Friday, February 5, 2010

Healthcare Payor Results: CIGNA

AETNA's up next with good MEdical Loss ratios and even better cost ratios outside medical loss on premium income.

CIGNA reported a $4 EPS for the year getting WC insurance to pay in the Run-OFF RE unit

We need to discover the Payment breakpoint ratios tracked y the industry , Hospital repayments could be 6 months behind, HMOs could be on different terms. chinese arms in play? P&C Plays/life related plays? Public option equivalentS?

CIGNA Reports Fourth Quarter and Full Year 2009 Results

  • Shareholders’ net income1 for full year 2009 was $1.3 billion, or $4.73 per share2, compared to $292 million, or $1.05 per share2, for full year 2008. The 2008 result included a loss of $646 million, or $2.32 per share2, related to the Run-off Reinsurance operations.
  • Adjusted income from operations3 for full year 2009 was $3.98 per share2, a 17% increase over full year 2008, driven by improvement in the Run-off Reinsurance results.
  • The company continues to estimate full year 2010 earnings per share2, on an adjusted income from operations3,4 basis, to be in the range of $3.75 to $4.15 per share2. This outlook reflects the strength of our diversified portfolio of businesses against a challenging economic and competitive environment.
  • The company continues to estimate full year 2010 adjusted income from operations3,4 for the Health Care segment to be in the range of $720 million to $790 million.

PHILADELPHIA--(BUSINESS WIRE)--CIGNA Corporation (NYSE: CI) today reported shareholders’ net income1 of $330 million, or $1.19 per share2, for the fourth quarter of 2009 compared with a shareholders’ net loss1 of $209 million, or $0.77 per share2, for the same period last year. Shareholders’ net income1 for the fourth quarter 2009 included income related to the GMIB5,6 business of $60 million after-tax, or $0.22 per share2, primarily related to favorable interest rate movements. Shareholders’ net income1 for the fourth quarter 2008 included losses of $408 million after-tax, or $1.51 per share2, related to the GMIB5,6 and VADBe5 businesses.

“In 2009, each of our ongoing operations delivered solid earnings in a challenging economic and competitive environment. We continue to deliver strong service and clinical results while driving ongoing efficiency gains”

CIGNA's adjusted income from operations3 for the fourth quarter of 2009 was $285 million, or $1.03 per share2, compared to adjusted income from operations3 of $132 million, or $0.48 per share2, for the same period last year. Fourth quarter 2008 results included losses of $192 million after-tax, or $0.71 per share2, from the VADBe5 business. As a result of continued stability in the equity markets, no reserve strengthening was required for the VADBe5 business in the fourth quarter of 2009.

For full year 2009, adjusted income from operations3 was $1.1 billion, or $3.98 per share2, compared to adjusted income from operations3of $946 million, or $3.39 per share2 in 2008. Consolidated revenues were $4.6 billion and $18.4 billion for the fourth quarter and full year of 2009, respectively, and $4.8 billion and $19.1 billion for the comparable periods of 2008.

  • Health care medical claims payable9 were approximately $715 million at December 31, 2009 and $713 million at December 31, 2008.
  • Cash and short term investments at the parent company were approximately $475 million at December 31, 2009 and $90 million at December 31, 2008.

HIGHLIGHTS OF SEGMENT RESULTS

  • “Adjusted segment earnings (loss)” are adjusted income (loss) from operations3, as applicable, for each segment (see Exhibit 2).

Health Care

  • This segment includes medical and specialty health care products and services provided on guaranteed cost, retrospectively experience-rated and service-only funding bases. Specialty health care includes behavioral, dental, disease and medical management, stop-loss, and pharmacy-related products and services.

Financial Results (dollars in millions, medical membership in thousands):

Fourth Qtr.Fourth Qtr.Third Qtr.Year ended
200920082009Dec. 31, 2009
Adjusted Segment Earnings, After-Tax$194$209$204$729
Premiums and Fees$2,806$2,905$2,812$11,384
Segment Margin, After-Tax106.0%6.3%6.3%5.6%

Aggregate Medical Membership

11,040

11,679

11,104

  • Fourth quarter 2009 adjusted segment earnings reflect effective operating expense management, as well as sustained contributions from our specialty businesses. The fourth quarter 2008 earnings included a net favorable expense adjustment of $35 million after-tax, reflecting a significant reduction in management incentive compensation.
  • Premiums and fees in the fourth quarter 2009 decreased approximately 3% relative to fourth quarter 2008, primarily due to a decline in medical membership, partially offset by rate increases.

Disability and Life

  • This segment includes CIGNA’s group disability, life, and accident insurance operations that are managed separately from the health care business.

Financial Results (dollars in millions):

Fourth Qtr.Fourth Qtr.Third Qtr.Year ended
200920082009Dec. 31, 2009
Adjusted Segment Earnings, After-Tax$66$64$65$279
Premiums and Fees$647$666$654$2,634
Segment Margin, After-Tax109.0%8.5%8.7%9.3%
  • Fourth quarter 2009 adjusted segment earnings reflect strong accident results. In addition, results continue to reflect competitively strong margins driven by the sustained value we deliver to our customers from our disability management programs.

International

  • This segment includes CIGNA’s life, accident and supplemental health insurance and expatriate benefits businesses operating in select international markets.

Financial Results (dollars in millions):

Fourth Qtr.Fourth Qtr.Third Qtr.Year ended
200920082009Dec. 31, 2009
Adjusted Segment Earnings, After-Tax$38$44$40$182
Premiums and Fees$504$448$482$1,882
Segment Margin, After-Tax107.2%9.3%8.0%9.2%
  • Adjusted segment earnings in the quarter reflect unfavorable claims experience in the expatriate benefits business, due in part to the impact of global economic pressures. Fourth quarter 2009 results also included an unfavorable adjustment of $4 million after-tax related to a change in tax legislation in South Korea. Our International business continues to deliver competitively strong margins.

Other Segments

  • Adjusted segment earnings (losses) for CIGNA's remaining operations are presented below (after-tax, dollars in millions):
Fourth Qtr.Fourth Qtr.Third Qtr.Year ended
200920082009Dec. 31, 2009
Run-off Reinsurance

$

9

$(179)

$

14

$(24)
Other Operations

$

23

$23$23$85
Corporate$(45)$(29)$(35)$(154)
  • Run-off Reinsurance results for the fourth quarter 2009 reflect favorable commutations in the workers compensation business. As a result of continued stability in the equity markets, no reserve strengthening was required for the VADBe5 business this quarter.

OUTLOOK

  • CIGNA continues to estimate full year 2010 consolidated adjusted income from operations3,4 to be in the range of $1.05 billion to $1.15 billion, or $3.75 to $4.15 per share2. This outlook includes an assumption that VADBe5 results will be approximately break-even for full-year 2010, reflective of management’s view that the long-term reserve assumptions are appropriate and that capital markets remain stable during the year.
  • CIGNA continues to estimate full year 2010 adjusted income from operations3,4 for the Health Care segment to be in the range of $720 million to $790 million.
  • CIGNA continues to estimate full year 2010 adjusted income from operations3,4 for the Group Disability and Life and International segments to be in the range of $465 million to $495 million.
  • CIGNA’s earnings and earnings per share2 outlooks exclude the impact of any future stock repurchase11.
  • Full year 2010 medical membership outlook has been updated to reflect the growth in our Individual Private Fee for Services business of approximately 80,000 to 90,000 members. Our current full-year outlook is now a range of -1% to +2%.
  • Management will provide additional information about the 2010 earnings outlook on CIGNA's fourth quarter 2009 earnings call.

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