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EX-31.2 - EXHIBIT 31.2 - TRIPLE-S MANAGEMENT CORPex31_2.htm
EX-32.2 - EXHIBIT 32.2 - TRIPLE-S MANAGEMENT CORPex32_2.htm
EX-32.1 - EXHIBIT 32.1 - TRIPLE-S MANAGEMENT CORPex32_1.htm
EX-31.1 - EXHIBIT 31.1 - TRIPLE-S MANAGEMENT CORPex31_1.htm
EX-10.2 - EXHIBIT 10.2 - TRIPLE-S MANAGEMENT CORPex10_2.htm
EX-10.1 - EXHIBIT 10.1 - TRIPLE-S MANAGEMENT CORPex10_1.htm

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q
 
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the quarterly period ended June 30, 2018
 
or
 
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the transition period from           to                  

COMMISSION FILE NUMBER:  001-33865
 
Triple-S Management Corporation
 
Puerto Rico
 
66-0555678
(State or other jurisdiction of incorporation or organization)
 
(I.R.S. Employer Identification No.)

1441 F.D. Roosevelt Avenue
   
San Juan, Puerto Rico
 
00920
(Address of principal executive offices)
 
(Zip code)

(787) 749-4949
(Registrant’s telephone number, including area code)
 
Not applicable
(Former name, former address and former fiscal year, if changed since last report)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
  Yes  No
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
  Yes    No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer 
Accelerated filer 
Non-accelerated filer 
Smaller reporting company 
Emerging growth company 
 
 
 If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
  Yes  No
 
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
 
Title of each class
Outstanding at June 30, 2018
Common Stock Class A, $1.00 par value
950,968
Common Stock Class B, $1.00 par value
22,242,836
 

Triple-S Management Corporation
 
FORM 10-Q
 
For the Quarter Ended June 30, 2018
 
Table of Contents
 
3
   
 
Item 1.
3
       
 
Item 2.
34
       
   
34
   
34
   
35
   
36
   
36
   
37
   
39
   
42
   
43
   
44
       
 
Item 3.
45
       
 
Item 4.
46
       
46
   
 
Item 1.
46
       
 
Item 1A.
46
       
 
Item 2.
47
       
 
Item 3.
47
       
 
Item 4.
47
       
 
Item 5.
47
       
 
Item 6.
47
       
48
 
Part I – Financial Information
 
Item 1.
Financial Statements
 
Triple-S Management Corporation
Condensed Consolidated Balance Sheets (Unaudited)
(dollar amounts in thousands, except share data)


   
June 30,
2018
   
December 31,
2017
 
Assets
           
Investments and cash:
           
Fixed maturities available for sale, at fair value
 
$
1,232,689
   
$
1,216,788
 
Fixed maturities held to maturity, at amortized cost
   
2,484
     
2,319
 
Equity investments, at fair value
   
313,042
     
342,309
 
Other invested assets, at net asset value
   
52,633
     
34,984
 
Policy loans
   
9,449
     
9,077
 
Cash and cash equivalents
   
255,979
     
198,941
 
Total investments and cash
   
1,866,276
     
1,804,418
 
Premiums and other receivables, net
   
742,056
     
899,327
 
Deferred policy acquisition costs and value of business acquired
   
205,268
     
200,788
 
Property and equipment, net
   
78,153
     
74,716
 
Deferred tax asset
   
79,404
     
65,123
 
Goodwill
   
25,397
     
25,397
 
Other assets
   
77,700
     
46,996
 
Total assets
 
$
3,074,254
   
$
3,116,765
 
Liabilities and Stockholders’ Equity
               
Claim liabilities
 
$
1,111,444
   
$
1,106,876
 
Liability for future policy benefits
   
349,176
     
339,507
 
Unearned premiums
   
169,538
     
86,349
 
Policyholder deposits
   
175,592
     
176,534
 
Liability to Federal Employees’ Health Benefits and Federal Employees’ Programs
   
61,128
     
52,287
 
Accounts payable and accrued liabilities
   
291,294
     
354,894
 
Deferred tax liability
   
3,971
     
21,891
 
Long-term borrowings
   
30,478
     
32,073
 
Liability for pension benefits
   
33,093
     
33,672
 
Total liabilities
   
2,225,714
     
2,204,083
 
Stockholders’ equity:
               
Triple-S Management Corporation stockholders’ equity
   
951
     
951
 
Common stock Class A, $1 par value. Authorized 100,000,000 shares; issued and outstanding 950,968 at June 30, 2018 and December 31, 2017, respectively
               
Common stock Class B, $1 par value. Authorized 100,000,000 shares; issued and outstanding 22,242,836 and 22,627,077 shares at June 30, 2018 and December 31, 2017, respectively
   
22,243
     
22,627
 
Additional paid-in capital
   
39,050
     
53,142
 
Retained earnings
   
790,439
     
785,390
 
Accumulated other comprehensive (loss) income
   
(3,462
)
   
51,254
 
Total Triple-S Management Corporation stockholders’ equity
   
849,221
     
913,364
 
Non-controlling interest in consolidated subsidiary
   
(681
)
   
(682
)
Total stockholders’ equity
   
848,540
     
912,682
 
Total liabilities and stockholders’ equity
 
$
3,074,254
   
$
3,116,765
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
Triple-S Management Corporation
Condensed Consolidated Statements of Earnings (Unaudited)
(dollar amounts in thousands, except per share data)

 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Revenues:
                       
Premiums earned, net
 
$
741,770
   
$
722,891
   
$
1,493,804
   
$
1,425,164
 
Administrative service fees
   
4,066
     
4,548
     
7,414
     
8,927
 
Net investment income
   
15,707
     
12,698
     
29,462
     
24,714
 
Other operating revenues
   
1,588
     
1,121
     
2,659
     
2,086
 
Total operating revenues
   
763,131
     
741,258
     
1,533,339
     
1,460,891
 
Net realized investment (losses) gains
   
(921
)
   
4,054
     
2,021
     
4,390
 
Net unrealized investment losses on equity investments
   
(776
)
   
-
     
(16,975
)
   
-
 
Other income, net
   
494
     
587
     
1,657
     
3,112
 
Total revenues
   
761,928
     
745,899
     
1,520,042
     
1,468,393
 
Benefits and expenses:
                               
Claims incurred
   
692,138
     
611,297
     
1,311,127
     
1,232,160
 
Operating expenses
   
134,612
     
118,720
     
267,746
     
229,666
 
Total operating costs
   
826,750
     
730,017
     
1,578,873
     
1,461,826
 
Interest expense
   
1,825
     
1,721
     
3,515
     
3,407
 
Total benefits and expenses
   
828,575
     
731,738
     
1,582,388
     
1,465,233
 
(Loss) income before taxes
   
(66,647
)
   
14,161
     
(62,346
)
   
3,160
 
Income tax (benefit) expense
   
(27,901
)
   
1,456
     
(27,514
)
   
(5,202
)
Net (loss) income
   
(38,746
)
   
12,705
     
(34,832
)
   
8,362
 
Net income (loss) attributable to non-controlling interest
   
1
     
-
     
1
     
(1
)
Net (loss) income attributable to Triple-S Management Corporation
 
$
(38,747
)
 
$
12,705
   
$
(34,833
)
 
$
8,363
 
Earnings per share attributable to Triple-S Management Corporation
                               
Basic net (loss) income per share
 
$
(1.68
)
 
$
0.52
   
$
(1.50
)
 
$
0.35
 
Diluted net (loss) income per share
 
$
(1.68
)
 
$
0.52
   
$
(1.50
)
 
$
0.34
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
Triple-S Management Corporation
Condensed Consolidated Statements of Comprehensive (Loss) Income (Unaudited)
(dollar amounts in thousands)


   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Net (loss) income
 
$
(38,746
)
 
$
12,705
   
$
(34,832
)
 
$
8,362
 
Other comprehensive (loss) income, net of tax:
                               
Net unrealized change in fair value of available for sale securities, net of taxes
   
(8,202
)
   
4,396
     
(15,096
)
   
12,868
 
Defined benefit pension plan:
                               
Actuarial loss, net
   
131
     
53
     
262
     
106
 
Total other comprehensive (loss) income, net of tax
   
(8,071
)
   
4,449
     
(14,834
)
   
12,974
 
Comprehensive (loss) income
   
(46,817
)
   
17,154
     
(49,666
)
   
21,336
 
Comprehensive income (loss) attributable to non-controlling interest
   
1
     
-
     
1
     
(1
)
Comprehensive (loss) income attributable to Triple-S Management Corporation
 
$
(46,818
)
 
$
17,154
   
$
(49,667
)
 
$
21,337
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
Triple-S Management Corporation
Condensed Consolidated Statements of Stockholders’ Equity (Unaudited)
(dollar amounts in thousands)


   
2018
   
2017
 
Balance at January 1
 
$
913,364
   
$
863,163
 
Share-based compensation
   
2,543
     
170
 
Repurchase and retirement of common stock
   
(17,019
)
   
-
 
Comprehensive (loss) income
   
(49,667
)
   
21,337
 
Total Triple-S Management Corporation stockholders’ equity
   
849,221
     
884,670
 
Non-controlling interest in consolidated subsidiary
   
(681
)
   
(678
)
Balance at June 30
 
$
848,540
   
$
883,992
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
Triple-S Management Corporation
Condensed Consolidated Statements of Cash Flows (Unaudited)
(Dollar amounts in thousands)


   
Six months ended
June 30,
 
   
2018
   
2017
 
Cash flows from operating activities:
           
Net (loss) income
 
$
(34,832
)
 
$
8,362
 
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
               
Depreciation and amortization
   
6,986
     
6,454
 
Net amortization of investments
   
3,116
     
4,787
 
Additions (reductions) to the allowance for doubtful receivables
   
1,729
     
(2,390
)
Deferred tax benefit
   
(29,292
)
   
(11,734
)
Net realized investment gain on sale of securities
   
(2,021
)
   
(4,390
)
Net unrealized loss on equity investments
   
16,975
     
-
 
Interest credited to policyholder deposits
   
2,157
     
2,144
 
Share-based compensation
   
2,543
     
170
 
Decrease (increase) in assets:
               
Premium and other receivables, net
   
155,542
     
(25,078
)
Deferred policy acquisition costs and value of business acquired
   
(2,355
)
   
(5,621
)
Deferred taxes
   
522
     
(280
)
Other assets
   
(32,997
)
   
(1,229
)
(Decrease) increase in liabilities:
               
Claim liabilities
   
4,568
     
16,297
 
Liability for future policy benefits
   
9,669
     
10,195
 
Unearned premiums
   
83,189
     
96,251
 
Liability to Federal Employees’ Health Benefits and Federal Employees’ Programs
   
8,841
     
5,993
 
Accounts payable and accrued liabilities
   
(63,617
)
   
33,774
 
Net cash provided by operating activities
   
130,723
     
133,705
 
 
(Continued)
 
Triple-S Management Corporation
Condensed Consolidated Statements of Cash Flows (Unaudited)
(Dollar amounts in thousands)


   
Six months ended
June 30,
 
   
2018
   
2017
 
Cash flows from investing activities:
           
Proceeds from investments sold or matured:
           
Securities available for sale:
           
Fixed maturities sold
 
$
768,789
   
$
88,141
 
Fixed maturities matured/called
   
10,656
     
8,938
 
Securities held to maturity:
               
Fixed maturities matured/called
   
728
     
703
 
Equity investments sold
   
123,197
     
21,499
 
Other invested assets sold
   
1,788
     
-
 
Acquisition of investments:
               
Securities available for sale:
               
Fixed maturities
   
(829,010
)
   
(141,116
)
Securities held to maturity:
               
Fixed maturities
   
(893
)
   
(703
)
Equity investments
   
(99,944
)
   
(20,424
)
Other invested assets
   
(18,649
)
   
-
 
Decrease (increase) in other investments
   
1,817
     
(731
)
Net change in policy loans
   
(372
)
   
(152
)
Net capital expenditures
   
(9,116
)
   
(8,704
)
Net cash used in investing activities
   
(51,009
)
   
(52,549
)
Cash flows from financing activities:
               
Change in outstanding checks in excess of bank balances
   
(1,564
)
   
(8,545
)
Repayments of long-term borrowings
   
(1,618
)
   
(1,212
)
Repurchase and retirement of common stock
   
(16,395
)
   
-
 
Proceeds from policyholder deposits
   
11,606
     
8,166
 
Surrenders of policyholder deposits
   
(14,705
)
   
(10,467
)
Net cash used in financing activities
   
(22,676
)
   
(12,058
)
Net increase in cash and cash equivalents
   
57,038
     
69,098
 
Cash and cash equivalents:
               
Beginning of period
   
198,941
     
103,428
 
End of period
 
$
255,979
   
$
172,526
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(1)
Basis of Presentation
 
The accompanying condensed consolidated interim financial statements prepared by Triple-S Management Corporation and its subsidiaries are unaudited.  In this filing, the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refer to Triple-S Management Corporation and its subsidiaries.  The condensed consolidated interim financial statements do not include all the information and the footnotes required by accounting principles generally accepted in the United States of America (GAAP or U.S. GAAP) for complete financial statement presentation.  These condensed consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2017.
 
In the opinion of management, all adjustments, consisting of a normal recurring nature necessary for a fair presentation of such condensed consolidated interim financial statements, have been included.  The results of operations for the three months and six months ended June 30, 2018 are not necessarily indicative of the results for the full year ending December 31, 2018.
 
(2)
Significant Accounting Policies
 
Investments
 
Fixed maturities and other invested assets
 
Investment in debt securities at June 30, 2018 and December 31, 2017 consists mainly of obligations of government‑sponsored enterprises, U.S.  Treasury securities and obligations of U.S.  government instrumentalities, obligations of the Commonwealth of Puerto Rico and its instrumentalities, municipal securities, corporate bonds, residential mortgage-backed securities, and collateralized mortgage obligations.  The Company classifies its debt securities in one of two categories: available-for-sale or held-to-maturity.  Securities classified as held-to-maturity are those securities in which the Company has the ability and intent to hold until maturity.  All other securities not included in held-to-maturity are classified as available-for-sale.
 
Available-for-sale securities are recorded at fair value.  The fair values of debt securities (both available-for-sale and held-to-maturity investments) are based on quoted market prices for those or similar investments at the reporting date.  Held-to-maturity debt securities are recorded at amortized cost, adjusted for the amortization or accretion of premiums and discounts, respectively.  Unrealized holding gains and losses, net of the related tax effect, on available-for-sale securities are excluded from earnings and are reported as a separate component of other comprehensive income until realized.  Realized gains and losses from the sale of available-for-sale securities are included in earnings and are determined on a specific‑identification basis.
 
Transfers of securities between categories are recorded at fair value at the date of transfer.  Unrealized holding gains or losses associated with transfers of securities from held-to-maturity to available-for-sale are recorded as a separate component of other comprehensive income.  The unrealized holding gains or losses included in the separate component of other comprehensive income for securities transferred from available-for-sale to held-to-maturity, are maintained and amortized into earnings over the remaining life of the security as an adjustment to yield in a manner consistent with the amortization or accretion of premium or discount on the associated security.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
If a fixed maturity security is in an unrealized loss position and the Company has the intent to sell the fixed maturity security, or it is more likely than not that the Company will have to sell the fixed maturity security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings.  For impaired fixed maturity securities that the Company does not intend to sell or it is more likely than not that such securities will not have to be sold, but the Company expects not to fully recover the amortized cost basis, the credit component of the other-than-temporary impairment is recognized in other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income.  Furthermore, unrealized losses entirely caused by non-credit related factors related to fixed maturity securities for which the Company expects to fully recover the amortized cost basis continue to be recognized in accumulated other comprehensive income.
 
The credit component of an other-than-temporary impairment is determined by comparing the net present value of projected future cash flows with the amortized cost basis of the fixed maturity security. The net present value is calculated by discounting the Company’s best estimate of projected future cash flows at the effective interest rate implicit in the fixed maturity security at the date of acquisition.
 
A decline in the fair value of any available-for-sale or held-to-maturity security below cost that is deemed to be other-than-temporary results in an impairment to reduce the carrying amount to fair value.  The impairment is charged to earnings and a new cost basis for the security is established.  To determine whether an impairment is other-than-temporary, the Company considers whether it has the ability and intent to hold the investment until a market price recovery and considers whether evidence indicating the cost of the investment is recoverable outweighs evidence to the contrary.  Evidence considered in this assessment includes the reasons for the impairment, the severity and duration of the impairment, market conditions, changes in value subsequent to year-end, forecasted performance of the investee, and the general market condition in the geographic area or industry the investee operates in.
 
Premiums and discounts are amortized or accreted over the life of the related held-to-maturity or available-for-sale security as an adjustment to yield using the effective interest method.  Dividend and interest income are recognized when earned.
 
The Company regularly invests in mortgaged-backed securities and other securities subject to prepayment and call risk.  Significant changes in prevailing interest rates may adversely affect the timing and amount of cash flows on such securities.  In addition, the amortization of market premium and accretion of market discount for mortgaged-backed securities is based on historical experience and estimates of future payment speeds on the underlying mortgage loans.  Actual prepayment speeds may differ from original estimates and may result in material adjustments to amortization or accretion recorded in future periods.
 
Other invested assets at June 30, 2018 and December 31, 2017 consist mainly of alternative investments in partnerships which invest in several private debt and private equity funds.  Portfolios are diversified by vintage year, stage, geography, business sectors and number of investments. These investments are not redeemable with the funds. Distributions from each fund are received as the underlying investments of the funds are liquidated. It is estimated that the underlying assets of the funds will be liquidated in the next 5 to 12 years. The fair values of the investments in this class have been estimated using the net asset value (NAV) of the Company’s ownership interest in the partnerships. Total unfunded capital commitments for these positions as of June 30, 2018 amounted to $108,312.  The remaining average commitments period is approximately three years.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
Equity investments
 
Investment in equity securities at June 30, 2018 and December 31, 2017 consists of mutual funds whose underlying assets are comprised of domestic equity securities, international equity securities and higher risk fixed income instruments. Equity investments are recorded at fair value.  The fair values of equity investments are based on quoted market prices.  Unrealized holding gains and losses, on equity investments are included in earnings.  Realized gains and losses from the sale of equity investments are included in earnings and are determined on a specific‑identification basis.
 
Recently Adopted Accounting Standards
 
On February 28, 2018, the Financial Accounting Standard Board (FASB) issued guidance for Technical Corrections and Improvement to Financial Instruments – Overall: Recognition and Measurement of Financial Assets and Financial Liabilities.  Areas for correction or improvement include (1) equity securities without a readily determinable fair value—discontinuation, (2) equity securities without a readily determinable fair value—adjustments, (3) forward contracts and purchased options, (4) presentation requirements for certain fair value option liabilities, (5) fair value option liabilities denominated in a foreign currency, and (6) transition guidance for equity securities without a readily determinable fair value. For public companies, these amendments, will be applied on a prospective basis, for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years.  Public entities with fiscal years beginning between December 15, 2017 and June 15, 2018 are not required to adopt these amendments until the interim period beginning after June 15, 2018.  The adoption of this guidance did not have a material impact on the presentation of the Company’s consolidated result of operations.
 
Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months ended June 30, 2018 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(3)
Investment in Securities

The amortized cost for debt securities and cost for equity securities, gross unrealized gains, gross unrealized losses, and estimated fair value for the Company’s investments in securities by major security type and class of security at June 30, 2018 and December 31, 2017, were as follows:

   
June 30, 2018
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
                       
Fixed maturities available for sale
                       
Obligations of government- sponsored enterprises
 
$
11,450
   
$
2
   
$
(45
)
 
$
11,407
 
U.S. Treasury securities and obligations of U.S. government instrumentalities
   
211,872
     
156
     
(565
)
   
211,463
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
8,175
     
-
     
(6
)
   
8,169
 
Municipal securities
   
713,271
     
18,520
     
(2,804
)
   
728,987
 
Corporate bonds
   
191,745
     
11,428
     
(1,327
)
   
201,846
 
Residential mortgage-backed securities
   
60,492
     
33
     
(1,094
)
   
59,431
 
Collateralized mortgage obligations
   
11,804
     
2
     
(420
)
   
11,386
 
Total fixed maturities available for sale
 
$
1,208,809
   
$
30,141
   
$
(6,261
)
 
$
1,232,689
 
 
 
June 30, 2018
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Fixed maturities held to maturity
                       
U.S. Treasury securities and obligations of U.S. government instrumentalities
 
$
617
   
$
121
   
$
-
   
$
738
 
Residential mortgage-backed securities
   
191
     
2
     
-
     
193
 
Certificates of deposit
   
1,676
     
-
     
-
     
1,676
 
Total
 
$
2,484
   
$
123
   
$
-
   
$
2,607
 
 
   
June 30, 2018
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Equity investments - Mutual funds
 
$
280,168
   
$
34,105
   
$
(1,231
)
 
$
313,042
 
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
   
June 30, 2018
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Other invested assets - Alternative investments
 
$
51,879
   
$
1,107
   
$
(353
)
 
$
52,633
 

   
December 31, 2017
 
   
Amortized
Cost
   
Gross
Unrealized
Gains
   
Gross
Unrealized
Losses
   
Estimated
Fair
Value
 
                         
Securities available for sale
                       
Fixed maturities
                       
Obligations of government- sponsored enterprises
 
$
1,431
   
$
13
   
$
-
   
$
1,444
 
U.S. Treasury securities and obligations of U.S. government instrumentalities
   
118,858
     
41
     
(550
)
   
118,349
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
8,059
     
34
     
-
     
8,093
 
Municipal securities
   
771,789
     
30,468
     
(1,467
)
   
800,790
 
Corporate bonds
   
217,046
     
17,767
     
(489
)
   
234,324
 
Residential mortgage-backed securities
   
32,465
     
2
     
(355
)
   
32,112
 
Collateralized mortgage obligations
   
22,003
     
10
     
(337
)
   
21,676
 
Total fixed maturities
   
1,171,651
     
48,335
     
(3,198
)
   
1,216,788
 
Equity securities
                               
Mutual funds
   
292,460
     
50,072
     
(223
)
   
342,309
 
Alternative investments
   
34,669
     
559
     
(244
)
   
34,984
 
Total equity securities
   
327,129
     
50,631
     
(467
)
   
377,293
 
Total
 
$
1,498,780
   
$
98,966
   
$
(3,665
)
 
$
1,594,081
 
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)


   
December 31, 2017
 
   
Amortized
cost
   
Gross
unrealized
gains
   
Gross
unrealized
losses
   
Estimated
fair value
 
Securities held to maturity:
                       
U.S. Treasury securities and obligations of U.S. government instrumentalities
 
$
617
   
$
154
   
$
-
   
$
771
 
Residential mortgage-backed securities
   
191
     
2
     
-
     
193
 
Certificates of deposit
   
1,511
     
-
     
-
     
1,511
 
Total
 
$
2,319
   
$
156
   
$
-
   
$
2,475
 
 
Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of June 30, 2018 and December 31, 2017 were as follows:

   
June 30, 2018
 
   
Less than 12 months
   
12 months or longer
   
Total
 
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
 
                                                       
Fixed maturities available for sale
                                                     
Obligations of government- sponsored enterprises
 
$
9,955
   
$
(45
)
   
1
   
$
-
   
$
-
     
-
   
$
9,955
   
$
(45
)
   
1
 
U.S. Treasury securities and obligations of U.S. governmental instrumentalities
   
150,885
     
(565
)
   
12
     
-
     
-
     
-
     
150,885
     
(565
)
   
12
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
6,691
     
(6
)
   
3
     
-
     
-
     
-
     
6,691
     
(6
)
   
3
 
Municipal securities
   
278,677
     
(2,796
)
   
41
     
701
     
(8
)
   
1
     
279,378
     
(2,804
)
   
42
 
Corporate bonds
   
96,306
     
(1,327
)
   
25
     
-
     
-
     
-
     
96,306
     
(1,327
)
   
25
 
Residential mortgage-backed securities
   
41,498
     
(1,094
)
   
22
     
-
     
-
     
-
     
41,498
     
(1,094
)
   
22
 
Collateralized mortgage obligations
   
3,289
     
(115
)
   
1
     
5,628
     
(305
)
   
2
     
8,917
     
(420
)
   
3
 
Total fixed maturities
 
$
587,301
   
$
(5,948
)
   
105
   
$
6,329
   
$
(313
)
   
3
   
$
593,630
   
$
(6,261
)
   
108
 
Other invested assets - Alternative investments
 
$
13,991
   
$
(121
)
   
3
   
$
7,327
   
$
(232
)
   
2
   
$
21,318
   
$
(353
)
   
5
 
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)


   
December 31, 2017
 
   
Less than 12 months
   
12 months or longer
   
Total
 
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
   
Estimated
Fair Value
   
Gross
Unrealized
Loss
   
Number of
Securities
 
                                                       
Securites available for sale
                                                     
Fixed maturities
                                                     
U.S. Treasury securities and obligations of U.S. governmental  instrumentalities
 
$
96,617
   
$
(550
)
   
7
   
$
-
   
$
-
     
-
   
$
96,617
   
$
(550
)
   
7
 
Municipal securities
   
162,731
     
(1,467
)
   
27
     
-
     
-
     
-
     
162,731
     
(1,467
)
   
27
 
Corporate bonds
   
80,374
     
(489
)
   
16
     
-
     
-
     
-
     
80,374
     
(489
)
   
16
 
Residential mortgage backed securities
   
31,736
     
(355
)
   
19
     
-
     
-
     
-
     
31,736
     
(355
)
   
19
 
Collateralized mortgage obligations
   
13,630
     
(239
)
   
3
     
7,294
     
(98
)
   
2
     
20,924
     
(337
)
   
5
 
Total fixed maturities
   
385,088
     
(3,100
)
   
72
     
7,294
     
(98
)
   
2
     
392,382
     
(3,198
)
   
74
 
Equity securities
                                                                       
Mutual funds
   
42,983
     
(223
)
   
6
     
-
     
-
     
-
     
42,983
     
(223
)
   
6
 
Alternative investments
   
9,986
     
(212
)
   
5
     
3,162
     
(32
)
   
1
     
13,148
     
(244
)
   
6
 
Total equity securities
   
52,969
     
(435
)
   
11
     
3,162
     
(32
)
   
1
     
56,131
     
(467
)
   
12
 
Total for securities available for sale
 
$
438,057
   
$
(3,535
)
   
83
   
$
10,456
   
$
(130
)
   
3
   
$
448,513
   
$
(3,665
)
   
86
 

The Company reviews the available for sale and other invested assets portfolios under the Company’s impairment review policy.  Given market conditions and the significant judgments involved, there is a continuing risk that declines in fair value may occur and material other-than-temporary impairments may be recorded in future periods.  The Corporation from time to time may sell investments as part of its asset/liability management process or to reposition its investment portfolio based on current and expected market conditions.
 
Obligations of Government-Sponsored Enterprises, U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities, and Municipal Securities:  The unrealized losses of these securities were mainly caused by fluctuations in interest rates and general market conditions.  The contractual terms of these investments do not permit the issuer to settle the securities at a price less than the par value of the investment.  In addition, these investments have investment grade ratings. Because the decline in fair value is attributable to changes in interest rates and not credit quality; because the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.
 
Corporate Bonds:  The unrealized losses of these bonds were principally caused by fluctuations in interest rates and general market conditions.  All corporate bonds with an unrealized loss have investment grade ratings.  Because the decline in estimated fair value is principally attributable to changes in interest rates; because the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

Residential mortgage-backed securities and Collateralized mortgage obligations: The unrealized losses on investments in residential mortgage-backed securities and collateralized mortgage obligations (“CMOs”) were mostly caused by fluctuations in interest rates and credit spreads. The contractual cash flows of these securities, other than private CMOs, are guaranteed by a U.S. government-sponsored enterprise. Any loss in these securities is determined according to the seniority level of each tranche, with the least senior (or most junior), typically the unrated residual tranche, taking any initial loss. The investment grade credit rating of our securities reflects the seniority of the securities that the Company owns. The Company does not consider these investments other-than-temporarily impaired because the decline in fair value is attributable to changes in interest rates and not credit quality; the Company does not intend to sell the investments and it is more likely than not that the Company will not be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows.
 
Obligations of the Commonwealth of Puerto Rico and its Instrumentalities: As of June 30, 2018, our holdings in Puerto Rico municipals consist of escrowed bonds. The Company does not intend to sell the investments and it is more likely than not that the Company will not be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows.
 
Alternative Investments:  As of June 30, 2018, alternative investments with unrealized losses are not considered other-than-temporarily impaired based on market conditions and the length of time the funds have been in a loss position.   There were no impaired positions for the six-month period ending June 30, 2018.

Maturities of investment securities classified as available for sale and held to maturity were as follows:
 
   
June 30, 2018
 
   
Amortized
cost
   
Estimated
fair value
 
Fixed maturities available for sale
           
Due in one year or less
 
$
19,212
   
$
19,308
 
Due after one year through five years
   
382,216
     
381,081
 
Due after five years through ten years
   
375,375
     
376,911
 
Due after ten years
   
359,710
     
384,572
 
Residential mortgage-backed securities
   
60,492
     
59,431
 
Collateralized mortgage obligations
   
11,804
     
11,386
 
   
$
1,208,809
   
$
1,232,689
 
Fixed maturities held to maturity
               
Due in one year or less
 
$
1,676
   
$
1,676
 
Due after ten years
   
617
     
738
 
Residential mortgage-backed securities
   
191
     
193
 
   
$
2,484
   
$
2,607
 

Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
Information regarding realized and unrealized gains and losses from investments is as follows:

             
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Realized gains (losses)
                       
Fixed maturity securities:
                       
Securities available for sale:
                       
Gross gains
 
$
1,340
   
$
384
     
1,512
   
$
401
 
Gross losses
   
(2,873
)
   
(517
)
   
(10,803
)
   
(636
)
Total fixed securities
   
(1,533
)
   
(133
)
   
(9,291
)
   
(235
)
Equity investments:
                               
Gross gains
   
551
     
4,189
     
8,754
     
4,627
 
Gross losses
   
(525
)
   
(2
)
   
(1,024
)
   
(2
)
Total equity investments
   
26
     
4,187
     
7,730
     
4,625
 
Other invested assets:
                               
Gross gains
   
586
     
-
     
3,793
     
-
 
Gross losses
   
-
     
-
     
(211
)
   
-
 
Total other invested assets
   
586
     
-
     
3,582
     
-
 
Net realized investment (losses) gains
 
$
(921
)
 
$
4,054
   
$
2,021
   
$
4,390
 
 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Changes in net unrealized (losses) gains:
                       
Recognized in accumulated other comprehensive (loss) income:
                       
Fixed maturities – available for sale
 
$
(11,035
)
 
$
3,252
   
$
(21,257
)
 
$
2,813
 
Other invested assets
   
464
     
2,768
     
439
     
13,911
 
   
$
(10,571
)
 
$
6,020
   
$
(20,818
)
 
$
16,724
 
Not recognized in the consolidated financial statements:
                               
Fixed maturities – held to maturity
 
$
(10
)
 
$
(10
)
 
$
(33
)
 
$
(8
)
 
The change in deferred tax liability on unrealized gains recognized in accumulated other comprehensive (loss) income during the six months ended June 30, 2018 and 2017 was $6,147 and $3,391, respectively.
 
As of June 30, 2018 and December 31, 2017, no individual investment in securities exceeded 10% of stockholders’ equity.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(4)
Premiums and Other Receivables, Net
 
Premiums and other receivables, net were as follows:

   
June 30,
   
December 31,
 
   
2018
   
2017
 
Premium
 
$
71,762
   
$
103,027
 
Self-funded group receivables
   
39,483
     
39,859
 
FEHBP
   
13,470
     
13,346
 
Agent balances
   
33,468
     
32,818
 
Accrued interest
   
13,585
     
14,331
 
Reinsurance recoverable
   
525,896
     
661,679
 
Other
   
80,712
     
70,150
 
     
778,376
     
935,210
 
Less allowance for doubtful receivables:
               
Premium
   
27,518
     
26,490
 
Other
   
8,802
     
9,393
 
     
36,320
     
35,883
 
Total premium and other receivables, net
 
$
742,056
   
$
899,327
 

As of June 30, 2018 and December 31, 2017, the Company had premiums and other receivables of $48,626 and $81,838, respectively, from the Government of Puerto Rico, including its agencies, municipalities and public corporations.  The related allowance for doubtful receivables as of June 30, 2018 and December 31, 2017 were $18,185 and $16,436, respectively.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(5)
Fair Value Measurements
 
Our condensed consolidated balance sheets include the following financial instruments: securities available for sale, equity investments, policy loans, policyholder deposits, and long-term borrowings.  We consider the carrying amounts of policy loans, policyholder deposits, and long-term borrowings to approximate their fair value due to the short period of time between the origination of these instruments and the expected realization or payment. Certain assets are measured at fair value on a recurring basis and are disclosed below. These assets are classified into one of three levels of a hierarchy defined by GAAP. For a description of the methods and assumptions that are used to estimate the fair value and determine the fair value hierarchy classification of each class of financial instrument, see the consolidated financial statements and notes thereto included in our 2017 Annual Report on Form 10-K.
 
The following tables summarize fair value measurements by level for assets measured at fair value on a recurring basis:

   
June 30, 2018
 
   
Level 1
   
Level 2
   
Level 3
   
Total
 
                         
Fixed maturity securities available for sale
                       
Obligations of government-sponsored enterprises
 
$
-
   
$
11,407
   
$
-
   
$
11,407
 
U.S. Treasury securities and obligations of U.S government instrumentalities
   
211,463
     
-
     
-
     
211,463
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
-
     
8,169
     
-
     
8,169
 
Municipal securities
   
-
     
728,987
     
-
     
728,987
 
Corporate bonds
   
-
     
201,846
     
-
     
201,846
 
Residential agency mortgage-backed securities
   
-
     
59,431
     
-
     
59,431
 
Collateralized mortgage obligations
   
-
     
11,386
     
-
     
11,386
 
Total fixed maturities
 
$
211,463
   
$
1,021,226
   
$
-
   
$
1,232,689
 
                                 
Equity investments
 
$
141,123
   
$
171,919
   
$
-
   
$
313,042
 
 
   
December 31, 2017
 
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Securities available for sale:
                       
Fixed maturity securities
                       
Obligations of government-sponsored enterprises
 
$
-
   
$
1,444
   
$
-
   
$
1,444
 
U.S. Treasury securities and obligations of U.S government instrumentalities
   
118,349
     
-
     
-
     
118,349
 
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
   
-
     
8,093
     
-
     
8,093
 
Municipal securities
   
-
     
800,790
     
-
     
800,790
 
Corporate bonds
   
-
     
234,324
     
-
     
234,324
 
Residential agency mortgage-backed securities
   
-
     
32,112
     
-
     
32,112
 
Collateralized mortgage obligations
   
-
     
21,676
     
-
     
21,676
 
Total fixed maturities
   
118,349
     
1,098,439
     
-
     
1,216,788
 
Equity securities - Mutual funds
   
193,160
     
149,149
     
-
     
342,309
 
Alternative investments - measured at net asset value
   
-
     
-
     
-
     
34,984
 
Total equity securities
   
193,160
     
149,149
     
-
     
377,293
 
                                 
Total
 
$
311,509
   
$
1,247,588
   
$
-
   
$
1,594,081
 
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
There were no transfers between Levels 1 and 2 during the three months and six months ended June 30, 2018 and 2017.
 
A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our condensed consolidated balance sheets at June 30, 2018 and December 31, 2017 are as follows:

 
 
June 30, 2018
 
 
 
Carrying
   
Fair Value
 
 
 
Value
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Assets:
                             
Policy loans
   
9,449
   
$
-
   
$
9,449
   
$
-
   
$
9,449
 
 
                                       
Liabilities:
                                       
Policyholder deposits
   
175,592
   
$
-
   
$
175,592
   
$
-
   
$
175,592
 
Long-term borrowings:
                                       
Loans payable to bank - variable
   
30,733
     
-
     
30,733
     
-
     
30,733
 
Total liabilities
 
$
206,325
   
$
-
   
$
206,325
   
$
-
   
$
206,325
 

 
 
December 31, 2017
 
 
 
Carrying
   
Fair Value
 
 
 
Value
   
Level 1
   
Level 2
   
Level 3
   
Total
 
Assets:
                             
Policy loans
 
$
9,077
   
$
-
   
$
9,077
   
$
-
   
$
9,077
 
 
                                       
Liabilities:
                                       
Policyholder deposits
 
$
176,534
   
$
-
   
$
176,534
   
$
-
   
$
176,534
 
Long-term borrowings:
                                       
Loans payable to bank - variable
   
32,350
     
-
     
32,350
     
-
     
32,350
 
Total liabilities
 
$
208,884
   
$
-
   
$
208,884
   
$
-
   
$
208,884
 
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(6)
Claim Liabilities
 
A reconciliation of the beginning and ending balances of claim liabilities is as follows:

   
Three months ended
June 30, 2018
   
Six months ended
June 30, 2018
 
   
Managed
Care
   
Other
Business
Segments *
   
Consolidated
   
Managed
Care
   
Other
Business
Segments *
   
Consolidated
 
                                     
Claim liabilities at beginning of period
 
$
402,444
   
$
632,317
   
$
1,034,761
   
$
367,357
   
$
739,519
   
$
1,106,876
 
Reinsurance recoverable on claim liabilities
   
-
     
(526,575
)
   
(526,575
)
   
-
     
(633,099
)
   
(633,099
)
Net claim liabilities at beginning of period
   
402,444
     
105,742
     
508,186
     
367,357
     
106,420
     
473,777
 
Claims incurred
                                               
Current period insured events
   
594,742
     
26,527
     
621,269
     
1,198,689
     
57,434
     
1,256,123
 
Prior period insured events
   
(10,900
)
   
74,355
     
63,455
     
(31,126
)
   
72,537
     
41,411
 
Total
   
583,842
     
100,882
     
684,724
     
1,167,563
     
129,971
     
1,297,534
 
Payments of losses and loss-adjustment expenses
                                               
Current period insured events
   
512,768
     
15,670
     
528,438
     
873,736
     
22,690
     
896,426
 
Prior period insured events
   
36,060
     
11,324
     
47,384
     
223,726
     
34,071
     
257,797
 
Total
   
548,828
     
26,994
     
575,822
     
1,097,462
     
56,761
     
1,154,223
 
Net claim liabilities at end of period
   
437,458
     
179,630
     
617,088
     
437,458
     
179,630
     
617,088
 
Reinsurance recoverable on claim liabilities
   
-
     
494,356
     
494,356
     
-
     
494,356
     
494,356
 
Claim liabilities at end of period
 
$
437,458
   
$
673,986
   
$
1,111,444
   
$
437,458
   
$
673,986
   
$
1,111,444
 
 
*
Other Business Segments include the Life Insurance and Property and Casualty segments,as well as intersegment eliminations.
 
             
   
Three months ended
June 30, 2017
   
Six months ended
June 30, 2017
 
   
Managed
Care
   
Other
Business
Segments *
   
Consolidated
   
Managed
Care
   
Other
Business
Segments *
   
Consolidated
 
                                     
Claim liabilities at beginning of period
 
$
393,525
   
$
136,779
   
$
530,304
   
$
349,047
   
$
138,896
   
$
487,943
 
Reinsurance recoverable on claim liabilities
   
-
     
(35,898
)
   
(35,898
)
   
-
     
(38,998
)
   
(38,998
)
Net claim liabilities at beginning of period
   
393,525
     
100,881
     
494,406
     
349,047
     
99,898
     
448,945
 
Claims incurred
                                               
Current period insured events
   
580,608
     
26,282
     
606,890
     
1,183,241
     
54,508
     
1,237,749
 
Prior period insured events
   
(1,355
)
   
(1,196
)
   
(2,551
)
   
(16,695
)
   
(2,529
)
   
(19,224
)
Total
   
579,253
     
25,086
     
604,339
     
1,166,546
     
51,979
     
1,218,525
 
Payments of losses and loss-adjustment expenses
                                               
Current period insured events
   
576,135
     
14,944
     
591,079
     
926,585
     
22,917
     
949,502
 
Prior period insured events
   
25,208
     
11,586
     
36,794
     
217,573
     
29,523
     
247,096
 
Total
   
601,343
     
26,530
     
627,873
     
1,144,158
     
52,440
     
1,196,598
 
Net claim liabilities at end of period
   
371,435
     
99,437
     
470,872
     
371,435
     
99,437
     
470,872
 
Reinsurance recoverable on claim liabilities
   
-
     
33,368
     
33,368
     
-
     
33,368
     
33,368
 
Claim liabilities at end of period
 
$
371,435
   
$
132,805
   
$
504,240
   
$
371,435
   
$
132,805
   
$
504,240
 
 
*
Other Business Segments include the Life Insurance and Property and Casualty segments,as well as intersegment eliminations.
 
The actual amounts of claims incurred in connection with insured events occuring in a prior period typically differ from estimates of such claims made in the prior period. Amounts included as incurred claims for prior period insured events reflect the aggregate net amount of these differences.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
The unfavorable developments in the claims incurred and loss-adjustment expenses for prior period insured events for the three months and six months ended June 30, 2018 is driven by an adverse development of approximately $76,389 in losses related to Hurricane Maria, offset by better than expected utilization trends in the managed care segment.  The favorable developments in the claims incurred and loss-adjustment expenses for prior period insured events for the three months and six months ended June 30, 2017 are due primarily to better than expected utilization trends in the Managed Care segment.  Reinsurance recoverable on unpaid claims is reported as premium and other receivables, net in the accompanying consolidated financial statements.  Claim liabilities as of June 30, 2018 include approximately $538,200 related to the impact of Hurricane María, which made landfall in Puerto Rico in September 2017.
 
The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits expense, which amounted to $7,414 and $13,593 during the three months and six months ended June 30, 2018, respectively.  The change in the liability for future policy benefits during the three months and six months ended June 30, 2017 amounted to $6,945 and $13,635, respectively.
 
The following is information about total incurred but not reported (IBNR) liabilities plus expected development on reported claims included in the liability for unpaid claims adjustment expenses for the Managed Care segment as of June 30, 2018.

Incurred
Year
   
Total of IBNR Liabilities Plus Expected
Development on Reported Claims
 
2017
   
$
36,590
 
2018
     
324,953
 

(7)
Pension Plan
 
The components of net periodic benefit cost were as follows:

   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Components of net periodic benefit cost:
                       
Interest cost
 
$
1,693
   
$
1,798
   
$
3,386
   
$
3,596
 
Expected return on assets
   
(2,281
)
   
(2,199
)
   
(4,562
)
   
(4,398
)
Amortization of actuarial loss
   
215
     
86
     
430
     
172
 
Settlement loss
   
325
     
631
     
650
     
631
 
Net periodic benefit cost
 
$
(48
)
 
$
316
   
$
(96
)
 
$
1
 

Employer Contributions:   The Company disclosed in its audited consolidated financial statements for the year ended December 31, 2017 that it expected to contribute $2,000 to the pension program in 2018.  As of June 30, 2018, the Company has not made contributions to the pension program.
 
(8)
Reinsurance
 
TSP uses facultative reinsurance, pro rata, and excess of loss reinsurance treaties to manage its exposure to losses, including those from catastrophe events.  TSP has geographic exposure to catastrophe losses from hurricanes and earthquakes.  The incidence and severity of catastrophes are inherently unpredictable.   Under these treaties, TSP ceded premiums written were $12,688 and $16,580 for the three months ended June 30, 2018 and 2017, respectively, and $27,466 and $26,721 for the six months ended June 30, 2018, and 2017, respectively.  During the six months ended June 30, 2018, TSP ceded claims incurred amounting to $69,594 related to losses caused by Hurricanes Irma and Maria.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)


Principal reinsurance agreements are as follows:
 
·          Casualty excess of loss treaty provides reinsurance for losses up to $12,000, subject to a retention of $225.
 
·          Medical malpractice excess of loss treaty provides reinsurance for losses up to $3,000, subject to a retention of $150.
 
·          Property reinsurance treaty includes proportional cessions and a per risk excess of loss contract limiting losses to $350 in $30,000 risks.
 
·          Catastrophe protection is purchased limiting losses to $10,000 per event with losses up to approximately $915,000.
 
All principal reinsurance contracts are for a period of one year and are subject to modifications and negotiations in each renewal. TSP’s current property and catastrophe reinsurance program was renewed effective April 1, 2018 for a twelve months period ending March 31, 2019. Other contracts were renewed as expiring on January 1, 2018.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)


(9)
Comprehensive Income (Loss)
 
The accumulated balances for each classification of other comprehensive income (loss), net of tax, are as follows:

   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
                         
Net Unrealized Gain on Securities Beginning Balance
 
$
29,462
   
$
70,843
   
$
76,238
   
$
62,371
 
Unrealized loss reclassified to beginning retained earnings as a result of implementation new accounting pronouncement
   
-
     
-
     
(39,882
)
   
-
 
Other comprehensive (loss) income before reclassifications
   
(8,939
)
   
7,639
     
(13,479
)
   
16,380
 
Amounts reclassified from accumulated other comprehensive income (loss)
   
737
     
(3,243
)
   
(1,617
)
   
(3,512
)
Net current period change
   
(8,202
)
   
4,396
     
(15,096
)
   
12,868
 
Ending Balance
   
21,260
     
75,239
     
21,260
     
75,239
 
Liability for Pension Benefits Beginning Balance
   
(24,853
)
   
(19,923
)
   
(24,984
)
   
(19,976
)
Amounts reclassified from accumulated other comprehensive income
   
131
     
53
     
262
     
106
 
Ending Balance
   
(24,722
)
   
(19,870
)
   
(24,722
)
   
(19,870
)
Accumulated Other Comprehensive (Loss) Income Beginning Balance
   
4,609
     
50,920
     
51,254
     
42,395
 
Unrealized loss reclassified to beginning retained earnings as the result of implementing new accounting pronouncement
   
-
     
-
     
(39,882
)
   
-
 
Other comprehensive (loss) income before reclassifications
   
(8,939
)
   
7,639
     
(13,479
)
   
16,380
 
Amounts reclassified from accumulated other comprehensive income (loss)
   
868
     
(3,190
)
   
(1,355
)
   
(3,406
)
Net current period change
   
(8,071
)
   
4,449
     
(14,834
)
   
12,974
 
Ending Balance
 
$
(3,462
)
 
$
55,369
   
$
(3,462
)
 
$
55,369
 

(10)
Stock Repurchase Program
 
The Company repurchases shares through open-market purchases of Class  B shares only, in accordance with Rule  10b-18 under the Securities Exchange Act of 1934, as amended, under repurchase programs authorized by the Board of Directors.
 
In August 2017, the Company’s Board of Directors authorized a $30,000 repurchase program of its Class B common stock, and in February 2018 the Company’s Board of Directors authorized a $25,000 expansion of this program.  During the three months ended June 30, 2018, the Company repurchased and retired under this program 80,404 shares at an average per share price of $26.82, for an aggregate cost of $2,136.  During the six months ended June 30, 2018, the Company repurchased and retired under this program 643,963 shares at an average per share price of $25.40, for an aggregate cost of $16,395.
 
(11)
Share-Based Compensation
 
Share-based compensation expense recorded during the three months ended June 30, 2018 and 2017 was $2,151 and $1,613, respectively.  Share-based compensation expense recorded during the six months ended June 30, 2018 and 2017 was $2,543 and $1,228, respectively.  During the three months and six months ended June 30, 2018, 8,525 and 24,796 shares, respectively, were repurchased and retired as the result of non-cash tax withholdings upon vesting of shares. There were no non-cash tax withholdings during the six months ended June 30, 2017.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(12)
Net (Loss) Income Available to Stockholders and Net (Loss) Income per Share
 
The following table sets forth the computation of basic and diluted earnings per share:

   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Numerator for earnings per share:
                       
Net (loss) income attributable to TSM available to stockholders
 
$
(38,747
)
 
$
12,705
   
$
(34,833
)
 
$
8,363
 
Denominator for basic earnings per share:
                               
Weighted average of common shares
   
23,016,447
     
24,246,591
     
23,146,318
     
24,195,211
 
Effect of dilutive securities
   
-
     
36,687
     
-
     
50,220
 
Denominator for diluted earnings per share
   
23,016,447
     
24,283,278
     
23,146,318
     
24,245,431
 
Basic net (loss) income per share attributable to TSM
 
$
(1.68
)
 
$
0.52
   
$
(1.50
)
 
$
0.35
 
Diluted net (loss) income per share attributable to TSM
 
$
(1.68
)
 
$
0.52
   
$
(1.50
)
 
$
0.34
 

The Company excluded the effect of dilutive securities during the three months and six months ended June 30, 2018 because their effect would have been anti-dilutive given the net loss attributable to stockholders in those periods. If the Company had generated income from continuing operations during the three months and six months ended June 30, 2018, the effect of restricted stock awards on the diluted shares calculation would have been an increase in shares of 80,929 and 92,933 shares, respectively.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(13)
Contingencies
 
The following information supplements and amends, as applicable, the disclosures in Note 23 to the Consolidated Financial Statements of the Company’s 2017 Annual Report on Form 10-K.  Our business is subject to numerous laws and regulations promulgated by Federal, Puerto Rico, U.S. Virgin Islands (USVI), Costa Rica, British Virgin Islands (BVI), and Anguilla governmental authorities. Compliance with these laws and regulations can be subject to government review and interpretation, as well as regulatory actions unknown and unasserted at this time. The Commissioner of Insurance of Puerto Rico, as well as other Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla government authorities, regularly make inquiries and conduct audits concerning the Company’s compliance with such laws and regulations. Penalties associated with violations of these laws and regulations may include significant fines and exclusion from participating in certain publicly funded programs and may require the Company to comply with corrective action plans or changes in our practices.
 
We are involved in various legal actions arising in the ordinary course of business. We are also defendants in various other litigations and proceedings, some of which are described below.  Where the Company believes that a loss is both probable and estimable, such amounts have been recorded.  Although we believe our estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution.  The outcome of legal proceedings is inherently uncertain and pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any.  Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material adverse effect on the consolidated financial condition, operating results and/or cash flows of the Company.
 
Additionally, we may face various potential litigation claims that have not been asserted to date, including claims from persons purporting to have rights to acquire shares of the Company on favorable terms pursuant to agreements previously entered by our predecessor managed care subsidiary, Seguros de Servicios de Salud de Puerto Rico, Inc. (SSS), with physicians or dentists who joined our provider network to sell such new provider shares of SSS at a future date (Share Acquisition Agreements) or to have inherited such shares notwithstanding applicable transfer and ownership restrictions.
 
Claims by Heirs of Former Shareholders
 
On August 28, 2017, local Court of First Instance entered summary judgement in Heirs of Dr. Juan Acevedo, et al., v. Triple-S Management Corporation, et al. ordering the Company to issue 63,000 stock shares in favor of Plaintiffs, plus costs and legal fees. The Company appealed said judgement and on March 15, 2018, Puerto Rico Court of Appeals revoked said judgement and ruled in favor of the Company dismissing the complaint with prejudice. The Court ’s opinion held that issuance of Dr. Blanco’s shares of stock occurred under the Puerto Rico Corporations Statute of 1956, therefore the Corporations Statute of 1995 was inapplicable to the controversy; applicable law was Puerto Rico Insurance Code and Puerto Rico Corporations Statute of 1956; the amendment approved by the stockholders on April 29, 1990 was a relaxation of the restrictions to transfer the shares of stock by inheritance, not a restriction by itself; Dr. Blanco had actual notice of the original restrictions and as such it was not necessary for the restrictions to appear clear and conspicuously on the certificates of the shares of stock he owned; Dr. Blanco’s actual notice of the restrictions was attributable to Plaintiffs as heirs; and Dr. Blanco’s shares were correctly redeemed by the Company. On June 1, 2018, the Puerto Rico Supreme Court denied Plaintiffs’ petition for a Writ of Certiorari; a request for reconsideration is pending adjudication by the Court.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
In re Blue Cross Blue Shield Antitrust Litigation
 
TSS is a co-defendant with multiple Blue Plans and the Blue Cross Blue Shield Association (BCBSA) in a multi-district class action litigation filed by a group of providers and subscribers on July 24, 2012 and October 1, 2012, respectively, that has since been consolidated by the United States District Court for the Northern District of Alabama, Southern Division, in the case captioned In re Blue Cross Blue Shield Association Antitrust Litigation. Essentially, provider plaintiffs allege that the exclusive service area requirements of the Primary License Agreements with the Blue Plans constitute an illegal horizontal market allocation under federal antitrust laws. As per provider plaintiffs, the quid pro quo for said “market allocation” is a horizontal price fixing and boycott conspiracy” implemented through the Inter-Plans Program Committee (“IPPC”) and whose benefits are allegedly derived through the BCBSA’s Blue Card/National Accounts Program. Among the remedies sought, provider plaintiffs seek increased compensation rates and operational changes. In turn, subscriber plaintiffs allege that the alleged conspiracy to allocate markets have prevented subscribers from being offered competitive prices and resulted in higher premiums for Blue Plan subscribers. Subscribers seek damages in the form of supra-competitive premiums allegedly charged by the Blue Plans and/or the difference between what subscribers have paid the Blues and the lower competitive premiums that non-competing Blues would have charged. Both actions seek injunctive relief.

Prior to consolidation, motions to dismiss were filed by several plans, including TSS - whose request was ultimately denied by the court without prejudice. On April 6, 2015, plaintiffs filed suit in the United States District Court of Puerto Rico against TSS. Said complaint, nonetheless, is believed not to preclude TSS’ jurisdictional arguments. Since inception, the Company has joined BCBSA and other Blue Plans in vigorously contesting these claims. On April 5, 2018, the United States District Court for the Northern District of Alabama, Southern Division, issued it’s ruling on the parties’ respective motions for partial summary judgment on the standard of review applicable to plaintiffs’ claims under Section 1 of the Sherman Act and subscriber plaintiffs’ motion for partial summary judgment on the Blue Plan’s single entity defense. After considering the “undisputed” facts (for summary judgment purposes only) and evidence currently on record in the light most favorable to defendants, the court essentially found that: (a) the Exclusive Service Areas constitute horizontal market allocations that are subject to the Per Se standard of review; (b) the National Best Efforts Rule constitutes an “output restriction” subject to the Per Se standard of review; (c) there remain genuine issues of material fact as to whether defendants’ conduct can be shielded by the “single entity” defense; and (d) claims concerning the BlueCard Program and uncoupling rules are due to be analyzed under the Rule of Reason standard.

On April 16, 2018 Defendants moved the Federal District Court for the Northern District of Alabama to certify for immediate interlocutory appeal the court’s April 5, 2018 Standard of Review Ruling.  On June 12, 2018 the Judge agreed to grant Defendant’s motion for certification pursuant to 28 U.S.C. §1292(b).  Defendants filed their Notice of Appeal on July 12, 2018.

Claims Relating to the Provision of Health Care Services
 
TSS was a defendant in several claims for collection of monies in connection with the provision of health care services. Among them are individual complaints filed before ASES by six community health centers alleging TSS breached their contracts with respect to certain capitation payments and other monetary claims. In May 2018, the Company settled this case with all six community health centers and paid a settlement agreement totaling $1,200.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
ASES Audits
 
The Company is subject to audits in connection with the provision of services to private and governmental entities.  These audits may include numerous aspects of our business, including claim payment practices, contractual obligations, service delivery, third-party obligations, and business practices, among others.  Deficiencies in audits could have a material adverse effect on our reputation and business, including termination of contracts, significant increases in the cost of managing and remediating deficiencies, payment of contractual penal clauses, and others, any of which could have a material and adverse effect on our results of operations, financial position and cash flows.
 
On July 2, 2014, ASES notified TSS that the results of an audit conducted in connection with the government health plan contract for several periods between October 2005 and September 2013, reflected an overpayment of premiums made to TSS pursuant to prior contracts with ASES in the amount of $7,900. The alleged overpayments were related to duplicated payments or payments made for deceased members, and ASES requested the reimbursement of the alleged overpayment. On January 16, 2015, TSS filed an injunction against ASES under the case Triple-S Salud, Inc. v. Administración de Seguros de Salud de Puerto Rico. TSS contends that ASES’ request for reimbursement has no merits on several grounds, including a 2011 settlement between both parties covering the majority of the amount claimed by ASES, and that ASES, under the terms of the contracts, was responsible for certifying the membership. On May 26, 2017, the court issued a partial judgement dismissing the complaint in favor of TSS with respect to the alleged overpayments for the period between October 2005 and September 2010, which represented approximately $7,400 of the total alleged claim. On July 27, 2017, ASES appealed the court’s partial judgement and on January 31, 2018, the Puerto Rico Court of Appeals entered judgement in favor of the Company, thus validating the 2011 settlement agreement.  No plea for reconsideration nor a writ of certiorari was filed by ASES before the Court of Appeals or the Puerto Rico Supreme Court.  The parties reached a settlement agreement for the remaining amount in controversy subject to the final approval of ASES Board of Directors, which has been accrued as of June 30, 2018.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
(14)
Segment Information
 
The operations of the Corporation are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance.  The Corporation evaluates performance based primarily on the operating revenues and operating income of each segment.  Operating revenues include premiums earned, net, administrative service fees, net investment income, and revenues derived from other segments.  Operating costs include claims incurred and operating expenses.  The Corporation calculates operating income or loss as operating revenues less operating costs.
 
The following tables summarize the operations by reportable segment for the three months and six months ended June 30, 2018 and 2017:

   
Three months ended
   
Six months ended
 
   
June 30,
   
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Operating revenues:
                       
Managed Care:
                       
Premiums earned, net
 
$
677,994
   
$
661,365
   
$
1,364,596
   
$
1,301,512
 
Administrative service fees
   
4,066
     
4,548
     
7,414
     
8,927
 
Intersegment premiums/service fees
   
1,323
     
1,631
     
2,671
     
3,165
 
Net investment income
   
5,914
     
4,146
     
10,771
     
8,038
 
Total managed care
   
689,297
     
671,690
     
1,385,452
     
1,321,642
 
Life Insurance:
                               
Premiums earned, net
   
41,180
     
39,858
     
82,269
     
80,156
 
Intersegment premiums
   
216
     
111
     
597
     
302
 
Net investment income
   
6,619
     
6,330
     
12,677
     
12,417
 
Total life insurance
   
48,015
     
46,299
     
95,543
     
92,875
 
Property and Casualty Insurance:
                               
Premiums earned, net
   
22,596
     
21,668
     
46,659
     
43,216
 
Intersegment premiums
   
154
     
154
     
307
     
307
 
Net investment income
   
2,764
     
2,134
     
5,206
     
4,058
 
Total property and casualty insurance
   
25,514
     
23,956
     
52,172
     
47,581
 
Other segments: *
                               
Intersegment service revenues
   
49
     
2,259
     
288
     
3,845
 
Operating revenues from external sources
   
1,588
     
1,154
     
2,659
     
2,154
 
Total other segments
   
1,637
     
3,413
     
2,947
     
5,999
 
Total business segments
   
764,463
     
745,358
     
1,536,114
     
1,468,097
 
TSM operating revenues from external sources
   
410
     
55
     
808
     
133
 
Elimination of intersegment premiums/service fees
   
(1,693
)
   
(1,896
)
   
(3,295
)
   
(3,494
)
Elimination of intersegment service revenues
   
(49
)
   
(2,259
)
   
(288
)
   
(3,845
)
Consolidated operating revenues
 
$
763,131
   
$
741,258
   
$
1,533,339
   
$
1,460,891
 

*
Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(unaudited)

 
   
Three months ended
June 30,
   
Six months ended
June 30,
 
   
2018
   
2017
   
2018
   
2017
 
Operating income (loss):
                       
Managed care
 
$
1,417
   
$
2,920
   
$
12,035
   
$
(15,662
)
Life insurance
   
5,331
     
4,990
     
8,956
     
8,925
 
Property and casualty insurance
   
(71,019
)
   
3,775
     
(67,940
)
   
5,842
 
Other segments *
   
427
     
1
     
602
     
144
 
Total business segments
   
(63,844
)
   
11,686
     
(46,347
)
   
(751
)
TSM operating revenues from external sources
   
410
     
55
     
808
     
133
 
TSM unallocated operating expenses
   
(2,585
)
   
(2,900
)
   
(4,795
)
   
(5,117
)
Elimination of TSM intersegment charges
   
2,400
     
2,400
     
4,800
     
4,800
 
Consolidated operating (loss) income
   
(63,619
)
   
11,241
     
(45,534
)
   
(935
)
Consolidated net realized investment (losses) gains
   
(921
)
   
4,054
     
2,021
     
4,390
 
Consolidated net unrealized investment losses on equity investments
   
(776
)
   
-
     
(16,975
)
   
-
 
Consolidated interest expense
   
(1,825
)
   
(1,721
)
   
(3,515
)
   
(3,407
)
Consolidated other income, net
   
494
     
587
     
1,657
     
3,112
 
Consolidated (loss) income before taxes
 
$
(66,647
)
 
$
14,161
   
$
(62,346
)
 
$
3,160
 
                                 
Depreciation and amortization expense:
                               
Managed care
 
$
2,804
   
$
2,649
   
$
5,445
   
$
4,888
 
Life insurance
   
296
     
318
     
596
     
598
 
Property and casualty insurance
   
108
     
138
     
212
     
252
 
Other segments*
   
172
     
163
     
340
     
323
 
Total business segments
   
3,380
     
3,268
     
6,593
     
6,061
 
TSM depreciation expense
   
196
     
196
     
393
     
393
 
Consolidated depreciation and amortization expense
 
$
3,576
   
$
3,464
   
$
6,986
   
$
6,454
 

*
Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.

   
June 30,
   
December 31,
 
   
2018
   
2017
 
Assets:
           
Managed care
 
$
1,279,895
   
$
1,092,715
 
Life insurance
   
855,033
     
853,289
 
Property and casualty insurance
   
871,559
     
1,094,773
 
Other segments *
   
18,037
     
19,027
 
Total business segments
   
3,024,524
     
3,059,804
 
Unallocated amounts related to TSM:
               
Cash, cash equivalents, and investments
   
66,083
     
81,169
 
Property and equipment, net
   
22,134
     
22,257
 
Other assets
   
25,328
     
22,763
 
     
113,545
     
126,189
 
Elimination entries-intersegment receivables and others
   
(63,815
)
   
(69,228
)
Consolidated total assets
 
$
3,074,254
   
$
3,116,765
 

*
Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
 
Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

 
(15)
Subsequent Events
 
The Company evaluated subsequent events through the date the financial statements were issued.  No events, other than those described in these notes, have occurred that require adjustment or disclosure pursuant to current Accounting Standards Codification.
 
Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
In this Management’s Discussion and Analysis of Financial Condition and Results of Operations (MD&A), the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refers to Triple-S Management Corporation and its subsidiaries.  The MD&A included in this Quarterly Report on Form 10-Q is intended to update the reader on matters affecting the financial condition and results of operations for the three months and six months ended June 30, 2018.  Therefore, the following discussion should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Annual Report on Form 10-K filed with the United States Securities and Exchange Commission as of and for the year ended December 31, 2017 and the MD&A included therein, and our unaudited consolidated financial statements and accompanying notes as of and for the three months and six months ended June 30, 2018 included in this Quarterly Report on Form 10-Q.
 
Cautionary Statement Regarding Forward-Looking Information
 
This Quarterly Report on Form 10-Q and other of our publicly available documents may include statements that constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things: statements concerning our business and our financial condition and results of operations.  These statements are not historical, but instead represent our belief regarding future events, any of which, by their nature, are inherently uncertain and outside of our control.  These statements may address, among other things, future financial results, strategy for growth, and market position.  It is possible that our actual results and financial condition may differ, possibly materially, from the anticipated results and financial condition indicated in these forward-looking statements.  The factors that could cause actual results to differ from those in the forward-looking statements are discussed throughout this form.  We are not under any obligation to update or alter any forward-looking statement (and expressly disclaims any such obligations), whether as a result of new information, future events or otherwise.  Factors that may cause actual results to differ materially from those contemplated by such forward looking statements include, but are not limited to, rising healthcare costs, business conditions and competition in the different insurance segments, government action and other regulatory issues.
 
Overview
 
We are one of the most significant players in the managed care industry in Puerto Rico and have over 55 years of experience in this industry.  We offer a broad portfolio of managed care and related products in the Commercial, Medicaid and Medicare Advantage markets.  In the Commercial market, we offer products to corporate accounts, U.S. federal government employees, local government employees, individual accounts and Medicare Supplement.  We also participate in the Government of Puerto Rico Health Insurance Plan (a government of Puerto Rico-funded managed care program for the medically indigent that is similar to the Medicaid program in the U.S.) (Medicaid), by administering the provision of health benefits in designated service regions in Puerto Rico.  See details of the Medicaid contract in Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2017 under the sub-caption “We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business.
 
We have the exclusive right to use the Blue Cross Blue Shield (BCBS) name and mark throughout Puerto Rico, the U.S. Virgin Islands (USVI), Costa Rica, the British Virgin Islands (BVI) and Anguilla.  As of June 30, 2018, we served approximately 973,000 managed care members across all regions of Puerto Rico.  For the six months ended June 30, 2018 and 2017, our managed care segment represented approximately 91% of our total consolidated premiums earned.  We also have significant positions in the life insurance and property and casualty insurance markets.
 
We participate in the managed care market through our subsidiaries, Triple-S Salud, Inc. (TSS); Triple-S Advantage, Inc. (TSA), and Triple-S Blue, Inc. I.I. (TSB).  TSS, TSA and TSB are Blue Cross Blue Shield Association (BCBSA) licensees, which provides us with exclusive use of the Blue Cross and Blue Shield name and mark throughout Puerto Rico, the USVI, Costa Rica, the BVI, and Anguilla.
 
We participate in the life insurance market through our subsidiary, Triple-S Vida, Inc., and in the property and casualty insurance market through our subsidiary, Triple-S Propiedad, Inc. (TSP).
 
Intersegment revenues and expenses are reported on a gross basis in each of the operating segments but eliminated in the consolidated results.  Except as otherwise indicated, the numbers for each segment presented in this Quarterly Report on Form 10-Q do not reflect intersegment eliminations.  These intersegment revenues and expenses affect the amounts reported on the financial statement line items for each segment, but are eliminated in consolidation and do not change net income.  See note 14 of the Condensed Consolidated Financial Statements included in Quarterly Report on Form 10-Q.
 
Our revenues primarily consist of premiums earned, net and administrative service fees.  These revenues are derived from the sale of managed care products in the Commercial market to employer groups, individuals, and government-sponsored programs, principally Medicare and the Government of Puerto Rico Health Insurance Plan.  Premiums are derived from insurance contracts and administrative service fees are derived from self-funded contracts, under which we provide a range of services, including claims administration, billing and membership services, among others.  Revenues also include premiums earned from the sale of property and casualty and life insurance contracts, investment income, and revenues derived from other non-reportable segments.  Substantially all our earnings are generated in Puerto Rico.
 
Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and other service providers, and policyholders.  Each segment’s results of operations depend to a significant extent on their ability to accurately predict and effectively manage claims.  A portion of the claims incurred for each period consists of claims reported but not paid during the period, as well as a management and actuarial estimate of claims incurred but not reported during the period.  Operating expenses consist primarily of compensation, commission payments to brokers and other overhead business expenses.
 
We use operating income as a measure of performance of the underwriting and investment functions of our segments.  We also use the loss ratio and the operating expense ratio as measures of performance.  The loss ratio is claims incurred divided by premiums earned, net, multiplied by 100.  The operating expense ratio is operating expenses divided by premiums earned; net and administrative service fees, multiplied by 100.
 
Recent Developments
Puerto Rico Economy
 
The Oversight Board requested and certified fiscal plans for the Commonwealth and several Commonwealth instrumentalities in 2017.  However, as a result of the aftermath of Hurricane María, the Oversight Board announced a process to revise such fiscal plans.  At the request of the Oversight Board, the Commonwealth and several of its instrumentalities prepared and submitted various drafts of proposed fiscal plans to the Oversight Board.  On April 19, 2018, the Oversight Board certified a new fiscal plan for the Commonwealth, which it revised and re-certified on June 29, 2018.  Although the plan certified by the Oversight Board borrows heavily from previous drafts of fiscal plans submitted by the government to the Oversight Board, it differs in certain significant aspects.  The Governor has stated publicly that he does not intend to implement certain material elements of the Commonwealth’s certified fiscal plan and has commenced litigation against the Oversight Board challenging its ability to require the implementation of certain measures included therein.  In April 2018, the Oversight Board also certified revised fiscal plans for the Puerto Rico Electric Power Authority, Puerto Rico Aqueduct and Sewer Authority (“PRASA”), the University of Puerto Rico, the Puerto Rico Highways and Transportation Authority and Government Development Bank (“GDB”).
 
The Commonwealth’s certified fiscal plan estimates a 13.3% contraction in real gross national product in fiscal year 2018, and projects relatively steady macroeconomic growth after fiscal year 2018, assuming the successful implementation of the fiscal and structural reforms outlined therein and substantial federal government funding to address disaster recovery and reconstruction efforts.  The fiscal plans (the ones certified by the Oversight Board last year and the recently certified fiscal plans) reflect that the government and its instrumentalities will not have sufficient revenues to pay their debt service obligations in full while continuing to provide essential services, implying a need for significant debt relief.
 
See Item 1A.  Risk Factors – Risks Related to our Business – “Our business is geographically concentrated in Puerto Rico and weakness in the economy and the fiscal health of the government has adversely impacted and may continue to adversely impact us, particularly following Hurricanes Irma and Maria.” included in our Annual Report on Form 10-K for the year ended December 31, 2017.
 
Puerto Rico Government Health Reform Program
 
TSS extended the term of its contract with the Puerto Rico Health Insurance Administration (“ASES,” by its Spanish acronym) for the offering of health care services for the Medicaid subscribers in the Metro North and West regions of the Government of Puerto Rico’s health insurance program, known as the Government Health Plan (the “Contract”).  The amendment signed on June 30, 2018 extended the term of the Contract until July 31, 2018.  On July 31, 2018 TSS signed another extension of the terms of the Contract until October 31, 2018.  All other provisions of the Contract, as amended, including the per member per month payments made by ASES to TSS, will remain in full force and effect during the extension periods.
 
The Company has been notified by ASES that TSS is one of the five companies selected to participate as a managed care organization (MCO) in the government’s revised Medicaid Health Plan.  Contract execution is expected during the month of August and the program is scheduled to begin on November 1, 2018.  MCOs are mandated to participate in two separate risk pools - a general population risk pool for which a base premium applies, and a “high cost, high need” risk pool with adjusted premiums established according to target populations and medical conditions.  The revised Medicaid program will be implemented for a three-year term with an additional one-year term ASES option.  Premiums rates will be negotiated for each contract year.
 
See Item 1A.      Risk Factors—Risks Related to Our Business – “We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business.’’ included in our Annual Report on Form 10-K for the year ended December 31, 2017.
 
Political and Regulatory Developments
 
CMS announced final benchmark rates for the 2019 Medicare Advantage plans.  The call letter maintains the zero claims adjustment, and allows certain Puerto Rico counties to qualify for double bonus status.   The impact of these updates, result in a Puerto Rico benchmark estimated average increase of about 5.7%.   See Item 1A.      Risk Factors—Risks Related to the Regulation of our Industry – “The revised rate calculation system for Medicare Advantage, the payment system for the Medicare Part D and changes in the methodology and payment policies used by CMS to establish rates could reduce our profitability and the benefits we offer our beneficiaries’’ included in our Annual Report on Form 10-K for the year ended December 31, 2017.
 
Property and Casualty – Hurricane Maria Unfavorable Reserve Development
 
During the three months ended June 30, 2018, the Property and Casualty segment increased by approximately $212.7 million the gross losses related to Hurricane Maria, a strong category 4 hurricane that made landfall in Puerto Rico on September 20, 2017 causing island wide catastrophic damage not seen in Puerto Rico in over 100 years.  With this significant increase in the gross losses related to this catastrophe, the segment has exceeded the 2017 catastrophe reinsurance coverage limits, resulting in the recognition of a $76.4 million unfavorable prior period reserve development during the three months ended June 30, 2018.
 
In previous periods, gross losses related to Hurricane Maria were estimated using as a primary source an industry-recognized post-landfall model, supplemented by management estimates of loss adjustment expense.  As loss information continued to emerge, including significant new information which emerged during the three months ended June 30, 2018, gross reserves were updated reflecting a worsening of the loss expectations for Hurricane Maria.  Specifically, as the second quarter progressed, we received new information related to existing claim cases, including numerous commercial property cases that indicated a worsening of loss expectations related to this event.  As a consequence, the segment is now carrying specific and bulk reserves for unpaid claims based on actual data, rather than relying on model projections.
 
We believe the delay in the submission of information by claimants and adjusters resulted from the difficulties they have had in performing site inspections, preparing estimates and delivering claim reports, following the catastrophic damage suffered by Puerto Rico in its power, water, transportation, and communications infrastructure. In addition, because Hurricane Maria occurred within a month of Hurricane Harvey and two weeks after Hurricane Irma, both of which severely impacted the southern portion of the U.S., many independent adjusters were not available until several months after Hurricane Maria impacted the Island, contributing to the delay in inspections and preparation of estimates.
 
As the result of this unfavorable reserve development, TSP estimates that its Risk Based Capital (RBC) at the end of the year could be lower than the 300% minimum RBC requirement of the Commissioner of Insurance.  The lower capital levels could also negatively impact the segment’s A.M. Best rating for 2018.  Management is evaluating several alternatives to increase TSP’s statutory capital in order to meet minimum capital requirements, which could include reinsurance agreements, capital infusion, and/or the issuance of surplus notes.
 
See Item 1A. Risk FactorsRisks Related to Our Business – “Our failure to accurately estimate incurred but not reported claims would affect our reported financial results”, “Our ability to manage our exposure to underwriting risks in our life insurance and property and casualty insurance business depends on the availability and cost of reinsurance coverage”, “If our reinsurers do not pay our claims or do not pay them in a timely manner, we may incur losses”, “A downgrade in our A.M. Best rating could affect our ability to write new business or renew our existing business in our property and casualty segment”, and “Our insurance subsidiaries are subject to minimum capital requirements.  Our failure to meet these standards could subject us to regulatory actions” included in our Annual Report on Form 10-K for the year ended December 31, 2017.  Additional information on how each reportable segment determines its claim liabilities, and the variables considered in the development of this amount, is included in our latest Annual Report on Form 10-K under Item 7. Management’s Discussion and Analysis of Financial Condition and Results of OperationsCritical Accounting Estimates”.
 
Recent Accounting Standards
 
For a description of recent accounting standards, see note 2 to the unaudited condensed consolidated financial statements included in this quarterly report on Form 10-Q.
 
Managed Care Membership

   
As of June 30,
 
   
2018
   
2017
 
Managed care enrollment:
           
Commercial 1
   
457,089
     
498,393
 
Medicare
   
111,667
     
121,240
 
Medicaid
   
404,338
     
386,070
 
Total
   
973,094
     
1,005,703
 
Managed care enrollment by funding arrangement:
               
Fully-insured
   
828,054
     
839,299
 
Self-insured
   
145,040
     
166,404
 
Total
   
973,094
     
1,005,703
 

(1)
Commercial membership includes corporate accounts, self-funded employers, individual accounts, Medicare Supplement, Federal government employees and local government employees.
 
Consolidated Operating Results
 
The following table sets forth the Corporation’s consolidated operating results.  Further details of the results of operations of each reportable segment are included in the analysis of operating results for the respective segments.

   
Three months ended
June 30,
   
Six months ended
June 30,
 
(dollar amounts in millions)
 
2018
   
2017
   
2018
   
2017
 
Revenues:
                       
Premiums earned, net
 
$
741.8
   
$
722.9
   
$
1,493.8
   
$
1,425.2
 
Administrative service fees
   
4.1
     
4.5
     
7.4
     
8.9
 
Net investment income
   
15.7
     
12.7
     
29.5
     
24.7
 
Other operating revenues
   
1.5
     
1.1
     
2.6
     
2.1
 
Total operating revenues
   
763.1
     
741.2
     
1,533.3
     
1,460.9
 
Net realized investment (losses) gains
   
(0.9
)
   
4.1
     
2.0
     
4.4
 
Net unrealized investment losses on equity investments
   
(0.8
)
   
-
     
(17.0
)
   
-
 
Other income, net
   
0.5
     
0.6
     
1.7
     
3.1
 
Total revenues
   
761.9
     
745.9
     
1,520.0
     
1,468.4
 
Benefits and expenses:
                               
Claims incurred
   
692.1
     
611.3
     
1,311.1
     
1,232.2
 
Operating expenses
   
134.6
     
118.7
     
267.7
     
229.6
 
Total operating expenses
   
826.7
     
730.0
     
1,578.8
     
1,461.8
 
Interest expense
   
1.8
     
1.7
     
3.5
     
3.4
 
Total benefits and expenses
   
828.5
     
731.7
     
1,582.3
     
1,465.2
 
(Loss) income before taxes
   
(66.6
)
   
14.2
     
(62.3
)
   
3.2
 
Income tax (benefit) expense
   
(27.9
)
   
1.5
     
(27.5
)
   
(5.2
)
Net (loss) income attributable to TSM
 
$
(38.7
)
 
$
12.7
   
$
(34.8
)
 
$
8.4
 

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017
 
Operating Revenues
 
Consolidated premiums earned, net increased by $18.9 million, or 2.6%, to $741.8 million, primarily reflecting higher Medicaid and Medicare premiums within the Managed Care segment.  Increase in Medicaid premiums mostly reflects the higher premium rates that became effective July 1, 2017 as well as an increase in membership.  In the Medicare business, premiums increased due to this year’s achievement of a four-star rated Medicare Advantage HMO contract that resulted in a 5% bonus applied to the benchmark used in premium calculation as well as an increase in the 2018 Medicare reimbursement rates.  These increases were partially offset by lower Commercial and Medicare membership.
 
Net unrealized investment losses on equity investments
 
The $0.8 million in consolidated net unrealized investment losses on equity investments is the impact of a new accounting guidance implemented effective January 1, 2018, which requires the change in unrealized gain (loss) of equity investments, previously recorded through comprehensive income, to be recorded through earnings.
 
Claims Incurred
 
Consolidated claims incurred increased by $80.8 million, or 13.2%, to $692.1 million mainly driven by a $76.4 million unfavorable prior period reserve development in the Property and Casualty segment in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. The consolidated loss ratio increased by 870 basis points to 93.3%. See “Recent Developments - Property and Casualty - Hurricane Maria Unfavorable Reserve Development”.
 
Operating Expenses
 
Consolidated operating expenses increased by $15.9 million, or 13.4%, to $134.6 million.  The higher operating expenses are mostly the result of the reinstatement of the Health Insurance Providers Fee (HIP fee) of $12.2 million and higher professional services and personnel costs.  For the three months ended June 30, 2018, the consolidated operating expense ratio increased 170 basis points to 18.0%.
 
Income Taxes
 
Consolidated income tax benefit for the three months ended June 30, 2018 was $27.8 million, compared to an expense of $1.5 million during the three months ended June 30, 2017. The year over year change in income taxes primarily reflects the loss before taxes in the Property and Casualty segment.
 
Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017
 
Operating Revenues
 
Consolidated premiums earned, net increased by $68.6 million, or 4.8%, to $1,493.8 million, reflecting higher Medicaid and Medicare premiums within the Managed Care segment. Increase in Medicaid premiums mostly reflects the higher premiums rates that became effective July 1, 2017 as well as increase in membership.  In the Medicare business, premiums increased as the result of achieving a 4-star rating in our Medicare Advantage HMO contract that resulted in a 5% bonus applied to the benchmark used in premium calculation as well as an increase in the 2018 Medicare reimbursement rates.  These increases were partially offset by lower Commercial and Medicare membership.
 
Net unrealized investment losses on equity investments
 
The $17.0 million in consolidated net unrealized investment losses on equity investments is the impact of a new accounting guidance implemented effective January 1, 2018, which requires the change in unrealized gain (loss) of equity investments, previously recorded through comprehensive income, to be recorded through earnings.
 
Claims Incurred
 
Consolidated claims incurred increased by $78.9 million, or 6.4%, to $1,311.1 million mainly driven by a $76.4 million unfavorable prior period reserve development in the Property and Casualty segment in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017.  The consolidated loss ratio increased by 130 basis points to 87.8%. See “Recent Developments - Property and Casualty - Hurricane Maria Unfavorable Reserve Development”.
 
Operating Expenses
 
Consolidated operating expenses increased by $38.1 million, or 16.6%, to $267.7 million.  The higher operating expenses are mostly the result of the reinstatement of the HIP fee of $23.9 million and higher professional services and personnel costs.  For the six months ended June 30, 2018, the consolidated operating expense ratio increased 180 basis points to 17.8%.
Income Taxes
 
Consolidated income tax benefit for the six months ended June 30, 2018 was $27.5 million, compared to a benefit of $5.2 million during the six months ended June 30, 2017.  The year over year change in income taxes primarily reflects the loss before taxes in the Property and Casualty segment.
 
Managed Care Operating Results

             
   
Three months ended
June 30,
   
Six months ended
June 30,
 
(dollar amounts in millions)
 
2018
   
2017
   
2018
   
2017
 
Operating revenues:
                       
Medical premiums earned, net:
                       
Commercial
 
$
194.7
   
$
203.3
   
$
393.5
   
$
408.4
 
Medicare
   
279.8
     
266.6
     
567.7
     
524.3
 
Medicaid
   
203.8
     
191.8
     
404.1
     
369.5
 
Medical premiums earned, net
   
678.3
     
661.7
     
1,365.3
     
1,302.2
 
Administrative service fees
   
5.1
     
5.8
     
9.4
     
11.4
 
Net investment income
   
5.9
     
4.1
     
10.8
     
8.0
 
Total operating revenues
   
689.3
     
671.6
     
1,385.5
     
1,321.6
 
Medical operating costs:
                               
Medical claims incurred
   
583.8
     
579.2
     
1,167.6
     
1,166.5
 
Medical operating expenses
   
104.1
     
89.5
     
205.9
     
170.8
 
Total medical operating costs
   
687.9
     
668.7
     
1,373.5
     
1,337.3
 
Medical operating income (loss)
 
$
1.4
   
$
2.9
   
$
12.0
   
$
(15.7
)

Additional data:
                       
Member months enrollment:
                       
Commercial:
                       
Fully-insured
   
940,484
     
1,001,638
     
1,901,774
     
2,014,843
 
Self-funded
   
439,675
     
501,500
     
889,453
     
1,008,667
 
Total Commercial
   
1,380,159
     
1,503,138
     
2,791,227
     
3,023,510
 
Medicare
   
334,887
     
363,257
     
673,227
     
726,984
 
Medicaid
   
1,201,743
     
1,169,090
     
2,373,088
     
2,342,363
 
Total member months
   
2,916,789
     
3,035,485
     
5,837,542
     
6,092,857
 
Medical loss ratio
   
86.1
%
   
87.5
%
   
85.5
%
   
89.6
%
Operating expense ratio
   
15.2
%
   
13.4
%
   
15.0
%
   
13.0
%

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017
 
Medical Operating Revenues
 
Medical premiums earned increased by $16.6 million, or 2.5%, to $678.3 million.  This increase is principally the result of the following:
 
Medical premiums generated by the Medicare business amounted to $279.8 million, $13.2 million, or 5.0% higher, primarily reflecting an increase in the Medicare reimbursement rates for the first time since 2012, the increase related to the 4-star rating achievement in our 2018 HMO product, increase in the risk score adjustment and higher average membership risk score. These increases were offset in part by a decrease in member months enrollment by approximately 28,000.
 
Medical premiums generated by the Medicaid business increased $12.0 million, or 6.3% to $203.8 million. Increase primarily reflects higher premiums rates effective July 1, 2017, an increase in membership of approximately 33,000 lives, and $3.6 million related to the reinstatement of the HIP fee pass-through in 2018.  These increases were partially offset by a $7.7 million decrease in the collection of premiums related to the achievement of the contract’s quality incentive metrics, reflecting the collection of one quarter in 2018 versus three quarters in 2017.
 
Medical premiums generated by the Commercial business decreased by $8.6 million, or 4.2%, to $194.7 million. This fluctuation primarily reflects lower member enrollment during the year by approximately 61,000 member months and $3.0 million related to the reinstatement of the HIP fee pass-through in 2018.
 
Medical Claims Incurred
 
Medical claims incurred increased by $4.6 million, or 0.8%, to $583.8 million when compared to the three months ended June 30, 2017.  The medical loss ratio (MLR) of the segment decreased 140 basis points during the 2018 period, to 86.1%.  This fluctuation is primarily attributed to the net effect of the following:
 
The medical claims incurred of the Medicare business increased by $5.1 million, or 2.1%, during the 2018 period and its MLR decreased by 250 basis points, to 88.4%.  Adjusting for the effect of prior period reserve developments in 2018 and 2017 and moving the risk score revenue adjustments to their corresponding period, the Medicare MLR would have been approximately 89.4% this quarter, about 130 basis points lower than last year, primarily reflecting the higher premium rates in the 2018 period partially offset by higher trends in pharmacy and inpatient services, as well as to higher costs, offset in part by increased utilization of services as the result of the waiver of pre-authorization requirements mandated by CMS following the impact of Hurricanes Irma and Maria. The waiver was in place until June 15, 2018.
 
The medical claims incurred in the Medicaid business increased by $7.3 million, or 4.2%, during the 2018 period. The MLR, at 88.5%, was 180 basis point lower than the same period last year.  Adjusting for the effect of prior period reserve developments and the collection of quality incentive premiums, the Medicaid MLR would have been approximately 89.4%, for the quarter, 520 basis points lower than the adjusted MLR for last year.  The improved MLR primarily reflects the higher premium rates in the 2018 period, and cost containment initiatives.
 
The medical claims incurred of the Commercial business decreased by $7.8 million, or 4.8%, during the 2018 period mostly driven by lower enrollment. The MLR, at 80.2%, was 40 basis point lower than the same period last year.  Adjusting for the effect of prior period reserve developments, the Commercial MLR would have been 84.7%, 370 basis points higher than the adjusted MLR for last year, mostly reflecting higher utilization in the 2018 quarter mostly reflecting the impact of an earlier Easter holiday this year, shifting some first quarter utilization to the second quarter, and the normal increase in claim trends.
 
Medical Operating Expenses
 
Medical operating expenses increased by $14.6 million, or 16.3%, to $104.1 million.    The operating expense ratio increased by 180 basis points to 15.2% in 2018.  The higher operating expenses and expense ratio are mostly driven by the reinstatement of the HIP fee in 2018, resulting in an increase of $12.2 million, and higher professional services and personnel costs.
 
Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017
 
Medical Operating Revenues
 
Medical premiums earned increased by $63.1 million, or 4.8%, to $1,365.3 million.  This increase is principally the result of the following:
 
Medical premiums generated by the Medicare business increased by $43.4 million, or 8.3%, to $567.7 million, primarily reflecting an increase in the Medicare reimbursement rates for the first time since 2012, the increase related to the 4-star rating achievement in our 2018 HMO product, increase in the risk score adjustment, and to higher average membership risk score.
 
Medical premiums generated by the Medicaid business amounted to $404.1 million, $34.6 million, or 9.4% higher when compared to the prior period.  Increase primarily reflects higher premiums rates effective July 1, 2017, $7.3 million related to the reinstatement of the HIP fee pass-through in 2018, and an increase in member months enrollment of approximately 31,000.  These increases were offset in part by a $3.9 million decrease in the collection of premiums related to the achievement of contract’s quality incentive metrics, reflecting the collection of two quarter in 2018 versus three quarters in 2017.
 
Medical premiums generated by the Commercial business decreased by $14.9 million, or 3.6%, to $393.5 million. This fluctuation primarily reflects lower member enrollment during the year by approximately 113,000 member months and $6.0 million related to the reinstatement of the HIP fee pass-through in 2018.
 
Medical Claims Incurred
 
Medical claims incurred increased by $1.1 million, or 0.1%, to $1,167.6 million and the MLR of the segment decreased 410 basis points during the 2018 period, to 85.6%.  This fluctuation is primarily attributed to the net effect of the following:
 
The medical claims incurred of the Medicare business increased by $6.3 million, or 1.3%, during the 2018 period and its MLR decreased by 600 basis points, to 86.4%.  Adjusting for the effect of prior period reserve developments in 2018 and 2017 and moving the risk score revenue adjustments to their corresponding period, the Medicare MLR would have been approximately 88.0% this year, about 460 basis points lower than last year, primarily reflecting the higher premium rates in the 2018 period offset in part by increased utilization of services as the result of after the waiver of pre-authorization requirements mandated by CMS following the impact of Hurricanes Irma and Maria.
 
The medical claims incurred in the Medicaid business increased by $12.2 million, or 3.5%, during the 2018 period. The MLR, at 88.9%, was 500 basis point lower than the same period last year.  Adjusting for the effect of prior period reserve developments and the collection of quality incentive premiums, the Medicaid MLR would have been approximately 89.8% this quarter, 390 basis points lower than the adjusted MLR for last year.  The improved MLR primarily reflects the higher premium rates in the 2018 period, and cost containment initiatives.
 
The medical claims incurred of the Commercial business decreased by $17.4 million, or 5.2%, during the 2018 period mostly driven by lower enrollment. The MLR, at 80.8%, was 130 basis point lower than the same period last year.  Adjusting for the effect of prior period reserve developments, the Commercial MLR would have been 83.1%, 130 basis points higher than the adjusted MLR for last year, primarily reflecting the normal increase in claim trends.
 
Medical Operating Expenses
 
Medical operating expenses increased by $35.1 million, or 20.6%, to $205.9 million.    The operating expense ratio increased by 200 basis points to 15.0% in 2018.  The higher operating expenses and expense ratio are mostly driven by the reinstatement of the HIP fee in 2018, resulting in an increase of $23.9 million, and higher professional services, personnel costs, and business promotion.
 
Life Insurance Operating Results

   
Three months ended
   
Six months ended
 
   
June 30,
   
June 30,
 
(dollar amounts in millions)
 
2018
   
2017
   
2018
   
2017
 
Operating revenues:
                       
Premiums earned, net:
                       
Premiums earned
 
$
43.1
   
$
41.8
   
$
86.1
   
$
83.6
 
Assumed earned premiums
   
0.5
     
0.5
     
1.3
     
1.4
 
Ceded premiums earned
   
(2.2
)
   
(2.3
)
   
(4.5
)
   
(4.5
)
Premiums earned, net
   
41.4
     
40.0
     
82.9
     
80.5
 
Net investment income
   
6.6
     
6.3
     
12.7
     
12.4
 
Total operating revenues
   
48.0
     
46.3
     
95.6
     
92.9
 
Operating costs:
                               
Policy benefits and claims incurred
   
23.5
     
21.9
     
48.5
     
45.6
 
Underwriting and other expenses
   
19.2
     
19.4
     
38.1
     
38.4
 
Total operating costs
   
42.7
     
41.3
     
86.6
     
84.0
 
Operating income
 
$
5.3
   
$
5.0
   
$
9.0
   
$
8.9
 
Additional data:
                               
Loss ratio
   
56.8
%
   
54.8
%
   
58.5
%
   
56.6
%
Operating expense ratio
   
46.4
%
   
48.5
%
   
46.0
%
   
47.7
%

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017
 
Operating Revenues
 
Premiums earned, net increased by $1.4 million, or 3.5% to $41.4 million mainly as the result of higher sales in the Individual Life, Cancer and Major Medical lines of business.
 
Policy Benefits and Claims Incurred
 
Policy benefits and claims incurred increased by $1.6 million, or 7.3%, to $23.5 million, mostly as the result of the above-mentioned increase in premiums and to a higher average cost per claim in the Cancer line of business. As a result, the segment’s loss ratio increased 200 basis point to 56.8%.
 
Underwriting and Other Expenses
 
Underwriting and other expenses were in line with previous year, decreasing $0.2 million, or 1.0%, to $19.2 million.  The segment’s operating expense ratio improved 210 basis points to 46.4%.

Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017
 
Operating Revenues
 
Premiums earned, net increased by $2.4 million, or 3.0% to $82.9 million mainly as the result of higher sales in the Individual Life and Cancer lines of business.
 
Policy Benefits and Claims Incurred
 
Policy benefits and claims incurred increased by $2.9 million, or 6.4%, to $48.5 million, mostly as the result of higher number of death benefits paid in the Individual Life and Group lines of business as well as increased claims in the Cancer line of business.  As a result, the segment’s loss ratio increased 190 basis point to 58.5%.
 
Underwriting and Other Expenses
 
Underwriting and other expenses were in line with previous year, decreasing $0.3 million, or 0.8%, to $38.1 million.  The segment’s operating expense ratio improved 170 basis points to 46.0%.
 
Property and Casualty Insurance Operating Results

   
Three months ended
June 30,
   
Six months ended
June 30,
 
(dollar amounts in millions)
 
2018
   
2017
   
2018
   
2017
 
Operating revenues:
                       
Premiums earned, net:
                       
Premiums written
 
$
32.8
   
$
46.4
   
$
66.4
   
$
73.8
 
Premiums ceded
   
(12.8
)
   
(16.6
)
   
(27.5
)
   
(26.7
)
Change in unearned premiums
   
2.8
     
(8.0
)
   
8.1
     
(3.6
)
Premiums earned, net
   
22.8
     
21.8
     
47.0
     
43.5
 
Net investment income
   
2.8
     
2.1
     
5.2
     
4.1
 
Total operating revenues
   
25.6
     
23.9
     
52.2
     
47.6
 
Operating costs:
                               
Claims incurred
   
85.9
     
10.9
     
96.9
     
21.5
 
Underwriting and other expenses
   
10.7
     
9.3
     
23.2
     
20.3
 
Total operating costs
   
96.6
     
20.2
     
120.1
     
41.8
 
Operating (loss) income
 
$
(71.0
)
 
$
3.7
   
$
(67.9
)
 
$
5.8
 
Additional data:
                               
Loss ratio
   
376.8
%
   
50.0
%
   
206.2
%
   
49.4
%
Operating expense ratio
   
46.9
%
   
42.7
%
   
49.4
%
   
46.7
%

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017
 
Operating Revenues
 
Total premiums written decreased by $13.6 million, or 29.3%, to $32.8 million, driven by lower sales of Commercial Property, Commercial Package, Commercial Liability and Commercial Auto products, mostly resulting from selective and disciplined underwriting of Commercial risks.
 
The premiums ceded to reinsurers decreased by $3.8 million, or 22.9%, mostly reflecting lower premiums written in Commercial insurance products during 2018 and lower facultative cessions.  These decreases were offset in part by an increase in the cost of catastrophe reinsurance of $1.0 million, or 18.0% in 2018 and an increase in cessions in the Commercial quota share agreement from 30% in 2017 to 35% 2018.
 
Claims Incurred
 
Claims incurred increased by $75.0 million, or 688.1%, to $85.9 million driven by a $76.4 million adverse development in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. Gross losses related to Hurricane Maria increased by approximately $212.7 million, causing the segment to exceed the 2017 catastrophe reinsurance coverage limits and resulting in the adverse reserve development recorded in 2018. As loss information has emerged, reserves have been updated to reflect a worsening in the loss expectations for Hurricane Maria.  As a result, the loss ratio increased to 376.8% during this period.  Excluding the impact of this adverse development, the loss ratio would have been 41.7%, 100 basis points lower than last year.
 
Underwriting and Other Expenses
 
Underwriting and other operating expenses increased by $1.4 million, or 15.1%, to $10.7 million mostly due to a higher amortization of deferred acquisition costs.  The operating expense ratio was 46.9%, 420 basis points higher than prior year.
 
Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017
 
Operating Revenues
 
Total premiums written decreased by $7.4 million, or 10.0%, to $66.4 million, driven by lower volume of Commercial Property, Commercial Package, and Commercial Liability products, mostly resulting from the selective and disciplined underwriting of Commercial risks.
 
The premiums ceded to reinsurers increased by $0.8 million, or 3.0%, mostly reflecting increased catastrophe costs and an increase in cessions in the Commercial quota share agreement from 30% in 2017 to 35% 2018.
 
Claims Incurred
 
Claims incurred increased by $75.4 million, or 350.7%, to $96.9 million driven by a $76.4 million adverse development in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. Gross losses related to Hurricane Maria increased by approximately $212.7 million, causing the segment to exceed the 2017 catastrophe reinsurance coverage limits and resulting in the adverse reserve development recorded in 2018.  As loss information has emerged, reserves have been updated to reflect a worsening in the loss expectations for Hurricane Maria.  As a result, the loss ratio increased to 206.2% during this period.  Excluding the impact of this adverse development, the loss ratio would have been 43.6%, 310 basis points lower than last year.
 
Underwriting and Other Expenses
 
Underwriting and other operating expenses increased by $2.9 million, or 14.3%, to $23.2 million mostly due to higher amortization of deferred acquisition costs and personnel costs.  The operating expense ratio was 49.4%, 270 basis points higher than prior year.
 
Liquidity and Capital Resources
 
Cash Flows
A summary of our major sources and uses of cash for the periods indicated is presented in the following table:

 
 
Six months ended
 
 
 
June 30,
 
(dollar amounts in millions)
 
2018
   
2017
 
Sources (uses) of cash:
           
Cash provided by operating activities
 
$
130.7
   
$
133.7
 
Net purchases of investment securities
   
(41.5
)
   
(43.0
)
Net capital expenditures
   
(9.1
)
   
(8.7
)
Proceeds from long-term borrowings
   
-
     
24.3
 
Payments of long-term borrowings
   
(1.6
)
   
(25.5
)
Proceeds from policyholder deposits
   
11.6
     
8.2
 
Surrenders of policyholder deposits
   
(14.7
)
   
(10.5
)
Repurchase and retirement of common stock
   
(16.4
)
   
-
 
Other
   
(2.0
)
   
(9.4
)
Net increase in cash and cash equivalents
 
$
57.0
   
$
69.1
 

During the six months ended June 30, 2017, we received $24.3 million from a loan with a commercial bank related with a credit agreement entered into in December 2016.  These proceeds were used during the 2017 period to prepay the outstanding principal amount of $24.0 million of the 6.6% senior unsecured notes.
 
In August 2017, the Company’s Board of Directors authorized a $30.0 million repurchase program of its Class B common stock and in February 2018 the Company’s Board of Directors authorized a $25.0 million expansion of this program. Repurchases were conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended. During the six months ended June 30, 2018, the Company repurchased and retired under this program 643,963 of our Class B Common Stock shares at an average per share price of $25.40, for an aggregate cost of $16.4 million.
 
The fluctuation in the Other uses of cash is attributed to changes in the amount of outstanding checks over bank balances.
 
Financing and Financing Capacity
 
We have several short-term facilities available to address timing differences between cash receipts and disbursements.  These short-term facilities are mostly in the form of arrangements to sell securities under repurchase agreements.  As of June 30, 2018, we had $60.0 million of available credit under these facilities.  There are no outstanding short-term borrowings under these facilities as of June 30, 2018.
 
On December 28, 2016, TSM entered into a $35.5 million credit agreement with a commercial bank in Puerto Rico. The agreement consists of three term loans: (i) Term Loan A in the principal amount of $11.2 million, (ii) Term Loan B in the principal amount of $20.2 million and (iii) Term Loan C in the principal amount of $4.1 million. Term Loan A matures in October 2023 while the Term Loans B and C mature in January 2024.  Term Loan A was used to refinance a previous $41.0 million secured loan payable with the same commercial bank.  Pursuant to the credit agreement, interest is payable on the outstanding balance of the Loan at the following annual rate: (i) 1% over LIBOR for Term Loan A, (ii) 2.75% over LIBOR for Term Loan B, and (iii) 3.25% over LIBOR for Term Loan C.  The loan includes certain financial and non-financial covenants, which are customary for this type of facility, including but not limited to, restrictions on the granting of certain liens, limitations on acquisitions and limitations on changes in control and dividends.  Failure to meet these covenants may trigger the accelerated payment of the outstanding balance.  As of June 30, 2018, we are in compliance with these covenants.
 
On April 18, 2017, TSA entered into a $10.0 million revolving loan agreement with a commercial bank in Puerto Rico. This line of credit has an interest rate of 30-day LIBOR plus 25 basis points contains certain financial and non-financial covenants that are customary for this type of facility. This line of credit had an original maturity date of April 17, 2018 and was extended to July 31, 2018. The Company intends to renew this facility for an additional year.
 
We anticipate that we will have sufficient liquidity to support our currently expected needs.
 
Further details regarding the senior unsecured notes and the credit agreements are incorporated by reference to “Item 7.—Management Discussion and Analysis of Financial Condition and Results of Operations” included in our Annual Report on Form 10-K for the year ended December 31, 2017.
 
Item 3.
Quantitative and Qualitative Disclosures about Market Risk
 
We are exposed to certain market risks that are inherent in our financial instruments, which arise from transactions entered into in the normal course of business.  We have exposure to market risk mostly in our investment activities.  For purposes of this disclosure, “market risk” is defined as the risk of loss resulting from changes in interest rates and equity prices.  No material changes have occurred in our exposure to financial market risks since December 31, 2017.  A discussion of our market risk is incorporated by reference to “Item  7A. Quantitative and Qualitative Disclosures about Market Risk” included in our Annual Report on Form 10-K for the year ended December 31, 2017.
 
Item 4.
Controls and Procedures
 
Evaluation of Disclosure Controls and Procedures
 
In connection with the preparation of this Quarterly Report on Form 10-Q, management, under the supervision and with the participation of the chief executive officer and chief financial officer, conducted an evaluation of the effectiveness of the “disclosure controls and procedures” (as such term is defined under Exchange Act Rule  13a-15(e)) of the Corporation and its subsidiaries. Disclosure controls and procedures are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms and that such information is accumulated and communicated to management, including the chief executive officer and chief financial officer, to allow timely decisions regarding required disclosures. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met.  There are inherent limitations to the effectiveness of any system of disclosure controls and procedures, including the possibility that judgments in decision-making can be faulty, and breakdowns as a result of simple errors or mistake. Accordingly, even effective disclosure controls and procedures can only provide reasonable assurance of achieving their control objectives.  The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.
 
Based on this evaluation, our chief executive officer and chief financial officer have concluded that as of June 30, 2018, which is the end of the period covered by this Quarterly Report on Form 10-Q, our disclosure controls and procedures are effective to a reasonable level of assurance.
 
There were no significant changes in our disclosure controls and procedures, or in factors that could significantly affect internal controls, subsequent to the date the chief executive officer and chief financial officer completed the evaluation referred to above.
 
Changes in Internal Controls Over Financial Reporting
 
No changes in our internal control over financial reporting (as such term is defined in Exchange Act Rule 13a-15(f)) occurred during the fiscal quarter ended June 30, 2018 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Part II – Other Information
 
Item 1.
Legal Proceedings
 
For a description of legal proceedings that have experienced significant developments during this quarter, see note 12 to the unaudited condensed consolidated financial statements included in this quarterly report on Form 10-Q.
 
Item 1A.
Risk Factors
 
For a description of our risk factors, see Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2017.
 
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds

Purchases of Equity Securities by the Issuer
The following table presents information related to our repurchases of common stock for the period indicated:

(Dollar amounts in millions, except per share data)
 
Total Number
of Shares
Purchased
   
Average
Price
Paid per
Share
   
Total Number of
Shares
Purchased as
Part of Publicly
Announced
Programs ¹
   
Approximate
Dollar Value of
Shares that May
Yet Be Purchased
Under the
Programs
 
 
                       
April 1, 2018 to April 30, 2018
   
80,404
   
$
26.82
     
80,404
   
$
18.5
 
May 1, 2018 to May 31, 2018
   
-
     
-
     
-
     
18.5
 
June 1, 2018 to June 30, 2018
   
-
     
-
     
-
     
18.5
 

¹  In August 2017 the Company’s Board of Directors authorized a $30.0 million Share Repurchase Program of its Class B common stock.  In February 2018 the Company’s Board of Directors authorized a $25.0 million expansion of this program.

Item 3.
Defaults Upon Senior Securities
 
Not applicable.
 
Item 4.
Mine Safety Disclosures
 
Not applicable.
 
Item 5.
Other Information
 
Not applicable.
 
Item 6.
Exhibits
 
Exhibits
Description
10.1* Amendment to Extend and Modify Contract for the Provision of Physical & Behavioral Health Services under the Government Health Plan Program dated as June 30, 2018, by and between the Administracion de Seguros de Salud de Puerto Rico and Triple-S Salud, Inc.
 10.2* Amendment to Extend and Modify Contract for the Provision of Physical & Behavioral Health Services under the Government Health Plan Program dated as of July 31, 2018, by and between the Administracion  de Seguros de Salud de Puerto Rico and Triple-S Salud, Inc.
11
Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three and six months ended June 30, 2018 and 2017 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q.
Certification of the President and Chief Executive Officer required by Rule 13a-14(a)/15d-14(a).
Certification of the Executive Vice President and Chief Financial Officer required by Rule 13a-14(a)/15d-14(a).
Certification of the President and Chief Executive Officer required pursuant to 18 U.S.C Section 1350.
Certification of the Executive Vice President and Chief Financial Officer required pursuant to 18 U.S.C Section 1350.
 
All other exhibits for which provision is made in the applicable accounting regulation of the United States Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted.
 
*
Filed herein.
 
SIGNATURES
 
Pursuant to the requirements of the United States Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

       
Triple-S Management Corporation
         
       
Registrant
           
Date:
August 2, 2018
 
By:
/s/ Roberto García-Rodríguez
 
       
Roberto García-Rodríguez
 
       
President and Chief Executive Officer
 
 
Date:
August 2, 2018
 
By:
/s/ Juan J. Román-Jiménez
 
       
Juan J. Román-Jiménez
 
       
Executive Vice President and Chief Financial Officer
 
 
 
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