 

 

 

 

 

 

 

 

 

 

tax expense (benefit) of $(3), $0, $124 and $0, respectively

 

 

(622)

 

(230)

 

(814)

Other comprehensive income (loss)

 

617 

 

(810)

 

638 

 

1,322 

Comprehensive income (loss)

 

2,253 

 

1,146 

 

3,983 

 

4,603 

 

Less: comprehensive (income) loss attributable to non-controlling interests

 

 

101 

 

(95)

 

(125)

Comprehensive income (loss) attributable to American Independence Corp.

$

2,258 

$

1,247 

$

3,888 

$

4,478 


_______________________________________________________________________________________________

See the accompanying Notes to Condensed Consolidated Financial Statements.



6



American Independence Corp. and Subsidiaries

Condensed Consolidated Statement of Changes In Stockholders’ Equity

(In thousands)

(Unaudited)


 

 

 

 

 

 

ACCUMULATED

 

 

 

 

 

 

 

NON-

 

 

 

 

 

 

ADDITIONAL

 

OTHER

 

TREASURY

 

 

 

TOTAL AMIC

 

CONTROLLING

 

 

 

 

COMMON

 

PAID-IN

 

COMPREHENSIVE

 

STOCK,

 

RETAINED

 

STOCKHOLDERS’

 

INTERESTS IN

 

TOTAL

 

 

STOCK

 

CAPITAL

 

INCOME (LOSS)

 

AT COST

 

EARNINGS

 

EQUITY

 

SUBSIDIARIES

 

EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BALANCE AT DECEMBER 31, 2014

$

92 

$

79,746 

$

(154)

$

(10,243)

$

22,139 

$

91,580 

$

2,760 

$

94,340 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

 

 

 

 

 

 

 

 

3,250 

 

3,250 

 

95 

 

3,345 

Other comprehensive income, net of tax

 

 

 

 

 

638 

 

 

 

 

 

638 

 

 

 

638 

Exercise of stock options

 

 

 

 

 

 

 

82 

 

(30)

 

52 

 

 

 

52 

Acquisition of IPA Family, LLC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

non-controlling interests

 

 

 

338 

 

 

 

 

 

 

 

338 

 

(464)

 

(126)

Acquisition of  Global Accident

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facilities, LLC (“GAF”)

 

 

 

 

 

 

 

 

 

 

 

 

 

608 

 

608 

Share-based compensation expense

 

 

 

32 

 

 

 

 

 

 

 

32 

 

 

 

32 

Other

 

 

 

 

 

 

 

 

 

(56)

 

(56)

 

55 

 

(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BALANCE AT SEPTEMBER 30, 2015

$

92 

$

80,116 

$

484 

$

(10,161)

$

25,303 

$

95,834 

$

3,054 

$

98,888 


See the accompanying Notes to Condensed Consolidated Financial Statements.



7




American Independence Corp. and Subsidiaries

Condensed Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

 

 

Nine Months Ended

 

 

September 30,

 

 

2015

 

2014

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

 

 

Net income

3,345 

3,281 

 

Adjustments to reconcile net income to net change in

 

 

 

 

     

      cash from operating activities:

 

 

 

 

 

Net realized investment gains

 

(190)

 

 (863)

 

Amortization and depreciation

 

1,128 

 

 1,280 

 

Equity income

 

(182)

 

(214)

 

Net gain on step acquisition of GAF and settlement of pre-existing

 

 

 

 

 

relationships  (see Note 2)

 

(503)

 

 

Deferred tax expense

 

1,918 

     

1,890 

 

Non-cash stock compensation expense

 

32 


40 

 

Amortization of bond premiums and discounts

 

446 


399 

 

Change in operating assets and liabilities:

 

 

 

 

 

Change in trading securities

 

(133)


(228)

 

Change in policy benefits and claims

 

10,203 


(2,957)

 

Change in net amounts due from and to reinsurers

 

(1,719)

 

788 

 

Change in accrued fee income

 

(558)

 

(874)

 

Change in claims fund

 

(165)

 

(928)

 

Change in commissions payable

 

1,460 

 

(39)

 

Change in premiums receivable

 

(4,540)

 

219 

 

Change in income taxes

 

98 

 

145 

 

Distribution from interest in partnerships

 

173 

 

 

Change in other assets and other liabilities

 

2,498 

 

(244)

 

 

 

 

 

Net cash provided by operating activities

 

13,311 

 

1,695 

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

 

 

Net sales of securities under resale and repurchase agreements

 

(1,473)

 

584 

 

Sales of and principal repayments on fixed maturities

 

39,824 

 

40,034 

 

Maturities and other repayments of fixed maturities

 

3,212 

 

2,866 

 

Purchases of fixed maturities

 

(53,473)

 

(44,485)

 

Change in loans receivable

 

404 

 

73 

 

Cash acquired in acquisition of GAF, net of cash paid

 

511 

 

 

Other investing activities

 

(439)

 

(351)

 

 

 

 

 

Net cash used by investing activities

 

(11,434)

 

(1,279)

 

 

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES:

 

 

 

 

Proceeds from exercise of stock options

 

52 

 

33 

Repayment of debt

 

(137)

 

IPA acquisition of non-controlling interest

 

(126)

 

Dividends paid to non-controlling interests

 

 

(473)

 

 

 

 

 

Net cash used by financing activities

 

(211)

 

(440)

 

 

 

 

 

 

Increase (decrease) in cash and cash equivalents

 

1,666 

 

(24)

Cash and cash equivalents, beginning of period

 

4,569 

 

4,424 

Cash and cash equivalents, end of period

6,235 

4,400 

 

 

 

 

 

SUPPLEMENTAL CASH FLOW INFORMATION:

 

 

 

 

Cash paid for interest

19 

Cash paid for income taxes

28 

See the accompanying Notes to Condensed Consolidated Financial Statements.



8


American Independence Corp. and Subsidiaries

Notes to Condensed Consolidated Financial Statements

(Unaudited)


1.

Significant Accounting Policies and Practices


(A)

Business and Organization


American Independence Corp. is a Delaware corporation (NASDAQ: AMIC).  We are a holding company principally engaged in the insurance and reinsurance business through: a) our wholly owned insurance company, Independence American Insurance Company ("Independence American"); b) our full service direct writer of medical stop-loss insurance for self-insured employer groups, IHC Risk Solutions, LLC (“Risk Solutions”); c) our 23% investment in Majestic Underwriters LLC ("Majestic"); d) our 51% ownership in HealthInsurance.org, LLC (“HIO”), a lead generation agency; e) our wholly owned sales and marketing company, IHC Specialty Benefits, Inc. (“Specialty Benefits”); f) our 80% ownership in Global Accident Facilities, LLC (“GAF”), a holding company for agencies that primarily produces occupational accident and injury on duty business; g) our wholly owned career sales agency, IPA Family, LLC (“IPA Family”); and h) our 92% ownership in IPA Direct, LLC (“IPAD”), a consumer direct sales call center.  


As used in this report, unless otherwise required by the context, AMIC and its subsidiaries are sometimes collectively referred to as the "Company" or "AMIC", or are implicit in the terms "we", "us" and "our".  Risk Solutions, Specialty Benefits, HIO, GAF, IPAD and IPA Family are collectively referred to as “our Agencies”.


Since November 2002, AMIC has been affiliated with Independence Holding Company ("IHC").  Through various transactions subsequently, IHC and its subsidiaries further increased its ownership of AMIC to approximately 92%. The senior management of IHC provides direction to the Company through a service agreement between the Company and IHC.  IHC has also entered into reinsurance treaties through its wholly owned subsidiaries, Standard Security Life Insurance Company of New York (“Standard Security Life”) and Madison National Life Insurance Company, Inc. (“Madison National Life”), whereby the Company assumes reinsurance premiums from the following lines of business: medical stop-loss, New York State Disability Benefits Law ("DBL"), short-term medical, long-term disability (“LTD”) and group major medical.


(B)

Consolidation


(i)

IPA Family


During the second quarter of 2015, AMIC purchased all remaining ownership shares of IPA Family from non-controlling interests for cash consideration of approximately $126,000, thereby increasing its ownership interest in IPA Family to 100% as of June 30, 2015.  At December 31, 2014, the Company owned 90% of IPA Family.  As a result of this transaction, the Company recorded a $338,000 credit to additional paid-in capital representing the difference between the fair value of the consideration paid and the carrying value of the non-controlling interests, which was $464,000 at the time of the transaction.


Effects of Ownership Changes in Subsidiaries


The following table summarizes the effects of changes in the Company’s ownership interests in its subsidiaries on AMIC’s equity for the nine months ended September 30, 2015 (in thousands):


Changes in AMIC’s paid-in capital:

 

 

 

    Purchase of IPA Family ownership interest

 

$

338 

 

 

 

 

         Net transfers from non-controlling interests

 

$

(338)


(ii)

GAF


During the second quarter of 2015, the Company increased its ownership in GAF to 80%.  See Note 2 for information regarding the acquisition of GAF.



9



(C)

Basis of Presentation


The unaudited condensed consolidated financial statements have been prepared in conformity with U.S. generally accepted accounting principles (“U.S. GAAP”) and include the accounts of AMIC and its consolidated subsidiaries. All intercompany transactions have been eliminated in consolidation. The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect:  (i) the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements; and (ii) the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. AMIC’s annual report on Form 10-K for the year ended December 31, 2014, as filed with the Securities and Exchange Commission, should be read in conjunction with the accompanying condensed consolidated financial statements.  


AMIC acquired a controlling interest in GAF on April 30, 2015.  Prior to obtaining control, AMIC recorded its investment in GAF using the equity method.  AMIC recorded changes in its investment in GAF in the “Other income” line in the Condensed Consolidated Statements of Income.  Upon achieving control, on April 30, 2015, GAF’s income and expense amounts became consolidated with AMIC’s results.  The Condensed Consolidated Balance Sheet at September 30, 2015 includes the consolidated balance sheet of GAF.


In the opinion of management, all adjustments (consisting only of normal recurring accruals) that are necessary for a fair presentation of the condensed consolidated financial position and results of operations for the interim periods have been included. The Condensed Consolidated Statements of Income for the nine months ended September 30, 2015 is not necessarily indicative of the results to be anticipated for the entire year.


(D)

Recent Accounting Pronouncements


Recently Adopted Accounting Standards


In April 2014, the Financial Accounting Standards Board (“FASB”) issued guidance: (i) improving the definition of discontinued operations by limiting the reporting of discontinued operations to disposals of components that represent strategic shifts that have (or will have) a major effect on an entity’s operations and financial results; and (ii) requiring expanded disclosures for discontinued operations.  The adoption of this guidance did not have any effect on the Company’s consolidated financial statements.


Recently Issued Accounting Standards Not Yet Adopted


In September 2015, the FASB issued guidance to simplify the accounting for adjustments made to provisional amounts recognized in a business combination and eliminate the requirement to retrospectively account for those adjustments. For public business entities, the amendments in this Update are effective for fiscal years beginning after December 15, 2015, including interim periods within those fiscal years. The amendments in this Update should be applied prospectively to adjustments to provisional amounts that occur after the effective date of this Update with earlier application permitted for financial statements that have not been issued. The adoption of this guidance is not expected to have a material effect on the Company’s consolidated financial statements.


In May 2015, the FASB issued guidance requiring additional disclosures for short-duration contracts regarding the liability for unpaid claims and claim adjustment expenses. For public entities, the guidance is effective for annual reporting periods beginning after December 15, 2015, and interim periods within annual periods beginning after December 15, 2016. Early adoption is permitted. The adoption of this guidance is not expected to have a significant effect on the Company’s consolidated financial statements.


In June 2014, the FASB issued explicit guidance for entities that grant their employees share-based payments in which the terms of the award include a performance target that affects vesting and could be achieved after the requisite service period.  This guidance is effective for annual periods, and interim periods within those annual periods, beginning after December 15, 2015. Earlier adoption is permitted. The guidance may be applied either prospectively to all awards granted or modified after the effective date or retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards thereafter. The adoption of this guidance is not expected to have a material effect on the Company’s consolidated financial statements.


In May 2014, the FASB issued revenue recognition guidance for entities that either enter into contracts with customers to transfer goods or services or enter into contracts for the transfer of nonfinancial assets unless those contracts are within the scope of other standards such as insurance contracts or lease contracts. The amendment provides specific steps that an entity should apply in order to achieve its main objective which is recognizing revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. In August 2015, the effective date of this guidance has been deferred. For public entities, this guidance is effective for annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, and requires one of two specified



10



retrospective methods of application. Earlier application is permitted only as of annual reporting periods beginning after December 15, 2016, including interim reporting periods within that reporting period. Management has not yet determined the impact that the adoption of this guidance will have on the Company’s consolidated financial statements.


(E)

Segment Reporting


The Company manages and reports the business as a single segment in accordance with FASB guidance, which views certain qualitative and quantitative criteria for determining whether different lines of business should be aggregated for financial reporting purposes.  FASB guidance requires the use of the “management approach” model for segment reporting. The management approach model is based on the way a company’s management organizes segments within the company for making operating decisions and assessing performance. Reportable segments are based on products and services, geography, legal structure, management structure or any other manner in which management disaggregates a company.

 

The Company is managed with a focus on its overall insurance and reinsurance capabilities as opposed to any one line of business.  Our Chief Executive Officer, who is our chief decision maker, evaluates financial information for our business as a single segment in allocating resources and assessing performance.  The integrated nature of our insurance lines of business with our Agencies is sufficiently commingled to permit their aggregation as a single reporting segment.


2.

Global Accident Facilities, LLC


On April 30, 2015 (the "Acquisition Date"), through a settlement with a former owner, AMIC increased its ownership in Global Accident Facilities, LLC (“GAF) from 40% to 80%, in order to obtain control of the business it produces for Independence American.  GAF and its subsidiaries are principally engaged in the marketing, underwriting and administration of specialty risk insurance, referred to as Occupational Accident and Injury on Duty for Independence American, which are offered exclusively in Texas and Massachusetts, respectively. The consideration transferred in exchange for the additional 40% ownership interest consisted of: (i) $325,000 in cash; and (ii) non-monetary consideration, primarily consisting of the settlement of a pre-existing relationship with the former owner, with a fair value of $1,195,000 at the Acquisition Date.  The fair value of the settlement of the pre-exiting relationship was based on projected future underwriting results discounted for collectability.  The acquisition resulted in AMIC’s obtaining control of GAF.  Immediately preceding the transaction, AMIC’s carrying value of its investment in GAF was $1,908,000.


As a result of AMIC obtaining control, the Company has included GAF’s consolidated assets and liabilities and results of operations, subsequent to the Acquisition Date, in its consolidated financial results as of and for the periods ended September 30, 2015.  Accordingly, the individual line items on the unaudited Condensed Consolidated Statements of Income for 2015 reflect approximately five months of the operations of GAF with no corresponding amounts for 2014.


On the Acquisition Date, the Company recognized a net pre-tax gain of $503,000 as follows: (i) a loss of $692,000 was recognized by AMIC as a result of re-measuring its equity interest in GAF to its fair value of $1,216,000 immediately before the acquisition; and (ii) a gain of $1,195,000 was recognized by AMIC as a result of settling the pre-existing relationship with the former owner.  The net pre-tax gain of $503,000 is included in the “Other income” line in the Condensed Consolidated Statements of Income.


Upon the acquisition of a controlling interest, the Company consolidated the net assets of GAF.  Accordingly, the Company determined the fair value of the identifiable assets acquired and liabilities assumed from GAF on the Acquisition Date. The following table presents the identifiable assets acquired and liabilities assumed in the acquisition of GAF on the Acquisition Date based on their respective fair values (in thousands):


Cash

 

$

836

Intangible assets

 

 

5,500

Other assets

 

 

1,249

 

 

 

 

 

Total identifiable assets

 

 

7,585

 

 

 

 

Other liabilities

 

 

4,849

Deferred tax liability

 

 

2,200

Debt

 

 

3,326

 

 

 

 

 

Total liabilities

 

 

10,375

 

 

 

 

Net identifiable liabilities assumed

 

$

2,790




11



Included in other liabilities assumed is a $1,000,000 contingent liability recorded in connection with an earn-out agreement with a former owner of a subsidiary of GAF.  In accordance with this agreement, payments are required in 2016 and 2019 based on certain earnings targets.  The fair value of the contingent liability is estimated based on projected income.  The significant inputs are not observable and thus represent a fair value measurement categorized within Level 3 of the fair value hierarchy.


In connection with the acquisition, the Company recorded $6,134,000 of goodwill and $5,500,000 of intangible assets (see Note 7).  Goodwill reflects the synergies between GAF and Independence American as GAF is the primary producer of Occupational Accident and Injury on Duty business for Independence American.  Goodwill was calculated as the excess of the sum of: (i) the acquisition date fair value of total consideration transferred of $1,520,000; (ii) the acquisition date fair value of the equity interest in GAF immediately preceding the acquisition of $1,216,000; and (iii) the fair value of the non-controlling interest in GAF of $608,000 on the acquisition date; over (iv) the net liabilities of $2,790,000 that were assumed.  The enterprise value of GAF was determined by an independent appraisal using a discounted cash flow model based upon the projected future earnings of GAF including a control premium.  The fair value of the non-controlling interest was determined based upon their percentage of the GAF enterprise value discounted for a lack of control.  The fair value of the acquired identifiable intangible assets and deferred taxes are provisional pending receipt of the final valuations for those assets and liabilities.  The Company expects to finalize the preliminary estimates of the fair value of the intangible assets and deferred taxes by the end of this year.


For the period from the Acquisition Date to September 30, 2015, the Company’s Condensed Consolidated Statement of Income includes revenues and net income of $4,220,000 and $359,000, respectively, from GAF. For the three months ended September 30, 2015, the Company’s Condensed Consolidated Statement of Income includes revenues and net income of $2,480,000 and $59,000, respectively, from GAF.


3.

Income Per Common Share


Income per common share calculations are based on the weighted-average of common shares and common share equivalents outstanding during the year.  Common stock options are considered to be common share equivalents and are used to calculate income per common share except when they are anti-dilutive.  Included in the diluted earnings per share calculation for both the three months and nine months ended September 30, 2015 are approximately 12,000 shares from the assumed exercise of options using the treasury stock method.  Included in the diluted earnings per share calculation for nine months ended September 30, 2014 are approximately 26,000 shares from the assumed exercise of options using the treasury stock method.  For the three months ended September 30, 2014, shares from the assumed dilution due to the exercise of common stock options using the treasury stock method were deemed anti-dilutive.  Net income does not change as a result of the assumed dilution of options.  


4.

Fee and Agency Income


The Company records fee income as corresponding policy premiums are earned.  Risk Solutions is compensated in two ways.  Risk Solutions earns fee income based on the volume of business produced for marketing, underwriting and administrative services that they provide for their carriers (“fee income–administration”), and earns profit-sharing commissions if such business exceeds certain profitability benchmarks (“fee income–profit commissions”). Profit-sharing commissions are accounted for beginning in the period in which the Company believes they are reasonably estimable, which is typically at the point that claims have developed to a level where recent claim development history (“Claim Development Patterns”) can be applied to generate reasonably reliable estimates of ultimate claim levels. Profit-sharing commissions are a function of Risk Solutions attaining certain profitability thresholds and could vary greatly from quarter to quarter.  Agency income consists of commissions, fees and lead revenue earned by our Agencies.  Agency income from GAF was $1,311,000 and $2,450,000 for the three months and nine months ended September 30, 2015, respectively, and is included in the table below with no comparable 2014 amounts.


Fee and Agency income consisted of the following (in thousands):


 

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

 

 

September 30,

 

 

2015

 

2014

 

 

2015

 

2014

 

 

 

 

 

 

 

 

 

 

Agency income

 $

 4,450 

 $

2,828 

 

 $

10,566 

 $

12,451 

Fee income–administration

 

 3,860 

 

2,919 

 

 

11,428 

 

8,461 

Fee income– profit commissions

 

 511 

 

197 

 

 

449 

 

569 

 

 

 

 

 

 

 

 

 

 

 

 $

 8,821 

 $

5,944 

 

 $

22,443 

 $

21,481 



12




5.

Investments


The cost (amortized cost with respect to certain fixed maturities), gross unrealized gains, gross unrealized losses and fair value of long-term investment securities are as follows (in thousands):


 

 

SEPTEMBER 30, 2015

 

 

 

 

GROSS

 

GROSS

 

 

 

 

AMORTIZED 

 

UNREALIZED

 

UNREALIZED

 

FAIR

 

 

    COST

 

GAINS

 

LOSSES

 

VALUE

 

 

 

 

 

 

 

 

 

FIXED MATURITIES

 

 

 

 

 

 

 

 

AVAILABLE-FOR-SALE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate securities

$

33,024 

$

117 

$

(369)

$

32,772 

Foreign government

 

602 

 

19 

 

 

621 

Collateralized mortgage obligations (CMO) – residential

 

209 

 

 

 

212 

CMO – commercial

 

390 

 

121 

 

 

511 

States, municipalities and political subdivisions

 

40,920 

 

633 

 

(104)

 

41,449 

U.S. Government

 

7,677 

 

145 

 

 

7,822 

Government sponsored enterprise (GSE)

 

1,019 

 

25 

 

 

1,044 

Agency mortgage backed pass through securities (MBS)

 

37 

 

 

 

38 

Redeemable preferred stocks

 

273 

 

98 

 

 

371 

 Total fixed maturities

$

84,151 

$

1,162 

$

(473)

$

84,840 


EQUITY SECURITIES

 

 

 

 

 

 

 

 

AVAILABLE-FOR-SALE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nonredeemable preferred stocks

 

969 

 

56 

 

 

1,025 

Total available-for-sale equity securities

$

969 

$

56 

$

$

1,025 


 

 

DECEMBER 31, 2014

 

 

 

 

GROSS

 

GROSS

 

 

 

 

AMORTIZED 

 

UNREALIZED

 

UNREALIZED

 

FAIR

 

 

    COST 

 

GAINS

 

LOSSES

 

VALUE

 

 

 

 

 

 

 

 

 

FIXED MATURITIES

 

 

 

 

 

 

 

 

AVAILABLE-FOR-SALE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate securities

$

29,905 

$

90 

$

(438)

$

29,557 

Foreign government

 

6,616 

 

34 

 

(101)

 

6,549 

CMO – residential

 

851 

 

 

(2)

 

853 

CMO – commercial

 

390 

 

 

(9)

 

381 

States, municipalities and political subdivisions

 

27,631 

 

260 

 

(212)

 

27,679 

U.S. Government

 

6,674 

 

49 

 

 

6,723 

GSE

 

1,400 

 

23 

 

(7)

 

1,416 

MBS

 

65 

 

 

 

69 

Redeemable preferred stocks

 

273 

 

108 

 

 

381 

 Total fixed maturities

$

73,805 

$

572 

$

(769)

$

73,608 

 

 

 

 

 

 

 

 

 


EQUITY SECURITIES

 

 

 

 

 

 

 

 

AVAILABLE-FOR-SALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nonredeemable preferred stocks

 

970 

 

43 

 

 

1,013 

Total available-for-sale equity securities

$

970 

$

43 

$

$

1,013 


Government-sponsored enterprises (“GSEs”) are private enterprises established and chartered by the Federal Government, or its various insurance and lease programs that carry the full faith and credit obligation of the US Government.


The amortized cost and fair value of fixed maturities at September 30, 2015, by contractual maturity, are shown below.  Expected maturities will differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties.  CMOs and MBSs are shown separately, as they are not due at a single maturity.



13




 

 

 

 

 

 

 

AMORTIZED

 

FAIR

 

 

COST

 

VALUE

 

 

(In thousands)

 

 

 

 

 

Due in one year or less

$

876

$

885

Due after one year through five years

 

24,592

 

24,670

Due after five years through ten years

 

24,497

 

24,741

Due after ten years

 

33,525

 

33,755

CMOs and MBSs

 

661

 

789

 

 

 

 

 

 

$

84,151

$

84,840


The following tables summarize, for all securities in an unrealized loss position at September 30, 2015 and December 31, 2014, the aggregate fair value and gross unrealized loss by length of time, those securities that have continuously been in an unrealized loss position (in thousands):


 

 

September 30, 2015

 

 

Less than 12 Months

12 Months or Longer

Total

 

 

Fair

 

Unrealized

 

Fair

 

Unrealized

 

Fair

 

Unrealized

 

 

Value

 

Loss

 

Value

 

Losses

 

Value

 

Losses

FIXED MATURITIES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate securities

$

9,707 

$

100 

$

7,851 

$

269 

$

17,558 

$

369 

States, municipalities and political subdivisions

 

1,909 

 

23 

 

1,568 

 

81 

 

3,477 

 

104 

  Total temporarily impaired securities

$

11,616 

$

123 

$

9,419 

$

350 

$

21,035 

$

473 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of securities in an unrealized loss position

 

10 

 

 

 

 

 

 

18 

 

 


 

 

December 31, 2014

 

 

Less than 12 Months

12 Months or Longer

Total

 

 

Fair

 

Unrealized

 

Fair

 

Unrealized

 

Fair

 

Unrealized

 

 

Value

 

Loss

 

Value

 

Losses

 

Value

 

Losses

FIXED MATURITIES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate securities

$

6,101 

$

83 

$

14,087 

$

355 

$

20,188 

$

438 

Foreign government

 

4,550 

 

40 

 

1,355 

 

61 

 

5,905 

 

101 

CMO – residential

 

 

 

566 

 

 

566 

 

CMO – commercial

 

 

 

381 

 

 

381 

 

States, municipalities and political subdivisions

 

3,691 

 

61 

 

6,448 

 

151 

 

10,139 

 

212 

GSE

 

 

 

351 

 

 

351 

 

  Total temporarily impaired securities

$

14,342 

$

184 

$

23,188 

$

585 

$

37,530 

$

769 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of securities in an unrealized loss position

 

11 

 

 

 

22 

 

 

 

33 

 

 


Substantially all of the unrealized losses on fixed maturities at September 30, 2015 and December 31, 2014 were attributable to changes in market interest rates.  Because the Company does not intend to sell, nor is it more likely than not that the Company will have to sell, such investments before recovery of their amortized cost bases, the Company does not consider those investments to be other-than-temporarily impaired at September 30, 2015.


The following table summarizes the Company’s net investment income for three months and nine months ended September 30, 2015 and 2014 (in thousands):


 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

2015

 

2014

 

2015

 

2014

 

 

 

 

 

 

 

 

 

Fixed maturities

$

553 

$

517 

$

1,567 

$

1,627 

Equity securities

 

34 

 

32 

 

85 

 

87 

Short-term investments

 

 

 

 

Other

 

(2)

 

(6)

 

41 

 

(71)

 

 

 

 

 

 

 

 

 

Net investment income

$

586 

$

544 

$

1,696 

$

1,645 


Net realized investment gains for the three months and nine months ended September 30, 2015 and 2014 are as follows (in



14



thousands):


 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

2015

 

2014

 

2015

 

2014

 

 

 

 

 

 

 

 

 

Available-for-sale securities:

 

 

 

 

 

 

 

 

Fixed maturities

$

(9)

$

621 

$

354 

$

814 

Preferred stock

 

 

 

 

    Total available-for-sale securities

 

 (9)

 

621 

 

354 

 

814 

 

 

 

 

 

 

 

 

 

Trading securities

 

 (88)

 

65 

 

 (74)

 

52 

Change in unrealized gain on trading securities

 

 (65)

 

 (106)

 

 (90)

 

 (3)

 

 

 

 

 

 

 

 

 

    Net realized investment gains (losses)

$

 (162)

$

580 

$

190 

$

863 


For the nine months ended September 30, 2015 and 2014, proceeds from sales of available-for-sale securities were $39,824,000 and $40,034,000, respectively. For the three months and nine months ended September 30, 2015, the Company recorded realized gross gains of $0 and $451,000, respectively, and gross losses of $9,000 and $97,000, respectively, on available-for-sale securities.  For the three months and nine months ended September 30, 2014, the Company recorded realized gross gains of $631,000 and $936,000, respectively, and gross losses of $10,000 and $122,000, respectively, on available-for-sale securities.


We recognize an other-than-temporary impairment loss in earnings in the period that we determine: 1) we intend to sell the security; 2) it is more likely than not that we will be required to sell the security before recovery of its amortized cost basis; or 3) the security has a credit loss. Any non-credit portion of the other-than-temporary impairment loss is recognized in other comprehensive income (loss).  For the nine months ended September 30, 2015 and 2014, there were no other-than-temporary impairments recognized in earnings.


Cumulative credit losses for other-than-temporary impairments recorded on securities for which a portion of an other-than-temporary impairment was recognized in other comprehensive income (loss) were $288,000 as of September 30, 2015 and December 31, 2014.


6.

Fair Value Measurements


For all financial and non-financial instruments accounted for at fair value on a recurring basis, the Company utilizes valuation techniques based upon observable and unobservable inputs. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect our market expectations. These two types of inputs create the following fair value hierarchy:


Level 1 –

Quoted prices for identical instruments in active markets.

 

 

Level 2 –

Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable.

 

 

Level 3 –

Instruments where significant value drivers are unobservable.


The following section describes the valuation methodologies we use to measure different financial instruments at fair value.


Investments in fixed maturities and equity securities


Available-for-sale securities included in Level 1 are equity securities with quoted market prices.  Level 2 is primarily comprised of our portfolio of corporate fixed income securities, government agency mortgage-backed securities, government sponsored enterprises, certain CMO securities, municipals and certain preferred stocks that were priced with observable market inputs.  Level 3 securities consist of CMO securities backed by Alt-A mortgages.  For these securities, we use industry-standard pricing methodologies, including discounted cash flow models, whose inputs are based on management’s assumptions and available market information. Significant unobservable inputs used in the fair value measurement of CMO’s are prepayment rates, probability of default, and loss severity in the event of default. Significant increases (decreases) in any of those inputs in isolation would result in a significantly lower (higher) fair value measurement. Generally, a change in the assumption used for the probability of default is accompanied by a directionally similar change in the assumption used for loss severity and a directionally opposite change in the assumption used for prepayment rates.  Further we retain independent pricing vendors to assist in valuing certain instruments.



15




Trading securities


Trading securities included in Level 1 are equity securities with quoted market prices.


The following tables present our financial assets and liabilities measured at fair value on a recurring basis at September 30, 2015 and December 31, 2014 (in thousands):


 

 

September 30, 2015

 

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

FINANCIAL ASSETS:

 

 

 

 

 

 

 

 

 

 

 

Fixed maturities available-for-sale:

 

 

 

 

 

 

 

 

 

 

 

    Corporate securities

$

 

$

32,772 

 

$

 

$

32,772 

    Foreign government

 

 

 

621 

 

 

 

 

621 

    CMO – residential

 

 

 

212 

 

 

 

 

212 

    CMO – commercial

 

 

 

 

 

511 

 

 

511 

    States, municipalities and political   

 

 

 

 

 

 

 

 

 

 

 

         subdivisions

 

 

 

41,449 

 

 

 

 

41,449 

    U.S. government

 

 

 

7,822 

 

 

 

 

7,822 

    GSE

 

 

 

1,044 

 

 

 

 

1,044 

    MBS – residential

 

 

 

38 

 

 

 

 

38 

    Redeemable preferred stocks

 

371 

 

 

 

 

 

 

371 

         Total fixed maturities

 

371 

 

 

83,958 

 

 

511 

 

 

84,840 

 

 

 

 

 

 

 

 

 

 

 

 

Equity securities available-for-sale:

 

 

 

 

 

 

 

 

 

 

 

    Nonredeemable preferred stocks

 

1,025 

 

 

 

 

 

 

1,025 

         Total equity securities

 

1,025 

 

 

 

 

 

 

1,025 

 

 

 

 

 

 

 

 

 

 

 

 

Trading securities:

 

 

 

 

 

 

 

 

 

 

 

    Common Stock

 

1,107 

 

 

 

 

 

 

1,107 

         Total trading securities

 

1,107 

 

 

 

 

 

 

1,107 

 

 

 

 

 

 

 

 

 

 

 

 

Total Financial Assets

$

2,503 

 

$

83,958 

 

$

511 

 

$

86,972 


FINANCIAL LIABILITIES:

 

 

 

 

 

 

 

 

 

 

 

    Contingent liability

$

 

$

 

$

1,000 

 

$

1,000 


 

 

December 31, 2014

 

 

Level 1

 

 

Level 2

 

 

Level 3

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

FINANCIAL ASSETS:

 

 

 

 

 

 

 

 

 

 

 

Fixed maturities available-for-sale:

 

 

 

 

 

 

 

 

 

 

 

    Corporate securities

$

 

$

29,557 

 

$

 

$

29,557 

    Foreign government

 

 

 

6,549 

 

 

 

 

6,549 

    CMO – residential

 

 

 

853 

 

 

 

 

853 

    CMO – commercial

 

 

 

 

 

381 

 

 

381 

    States, municipalities and political   

 

 

 

 

 

 

 

 

 

 

 

         subdivisions

 

 

 

27,679 

 

 

 

 

27,679 

    U.S. government

 

 

 

6,723 

 

 

 

 

6,723 

    GSE

 

 

 

1,416 

 

 

 

 

1,416 

    MBS – residential

 

 

 

69 

 

 

 

 

69 

    Redeemable preferred stocks

 

381 

 

 

 

 

 

 

381 

         Total fixed maturities

 

381 

 

 

72,846 

 

 

381 

 

 

73,608 

 

 

 

 

 

 

 

 

 

 

 

 

Equity securities available-for-sale:

 

 

 

 

 

 

 

 

 

 

 

    Nonredeemable preferred stocks

 

1,013 

 

 

 

 

 

 

1,013 

         Total equity securities

 

1,013 

 

 

 

 

 

 

1,013 

 

 

 

 

 

 

 

 

 

 

 

 

Trading securities:

 

 

 

 

 

 

 

 

 

 

 

    Common Stock

 

1,138 

 

 

 

 

 

 

1,138 

         Total trading securities

 

1,138 

 

 

 

 

 

 

1,138 

 

 

 

 

 

 

 

 

 

 

 

 

Total Financial Assets

$

2,532 

 

$

72,846 

 

$

381 

 

$

75,759 




16



The following table provides carrying values, fair values and classification in the fair value hierarchy of the Company’s financial instruments, for the periods indicated, that are not carried at fair value but are subject to fair value disclosure requirements, for the periods indicated (in thousands):


 

 

September 30, 2015

 

December 31, 2014

 

 

Level 2

 

 

 

Level 2

 

 

 

 

Fair

 

Carrying

 

Fair

 

Carrying

 

 

Value

 

Value

 

Value

 

Value

 

 

 

 

 

 

 

 

 

FINANCIAL LIABILITIES:

 

 

 

 

 

 

 

 

Debt

$

3,098

$

3,189

$

-

$

-


The following methods and assumptions were used to estimate the fair value of the financial instruments that are not carried at fair value in the Consolidated Financial Statements:


Debt


The fair value of debt with fixed interest rates approximates its carrying amount and is included in Level 2 of the fair value hierarchy.


It is the Company’s policy to recognize transfers of assets and liabilities between levels of the fair value hierarchy at the end of a reporting period.  For the nine months ending September 30, 2015, there were no transfers of assets and liabilities between Level 1 and Level 2 of the fair value hierarchy.  No securities were transferred out of the Level 2 and into the Level 3 category during the nine months ended September 30, 2015 or 2014.  The Company does not transfer out of Level 3 and into Level 2 until such time as observable inputs become available and reliable or the range of available independent prices narrow.  No securities were transferred out of the Level 3 category during the nine months ended September 30, 2015 or 2014.  The changes in the carrying value of Level 3 assets and liabilities for the three months and nine months ended September 30, 2015 and 2014 are summarized as follows (in thousands):


 

 

Three Months Ended September 30, 2015

 

 

Financial Assets

 

Financial Liabilities

 

 

 

 

Total

 

 

 

Total

 

 

CMOs

 

Level 3

 

Contingent

 

Level 3

 

 

Commercial

 

Assets

 

Liability

 

Liabilities

 

 

 

 

 

 

 

 

 

Balance, beginning of period

$

493 

$

493 

$

1,000 

$

1,000 

 

 

 

 

 

 

 

 

 

Net unrealized gain included

 

 

 

 

 

 

 

 

  in accumulated other

 

 

 

 

 

 

 

 

  comprehensive income (loss)

 

18 

 

18 

 

 

 

 

 

 

 

 

 

 

 

Balance, end of period

$

511 

$

511 

$

1,000 

$

1,000 


 

 

Three Months Ended

 

 

September 30, 2014

 

 

Financial Assets

 

 

 

 

Total

 

 

CMOs

 

Level 3

 

 

Commercial

 

Assets

 

 

 

 

 

Balance, beginning of period

$

362 

$

362 

 

 

 

 

 

Net unrealized gain included

 

 

 

 

  in accumulated other

 

 

 

 

  comprehensive income (loss)

 

 

 

 

 

 

 

Balance, end of period

$

370 

$

370 




17




 

 

Nine Months Ended September 30, 2015

 

 

Financial Assets

 

Financial Liabilities

 

 

 

 

Total

 

 

 

Total

 

 

CMOs

 

Level 3

 

Contingent

 

Level 3

 

 

Commercial

 

Assets

 

Liability

 

Liabilities

 

 

 

 

 

 

 

 

 

Balance, beginning of period

$

381 

$

381 

$

$

 

 

 

 

 

 

 

 

 

Purchases

 

 

 

1,000 

 

1,000 

 

 

 

 

 

 

 

 

 

Net unrealized gain included

 

 

 

 

 

 

 

 

  in accumulated other

 

 

 

 

 

 

 

 

  comprehensive income (loss)

 

130 

 

130 

 

 

 

 

 

 

 

 

 

 

 

Balance, end of period

$

511 

$

511 

$

1,000 

$

1,000 


 

 

Nine Months Ended

 

 

September 30, 2014

 

 

Financial Assets

 

 

 

 

Total

 

 

CMOs

 

Level 3

 

 

Commercial

 

Assets

 

 

 

 

 

Balance, beginning of period

$

237 

$

237 

 

 

 

 

 

Net unrealized gain included

 

 

 

 

  in accumulated other

 

 

 

 

  comprehensive income (loss)

 

133 

 

133 

 

 

 

 

 

Balance, end of period

$

370 

$

370 


7.

Goodwill and Other Intangible Assets


The carrying amount of goodwill was $6,134,000 and $0 at September 30, 2015 and December 31, 2014, respectively.  


In connection with the acquisition of a controlling interest in GAF discussed in Note 2, the Company recorded $6,134,000 of goodwill and $5,500,000 of intangible assets at September 30, 2015.  None of the goodwill is deductible for income tax purposes.


Of the intangible assets of $5,500,000 recorded, $1,000,000 represents the fair value of trademarks, which is being amortized over a period of 8 years, and $4,500,000 represents the fair value of customer relationships being amortized over a period of 9 years.


The change in the carrying amount of other intangible assets for the three months and nine months ended September 30, 2015 and 2014 are as follows (in thousands):


 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

2015

 

2014

 

2015

 

2014

 

 

 

 

 

 

 

 

 

Balance, beginning of period

$

14,845 

$

10,630 

$

9,915 

$

11,408 

Additions

 

 

 

5,500 

 

Amortization expense

 

(369)

 

(363)

 

(939)

 

(1,141)

 

 

 

 

 

 

 

 

 

Balance, end of period

$

14,476 

$

10,267 

$

14,476 

$

10,267 


8.

Related-Party Transactions


AMIC and its subsidiaries incurred expense of $150,000 and $212,000 for the three months ended September 30, 2015 and 2014, respectively, and $532,000 and $689,000 for the nine months ended September 30, 2015 and 2014, respectively, from service agreements with IHC and its subsidiaries which is recorded in Selling, General and Administrative Expenses in the Condensed Consolidated Statements of Income.  These payments reimburse IHC and its subsidiaries, at agreed upon rates including an overhead



18



factor, for certain services provided to AMIC and its subsidiaries, including general management, corporate strategy, accounting, legal, compliance, underwriting, and claims.


Independence American assumes premiums from IHC subsidiaries, and records related insurance income, expenses, assets and liabilities.  Independence American pays administrative fees and commissions to subsidiaries of IHC in connection with fully insured health and medical stop-loss business written and assumed by Independence American.  Additionally, Risk Solutions markets, underwrites and provides administrative services, and also provides medical management and claims adjudication, for a substantial portion of the medical stop-loss business written by the insurance subsidiaries of IHC.  Risk Solutions records related income, assets and liabilities in connection with that business.  Such related-party information is disclosed on the Condensed Consolidated Balance Sheets and Condensed Consolidated Statements of Income.  The Company also contracts for several types of insurance coverage (e.g. directors and officers and professional liability coverage) jointly with IHC.  The cost of this coverage is split proportionally between the Company and IHC according to the type of risk and the Company’s portion is recorded in Selling, General and Administrative Expenses.


9.

Share-Based Compensation


Total share-based compensation expense was $11,000 and $12,000 for the three months ended September 30, 2015 and 2014, respectively, and $32,000 and $40,000 for the nine months ended September 30, 2015 and 2014, respectively.  Related tax benefits of $4,000 and $4,000 were recognized for the three months ended September 30, 2015 and 2014, respectively, and $11,000 and $14,000 for the nine months ended September 30, 2015 and 2014, respectively.


Under the terms of the Company’s stock-based compensation plan, option exercise prices are equal to the quoted market price of the shares at the date of grant; option terms are ten years; and vesting periods range from three to four years.  The Company may also grant shares of restricted stock, stock appreciation rights and share-based performance awards.  Restricted shares are valued at the quoted market price of the shares at the date of grant, and have a three year vesting period.


Stock Options

The following table summarizes information regarding outstanding and exercisable options as of September 30, 2015:


 

 

Outstanding

 

Exercisable

 

 

 

 

 

Number of options

 

71,558 

 

58,224 

Weighted average exercise price per share

$

8.88 

$

8.73 

Aggregate intrinsic value of options

$

109,000 

$

96,000 

Weighted average contractual term remaining

 

4.44 years

 

3.55 years


The Company’s stock option activity for the nine months ended September 30, 2015 is as follows:


 

No. of

 

Weighted

 

Shares

 

Average

 

Under

 

Exercise

 

Option

 

Price

 

 

 

 

Balance, December 31, 2014

166,616 

 

$

10.50 

 

 

 

 

 

Exercised

 (8,890)

 

 

5.81 

Forfeited

(26,001)

 

 

8.90 

Expired

 (60,167)

 

 

13.82 

 

 

 

 

 

Balance, September 30, 2015

71,558 

 

$

8.88 


The fair value of an option award is estimated on the date of grant using the Black-Scholes option valuation model.  The weighted average grant-date fair-value of options granted during the nine months ended September 30, 2015 and 2014 was $0 and $5.70 per share, respectfully.  The assumptions set forth in the table below were used to value the stock options granted during the nine months ended September 30, 2015 and 2014:



19




 

 

September 30,

 

 

2015

 

2014

 

 

 

 

 

Weighted-average risk-free interest rate

 

- 

 

2.72%

Annual dividend rate per share

$

- 

 

- 

Weighted-average volatility factor of the Company's common stock

 

- 

 

38.27 

Weighted-average expected term of options

 

- 

 

5 years


No options were granted in 2015.


Compensation expense of $11,000 and $12,000 was recognized for the three months ended September 30, 2015 and 2014, respectively, and $32,000 and $40,000 for the nine months ended September 30, 2015 and 2014, respectively, for the portion of the fair value of stock options vesting during that period.


As of September 30, 2015, there was approximately $51,000 of total unrecognized compensation expense related to non-vested options that will be recognized over the remaining requisite service periods.


10.

Other Comprehensive Income (Loss)


The components of other comprehensive income (loss) include the after-tax net unrealized gains and losses on investment securities available for sale including the subsequent increases and decreases in fair value of available-for-sale securities previously impaired and the non-credit related component of other-than-temporary impairments of fixed maturities and equity securities.


Included in accumulated other comprehensive income (loss) at September 30, 2015 and December 31, 2014 are adjustments of $269,000 related to the non-credit related component of other-than-temporary impairment losses recorded.  


11.

Income Taxes


The provision for income taxes shown in the Condensed Consolidated Statements of Income was computed based on the Company's actual results, which approximate the effective tax rate expected to be applicable for the balance of the current fiscal year.  At September 30, 2015, the Company had consolidated net operating loss (“NOL”) carryforwards of approximately $259,257,000 for federal income tax purposes expiring in varying amounts through the year 2028 with a significant portion expiring in 2020.  


The net deferred tax assets shown in the Condensed Consolidated Balance Sheets for the periods ending September 30, 2015 and December 31, 2014 are $7,694,000 and $12,025,000, respectively.  In connection with the acquisition of a controlling interest in GAF discussed in Note 2, the Company assumed $2,200,000 of deferred tax liabilities.  In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized.  The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the period in which those temporary differences become deductible.  Management considers the scheduled reversal of deferred tax liabilities, projected future taxable income, and tax planning strategies in making this assessment.  The Internal Revenue Service ("IRS") has previously audited the Company’s 2003, 2004 and 2009 consolidated income tax returns and made no changes to the reported tax for those periods.  The IRS has not audited any of AMIC's tax returns for any of the years in which the losses giving rise to the NOL carryforward were reported.  Management believes that it is more likely than not that the Company will realize the benefits of these net deferred tax assets recorded at September 30, 2015.


12.

Debt


In connection with the acquisition of a controlling interest in GAF discussed in Note 2, the Company assumed $3,326,000 of GAF’s debt.  As of September 30, 2015, this debt is comprised of: (i) various term loans with former owners of a subsidiary of GAF, aggregating $2,964,000, with various maturities through January 2, 2019 and bearing a fixed interest rate of 2.5%; and (ii) a $225,000 line of credit with a commercial bank bearing interest at 4%.


Cash payments for principal and interest on debt was $137,000 and $19,000 respectively, for the five months following the acquisition date of April 30, 2015 through September 30, 2015.


13.

Repurchase of Common Stock


As of September 30, 2015, 500,000 shares were still authorized to be repurchased under the Company’s Share Repurchase Program.  No shares were repurchased in 2014 and 2015.



20




Item 2.

Management's Discussion and Analysis of Financial Condition and Results of Operations


The following discussion of the financial condition and results of operations of American Independence Corp. ("AMIC") and its subsidiaries (collectively, the "Company") should be read in conjunction with, and is qualified in its entirety by reference to, the consolidated financial statements of the Company and the related Notes thereto appearing in our annual report on Form 10-K for the year ended December 31, 2014, as filed with the Securities and Exchange Commission, and our unaudited condensed consolidated financial statements and related Notes thereto appearing elsewhere in this quarterly report.


Overview


We are an insurance holding company engaged in the insurance and reinsurance business through our wholly owned insurance company, Independence American Insurance Company ("Independence American"), our wholly owned sales and marketing company, IHC Specialty Benefits, Inc. (“Specialty Benefits”), our wholly owned full service direct writer of medical-stop insurance for self-insured employer groups, IHC Risk Solutions, LLC (“Risk Solutions”), our wholly owned consumer direct sales agency, IPA Family LLC (“IPA Family”), our 92% owned consumer direct sales call center, IPA Direct, LLC (“IPAD”), our 80% owned agency, Global Accident Facilities, LLC (“GAF”), and our 51% owned lead generation agency, HealthInsurance.org (“HIO”).  Risk Solutions, Specialty Benefits, HIO, GAF, IPAD and IPA Family are collectively referred to as “our Agencies”.  Since November 2002, AMIC has been affiliated with Independence Holding Company ("IHC"), which owned approximately 92% of AMIC's stock as of September 30, 2015.  The senior management of IHC provides direction to the Company through a service agreement between the Company and IHC.  As of September 30, 2015, a significant amount of Independence American’s revenue was from reinsurance premiums.  The majority of these premiums are ceded to Independence American from IHC under reinsurance treaties to cede its gross medical stop-loss premiums written to Independence American.  In addition, Independence American assumes specialty health, New York State Disability Benefits Law ("DBL") and long-term disability (“LTD”) premiums from IHC, and assumes medical stop-loss premiums from unaffiliated carriers.  Independence American writes pet insurance, medical stop-loss, short-term medical, occupational accident, dental and other ancillary products.  Given its broad licensing, A- (Excellent) rating from A.M. Best Company, Inc. ("A.M. Best"), and that it is the only property and casualty (P&C) company in IHC, Independence American seeks opportunities to expand the distribution of P&C and specialty health products.


While management considers a wide range of factors in its strategic planning, the overriding consideration is underwriting profitability.  Management's assessment of trends in healthcare and in the medical stop-loss market play a significant role in determining whether to expand Independence American's health insurance premiums.  Since Independence American reinsures a portion of all of the business produced by Risk Solutions, and since it is also eligible to earn profit sharing commissions based on the profitability of the business it places, Risk Solutions also emphasizes underwriting profitability.  In addition, management focuses on controlling operating costs.  By sharing employees with IHC and sharing resources among our subsidiaries, we strive to maximize our earnings.  


Independence American Insurance Company


Independence American, which is domiciled in Delaware, is licensed to write property and/or casualty insurance in all 50 states and the District of Columbia, and has an A- (Excellent) rating from A.M. Best.  We have been informed by A.M. Best that an A.M. Best rating is assigned after an extensive quantitative and qualitative evaluation of a company's financial condition and operating performance, and is also based upon factors relevant to policyholders, agents, and intermediaries, and is not directed towards protection of investors.  A.M. Best ratings are not recommendations to buy, sell or hold securities of the Company.  Independence American's unaudited statutory capital and surplus as of September 30, 2015 was $63,223,000.


Agencies


Risk Solutions has offices near Hartford, CT, Philadelphia, PA, Chicago, IL, and Ft. Wayne, IN and markets and underwrites employer medical stop-loss for Standard Security Life Insurance Company of New York ("Standard Security Life") and Independence American.  The Company has a 51% interest in HIO, which is headquartered in Minneapolis, MN.  HIO is a lead generation agency through its well-established internet domain address: www.healthinsurance.org.  The Company owns Specialty Benefits, which is also headquartered in Minneapolis, MN.  Specialty Benefits is a sales and marketing company.  AspiraAMas.com and Healthedeals.com are divisions of Specialty Benefits.  The Company owns IPA Family, which is headquartered in Tampa, FL.  IPA Family is a consumer direct sales agency.  The Company has a 92% interest in IPAD, which is headquartered in Lake Mary, FL.  IPAD is a consumer direct sales call center.  The Company has an 80% ownership in GAF, a holding company for agencies that primarily produce occupational accident and injury on duty business.  GAF has offices in Marshfield, MA and Dallas, TX.




21




The following is a summary of key performance information and events:


The results of operations for the three months and nine months ended September 30, 2015 and 2014 are summarized as follows (in thousands):


 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

2015

 

2014

 

2015

 

2014

 

 

 

 

 

 

 

 

 

Revenues

$

46,731 

$

41,157 

$

135,898 

$

124,264 

Expenses

 

44,045 

 

37,862 

 

130,516 

 

118,995 

 

Income before income tax

 

2,686 

 

3,295 

 

5,382 

 

5,269 

 

Provision for income taxes

 

1,050 

 

1,339 

 

2,037 

 

1,988 

Net income

 

1,636 

 

1,956 

 

3,345 

 

3,281 

 

Less: Net (income) loss attributable to the non-controlling interest

 

 

101 

 

(95)

 

(125)

Net income attributable to American Independence Corp.

$

1,641 

$

2,057 

$

3,250 

$

3,156 


·

The book value of the Company increased to $11.85 per share at September 30, 2015 compared to $11.34 per share at December 31, 2014.


·

Net income per share decreased to $.20 per share, diluted, or $1.6 million, for the three months ended September 30, 2015, compared to $.25 per share, diluted, or $2.1 million for the three months ended September 30, 2014.  Net income per share increased to $.40 per share, diluted, or $3.3 million, for the nine months ended September 30, 2015, compared to $.39 per share, diluted, or $3.2 million for the nine months ended September 30, 2014.


·

At September 30, 2015, 99.5% of the Company's fixed maturities were investment grade.


·

Consolidated investment yields were 2.8% and 3.0% for the nine months ended September 30, 2015 and 2014, respectively.


·

Premiums earned increased 11% to $110.9 million for the nine months ended September 30, 2015 compared to $100.1 million for the nine months ended September 30, 2014, primarily due to higher premiums for assumed medical stop-loss, international medical, occupational accident, pet insurance, and direct small group stop-loss, offset by lower premiums for assumed group major medical, direct medical stop-loss, and direct individual health business due to the run-off of these lines.


·

For the nine months ended September 30, 2015, our Agencies generated revenues of $23.2 million compared to $21.8 million for the nine months ended September 30, 2014.  Excluding income related to GAF, totaling $3.0 million, total revenues decreased $1.6 million due to lower revenues generated at HIO, IPA Family and Specialty Benefits primarily due to the exit from major medical lines of business resulting in less fee income, offset by higher revenues generated at Risk Solutions and IPAD.


·

Agency net loss increased $0.8 million from a loss of $1.4 million for the nine months ended September 30, 2014 to a loss of $2.2 million for the nine months ended September 30, 2015 primarily due to the exit from major medical lines of business resulting in less fee income.  In addition, the fully insured agencies have increased expenses due to building marketing tools and system enhancements that will allow them to maximize the forecasted growth in the direct to consumer sales.  These tools, which focus on transparent cross-selling capabilities and data warehousing can also be leveraged for producer assisted sales.  



22




·

Underwriting experience as indicated by GAAP Combined Ratios, on our three lines of business for the three months and nine months ended September 30, 2015 and 2014, are as follows (in thousands):


§

Medical Stop-Loss

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

 

 

September 30,

 

 

2015

 

2014

 

 

2015

 

2014

 

 

 

 

 

 

 

 

 

 

Premiums Earned

$

16,986 

$

13,116 

 

$

51,944 

$

41,212 

Insurance Benefits Claims and Reserves

 

12,714 

 

8,606 

 

 

39,064 

 

26,906 

Profit Commission Expense

 

212 

 

28 

 

 

227 

 

1,771 

Expenses

 

3,678 

 

3,324 

 

 

11,020 

 

10,483 

 

 

 

 

 

 

 

 

 

 

Loss Ratio(A)

 

74.8%

 

65.6%

 

 

75.2%

 

65.3%

Profit Commission Expense Ratio (B)

 

1.2%

 

0.2%

 

 

0.4%

 

4.3%

Expense Ratio (C)

 

21.7%

 

25.3%

 

 

21.2%

 

25.4%

Combined Ratio (D)

 

97.7%

 

91.1%

 

 

96.8%

 

95.0%


§

Fully Insured Health

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

 

 

September 30,

 

 

2015

 

2014

 

 

2015

 

2014

 

 

 

 

 

 

 

 

 

 

Premiums Earned

$

18,925 

$

19,174 

 

$

54,556 

$

54,295 

Insurance Benefits Claims and Reserves

 

10,574 

 

11,446 

 

 

31,649 

 

34,203 

Profit Commission Expense (Recovery)

 

 

(44)

 

 

 

443 

Expenses

 

5,769 

 

5,984 

 

 

18,056 

 

16,577 

 

 

 

 

 

 

 

 

 

 

Loss Ratio(A)

 

55.9%

 

59.7%

 

 

58.0%

 

63.0%

Profit Commission Expense Ratio (B)

 

0.0%

 

-0.2%

 

 

0.0%

 

0.8%

Expense Ratio (C)

 

30.5%

 

31.2%

 

 

33.1%

 

30.5%

Combined Ratio (D)

 

86.4%

 

90.7%

 

 

91.1%

 

94.3%


§

Group Disability

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

 

 

September 30,

 

 

2015

 

2014

 

 

2015

 

2014

 

 

 

 

 

 

 

 

 

 

Premiums Earned

$

1,518 

$

1,637 

 

$

4,378 

$

4,548 

Insurance Benefits Claims and Reserves

 

901 

 

1,177 

 

 

2,742 

 

2,903 

Expenses

 

475 

 

445 

 

 

1,336 

 

1,319 

 

 

 

 

 

 

 

 

 

 

Loss Ratio(A)

 

59.4%

 

71.9%

 

 

62.6%

 

63.8%

Expense Ratio (C)

 

31.3%

 

27.2%

 

 

30.5%

 

29.0%

Combined Ratio (D)

 

90.7%

 

99.1%

 

 

93.1%

 

92.8%


(A)

Loss ratio represents insurance benefits, claims and reserves divided by premiums earned.

(B)

Profit commission expense ratio represents profit commissions divided by premiums earned.

(C)

Expense ratio represents commissions, administrative fees, premium taxes and other underwriting expenses divided by premiums earned.

(D)

The combined ratio is equal to the sum of the loss ratio, profit commission expense ratio and the expense ratio.


·

The Company recorded higher combined ratios in the medical stop-loss line of business for the three months and nine months ended September 30, 2015 due to an increase in loss ratio caused by an adverse development on one block of business produced by an affiliated MGU, offset by a reduction in expense ratios associated with a change in the mix of business.  For the nine months ended September 2015, the higher loss ratio was offset by a reduction in profit commission expense ratio. The 2014 loss ratio was favorably impacted by a block of business that has been terminated.  



23




·

The Company recorded an improvement in the loss ratio in the fully insured health line of business for the three months and nine months ended September 30, 2015 primarily due to a decrease in loss ratio as the Company moves to specialty health lines and moves away from major medical, offset by an increase in the expense ratio due to a change in the mix of business to lines that have higher commission and expenses structures.


·

The Company experienced a decrease in the loss ratio for group disability for the three months and nine months ended September 30, 2015 as a result of lower losses for the international line of LTD business.


Critical Accounting Policies


The accounting and reporting policies of the Company conform to U.S. generally accepted accounting principles ("U.S. GAAP"). The preparation of the condensed consolidated financial statements in conformity with U.S. GAAP requires the Company's management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates.  A summary of the Company's significant accounting policies and practices is provided in Note 1 of the Notes to the Consolidated Financial Statements included in Item 8 of the Annual Report on Form 10-K for the year ended December 31, 2014.  Management has identified the accounting policies related to Policy Benefits and Claims, Premium and Fee income Revenue Recognition, Reinsurance, Income Taxes, Investments and Other Intangibles as those that, due to the judgments, estimates and assumptions inherent in those policies, are critical to an understanding of the Company's condensed consolidated financial statements and this Management's Discussion and Analysis. A full discussion of these policies is included under Critical Accounting Policies in Item 7 of the Annual Report on Form 10-K for the year ended December 31, 2014.  




24



Results of Operations for the Three Months Ended September 30, 2015, Compared to the Three Months Ended September 30, 2014.


 

 

 

 

Insurance

 

 

 

 

 

 

 

Benefits,

Selling,

 

 

 

 

Fees and

Net

Claims

General

Amortization

 

September 30,

Premiums

Other

Investment

and

and

and

 

2015

Earned

Income

Income

Reserves

Admin

Depreciation

Total

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Independence

 

 

 

 

 

 

 

 

      American:

 

 

 

 

 

 

 

 

   Medical stop-loss

$

16,986 

291 

12,714 

3,890 

$

673 

   Fully Insured Health

18,925 

209 

10,574 

5,776 

2,784 

   Group Disability

1,518 

28 

901 

475 

170 

Total Independence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      American

37,429 

528 

24,189 

10,141 

3,627 

 

 

 

 

 

 

 

 

Agencies

8,878 

36 

8,960 

449 

(495)

Corporate

22 

306 

(284)

Subtotal

$

37,429 

 

8,878 

 

586 

 

24,189 

 

19,407 

 

449 

 

2,848 

 

 

 

 

 

 

 

 

 

Net realized investment losses

 

(162)

Income before income taxes

 

2,686 

Income taxes

 

 

 

 

(1,050)

Net income

 

 

 

 

1,636 

 

Less: Net loss attributable to the non-controlling interest

 

 

 

 

Net income attributable to American Independence Corp.

 

 

 

$

1,641 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance

 

 

 

 

 

 

 

Benefits,

Selling,

 

 

 

 

Fees and

Net

Claims

General

Amortization

 

September 30,

Premiums

Other

Investment

and

and

and

 

2014

Earned

Income

Income

Reserves

Admin

Depreciation

Total

(In thousands)

 

 

 

 

 

 

 

      

 

 

 

 

 

 

 

Independence

 

 

 

 

 

 

 

 

      American:

 

 

 

 

 

 

 

 

   Medical stop-loss

$

13,116 

270 

8,606 

3,352 

$

1,428 

   Fully Insured Health

19,174 

191 

11,446 

5,940 

1,979 

   Group Disability

1,637 

29 

1,177 

445 

44 

Total Independence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      American

33,927 

490 

21,229 

9,737 

3,451 

 

 

 

 

 

 

 

 

Agencies

6,106 

37 

6,126 

418 

(401)

Corporate

17 

352 

(335)

Subtotal

$

33,927 

 

6,106 

 

544 

 

21,229 

 

16,215 

 

418 

 

2,715 

 

 

 

 

 

 

 

 

Net realized investment gains

 

580 

Income before income taxes

 

 

 

 

3,295 

Income taxes

 

 

 

 

(1,339)

Net income

 

 

 

 

1,956 

 

Less: Net loss attributable to the non-controlling interest

 

 

 

 

101 

Net income attributable to American Independence Corp.

 

 

 

$

2,057 


Acquisition of GAF


On April 30, 2015 (the "Acquisition Date"), through a settlement with a former owner, AMIC increased its ownership in Global Accident Facilities, LLC (“GAF) from 40% to 80%.  GAF and its subsidiaries are principally engaged in the marketing, underwriting and administration of specialty risk insurance, referred to as Occupational Accident and Injury on Duty for Independence American, which are offered exclusively in Texas and Massachusetts, respectively. Cash of $325,000 and various other non-monetary consideration, with a fair value of $1,195,000, was transferred in exchange for the additional 40% ownership interest.  The acquisition resulted in AMIC’s obtaining control of GAF.  Immediately preceding the transaction, AMIC’s carrying value of its investment in GAF was $1,908,000.


On the Acquisition Date, the Company recognized a net pre-tax gain of $503,000 as follows: (i) a loss of $692,000 was recognized by AMIC as a result of re-measuring its equity interest in GAF to its fair value of $1,216,000 immediately before the acquisition; and (ii) a gain of $1,195,000 was recognized by AMIC as a result of recording the nonmonetary portion of the consideration transferred at its fair value.  The net pre-tax gain of $503,000 is included in the “Other income” line in the Condensed



25



Consolidated Statements of Income.


Prior to obtaining control, AMIC recorded its investment in GAF using the equity method.  AMIC recorded changes in its investment in GAF in the “Other income” line in the Condensed Consolidated Statements of Income.  Upon achieving control on April 30, 2015, GAF’s income and expense amounts became consolidated with AMIC’s results.  Accordingly, the individual line items on the Condensed Consolidated Statements of Income for 2015 reflect approximately five months of the operations of GAF with no corresponding amounts for 2014.


Premiums Earned.  Premiums earned increased 10%, or $3,502,000 from 2014 to 2015. The Company currently has three lines of business.  Premiums relating to medical stop-loss business increased $3,870,000 due to an increase of $2,743,000 in medical stop-loss assumed by Independence American due to an increase in volume produced by Risk Solutions, and an increase of $2,552,000 in small group stop-loss premiums written due to an increase in sales, offset by a decrease of $1,426,000 in medical stop-loss premiums written by Independence American through an independent MGU that has been terminated.  Premiums relating to fully insured health (consisting of major medical, short-term medical, dental, vision, gap, occupational accident, pet insurance, and international medical) decreased $249,000.  The decrease is primarily due to a decrease in major medical premiums written and assumed of $1,948,000, offset by an increase of $990,000 in pet premium written due to an increase in sales, and an increase of $710,000 in occupational accident business written due to the transfer of business from another carrier.  Premiums relating to group disability decreased $119,000 primarily due to lower international LTD premiums assumed. For the three months ended September 30, 2015, Independence American assumed 10% of IHC’s short-term medical business, 20% of IHC’s DBL business, 8% of certain of IHC’s LTD business, approximately 28% of IHC’s medical stop-loss business, and 10% of certain of IHC’s group major medical business.  There were no significant changes to these percentages from the prior year.  


Fee and Agency Income.  Fee and agency income increased $2,877,000 from 2014 to 2015.  Excluding income related to GAF, totaling $1,311,000, total fee and agency income increased $1,566,000.  Risk Solutions fee income-administration increased $941,000 to $3,860,000 for 2015, compared to $2,919,000 for 2014 primarily due to an increase in the volume of premiums produced. Risk Solutions fee income-profit commission increased $314,000 to $511,000 for 2015, compared to $197,000 for 2014 due to an increase in the volume of premiums produced, offset by an increase in loss ratios.  Profit commissions for a given year are based primarily on the performance of business written during portions of the three preceding years.  Therefore, profit commissions for 2015 are based on business written during portions of 2012, 2013 and 2014. In 2015, agency income consisted of commission income and other fees of $447,000, $554,000 and $1,311,000 from IPA Family, IPAD and GAF, respectively, and revenue of $192,000 and $1,946,000 from HIO and Specialty Benefits, respectively.  In 2014, agency income consisted of commission income and other fees of $476,000 and $328,000 from IPA Family and IPAD, respectively, and revenue of $68,000 and $1,956,000 from HIO and Specialty Benefits, respectively.  


Net Investment Income.  Net investment income increased $42,000 from 2014 to 2015 due to an increase in investable assets offset by a lower yield on those assets.  The consolidated investment yields were 2.8% and 3.3% for the three months ended September 30, 2015 and 2014, respectively.  


Net Realized Investment Gains (Losses).  The Company recorded a net realized investment loss of $162,000 for the three months ended September 30, 2015, compared to a gain of $580,000 for the three months ended September 30, 2014.  The Company's decision as to whether to sell securities is based on management’s ongoing evaluation of investment opportunities and economic market conditions, thus creating fluctuations in realized gains or losses from period to period.  


Other Income.  Other income decreased $105,000 from 2014 to 2015 primarily due the acquisition and consolidation of GAF in the second quarter of 2015.  Equity income relating to GAF is included in other income in 2014.


Insurance Benefits, Claims and Reserves.  Insurance benefits claims and reserves increased 14%, or $2,960,000 from 2014 to 2015.  The increase is primarily due to an increase in assumed medical stop-loss of $2,816,000 due to higher premiums assumed and higher claims, an increase in small group stop-loss of $1,154,000 due to higher premiums and higher claims, an increase in direct occupational accident of $655,000 due to higher premiums and higher claims, an increase in assumed international health of $285,000 due to higher premiums assumed, and an increase in pet of $436,000 due to higher premiums, offset by a decrease in direct and assumed major medical of $1,595,000 due to lower premiums, and a decrease in direct medical stop-loss of $790,000 due to lower premiums.


Selling, General and Administrative.  Selling, general and administrative expenses increased $3,192,000 from 2014 to 2015.  Excluding expenses related to GAF, totaling $2,202,000, total selling, general and administrative expenses increased $990,000.  The increase is primarily due to higher underwriting expense of $422,000 at Independence American due to higher premiums and a change in the mix of business, higher expenses of $717,000 at Risk Solutions primarily due to higher salary expense relating to an increase in sales, and higher expenses of $184,000 at IPAD due to an increase in salary expenses and operating expenses due to an increase in sales, offset lower expenses of $178,000 at Specialty Benefits, and lower expenses of $70,000 at IPA Family.



26




Amortization and Depreciation.  Amortization and depreciation expense increased $31,000 from 2014 to 2015.  


Income Taxes.  The provision for income taxes decreased $289,000 to $1,050,000, an effective rate of 39.0%, for the three months ended September 30, 2015, compared to $1,339,000, an effective rate of 39.4%, for the three months ended September 30, 2014.  Net income for the three months ended September 30, 2015 and 2014 includes a non-cash provision for federal income taxes of $939,000 and $1,239,000, respectively.  The state tax effective rate increased to 1.9% for the three months ended September 30, 2015, compared to 1.1% for the three months ended September 30, 2014 due to the mix of business by company and their respective state tax rates.  For as long as AMIC utilizes its NOL carryforwards, it will not pay any income taxes, except for federal alternative minimum taxes and state income taxes.


Net Income (loss) attributable to the non-controlling interest.  Net income (loss) attributable to the non-controlling interest increased $96,000 from 2014 to 2015.  The net income for the three months ended September 30, 2015 relates to the 49% non-controlling interest in HIO, the 20% non-controlling interest in GAF, and the 8% non-controlling interest in IPAD.  The net income for the three months ended September 30, 2014 relates to the 49% non-controlling interest in HIO, the 8% non-controlling interest in IPAD, and the 10% non-controlling interest in IPA Family.


Net Income attributable to American Independence Corp.  The net income attributable to the Company decreased to $1,641,000, or $.20 per share, diluted, for the three months ended September 30, 2015, compared to $2,057,000, or $.25 per share, diluted, for the three months ended September 30, 2014.




27



Results of Operations for the Nine Months Ended September 30, 2015, Compared to the Nine Months Ended September 30, 2014.


 

 

 

 

Insurance

 

 

 

 

 

 

 

Benefits,

Selling,

 

 

 

 

Fees and

Net

Claims

General

Amortization

 

September 30,

Premiums

Other

Investment

and

and

and

 

2015

Earned

Income

Income

Reserves

Admin

Depreciation

Total

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Independence

 

 

 

 

 

 

 

 

      American:

 

 

 

 

 

 

 

 

   Medical stop-loss

$

51,944 

814 

39,064 

11,247 

$

2,447 

   Fully Insured Health

54,556 

635 

31,649 

18,059 

5,483 

   Group Disability

4,378 

84 

2,742 

1,336 

384 

Total Independence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      American

110,878 

1,533 

73,455 

30,642 

8,314 

 

 

 

 

 

 

 

 

Agencies

23,134 

95 

24,262 

1,128 

(2,161)

Corporate

68 

1,029 

(961)

Subtotal

$

110,878 

 

23,134 

 

1,696 

 

73,455 

 

55,933 

 

1,128 

 

5,192 

 

 

 

 

 

 

 

 

 

Net realized investment gains

 

190 

Income before income taxes

 

5,382 

Income taxes

 

 

 

 

(2,037)

Net income

 

 

 

 

3,345 

 

Less: Net income attributable to the non-controlling interest

 

 

 

 

(95)

Net income attributable to American Independence Corp.

 

 

 

$

3,250 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance

 

 

 

 

 

 

 

Benefits,

Selling,

 

 

 

 

Fees and

Net

Claims

General

Amortization

 

September 30,

Premiums

Other

Investment

and

and

and

 

2014

Earned

Income

Income

Reserves

Admin

Depreciation

Total

(In thousands)

 

 

 

 

 

 

 

      

 

 

 

 

 

 

 

Independence

 

 

 

 

 

 

 

 

      American:

 

 

 

 

 

 

 

 

   Medical stop-loss

$

41,212 

879 

26,906 

12,254 

$

2,931 

   Fully Insured Health

54,295 

546 

34,203 

17,020 

3,618 

   Group Disability

4,548 

73 

2,903 

1,319 

399 

Total Independence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      American

100,055 

1,498 

64,012 

30,593 

6,948 

 

 

 

 

 

 

 

 

Agencies

21,701 

100 

21,871 

1,280 

(1,350)

Corporate

47 

1,239 

(1,192)

Subtotal

$

100,055 

 

21,701 

 

1,645 

 

64,012 

 

53,703 

 

1,280 

 

4,406 

 

 

 

 

 

 

 

 

Net realized investment gains

 

863 

Income before income taxes

 

 

 

 

5,269 

Income taxes

 

 

 

 

(1,988)

Net income

 

 

 

 

3,281 

 

Less: Net income attributable to the non-controlling interest

 

 

 

 

(125)

Net income attributable to American Independence Corp.

 

 

 

$

3,156 


Premiums Earned.  Premiums earned increased 11%, or $10,823,000 from 2014 to 2015. The Company currently has three lines of business.  Premiums relating to medical stop-loss business increased $10,732,000 due to an increase of $8,098,000 in small group stop-loss premiums written due to an increase in sales, and an increase of $9,391,000 in medical stop-loss assumed by Independence American due to an increase in volume produced by Risk Solutions, offset by a decrease of $6,758,000 in medical stop-loss premiums written by Independence American through an independent MGU that has been terminated.  Premiums relating to fully insured health (consisting of major medical, short-term medical, dental, vision, gap, occupational accident, pet insurance, and international medical) increased $261,000.  The increase is primarily due to an increase of $3,794,000 in pet premium written due to an increase in sales, an increase of $3,060,000 in occupational accident business written due to the transfer of business from another carrier, an increase in international medical premiums assumed of $2,151,000, an increase of $470,000 in hospital indemnity premiums written, an increase of $442,000 in occupational accident premiums assumed, and an increase of $1,090,000 in short-term medical premiums written and assumed, offset by a decrease in major medical premiums written and assumed of $10,746,000.  Premiums relating to group disability decreased $170,000 due to lower international LTD premiums assumed of $363,000, offset by higher DBL premiums assumed of $193,000.  For the nine months ended September 30, 2015, Independence American assumed 10% of IHC’s short-term medical business, 20% of IHC’s DBL business, 8% of certain of IHC’s LTD business, approximately 29% of



28



IHC’s medical stop-loss business, and 10% of certain of IHC’s group major medical business.  There were no significant changes to these percentages from the prior year.  


Fee and Agency Income.  Fee and agency income increased $962,000 from 2014 to 2015.  Excluding income related to GAF, totaling $2,450,000, total fee and agency income decreased $1,488,000.  Risk Solutions fee income-administration increased $2,967,000 to $11,428,000 for 2015, compared to $8,461,000 for 2014 primarily due to an increase in the volume of premiums produced. Risk Solutions fee income-profit commission decreased $120,000 to $449,000 for 2015, compared to $569,000 for 2014 due to an increase in loss ratios, offset by an increase in the volume of premiums produced.  Profit commissions for a given year are based primarily on the performance of business written during portions of the three preceding years.  Therefore, profit commissions for 2015 are based on business written during portions of 2012, 2013 and 2014.  In 2015, agency income consisted of commission income and other fees of $1,293,000, $1,583,000 and $2,450,000 from IPA Family, IPAD and GAF, respectively, and revenue of $702,000 and $4,538,000 from HIO and Specialty Benefits, respectively.  In 2014, agency income consisted of commission income and other fees of $1,584,000 and $641,000 from IPA Family and IPAD, respectively, and revenue of $4,930,000 and $5,296,000 from HIO and Specialty Benefits, respectively.  The decrease in revenue for HIO is primarily due to decreased lead generation income at HIO due to changes brought about by the ACA, although such decrease in income is substantially offset by a decrease in expenses below.


Net Investment Income.  Net investment income increased $51,000 from 2014 to 2015 due to an increase in investable assets offset by a lower yield on those assets.  The consolidated investment yields were 2.8% and 3.0% for the nine months ended September 30, 2015 and 2014, respectively.  


Net Realized Investment Gains.  The Company recorded a net realized investment gain of $190,000 for the nine months ended September 30, 2015, compared to a gain of $863,000 for the nine months ended September 30, 2014.  The Company's decision as to whether to sell securities is based on management’s ongoing evaluation of investment opportunities and economic market conditions, thus creating fluctuations in realized gains or losses from period to period.  


Other Income.  Other income increased $471,000 from 2014 to 2015 primarily due to the recognition of a net gain of $503,000 relating to the acquisition of GAF.


Insurance Benefits, Claims and Reserves.  Insurance benefits claims and reserves increased 15%, or $9,443,000 from 2014 to 2015.  The increase is primarily due to an increase in assumed medical stop-loss of $7,994,000 due to higher premiums assumed, an increase in small group stop-loss of $5,840,000 due to higher premiums, an increase in direct occupational accident of $3,175,000 due to higher premiums and higher claims, an increase in pet of $1,618,000 due to higher premiums, an increase in assumed international health of $1,356,000 due to higher premiums assumed, an increase in occupational accident assumed of $267,000 due to higher premiums and higher claims, and an increase of $390,000 in assumed short-term medical due to higher premiums assumed and higher claims, offset by a decrease in direct and assumed major medical of $7,895,000 due to lower premiums, and a decrease in direct medical stop-loss of $3,302,000 due to lower premiums.


Selling, General and Administrative.  Selling, general and administrative expenses increased $2,230,000 from 2014 to 2015.  Excluding expenses related to GAF, totaling $3,570,000, total selling, general and administrative expenses decreased $1,340,000.  The decrease is due to lower expenses of $4,022,000 at HIO due to lower lead generation revenue, lower profit commission expense at Independence American of $1,983,000, lower expenses of $217,000 at IPA, and lower expenses of $389,000 at Specialty benefits, offset by higher commission expense of $1,053,000 and underwriting expense of $852,000 at Independence American due to higher premiums and a change in the mix of business, higher expenses of $2,245,000 at Risk Solutions primarily due to higher salary expense relating to an increase in sales, and higher expenses of $1,205,000 at IPAD due to an increase in salary expenses and operating expenses due to an increase in sales.


Amortization and Depreciation.  Amortization and depreciation expense decreased $152,000 from 2014 to 2015.  


Income Taxes.  The provision for income taxes increased $49,000 to $2,037,000, an effective rate of 38.5%, for the nine months ended September 30, 2015, compared to $1,988,000, an effective rate of 38.6%, for the nine months ended September 30, 2014.  Net income for the nine months ended September 30, 2015 and 2014 includes a non-cash provision for federal income taxes of $1,870,000 and $1,877,000, respectively.  The state tax effective rate increased to 1.3% for the nine months ended September 30, 2015, compared to 0.5% for the nine months ended September 30, 2014 due to the mix of business by company and their respective state tax rates.  For as long as AMIC utilizes its NOL carryforwards, it will not pay any income taxes, except for federal alternative minimum taxes and state income taxes.


Net Income (loss) attributable to the non-controlling interest.  Net income (loss) attributable to the non-controlling interest decreased $30,000 from 2014 to 2015.  The net income for the nine months ended September 30, 2015 relates to the 49% non-controlling interest in HIO, the 20% non-controlling interest in GAF, and the 8% non-controlling interest in IPAD.  The net income for the nine months ended September 30, 2014 relates to the 49% non-controlling interest in HIO, the 8% non-controlling interest in



29



IPAD, and the 10% non-controlling interest in IPA Family.


Net Income attributable to American Independence Corp.  The net income attributable to the Company increased to $3,250,000, or $.40 per share, diluted, for the nine months ended September 30, 2015, compared to $3,156,000, or $.39 per share, diluted, for the nine months ended September 30, 2014.


LIQUIDITY


Independence American


Independence American principally derives cash flow from: (i) operations; (ii) the receipt of scheduled principal payments on its portfolio of fixed income securities; and (iii) earnings on investments and other investing activities.  Such cash flow is partially used to finance liabilities for insurance policy benefits and reinsurance obligations.


Corporate


Corporate derives cash flow funds principally from: dividends and tax payments from its subsidiaries and investment income from corporate liquidity.  The ability of Independence American to pay dividends to its parent company is governed by Delaware insurance laws and regulations; otherwise, there are no regulatory constraints on the ability of any of our subsidiaries to pay dividends to its parent company.  For the nine months ended September 30, 2015, our Agencies paid $2,923,000 in dividends to Corporate.


Cash Flows


The Company had $6.2 million and $4.6 million of cash and cash equivalents as of September 30, 2015 and December 31, 2014, respectively.


For the nine months ended September 30, 2015, operating activities provided the Company with $13.3 million of cash, whereas $11.4 million of cash was utilized by investing activities due to higher net purchases of fixed maturity securities and securities under resale and repurchase agreements.  Financing activities utilized $0.2 million for the period due to the purchase of the remaining non-controlling ownership interest in IPA Family, and payments made on debt.  


At September 30, 2015 and December 31, 2014, the Company had $17,531,000 and $18,881,000 of restricted cash.  These amounts are directly offset by corresponding liabilities for Premium and Claim Funds Payable.  The amount decreased $1,350,000 due to the timing of paid claims during the year.  This asset, in part, represents the premium that is remitted by the insureds and is collected by Risk Solutions on behalf of the insurance carriers they represent.  Each month the premium is remitted to the insurance carriers by Risk Solutions.  Until such remittance is made the collected premium is carried as an asset on the balance sheet with a corresponding payable to each insurance carrier.  In addition to the premium being held at Risk Solutions, Risk Solutions is in possession of cash to pay claims.  The cash is deposited by each insurance carrier into a bank account that Risk Solutions can access to reimburse claims in a timely manner.  The cash is used by Risk Solutions to pay claims on behalf of the insurance carriers they represent.


At September 30, 2015, the Company had $43,819,000 of policy benefits and claims that it expects to pay out of current assets and cash flows from future business.  If necessary, the Company could utilize the cash received from maturities and repayments of its fixed maturity investments if the timing of claim payments associated with the Company's policy benefits and claims does not coincide with future cash flows.


The Company believes it has sufficient cash to meet its currently anticipated business requirements over the next twelve months including working capital requirements and capital investments.  


BALANCE SHEET


Total investments, net of amounts due to/from brokers, increased $12,906,000 to $92,043,000 during the nine months ended September 30, 2015 from $79,137,000 at December 31, 2014, primarily due to an overall increase in assets from the growth in stop-loss business, resulting in higher net purchases of securities under resale and repurchase agreements and higher net purchases of fixed maturity securities.


The Company had receivables from reinsurers of $5,703,000 at September 30, 2015.  Substantially all of the business ceded to such reinsurers is of short duration.  All of such receivables are either due from related parties, highly rated companies or are adequately secured.  No allowance for doubtful accounts was deemed necessary at September 30, 2015.




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The Company's future policy benefits and claims liabilities by line of business are as follows (in thousands):


 

 

Total Future Policy Benefits

 

 

and Claims Liabilities

 

 

September 30,

 

December 31,

 

 

2015

 

2014

 

 

 

 

 

Medical Stop-Loss

$

23,660 

$

15,929 

Fully Insured Health

 

17,990 

 

15,742 

Group Disability

 

2,169 

 

1,945 

 

 

 

 

 

 

$

43,819 

$

33,616 


The increase in total policy benefits and claims of $10,203,000 is primarily attributable to an increase in premiums written for assumed stop-loss, assumed international medical business, occupational accident, small group stop-loss, and pet health, offset by a decrease in direct stop-loss and major medical business.


Generally, during the first twelve months of an underwriting year, reserves for medical stop-loss are first set at the projected net loss ratio, which is determined using assumptions developed using completed prior experience trended forward. The projected net loss ratio is the Company’s best estimate of future performance until such time as developing losses provide a better indication of ultimate results.


Major factors that affect the projected net loss ratio assumption in reserving for medical stop-loss relate to: (i) frequency and severity of claims; (ii) changes in medical trend resulting from the influences of underlying cost inflation, changes in utilization and demand for medical services, the impact of new medical technology and changes in medical treatment protocols; and (iii) the adherence to the Company's underwriting guidelines. Changes in these underlying factors are what determine the reasonably likely changes in the projected net loss ratio.


The primary assumption in the determination of fully insured reserves is that historical claim development patterns tend to be representative of future claim development patterns. Factors which may affect this assumption include changes in claim payment processing times and procedures, changes in product design, changes in time delay in submission of claims, and the incidence of unusually large claims. The reserving analysis includes a review of claim processing statistical measures and large claim early notifications; the potential impacts of any changes in these factors are minimal. The time delay in submission of claims tends to be stable over time and not subject to significant volatility. Since our analysis considered a variety of outcomes related to these factors, the Company does not believe that any reasonably likely change in these factors will have a material effect on the Company’s financial condition, results of operations, or liquidity.


The $4,254,000 increase in AMIC’s stockholders' equity in the first nine months of 2015 is primarily due to net income of $3,250,000, a $338,000 capital adjustment relating to the acquisition of a 9% ownership interest in IPA Family, and an increase in net unrealized gains on investments, net of taxes of $638,000.  The increase in net unrealized gains on investments is due to a decrease in interest rates, which increased the value of the Company’s bond portfolio.


Asset Quality and Investment Impairments


The nature and quality of insurance company investments must comply with all applicable statutes and regulations, which have been promulgated primarily for the protection of policyholders.  The Company's gross unrealized losses on available-for-sale securities totaled $473,000 at September 30, 2015.  Approximately 99.5% of the Company’s fixed maturities were investment grade.  The Company marks all of its available-for-sale securities to fair value through accumulated other comprehensive income or loss.  Higher grade investments tend to carry less default risk and, therefore, lower interest rates than other types of fixed maturity investments.  At September 30, 2015, approximately 0.5% (or $390,000) of the carrying value of fixed maturities was invested in non-investment grade fixed maturities (primarily mortgage securities) (investments in such securities have different risks than investment grade securities, including greater risk of loss upon default, and thinner trading markets).  The Company does not have any non-performing fixed maturity investments at September 30, 2015.  


The Company reviews its investments regularly and monitors its investments continually for impairments.  There were no realized losses for other-than-temporary impairments recorded for the nine months ended September 30, 2015 and 2014.  At September 30, 2015, the Company did not own securities in which the carrying value was less than 80% of their amortized cost.



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The unrealized losses on all available-for-sale securities have been evaluated in accordance with the Company's impairment policy and were determined to be temporary in nature at September 30, 2015.  In 2015, the Company recorded $745,000 of net unrealized gains on available-for-sale securities, pre-tax, in other comprehensive income (loss).  From time to time, as warranted, the Company may employ investment strategies to mitigate interest rate and other market exposures.  Further deterioration in credit quality of the companies backing the securities, further deterioration in the condition of the financial services industry, a continuation of the current imbalances in liquidity that exist in the marketplace, a continuation or worsening of the current economic recession, or additional declines in real estate values may further affect the fair value of these securities and increase the potential that certain unrealized losses be designated as other-than-temporary in future periods and the Company may incur additional write-downs.


CAPITAL RESOURCES


As Independence American’s total adjusted capital was significantly in excess of the authorized control level risk-based capital, the Company remains well positioned to increase or diversify its current activities. It is anticipated that future acquisitions or other expansion of operations will be funded internally from existing capital and surplus and parent company liquidity. In the event additional funds are required, it is expected that they would be borrowed or raised in the public or private capital markets to the extent determined to be necessary or desirable.


OUTLOOK


Independence American


Independence American, which is domiciled in Delaware, is licensed to write property and/or casualty insurance in all 50 states and the District of Columbia, and has an A- (Excellent) rating from A.M. Best Company, Inc. ("A.M. Best"). An A.M. Best rating is assigned after an extensive quantitative and qualitative evaluation of a company's financial condition and operating performance, and is also based upon factors relevant to policyholders, agents, and intermediaries, and is not directed towards protection of investors. A.M. Best ratings are not recommendations to buy, sell or hold securities of the Company.


The majority of Independence American’s revenue is from reinsurance premiums, although Independence American continues to increase the premiums written on its paper.  Independence American is focusing on sales of pet insurance, occupational accident, short-term medical, dental, and small-group medical stop-loss.  Independence American has ceased writing major medical plans for individuals and families and small group major medical.  Given its A- (Excellent) rating from A.M. Best, Independence American expects to expand the distribution of its ancillary health and other products.  IPA Family, Aspira A Mas and IPAD have begun to write major medical through well-known national insurance companies, and have been successful in cross-selling Independence American’s and IHC’s ancillary products.


We continue to experience significant growth in reinsured medical stop-loss premiums as a result of growth in business directly written by IHC, and this trend is continuing in 2015.  This increase is attributable to a growing market for medical stop-loss as smaller employers identify the advantages of self-funding, the expansion of IHC as a direct writer, and the success of IHC’s captive solution program.  The direct stop-loss business year to date growth in gross written premium is expected to be 24% through October 31, 2015 and 32% over the last twelve months.  We also began writing small group stop-loss on Independence American paper in 2014 and see continued growth in this market segment.  


We continue to focus on direct-to-consumer distribution initiatives through www.healthedeals.com, www.aspiraAmas.com, IPAD, and IPA Family as we believe this will be a growing means for selling health insurance and ancillary products in the coming years.


Our major medical premiums will continue to decline as a result of having Independence American and IHC’s carriers exit this line of business.


We will further adapt to health care reform by continuing to proactively adjust our distribution strategies and mix of specialty health products to take advantage of changing market demands.


We intend to continue to increase our sales of (and reinsurance from IHC’s sales of) short-term and ancillary health products to offset the reduction in major medical premiums.  We will also increase our DBL reinsurance premiums due to higher sales at IHC, and health insurance for groups seeking coverage for expatriate employees.


We expect continued growth in occupational accident insurance.


We make changes in the valuation allowance for our deferred tax asset from time to time in response to changes in our forecast of earnings.  Increases (decreases) in our forecast would positively (negatively) impact our earnings and book value.



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IHC Treaties


Independence American derives a significant amount of its premiums from pro rata quota share reinsurance treaties (“IHC Treaties”) with Standard Security Life and Madison National Life Insurance Company, Inc. ("Madison National Life"), which are wholly owned subsidiaries of IHC.  These treaties, which were to terminate on December 31, 2014, have been amended to extend the termination date to December 31, 2019.  With respect to the IHC Treaties, the Company’s operating results are affected by the following factors: (i) the percentage of business ceded to Independence American pursuant to the IHC Treaties; (ii) the amount of gross premium written by Standard Security Life or Madison National Life that is ceded to the IHC Treaties; and (iii) the amount of gross premium produced by Risk Solutions and other distribution sources written by carriers other than Standard Security Life or Madison National Life that is ceded to Independence American.  The profitability of the business ceded will also impact our operating results.  Independence American assumes medical stop-loss, fully insured health, DBL and LTD premiums from IHC under the IHC Treaties.


Item 3.

Quantitative and Qualitative Disclosures about Market Risk


The Company manages interest rate risk by seeking to maintain an investment portfolio with a duration and average life that falls within the band of the duration and average life of the applicable liabilities.  Options and other derivatives may be utilized to modify the duration and average life of such assets.


The Company monitors its investment portfolio on a continuous basis and believes that the liquidity of the Company will not be adversely affected by its current investments.  This monitoring includes the maintenance of an asset-liability model that matches current insurance liability cash flows with current investment cash flows.  This is accomplished by first creating an insurance model of the Company's in-force policies using current assumptions on mortality, lapses and expenses.  Then, current investments are assigned to specific insurance blocks in the model using appropriate prepayment schedules and future reinvestment patterns.


The results of the model specify whether the investments and their related cash flows can support the related current insurance cash flows.  Additionally, various scenarios are developed changing interest rates and other related assumptions.  These scenarios help evaluate the market risk due to changing interest rates in relation to the business.


The expected change in fair value as a percentage of the Company's fixed income portfolio at September 30, 2015 given a 100 to 200 basis point rise or decline in interest rates is not materially different than the expected change at December 31, 2014 included in Item 7A of the Company's Annual Report on Form 10-K.


In the Company's analysis of the asset-liability model, a 100 to 200 basis point change in interest rates on the Company's liabilities would not be expected to have a material adverse effect on the Company.  With respect to its investments, the Company employs (from time to time as warranted) investment strategies to mitigate interest rate and other market exposures.


Item 4.  Controls and Procedures


AMIC’s Chief Executive Officer and Chief Financial Officer supervised and participated in AMIC’s evaluation of its disclosure controls and procedures as of the end of the period covered by this report.  Disclosure controls and procedures are controls and procedures designed to ensure that information required to be disclosed in AMIC’s periodic reports filed or submitted under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms.  Based upon that evaluation, AMIC’s Chief Executive Officer and Chief Financial Officer concluded that AMIC’s disclosure controls and procedures are effective.

 

There has been no change in AMIC’s internal control over financial reporting during the third quarter ended September 30, 2015 that has materially affected, or is reasonably likely to materially affect, AMIC's internal control over financial reporting.




33



PART II - OTHER INFORMATION


Item 1.

Legal Proceedings


The Company is involved in legal proceedings and claims that arise in the ordinary course of its businesses.  The Company has established reserves that it believes are sufficient given information presently available related to its outstanding legal proceedings and claims.  The Company believes the results of pending legal proceedings and claims are not expected to have a material adverse effect on its financial condition or cash flows, although there could be a material effect on its results of operations for a particular period.


Item 1A.  Risk Factors


There were no material changes from the risk factors previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2014 in response to Item 1A. to Part 1 of Form 10-K.


Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds


Share Repurchase Program


In November 2012, the Board of Directors of AMIC authorized the repurchase of up to 962,886 shares of AMIC’s common stock.  The repurchase program may be discontinued or suspended at any time.  As of September 30, 2015, 500,000 shares were still authorized to be repurchased under the program.  There were no share repurchases during the quarter ended September 30, 2015.


Item 3.

Defaults Upon Senior Securities


Not Applicable


Item 4.

Mine Safety Disclosures


Not Applicable


Item 5.

Other Information


Not Applicable




34



Item 6.

Exhibits


Exhibit No.

Description of Document

 

 

2.1

Stock Purchase Agreement, dated as of July 30, 2002, between Registrant, SSH Corporation and Independence Holding Company. Incorporated by reference to exhibit 10.1 of the Registrant's Current Report on Form 8-K dated July 31, 2002

3.1

Second Amended and restated Certificate of Incorporation of the Registrant. Incorporated by reference to Exhibit 3.1 of the Registrant's Annual Report on form 10K for the fiscal year ended September 30, 2002.

3.2

Amended By-Laws of the Registrant. Incorporated by reference to Exhibit 3.1 of the Registrant's Annual Report on form 10K for the fiscal year ended September 30, 2002, as amended by Amendment to By-laws of American Independence Corp. Incorporated by reference to Exhibit 3.2 of the Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2013.

10.1

Services Agreement, dated as of November 15, 2002, by and between American Independence Corp. and Independence Holding Company.  Incorporated by reference to exhibit 10.2 of the Registrant's Current Report on Form 8-K dated November 14, 2002.

10.2

Agency Agreement, dated February 22, 2006, between the Registrant and First Integrated Health, Inc.  Incorporated by reference to exhibit 10.2 of the Registrant's Annual Report on Form 10-K for the fiscal year ended December 31, 2005.

10.3

Registrant’s 1998 Stock Incentive Plan Incorporated by reference to exhibit 99.1 of the Registrant's Registration Statement on Form S-8 dated May 10, 1999.

10.4

Registrant’s 1999 Supplemental Stock Incentive Plan. Incorporated by reference to exhibit 99.1 of the Registrant's Registration Statement on Form S-8 dated June 8, 1999.

10.5

Contribution Agreement dated April 15, 2008 by and among IPA Family, LLC, a wholly owned subsidiary of the Registrant, Insurance Producers Group of America, Inc., Insurance Producers of America Agency, Inc. and Independent Producers of America Agency, Inc. Incorporated by reference to exhibit 10.1 of the Registrant’s Current Report on Form 8-K dated April 22, 2008.

10.6

Registrant’s 2009 Stock Incentive Plan (the “2009 Plan”), form of Restricted Share Award Agreement under the 2009 Plan and form of Stock Option Award Agreement under the 2009 Plan. (The 2009 Plan was filed as Appendix A to the Proxy Statement for the Registrant’s Annual Meeting of Stockholders held on June 19, 2009 and is incorporated herein by reference; the form of restricted share award agreement was filed as Exhibit 4.4 to the Registrant’s Form S-8 filed with the SEC on July 31, 2009 and is incorporated herein by reference; and the form of stock option award agreement was filed as Exhibit 4.5 to the Registrant’s Form S-8 filed with the SEC on July 31, 2009 and is incorporated herein by reference.)

10.7

Quota Share Reinsurance Agreement between Madison National Life Insurance, Inc. and Independence American Insurance Company, as amended.  Incorporated by reference to Exhibit 10.7 of the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2009 (as amended).

10.8

Quota Share Reinsurance Agreement between Standard Security Life Insurance Company of New York and Independence American Insurance Company, as amended.  Incorporated by reference to Exhibit 10.8 of the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2009 (as amended).

18

Preferability Letter of KPMG LLP dated August 8, 2014.  Incorporated by reference to exhibit 18 of the Registrant's Annual Report on Form 10-K for the fiscal year ended December 31, 2014.

23.1

Consent of Independent Registered Public Accounting Firm

31.1

Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2

Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1

Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2

Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS

XBRL Instance Document.

101.SCH

XBRL Taxonomy Extension Schema Document.

101.CAL

XBRL Taxonomy Extension Calculation Linkbase Document.

101.LAB

XBRL Taxonomy Extension Label Linkbase Document.

101.PRE

XBRL Taxonomy Extension Presentation Linkbase Document.

101.DEF

XBRL Taxonomy Extension Definition Linkbase Document.




35



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.


AMERICAN INDEPENDENCE CORP.

(Registrant)




/s/  Roy T.K. Thung

Roy T.K. Thung

Chief Executive Officer



Date:



November 9, 2015








/s/  Teresa A. Herbert

Teresa A. Herbert

Chief Financial Officer and Senior Vice President



Date:



November 9, 2015





36