ProAssurance 2004 Annual Report
leadership
the nation’s fourth largest writer of medical
professional liability insurance, our principal
$790 million in gross written premiums. As
more than $3.2 billion in assets and almost
> ProAssurance is a specialty insurer with
Insurance Company, and Red Mountain
Assurance Company, Inc., ProNational
serve the needs of the evolving health care
industry. We are the tenth largest writer of
nized leaders in developing solutions which
Casualty Insurance Company, Inc., are recog-
professional liability subsidiaries, The Medical
personal auto coverage in Michigan through
our subsidiary, MEEMIC Insurance Company.
financial highlights
letter to shareholders
leading by example
directors and officers
1
2
7
8
corporate and shareholder information
ibc
leadership
LEADERSHIP REQUIRES VISION, BUT VISION ALONE IS NOT ENOUGH. LEADERS
COMBINE VISION WITH ACTION TO INSPIRE OTHERS TO ACHIEVE THE HIGHEST
GOALS AND OBJECTIVES. AT PROASSURANCE, WE ARE EACH CHALLENGED TO LEAD
BY EXAMPLE SO THAT THE ENTIRE COMPANY SUCCEEDS. OUR SUCCESS BENEFITS
OUR CUSTOMERS AND OUR EMPLOYEES WHILE REWARDING OUR STOCKHOLDERS.
SELECTED FINANCIAL DATA(1)
(in thousands)
Income Statement Highlights
Gross premiums written
Total revenues
Net income(2)
2004
2003
2002
2001
2000
Fiscal Years Ended December 31
$
789,660
794,553
72,811
$
740,110
709,640
38,703
$
636,156
555,767
12,207
$
388,983
382,555
12,450
$
223,871
222,589
24,300
Balance Sheet Highlights
Total investments
Total assets
Reserve for losses and loss adjustment expenses
Long-term debt
Total liabilities
$ 2,455,053
$ 3,239,198
$ 2,029,592
$
151,480
$ 2,628,179
$ 2,055,672
$ 2,879,352
$ 1,814,584
$
104,789
$ 2,333,047
$ 1,679,497
$ 2,586,650
$ 1,622,468
$
72,500
$ 2,055,086
$ 1,521,279
$ 2,238,325
$ 1,442,341
$
82,500
$ 1,802,606
$
796,526
$ 1,122,836
659,659
$
—
$
777,669
$
Book value per share(3)
20.92
18.77
17.49
16.02
15.22
Stockholders’ Equity
(in millions)
611
546
505
413
345
Cash Flow from Operations
(in millions)
374
283
177
61
36
00 01 02 03 04
00 01 02 03 04
00 01 02 03 04
(1) Includes Professionals Group since the date of consolidation, June 27, 2001.
(2) Net income for the year ended December 31, 2002 was increased by $1.7 million due to
the adoption of SFAS 141 and 142. See Note 13 to the Consolidated Financial Statements.
(3) Total capital per share of common stock outstanding
to our stockholders
To My Fellow Shareholders,
I have always thought that the best leaders are those people or organizations that
have the courage to take bold steps forward when others see only chaos, and who
are able to clearly and concisely convey their vision of the opportunities they see. I
firmly believe that ProAssurance can be considered a leader in those terms.
In simple terms, ProAssurance is focused on the bottom line. But we understand
that bottom line success is achieved by serving our insureds. Our 2004 results are
a great example of the success that comes from our dedication to serving our
customers and ensuring the strength of our balance sheet. In the long-term, what
is good for our customers produces good results for our stockholders.
That’s why we point with pride to intrinsic measures such as an 88% increase in
Net Income as compared to 2003, a 32% increase in Cash Flow from Operations,
which was already at record levels, and the first full year of consolidated underwriting
profitability since our creation in 2001. These are visible signs that we are succeeding
in building a company that can deliver sustainable shareholder growth. Further, these
results represent major steps toward our ultimate goals: underwriting profitability
in both Professional Liability and Personal Lines and a long-term average Return on
Equity of 12% to 14%.
Professional Liability
We also understand that we cannot achieve these results without delivering on
the promises that we make to our insureds every day. This is especially true in
Professional Liability, where our balance sheet strength allows us to successfully
implement our claims defense philosophy, which in turn differentiates us from our
competitors and adds to our bottom line.
We further differentiate ourselves by the localized, venue-specific approach to
claims management. Our claims philosophy does result in higher defense costs
than the industry average, but our success in the courtroom dramatically lowers
our overall loss costs while ensuring policyholder loyalty. Our analysis shows that
ProAssurance’s average statutory professional liability loss ratio for the past three
years is almost 15 points better than the industry average published by A. M. Best.
By trying over 500 cases to a jury verdict in 2004, we have communicated to our
insureds and the plaintiff’s bar that we are serious about defense in cases where
there is no negligence, and our intensive claims management process continues to
produce a successful outcome in over 90% of all claims filed against our insureds.
A strong, fair defense philosophy is one bookend for our Professional Liability oper-
ations; and a disciplined underwriting and pricing of our business is the other. Our
defense posture is one of the hallmarks of ProAssurance and our predecessors, but
it’s been in the last five years that we have sharpened our approach to accepting risk.
2
>
We have demonstrated our commitment
to disciplined underwriting and rate ade-
quacy. Industry events have reinforced the
need for strong, committed insurance
providers that are able to withstand the
challenges of the turbulent malpractice
environment. Our average renewal rate
increase has been 24% over the past
three years.
Looking forward, we anticipate an average
Professional Liability renewal rate increase
in the 9% to 14% range in 2005. But because
our rates are at adequate levels, this contin-
ues to produce the margins we need to reach
our financial targets and we’re confident
that we can maintain our margins, barring
any unforeseen change in the loss environ-
ment. We expect pricing to remain strong
in 2005, and see no signs of widespread
market softening into the first part of 2006.
We do see signs of emerging competition
from smaller insurance entities with little
capital or capacity beyond what they
obtain through the heavy use of reinsur-
ance. To date, they have not penetrated
our operating footprint to a significant
degree, and we remain confident that
discerning buyers of insurance will look
beyond mere price in making their
purchasing decision.
Our continued message of leadership rings
true in these situations. The proven strength
of our balance sheet and the professional
level of quality service we deliver to our
insureds has allowed us to retain desirable
insureds and add new insureds to replace
those lost to price-based competitors or
through our own stringent re-underwriting
process.
In fact, despite self-imposed reductions
in several states in 2004, our professional
liability policyholder count has grown. This
reflects our increased comfort with the
overall pricing and regulatory climate in
many of the states in which we operate.
In contrast, careful underwriting in those
states where the market is challenging helps
preserve our capital and further protect
our balance sheet. This ultimately protects
the financial well-being of those we insure,
and ensures that we are able to provide
the returns we expect as shareholders.
To date our growth has not been limited by
capacity concerns, and we believe that we
are generating sufficient capital now to
support organic growth in our business
footprint. As the market cycle turns, and
it ultimately will, we believe that growth
and expansion opportunities will manifest
themselves quickly as companies are forced
to deal with deficient reserves and other
legacy issues. We are prepared and able to
raise capital to take advantage of those
opportunities; however, we will be prudent
in our capital management, and we do not
foresee taking on debt or issuing equity
unless we can clearly demonstrate the
need for the funds.
We will continue to allocate capital to those
states where we are best able to write
profitable business, and will apply the
same rigorous standards as we evaluate
states for expansion or opportunities for
acquisition. Our proposed merger of
NCRIC Group, Inc. into ProAssurance is a
prime example of our strategy to grow by
careful acquisition. If the transaction closes
as planned, we will gain meaningful
market share in Delaware, Virginia and
3
the District of Columbia. We had previously targeted
Delaware and Virginia as prime states for expansion
so this is a natural fit for ProAssurance. NCRIC’s
long track record of success in the District is similar
to the success the predecessors of ProAssurance
achieved in their home markets; thus we view this
transaction as furthering our proven leadership in
growth through acquisition.
We see continued growth opportunities in the
Excess & Surplus Lines market, although the Excess
& Surplus lines market will be the first to soften
as the insurance cycle turns. We are already seeing
signs that competitors that are hungry for market
share are offering coverage at prices we believe to
be inadequate for some risks. To counter this trend,
we will not compete on price or seek to artificially
maintain market share, but we will identify growth
opportunities in non-traditional professional liability
areas where we can utilize our skilled underwriting
to give us an edge.
A final comment on Professional Liability concerns
the debate over Tort Reform. Progress is being made:
already in 2005 Georgia and Missouri have enacted
sweeping Tort Reforms and Congress will debate
the issue again this year. While ProAssurance’s
balance sheet strength allows us to withstand the
inherent severity of the current system, the burden
on our insureds is crushing. We cannot ignore our
need to maintain our long-term financial strength,
yet we recognize the need to bring rationality to
the system and are supportive of Tort Reform
efforts throughout the legal system.
Personal Lines
I want to highlight MEEMIC’s remarkable results,
both in 2004 and over the long-term. Last year
marked MEEMIC’s tenth straight year of under-
writing profitability and underscores the value
of careful underwriting in a preferred market.
Favorable weather in 2004 also played a role in
MEEMIC’s success, but we must be realistic in
recognizing that adverse weather is the one vari-
able we are unable to control, although we do
manage our exposure to extreme weather events.
In 2004 MEEMIC began expanding outside its home
state of Michigan, writing its first policy in Wisconsin.
Because peer-to-peer selling has been a key to
MEEMIC’s success in Michigan, both as a marketing
tool and as a first line of underwriting scrutiny, we
will utilize the same system as we expand.
Identifying and training educators to become valued
agents takes time and will likely limit our growth
outside Michigan in 2005. MEEMIC continues to
identify growth areas in Michigan, and is growing
its policyholder count by penetrating underserved
geographic areas and opening new distribution in
colleges and non-public school systems.
Looking Ahead
Overall, we are pleased with the results we achieved
in 2004, but I want to assure you we are not resting
on those laurels. We have more work to do to
reach our goal of underwriting profitability in
both lines of insurance. We realize that we must
remain committed to our service-oriented but dis-
ciplined operational strategy in order to sustain a
long-term average Return on Equity between 12%
and 14%. This is my focus each day, and the focus
of each of our employees.
This focus is what makes ProAssurance a leader. At
each level of our company, we understand the link
between excellence in service and excellent results.
Our employees and agents know that we can only
back up our promise of protection by maintaining a
strong balance sheet, and our insureds have learned
they can count on us to keep that promise.
We are confident the best days of ProAssurance
are ahead of us and we’re grateful to the stock-
holders who continue to share this vision, and to
our employees, agents and defense attorneys who
help us keep the promises we make.
For the Board and Employees of ProAssurance,
A. Derrill Crowe, M.D.
Chairman and CEO
4
AT EACH LEVEL OF OUR COMPANY, WE UNDERSTAND THE LINK BETWEEN
EXCELLENCE IN SERVICE AND EXCELLENT RESULTS. OUR EMPLOYEES AND AGENTS
KNOW THAT WE CAN ONLY BACK UP OUR PROMISE OF PROTECTION BY MAIN-
TAINING A STRONG BALANCE SHEET, AND OUR INSUREDS HAVE LEARNED THEY
CAN COUNT ON US TO KEEP THAT PROMISE.
5
PROASSURANCE OFFERS OUR INSUREDS THE POWER AND PROMISE OF INDUSTRY-
LEADING FINANCIAL STRENGTH. OUR PROVEN TRACK RECORD OF COMMITMENT
AND SERVICE PROVIDES OUR CUSTOMERS WITH THE ASSURANCE THAT WE WILL
BE THERE WHEN THEY NEED US AND RESULTS IN THE FINANCIAL PERFORMANCE
OUR INVESTORS DEMAND.
6
leading by example
>
PROFESSIONAL LIABILITY
ProAssurance’s leadership in Professional Liability is built on per-
formance. Where many other companies have failed, ProAssurance
has thrived by using our financial strength to provide unparalleled
service and a wide range of coverage options to our customers.
The heart of our service commitment is our dedication to the
defense of non-meritorious claims. We’ve proven time and again
that we will fight to protect our insureds, while ensuring that
claims that have merit are resolved quickly and fairly.
We back up our claims defense with a broad array of risk manage-
ment and consulting services designed to help improve patient
care while reducing the risk that our insureds face.
PERSONAL LINES
For more than half-a-century, MEEMIC has provided cost effective
insurance coverage to Michigan educators and their families.
MEEMIC’s focus on the education market has made us a trusted
partner for our insureds. As we grow in and beyond Michigan,
we’re proud of our reputation as the leading insurance company
serving the educational community.
7
directors
Non-independent Directors
A. Derrill Crowe, M.D. (E)C
Chairman & Chief Executive Officer
Victor T. Adamo, Esq., C.P.C.U. (E)
Vice-Chairman &
Chief Operating Officer
Independent Directors
Lucian Bloodworth (A)
Chairman, Cain Manufacturing
Company, Inc.
Ann F. Putallaz, Ph.D. (A)
Vice-President, Munder Capital
Management
Robert E. Flowers, M.D. (C)C (E) (N&C)
Retired Physician
Wilfred W. Yeargan, M.D. (C)
Physician in Private Practice
Paul R. Butrus (E)
Vice-Chairman
John J. McMahon, Jr. (C) (N&C)C
Chairman, Ligon Industries
William H. Woodhams, M.D. (N&C)
Physician in Private Practice
John P. North, Jr., C.P.A. (A)C
Retired Accounting Firm Partner
Audit Committee:
Compensation Committee:
Executive Committee:
Nominating &
Corporate Governance:
Chairman:
(A)
(C)
(E)
(N&C)
C
senior officers
Jeffrey L. Bowlby, A.R.M.
Senior Vice-President,
Marketing & Sales
Professional Liability Group
James J. Morello, C.P.A.
Chief Accounting Officer & Treasurer
Senior Vice-President
Christine C. Schmitt, C.P.A.
Chief Financial Officer & Treasurer
MEEMIC Insurance Company
Howard H. Friedman, A.C.A.S., M.A.A.A.
Secretary & Senior Vice-President
Chief Underwriting Officer & Chief
Actuary, Professional Liability Group
Lynn Kalinowski
President
MEEMIC Insurance Company
Frank B. O’Neil
Investor Relations Officer
Senior Vice-President,
Corporate Communications
Edward L. Rand, Jr., C.P.A.
Chief Financial Officer
Senior Vice-President
Darryl K. Thomas, Esq.
Senior Vice-President, Claims
Professional Liability Group
8
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10−K
(Mark One)
[X] Annual report pursuant to section 13 or 15(d) of the Securities Exchange
Act of 1934 [Fee Required] for the fiscal year ended December 31, 2004, or
[ ] Transition report pursuant to section 13 or 15(d) of the Securities
Exchange Act of 1934 [No Fee Required] for the transition period from
__________ to __________.
Commission file number: 001−16533
ProAssurance Corporation
(Exact name of registrant as specified in its charter)
Delaware 63−1261433
(State of incorporation or organization) (I.R.S. Employer Identification No.)
100 Brookwood Place, Birmingham, AL 35209
(Address of principal executive offices) (Zip Code)
(205) 877−4400
(Registrant's Telephone Number, Including Area Code)
Securities registered pursuant to Section 12(b) of the Act:
Name of Each Exchange
Title of Each Class On Which Registered
−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−−
Common Stock, par value $0.01 per share New York Stock Exchange
Securities registered pursuant to Section 12(g) of the Act:
None.
Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes X No
−−−−− −−−−−
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S−K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10−K or any amendment to this
Form 10−K. [ ]
Indicate by check mark whether the registrant is an accelerated filer (as
defined in Exchange Act Rule 12b−2). Yes X No
−−−−− −−−−−
The aggregate market value of voting stock held by non−affiliates of the
registrant at June 30, 2004 was $995,191,723.
As of December 31, 2004, the registrant had outstanding approximately 29,204,463
shares of its common stock.
Exhibit Index at page 103
Page 1 of 108 pages
Documents incorporated by reference in this Form 10−K
(i) The definitive proxy statement for the 2005 Annual Meeting of the
Stockholders of ProAssurance Corporation (File No. 001−16533) is
incorporated by reference into Part III of this report.
(ii) Registration Statement on Form S−4 of MAIC Holdings, Inc. (File No.
33−91508) is incorporated by reference into Part IV of this report.
(iii) The MAIC Holdings, Inc. Definitive Proxy Statement for the 1996 Annual
Meeting (File No. 0−19439) is incorporated by reference into Part IV of
this report.
(iv) The Registration Statement on Form S−4 of Professionals Group, Inc. (File
No. 333−3138) is incorporated by reference into Part IV of this report.
(v) The Registration Statement on Form S−4 of ProAssurance Corporation (File
No. 333−49378) is incorporated by reference into Part IV of this report.
(vi) The ProAssurance Corporation Quarterly Report on Form 10−Q for the quarter
ended June 30, 2001 (Commission File No. 001−16533) is incorporated by
reference into Part IV of this report.
(vii) The ProAssurance Corporation Quarterly Report on Form 10−Q for the quarter
ended September 30, 2001 (Commission File No. 001−16533) is incorporated by
reference into Part IV of this report.
(viii) The ProAssurance Corporation Annual Report on Form 10−K for the year
ended December 31, 2001 (Commission File No. 001−16533) is incorporated by
reference into Part IV of this report.
(ix) The ProAssurance Corporation Quarterly Report on Form 10−Q for the quarter
ended June 30, 2002 (Commission File No. 001−16533) is incorporated by
reference into Part IV of this report.
(x) The Registration Statement on Form S−3 of ProAssurance Corporation
(Commission File No. 333−100526) is incorporated by reference into Part IV
of this report.
(xi) The ProAssurance Annual Report on Form 10−K for the year ended December 31,
2002 (File No. 001−16533) is incorporated in Part IV of this report.
(xii) The ProAssurance Corporation Quarterly Report on Form 10−Q for the quarter
ended June 30, 2003 (File No. 001−16533) is incorporated in Part IV of this
report.
(xiii) The Registration Statement on Form S−3 of ProAssurance Corporation (File
No. 333−109972) is incorporated by reference in Part IV of this report.
(xiv) The ProAssurance Corporation Quarterly Report on form 10−Q for the quarter
ended June 30, 2004 (File No. 001−16533) is incorporated by reference into
Part IV of this report.
(xv) The ProAssurance Corporation Quarterly Report on form 10−Q for the quarter
ended March 31, 2004 (File No. 001−16533) is incorporated by reference into
Part IV of this report.
(xvi) The ProAssurance Corporation Report on Form 8−K for event occurring on
February 28, 2005 (File No. 001−16533) is incorporated by reference into
Part IV of this report.
2
PART I
ITEM 1. BUSINESS
GENERAL
We are a holding company for specialty property and casualty insurance
companies focused on the professional liability and the personal lines insurance
markets. Our executive offices are located at 100 Brookwood Place, Birmingham,
Alabama 35209 and our telephone number is (205) 877−4400. Our stock trades on
the New York Stock Exchange under the symbol "PRA."
Our website is www.ProAssurance.com. On our website we make available
all of the reports that we file with the Securities and Exchange Commission (the
SEC), including our annual report on Form 10K, our quarterly reports on Form 10Q
and our current reports on Form 8K. We provide access to these reports, as well
as Forms 3, 4 and 5 detailing stock trading by corporate insiders, through our
website as soon as reasonably practical after they are filed with the SEC. We
provide access to these reports for at least one year after their filing. We
also provide similar access to Company news releases, and to major investor
presentations made by our executives.
Our Board of Directors has adopted a Policy Regarding Determination of
Director Independence, including categorical standards to assist in determining
independence, has amended the charter of our Audit Committee and has adopted
charters for our Compensation and Nominating/Corporate Governance Committees as
well as our Corporate Governance Principles and our Code of Ethics and Conduct.
Copies of all these documents are available on our website at
http://www.proassurance.com. Printed copies of our committee charters, Corporate
Governance Principles, Code of Ethics and Conduct, and our Policy Regarding
Determination of Director Independence may be obtained by writing to: Frank
O'Neil, Senior Vice President, ProAssurance Corporation, either by mail or at
P.O. Box 590009, Birmingham, Alabama 35259−0009, or by telephone at (205)
877−4400 or (800) 282−6242.
Because the insurance business uses certain terms and phrases that
carry special and specific meaning, we urge you to read the Glossary included
at the end of Item I, prior to reading this report.
Our insurance companies are regionally−oriented. We sell professional
liability insurance to physicians, dentists, other healthcare providers and
healthcare facilities, principally in the midwest and southeast and automobile,
homeowners and associated coverages to educators and their families in Michigan.
We rigorously underwrite our risks and are focused on maintaining
adequate pricing for the risks. By ensuring that we charge an adequate rate, we
seek to maintain a strong financial position to protect our customers. Our
regional presence and service commitment allow us to maintain active
relationships with our customers and be more responsive to their needs. We
believe these factors have allowed us to establish a leading position in our
markets, enabling us to compete on a basis other than just price.
For the year ended December 31, 2004, we generated $789.7 million of
gross premiums written, $696.0 million of net premiums earned and $794.6 million
of total revenues. As of December 31, 2004, we had cash and invested assets of
$2.5 billion, total assets of $3.2 billion and stockholders' equity of $611.0
million.
CORPORATE ORGANIZATION AND HISTORY
We were incorporated in Delaware to serve as the holding company for
Medical Assurance, Inc. (Medical Assurance) in connection with its acquisition
of Professionals Group, Inc. (Professionals Group) in June 2001. Our core
operating subsidiaries are The Medical Assurance Company, Inc., ProNational
Insurance Company, Red Mountain Casualty Insurance Company, Inc., and MEEMIC
Insurance Company. We also write a limited amount of professional
3
liability insurance through Medical Assurance of West Virginia, Inc., which we
consider to be a non−core operating subsidiary.
We are the successor to 11 insurance organizations. Our predecessor
company, Medical Assurance, was founded by physicians as a mutual company in
Alabama and began in 1977. We demutualized and became a public company in 1991.
Medical Assurance expanded through internal growth and the acquisition of
professional liability insurance companies with strong regional identities in
West Virginia, Indiana and Missouri, along with books of business in Ohio and
Missouri.
Professionals Group traces its roots to the Brown−McNeeley Fund, which
was founded by the State of Michigan in 1975 to provide medical professional
liability insurance to physicians. Physicians Insurance Company of Michigan,
which ultimately became ProNational, was founded in 1980 to assume the business
of the Fund. That company also expanded through internal growth and the
acquisition of a book of business in Illinois and the acquisition of
professional liability insurers in Florida and Indiana.
MEEMIC Insurance Company was founded as a mutual company by Michigan
teachers and has provided personal lines insurance to the educational community
in that state since 1950. Professionals Group became affiliated with MEEMIC in
1997 and acquired majority ownership of MEEMIC Holdings, Inc. (MEEMIC Holdings)
in 1999. In 2003, we increased our ownership of MEEMIC to 100%.
In each acquisition we retained key personnel, allowing us to maintain
a local presence and preserve important institutional knowledge in claims
management and underwriting. We believe that this ability to utilize local
knowledge in claims and underwriting is a critical factor in the operation of
our companies. Our successful integration of each organization demonstrates our
ability to grow effectively through acquisitions.
BUSINESS OVERVIEW
In each of our segments we maintain a strong position in our local
markets. In our professional liability segment we focus on providing medical
professional liability insurance. In our personal lines segment we offer
personal automobile, and to a lesser extent, homeowners, boat and umbrella
insurance primarily to teachers, administrators, professors and other members of
the educational community and their families in Michigan.
In professional liability, our top five states represented 71% of
gross premiums written for the year ended December 31, 2004. Our personal lines
business was substantially confined to Michigan in 2004. The following table
shows our gross premiums written in these lines and key states for each of the
periods indicated.
Gross Written Premiums−Years Ended December 31
($ in thousands)
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Professional Liability
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
2004 2003 2002
−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−
Ohio $149,269 26% $123,205 23% $ 91,571 20%
Alabama 111,582 19% 106,437 20% 83,818 18%
Florida 69,899 12% 80,549 15% 71,366 15%
Michigan 45,578 8% 54,727 10% 52,203 11%
Missouri 35,217 6% 33,987 6% 23,786 5%
All other states 162,047 29% 144,418 26% 138,971 31%
−−−−−−−− −−− −−−−−−−− −−− −−−−−−−− −−−
Total $573,592 100% $543,323 100% $461,715 100%
======== === ======== === ======== ===
Personal Lines Premiums
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
2004 2003 2002
−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−
Michigan $216,068 100% $196,787 100% $174,441 100%
======== === ======== === ======== ===
4
For the year ended December 31, 2004, professional liability produced
a combined ratio of 104.8% and personal lines reported a combined ratio of
83.4%.
A combined ratio below 100% generally indicates profitable
underwriting prior to the consideration of investment income. However, if
investment income is considered, companies writing professional liability
insurance may be profitable with combined ratios above 100%. Thus, the combined
ratio may not always be indicative of our ultimate results because of the
"long−tail" nature of the professional liability business.
In order to measure the effect of investment income, we also measure
our results by calculating our operating ratio.
Recent Transactions
In April and May 2004, we received $44.9 million from the issuance of
$46.4 million of trust preferred securities. These securities were issued by
specially−created business trusts created solely for the purpose of issuing the
trust preferred securities. In early July 2003 we received $104.6 million from
the issuance of 3.9% Convertible Debentures, due June 2023, having a face value
of $107.6 million. We utilized a substantial portion of the net proceeds from
the sale of the Convertible Debentures to repay our outstanding term loan. We
are using the balance of the net proceeds from the sale of the Convertible
Debentures and the trust preferred securities for general corporate purposes,
including contributions to the capital of our insurance subsidiaries to support
the growth in insurance operations. See Note 10 to our Consolidated Financial
Statements for more information regarding the Convertible Debentures and the
trust preferred securities.
In the fourth quarter of 2002 ProAssurance sold 3,025,000 shares of
common stock at a price of $16.55 per share in an underwritten public offering.
ProAssurance received net proceeds from the offering in the amount of
approximately $46.5 million. ProAssurance used the proceeds from the offering to
support the growth of the professional liability insurance business and for
general corporate purposes.
On January 29, 2003 MEEMIC Holdings, the parent company of MEEMIC
Insurance Company, purchased all of the issued and outstanding shares of its
common stock, other than those held by ProAssurance's subsidiary, ProNational
Insurance Company (ProNational). MEEMIC Holdings used its internal funds in the
approximate amount of $34.1 million to acquire all of the 1,062,298 shares of
its common stock not owned by ProNational, to pay for outstanding options for
120,000 shares, and to pay the expenses of the transaction. The funds were
derived from MEEMIC Holdings' cash and investment resources. As a result of the
transaction, MEEMIC Holdings was delisted from the NASDAQ stock market and
became a wholly−owned subsidiary of ProNational.
Proposed Transaction
On February 28, 2005 ProAssurance Corporation and NCRIC Group, Inc.
(NASDAQ: NCRI) reached an agreement to merge NCRIC into ProAssurance in a $69.6
million, all−stock transaction which values NCRIC at $10.10 per share, based on
the closing price of ProAssurance common stock on February 25, 2005. See Note 19
of our Consolidated Financial Statements included herein for more information
regarding the merger.
5
PRODUCTS AND SERVICES
The following table shows Gross Written Premiums for our main lines of
business.
Years Ended December 31
($ in thousands)
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
2004 2003 2002
−−−−−−−−−−−−−− −−−−−−−−−−−−−− −−−−−−−−−−−−−−
Medical Professional Liability $561,907 71% $531,033 72% $448,136 70%
Professional Liability−Other(1) 11,685 2% 12,290 1% 13,579 3%
Private Passenger Auto 174,654 22% 161,399 22% 147,168 23%
Personal Lines − Other(2) 41,414 5% 35,388 5% 27,273 4%
−−−−−−−− −−− −−−−−−−− −−− −−−−−−−− −−−
$789,660 100% $740,110 100% $636,156 100%
======== === ======== === ======== ===
(1) Includes legal professional liability, workers' compensation and commercial
multi−peril coverages.
(2) Primarily homeowners coverage, but also includes boat, snowmobile and
personal umbrella coverage.
In professional liability we believe our size, financial strength and
flexibility of distribution differentiates us from our competitors. We primarily
offer insurance for providers of medical and other healthcare services. Although
we generate a majority of our premiums from individual and small group
practices, we also insure major physician groups as well as hospitals. While
most of our business is written in the standard market, we do offer medical
professional liability insurance on an excess and surplus lines basis to
healthcare professionals who generally do not qualify for standard coverage
because of their claim history or other factors. Red Mountain Casualty Insurance
Company, Inc. is the main subsidiary in which this business is written and we
believe it provides profitable opportunities to expand our business. We also
offer professional office package and workers' compensation insurance products
in connection with our medical professional liability products.
We write legal professional liability insurance in Michigan, Ohio and
Indiana, but that is a small percentage of our professional liability business.
In personal lines, private passenger automobile insurance is our
primary line of business. To provide for the other insurance needs of our auto
customers, we also offer homeowners, boat and umbrella policies.
MARKETING
In professional liability, we primarily write insurance in the
Southeast and Midwest and are licensed to do business in every state but
Connecticut, Maine, New Hampshire, New York and Vermont. Based on gross premiums
written in 2004, Ohio, Alabama, Florida, Michigan, and Missouri represented our
five largest states. In personal lines, we market our products to members of the
educational community and their families in Michigan and Wisconsin.
We utilize direct marketing and independent agents to write
professional liability business. In Alabama, we rely solely on direct marketing,
and in Florida and Missouri, direct marketing accounts for a majority of our
business. We use independent agents to market our professional liability
insurance products in other markets. For the year ended December 31, 2004, we
estimate that approximately 65% of our gross professional liability premiums
written were produced through independent insurance agencies. These local
agencies usually have one to three producers who specialize in professional
liability insurance and who we believe are able to convey the factors that
differentiate our professional liability insurance product. No single agent or
agency accounts for more than 10% of our total direct premiums written.
Our marketing is primarily directed to physicians. We generally do not
target large physician groups or facilities because of the difficulty in
underwriting the individual risks and because their purchasing decision is more
focused on price. Our marketing efforts differentiate our professional liability
insurance products by emphasizing:
6
− excellent claims service and the other services and communications we
provide to our customers,
− the sponsorship of risk management education seminars as an accredited
provider of continuing medical education,
− risk management consultation, loss prevention seminars and other
educational programs,
− legislative oversight and active support of proposed legislation we
believe will have a positive effect on liability issues affecting the
healthcare industry,
− the preparation and dissemination of newsletters and other printed
material with information of interest to the healthcare industry, and
− endorsements by, and attendance at meetings of medical societies and
related organizations.
These communications and services have helped us gain exposure among
potential insureds and demonstrate our understanding of the insurance needs of
the healthcare industry and promote a commonality of interest among us and our
insureds.
We sell our personal lines coverage through exclusive sales
representatives who produce business primarily for MEEMIC. Our representatives
are able to sell coverages that
MEEMIC does not underwrite. Those policies are written through MEEMIC's
wholly−owned insurance agency; both MEEMIC and our representatives receive
compensation from the companies that write those coverages.
For the year ended December 31, 2004, one sales representative
accounted for approximately 5% of our direct premiums written within our
personal lines segment. The top 10 sales representatives accounted for
approximately 34% of our direct premiums written in 2004.
UNDERWRITING
Our underwriting process is driven by individual risk selection rather
than by account. Our pricing decisions are focused on achieving rate adequacy.
We assess the quality and pricing of the risk, primarily emphasizing loss
history, practice specialty and location of practice in making our underwriting
decision. Our underwriters work closely with our local claims departments. This
includes consulting with staff about claims histories and patterns of practice
in a particular locale as well as monitoring claims activity.
Our professional liability underwriting focuses on knowledge of local
market conditions and legal environment. Through our five regional underwriting
offices located in Alabama, Florida, Indiana, Missouri and Michigan, we have
established a local presence within our targeted markets to obtain better
information more quickly.
Our professional liability underwriting department classifies risks by
practice specialty and by location. Our underwriters work with our field
marketing force to identify business that meets these established underwriting
standards and to develop specific strategies to write the desired business. In
performing this assessment, our underwriters may also consult with internal
actuaries regarding loss trends and pricing and utilize loss−rating models to
assess the projected underwriting results of certain insured risks.
These underwriters are also assisted by our local medical advisory
committees that we have established in our key states. These committees are
comprised of local physicians, dentists and representatives of hospitals and
healthcare entities and help us maintain close ties to the medical communities
in these states, provide information on the practice of medicine in each state
and provide guidance on critical underwriting and claims issues.
In personal lines we rely to a significant degree on information
provided by our sales representatives in underwriting risks. The majority of our
sales representatives are, or were, teachers. This enhances the sales
representatives' ability to act as field underwriters since they have a general
understanding of lifestyles and insurance needs within the educational
community. Our underwriters then evaluate and accept applications for insurance
submitted by the sales representatives based on underwriting guidelines.
7
CLAIMS MANAGEMENT
In each of our segments our claims departments establish the
appropriate case reserves for each claim and monitor the level of each case
reserve as circumstances require.
In professional liability we have claims offices throughout the states
in which we write business in order to provide localized and timely attention to
claims. Our claims department investigates the circumstances surrounding a
medical incident from which a covered claim arises against an insured. Upon
investigation, and in consultation with the insured and appropriate experts, we
evaluate the merit of the claim and either seek reasonable settlement or
aggressively defend the claim. If the claim is defended, our claims department
manages the case, including selecting defense attorneys who specialize in
medical liability cases, planning the defense and obtaining medical and/or other
professional experts to assist in the analysis and defense of the claim.
The department also decides when and if to settle all but the most
significant claims, which are currently reviewed by an internal committee made
up of our Chairman and Chief Executive Officer, our Senior Vice
President−Claims, and our outside legal counsel. In each of the states in which
we operate, we meet regularly with our local medical advisory committees to
examine claims, attempt to identify potentially troubling practice patterns and
make recommendations to our staff.
We aggressively defend claims against our insureds that we believe
have no merit or those we believe cannot be reasonably settled. As a result of
this policy, many of our claims are litigated, and we engage experienced trial
attorneys in each venue to handle the litigation in defense of our
policyholders.
Our aggressive claims management approach generally results in
increased loss adjustment expenses compared to those of other property and
casualty lines or other companies specializing in professional liability
insurance. However, we believe that our approach contributes to lower overall
loss costs and results in greater customer loyalty. The success of this claims
philosophy is based on our ability to develop relationships with attorneys who
have significant experience in the defense of professional liability claims and
who are able to defend claims in an aggressive, cost−efficient manner.
We also offer professional liability claims management to
self−insuring entities on a fee−for−service basis. While we do not expect this
to become a major source of revenue for us, we believe it allows us to leverage
our claims−management expertise to produce some additional income as larger
groups and facilities decide to self−insure their malpractice risk.
Our personal lines claims operation is centralized in Auburn Hills,
Michigan, with resident adjusters located in cities throughout Michigan. These
employee adjusters settle a majority of our claims, and independent multi−line
adjusters are used on a contract basis when needed.
In responding to claims in personal lines, we emphasize timely
investigation, evaluation and fair settlement while controlling claims expense
and maintaining adequate reserves. We have a year−round, 24−hour claim reporting
telephone service for insureds and third−party claimants which enables us to
quickly complete initial claim handling and ultimately reduces indemnity
payments such as rental and storage.
We have also established relationships with a network of auto repair
shops and other repair facilities that provide damage appraisals and repairs
according to established company guidelines. An inspection audit program ensures
that repairs are completed timely, economically and to the satisfaction of the
customer. Audits of liability claim files are conducted regularly by claims
department managers and reinsurers. Historically, less than 1% of all claims
result in litigation.
8
INVESTMENTS
We manage our investments at the holding company level, but allocate
portfolio assets and earnings to the individual segments. Our overall investment
strategy is to focus on maximizing current income from our investment portfolio
while maintaining safety, liquidity, duration and portfolio diversification. The
portfolio is generally managed by professional third party asset managers whose
results are evaluated periodically by management. The asset managers typically
have the authority to make investment decisions, subject to investment policies,
within the asset class they are responsible for managing. See Note 3 to our
Consolidated Financial Statements for more detail on our investments.
RATING AGENCIES
Our principal insurance subsidiaries are rated "A−" (Excellent) by
A.M. Best, its fourth highest category out of 15 categories. Best maintained a
"Stable" Outlook on these subsidiaries at December 31, 2004. Standard & Poor's
rates our principal insurance subsidiaries "A−" (Strong), its seventh highest
category out of 21 categories, and maintained a "Stable" outlook on the rating
at December 31, 2004.
In developing these ratings, A.M. Best and Standard & Poor's evaluate
an insurer's ability to meet its obligations to policyholders, and are not
directed toward the protection of stockholders. These ratings are neither
ratings of securities nor a recommendation to buy, hold or sell any security.
Our West Virginia−based subsidiary, Medical Assurance of West Virginia
(MAWV), which accounts for less than two percent of ProAssurance's book of
business, is rated "B" (Fair) by Best with a "Positive" outlook. Best downgraded
MAWV on December 24, 2003 as a result of our decision to terminate a reinsurance
contract between MAWV and our Alabama−based subsidiary, The Medical Assurance
Company, Inc. Standard & Poor's downgraded MAWV on December 19, 2003 and then
withdrew the rating at our request.
As a result of our proposed transaction with NCRIC, as discussed under
"Recent Transactions", A.M. Best has placed the financial strength rating of
ProAssurance Group under review with negative implications. The negative
implications signal that the ratings could either remain the same or be
downgraded following the completion of the under review process.
COMPETITION
Competition depends on several factors including pricing, size, name
recognition, service quality, market commitment, breadth and flexibility of
coverage, method of sale, financial stability and ratings assigned by A.M. Best
and Standard & Poor's. Many of these factors, such as market conditions, the
ratings assigned by rating agencies, and regulatory conditions are beyond our
control. However, for those factors within our control, such as service quality,
market commitment, financial strength and stability, we believe we have
competitive strengths that make us a viable competitor in those states where we
are currently writing insurance.
In professional liability we compete with insurance companies and
self−insuring entities Many of the competing companies concentrate on a single
state and have an extensive knowledge of the local markets. We also compete with
large national insurers that may have greater financial strength and resources
than we do.
Self−insuring entities are emerging as an alternative to the
traditional insurance market as insureds seek greater control over the
professional liability premiums. We assist groups with the formation and
administration of self−insuring entities, and earn fee income for the management
and services we provide. We do not expect this to become a major source of
revenue for us. However, we hope to produce additional income to offset some of
the potential lost business as growth in this segment of the market removes
potential insureds from the traditional insurance market.
9
We believe that we have a competitive advantage in the current market
due to our size, geographic scope and name recognition, as well as our heritage
as a policyholder−founded company with a long−term commitment to the
professional liability insurance industry. We have achieved these advantages
through our balance sheet strength, claims defense expertise, strong ratings and
ability to deliver a high level of service to our insureds and agents. We
believe that these competitive strengths make us a viable competitor in the
states where we are currently writing insurance.
Beginning in 1999, insurance companies focused on medical professional
liability coverage experienced higher claim costs on business written in prior
years than they had reserved for initially. In many cases this resulted in
significant losses and reduced the capital available to support current and
future business. This led many professional liability carriers focused on
medical professional liability coverages to withdraw from, or limit new business
in, one or more markets.
In 2002 several medical liability insurance companies were forced from
the market due to financial difficulties. The St. Paul Companies, then the
leading writer of medical professional liability insurance withdrew from the
market. In 2003 Farmers Insurance Company exited medical professional liability
insurance and The Reciprocal of America was placed under regulatory supervision.
We believe these events have heightened the sensitivity of our target market to
this issue.
Given this reduction in capacity and the uncertainty surrounding
several writers in the medical professional liability market, we believe there
has been a "flight to quality" as insureds place greater emphasis on financial
strength and stability. We believe this trend will continue through 2005.
However, small competitors, focused on limited pools of risk or geographic
areas, are entering the market in a few areas and as a result we cannot be
certain how long current market conditions will persist.
Our personal lines insurance subsidiary operates in a highly
competitive market and some of our competitors are substantially larger than we
are and have much greater financial, technical and operating resources.
Competition depends on several factors including the price and quality of
insurance products, the quality and speed of service and claims response,
financial strength, sales and marketing capability, technical expertise and
ratings assigned by A.M. Best and Standard & Poor's.
INSURANCE REGULATORY MATTERS
We are subject to regulation under the insurance and insurance holding
company statutes, of various jurisdictions, including the domiciliary states of
our insurance subsidiaries and other states in which our insurance subsidiaries
do business.
Insurance companies are also affected by a variety of state and
federal legislative and regulatory measures and judicial decisions that define
and qualify the risks and benefits for which insurance is sought and provided.
These include redefinitions of risk exposure in such areas as medical liability,
product liability, environmental damage and workers' compensation. In addition,
individual state insurance departments may prevent premium rates for some
classes of insureds from reflecting the level of risk assumed by the insurer for
those classes. Although there is limited federal regulation of the insurance
business, each state has a comprehensive system for regulating insurers
operating in that state. In addition, these insurance regulators periodically
examine each insurer's financial condition, adherence to statutory accounting
practices, and compliance with insurance department rules and regulations.
Our operating subsidiaries are required to file detailed annual
reports with the state insurance regulators in each of the states in which they
do business. The laws of the various states establish supervisory agencies with
broad authority to regulate, among other things, licenses to transact business,
premium rates for certain types of coverage, trade practices, agent licensing,
policy forms, underwriting and claims practices, reserve adequacy, transactions
with affiliates, and insurer solvency. Many states also regulate investment
activities on the basis of quality, distribution and other quantitative
criteria. States have also enacted legislation regulating
10
insurance holding company systems, including acquisitions, the payment of
dividends, the terms of affiliate transactions, and other related matters. Our
insurance subsidiaries are domiciled in Michigan, Alabama and West Virginia.
Applicable state insurance laws, rather than federal bankruptcy laws,
apply to the liquidation or reorganization of insurance companies.
Insurance Regulation Concerning Change or Acquisition of Control
The insurance regulatory codes in our operating subsidiaries'
respective domiciliary states each contain similar provisions (subject to
certain variations) to the effect that the acquisition of "control" of a
domestic insurer or of any person that directly or indirectly controls a
domestic insurer cannot be consummated without the prior approval of the
domiciliary insurance regulator. In general, a presumption of "control" arises
from the direct or indirect ownership, control or possession with the power to
vote or possession of proxies with respect to 10% (5% in Alabama) or more of the
voting securities of a domestic insurer or of a person that controls a domestic
insurer. A person seeking to acquire control, directly or indirectly, of a
domestic insurance company or of any person controlling a domestic insurance
company must generally file an application for approval of the proposed change
of control with the relevant insurance regulatory authority.
In addition, certain state insurance laws contain provisions that require
pre−acquisition notification to state agencies of a change in control of a
non−domestic insurance company admitted in that state. While such
pre−acquisition notification statutes do not authorize the state agency to
disapprove the change of control, such statutes do authorize certain remedies,
including the issuance of a cease and desist order with respect to the
non−domestic admitted insurer doing business in the state if certain
conditions exist, such as undue market concentration.
Statutory Accounting and Reporting
Insurance companies are required to file detailed annual reports with
the state insurance regulators in each of the states in which they do business,
and their business and accounts are subject to examination by such regulators at
any time. The financial information in these reports is prepared in accordance
with Statutory Accounting Practices (SAP). Insurance regulators periodically
examine each insurer's financial condition, adherence to SAP, and compliance
with insurance department rules and regulations.
Regulation of Dividends and Other Payments from Our Operating Subsidiaries
We are a legal entity separate and distinct from our subsidiaries. As
a holding company with no other business operations, our primary sources of cash
to meet our obligations, including principal and interest payments with respect
to indebtedness, are available dividends and other statutorily permitted
payments, such as tax allocation payments from our operating subsidiaries.
Our operating subsidiaries are subject to various state statutory and
regulatory restrictions, applicable generally to any insurance company in its
state of domicile, which limit the amount of dividends or distributions an
insurance company may pay to its stockholders without prior regulatory approval.
The restrictions are generally based on certain levels or percentages of
surplus, investment income and operating income, as determined in accordance
with SAP. Generally, dividends may be paid only out of earned surplus. In every
case, surplus subsequent to the payment of any dividends must be reasonable in
relation to an insurance company's outstanding liabilities and must be adequate
to meet its financial needs.
State insurance holding company acts generally require domestic
insurers to obtain prior approval of extraordinary dividends. Under the
insurance holding company acts governing our principal operating subsidiaries, a
dividend is considered to be extraordinary if the combined dividends and
distributions to the parent holding company in any 12 month period are more than
the greater of either the insurer's net income for the prior fiscal year or 10%
of its surplus at the end of the prior fiscal year.
11
If insurance regulators determine that payment of a dividend or any
other payments to an affiliate (such as payments under a tax−sharing agreement
or payments for employee or other services) would, because of the financial
condition of the paying insurance company or otherwise, be a detriment to such
insurance company's policyholders, the regulators may prohibit such payments
that would otherwise be permitted without prior approval.
Risk−Based Capital
In order to enhance the regulation of insurer solvency, the National
Association of Insurance Commissioners (NAIC) specifies risk−based capital (RBC)
requirements for property and casualty insurance companies. At December 31,
2004, all of ProAssurance's insurance subsidiaries exceeded the minimum level
and, as a result, no regulatory response or action was required.
Investment Regulation
Our operating subsidiaries are subject to state laws and regulations
that require diversification of investment portfolios and that limit the amount
of investments in certain investment categories. Failure to comply with these
laws and regulations may cause non−conforming investments to be treated as
non−admitted assets for purposes of measuring statutory surplus and, in some
instances, would require divestiture. We believe that our operating subsidiaries
are in compliance with state investment regulations.
Guaranty Funds
Admitted insurance companies are required to be members of guaranty
associations which administer state Guaranty Funds. These associations levy
assessments (up to prescribed limits) on all member insurers in a particular
state on the basis of the proportionate share of the premiums written by member
insurers in the covered lines of business in that state. Maximum assessments
permitted by law in any one year generally vary between 1% and 2% of annual
premiums written by a member in that state. Some states permit member insurers
to recover assessments paid through surcharges on policyholders or through full
or partial premium tax offsets, while other states permit recovery of
assessments through the rate filing process.
Shared Markets
State insurance regulations may force us to participate in mandatory
property and casualty shared market mechanisms or pooling arrangements that
provide certain insurance coverage to individuals or other entities that are
otherwise unable to purchase such coverage in the commercial insurance
marketplace. Our operating subsidiaries' participation in such shared markets or
pooling mechanisms is not material to our business at this time.
Legislative and Regulatory Changes
In recent years, the insurance industry has been subject to increased
scrutiny by regulators and legislators. The NAIC and a number of state
legislatures have considered or adopted legislative proposals that alter and, in
many cases, increase the authority of state agencies to regulate insurance
companies and insurance holding company systems.
Several of the states in which we operate, notably Ohio and West
Virginia, have passed Tort Reform, but these laws have yet to materially affect
our business. However, we believe they will be challenged in court and past
history tells us that they may be invalidated in the appeals process. Because we
cannot predict with any certainty how appellate courts will rule on these laws
we do not take them into account in our rate−making assumptions, except in
Florida where such credit is required by law.
Legislatures in other states in which we operate are currently
considering, or being asked to consider Tort Reform, but we cannot predict in
which states those efforts will be successful. In certain states, Tort Reform
may also place limits on the ability of medical liability insurers to raise
12
or maintain rates at adequate levels. We continue to monitor developments on a
state−by−state basis, and make business decisions accordingly.
The professional liability market in Florida is also likely to be
changed by three constitutional amendments that were approved by voters in
November 2004. The first amendment places limits on fees plaintiff attorneys may
collect in medical liability cases and could result in fewer malpractice claims
being filed.
The second amendment would take away the license of any physician who
has three malpractice judgments or adverse findings by a licensing review
organization. We believe this could cause physicians to demand settlements in
malpractice cases which could generate more lawsuits and drive up costs.
The third amendment gives the public greater rights to see previously
confidential state complaints filed against doctors and institutions, incident
reports filed after medical errors, and documents from error reviews done by
hospitals. This could have a detrimental effect on peer review activities.
All three amendments are being challenged in court and are subject to
further legislative interpretation. We are unable to predict how they will
affect our business until we know exactly how and when they will be implemented.
There are also Tort Reform proposals being considered at the Federal
level. This legislation has the backing of the Bush administration and has
repeatedly passed the House of Representatives. The legislation has never been
approved in the Senate and while there are more Republicans now serving in the
Senate, we do not know if there are enough votes to enact these reforms. As in
the states, passage of a federal Tort Reform package would likely be subject to
judicial challenge and we cannot be certain that it would be upheld by the
courts.
In addition, several committees of Congress have made inquiries and
conducted hearings as part of a broad study on the regulation of insurance
companies, and legislation has been introduced in several of the past sessions
of Congress which, if enacted, could result in the federal government assuming
some role in the regulation of the insurance industry. Although the federal
government does not regulate the business of insurance directly, federal
initiatives often affect the insurance business. Current and proposed federal
measures that may significantly affect the insurance business include changes in
medical patient protection laws such as the "Patients Bill of Rights", tort
reform and environmental laws.
EMPLOYEES
At December 31, 2004, we employed 632 persons. None of our employees
are represented by a labor union. We consider our employee relations to be good.
FORWARD−LOOKING STATEMENTS
Any written or oral statements made by us or on our behalf may include
forward−looking statements that reflect our current views with respect to future
events and financial performance. Forward−looking statements are identified by
words such as, but not limited to, "believe", "expect", "intend", "anticipate",
"estimate", "project" and other analogous expressions. Forward−looking
statements relating to our business include among other things, statements
concerning: liquidity and capital requirements, return on equity, financial
ratios, net income, premiums, losses and loss reserves, premium rates and
retention of current business, competition and market conditions, the expansion
of product lines, the development or acquisition of business in new geographical
areas, the availability of acceptable reinsurance, actions by regulators and
rating agencies, payment or performance of our obligations under the debentures,
payment of dividends, and other matters. In addition, forward−looking statements
may also relate to the proposed merger between ProAssurance and NCRIC Group,
Inc. as well as the goals, plans, objectives, intentions, expectations,
financial condition, results of operations, future performance and business of
the combined company including, without limitation, statements relating to the
benefits of the merger, such as future financial and operating results, cost
savings, enhanced revenues and the accretion to reported earnings that may be
realized from the merger and statements regarding certain
13
of ProAssurance's and/or NCRIC's goals and expectations with respect to
earnings, earnings per share, revenue, expenses and the growth rate in such
items, as well as other measures of economic performance.
These forward−looking statements are based upon our estimates and
anticipation of future events that are subject to certain risks and
uncertainties that could cause actual results to vary materially from the
expected results described in the forward−looking statements. Due to such risks
and uncertainties, you are urged not to place undue reliance on forward−looking
statements. All forward−looking statements included in this document are based
upon information available to us on the date hereof, and we undertake no
obligation to publicly update or revise any forward−looking statements, whether
as a result of new information, future events or otherwise.
Risks that could adversely affect our operations or cause actual
results to differ materially from anticipated results include, but are not
limited to, the following:
− underwriting losses on the risks we insure are higher or lower than
expected,
− unexpected changes in loss trends and reserving assumptions which
might require the reevaluation of the liability for loss and loss
adjustment expenses, thus resulting in an increase or decrease in the
liability and a corresponding adjustment to earnings,
− our ability to retain current business, acquire new business, expand
product lines and a variety of other factors affecting daily
operations such as, but not
limited to, economic, legal, competitive and market conditions which
may be beyond our control and are thus difficult or impossible to
predict,
− changes in the interest rate environment and/or the securities markets
that adversely impact the fair value of our investments or our income,
− inability on our part to achieve continued growth through expansion
into other states or through acquisitions or business combinations,
− general economic conditions that are worse than anticipated,
− inability on our part to obtain regulatory approval of, or to
implement, premium rate increases,
− the effects of weather−related events,
− changes in the legal system, including retroactively applied decisions
that affect the frequency and severity of claims,
− significantly increased competition among insurance providers and
related pricing weaknesses in some markets,
− changes in the availability, cost, quality or collectibility of
reinsurance,
− changes to our ratings by rating agencies,
− regulatory and legislative actions or decisions that adversely affect
us, and
− our ability to utilize loss carryforwards and other deferred tax
assets.
Risks that could adversely affect our proposed transaction with NCRIC
include but are not limited to the following:
− the business of ProAssurance and NCRIC may not be combined
successfully, or such combination may take longer to accomplish than
expected;
− the cost savings from the merger may not be fully realized or may take
longer to realize than expected;
− operating costs, customer loss and business disruption following the
merger, including adverse effects on relationships with employees, may
be greater than expected;
− governmental approvals of the merger may not be obtained, or adverse
regulatory conditions may be imposed in connection with governmental
approvals of the merger;
− there may be restrictions on our ability to achieve continued growth
through expansion into other states or through acquisitions or
business combinations; and
− the stockholders of NCRIC may fail to approve the merger.
14
GLOSSARY OF SELECTED INSURANCE AND RELATED FINANCIAL TERMS
In an effort to help our investors and other interested parties better
understand our report, we are providing a Glossary of Selected Insurance Terms.
These definitions are taken from recognized industry sources such as A. M. Best
and The Insurance Information Institute. This list is intended to be informative
and explanatory, but we do not represent that it is a comprehensive glossary.
Accident year ...................... The accounting period in which an insured
event becomes a liability of the insurer.
Admitted company; admitted basis ... An insurance company licensed and
authorized to do business in a particular
state. An admitted company doing business
in a state is said to operate on "an
admitted basis" and is subject to all
state insurance laws and regulations
pertaining to its operations. (See:
Non−admitted company)
Adverse selection .................. The tendency of those exposed to a higher
risk to seek more insurance coverage than
those at a lower risk. Insurers react
either by charging higher premiums or not
insuring at all, as in the case of
floods. Adverse selection can be seen as
concentrating risk instead of spreading
it.
Agent .............................. An individual or firm that represents an
insurer under a contractual or employment
agreement for the purpose of selling
insurance. There are two types of agents:
independent agents, who represent one or
more insurance companies but are not
employed by those companies and are paid
on commission, and exclusive or captive
agents, who by contract are required to
represent or favor only one insurance
company and are either salaried or work
on commission. Insurance companies that
use employee or captive agents are called
direct writers. Agents are compensated
by the insurance company whose products
they sell. By definition, with respect to
a given insurer, an agent is not a broker
(See: Brokers)
Alternative markets ................ Mechanisms used to fund self−insurance.
This includes captives, which are
insurers owned by one or more
non−insurers to provide owners with
coverage. Risk−retention groups, formed
by members of similar professions or
businesses to obtain liability insurance,
are also a form of self−insurance.
Assets; admitted; non−admitted ..... Property owned, in this case by an
insurance company, including stocks,
bonds, and real estate. Because insurance
accounting is concerned with solvency and
the ability to pay claims, insurance
regulators require a conservative
valuation of assets, prohibiting
insurance companies from listing assets
on their balance sheets whose values are
uncertain, such as furniture, fixtures,
debit balances, and accounts receivable
that are more than 90 days past due
(these are non−admitted assets). Admitted
assets are those assets that can be
easily sold in the event of
15
liquidation or borrowed against, and
receivables for which payment can be
reasonably anticipated.
Broker ............................. An intermediary between a customer and an
insurance company. Brokers typically
search the market for coverage
appropriate to their clients and they
usually sell commercial, not personal,
insurance. Brokers are compensated by the
insureds on whose behalf they are
working. With respect to a given insurer,
a broker is not an agent. (See: Agent)
Bulk reserves ...................... Reserves for losses that have occurred
but have not been reported as well as
anticipated changes to losses on reported
claims. Bulk reserves are the difference
between (i) the sum of case reserves and
paid losses and (ii) an actuarially
determined estimate of the total losses
necessary for the ultimate settlement of
all reported and incurred but not
reported claims, including amounts
already paid. (See: Case Reserves)
Capacity ........................... For an individual insurer, the maximum
amount of premium or risk it can
underwrite based on its financial
condition. The adequacy of an insurer's
capital relative to its exposure to loss
is an important measure of solvency.
Capital ............................ Stockholder's equity (for publicly−traded
insurance companies) and policyholders'
surplus (for mutual insurance companies).
Capital adequacy is linked to the
riskiness of an insurer's business. (See:
Risk−Based Capital, Surplus, Solvency)
Case reserves ...................... Reserves for future losses for reported
claims as established by an insurer's
claims department.
Casualty insurance ................. Insurance which is primarily concerned
with the losses caused by injuries to
third persons (in other words, persons
other than the policyholder) and the
legal liability imposed on the insured
resulting therefrom. (See: Professional
liability insurance, Medical professional
liability insurance)
Catastrophe ........................ Term used for statistical recording
purposes to refer to a single incident or
a series of closely related incidents
causing severe insured property losses
totaling more than a given amount.
Catastrophe Reinsurance ............ Reinsurance (insurance for insurers) for
catastrophic losses.
Cede, cedant; ceding company ....... When a party reinsures its liability with
another, it "cedes" business and is
referred to as the "cedant" or "ceding
company."
Claims−made policy; coverage ....... A form of insurance that pays claims
presented to the insurer during the term
of the policy or within a specific term
after its expiration. It limits liability
insurers' exposure to unknown future
liabilities. Under a claims−made policy,
an insured event becomes a liability when
the event is first reported to the
insurer.
16
Combined ratio ..................... The sum of the underwriting expense ratio
and net loss ratio, determined in
accordance with either statutory
accounting principles (SAP) or GAAP.
Commission ......................... Fee paid to an agent or insurance
salesperson as a percentage of the policy
premium. The percentage varies widely
depending on coverage, the insurer, and
the marketing methods.
Direct premiums written ............ Premiums charged by an insurer for the
policies that it underwrites, excluding
any premiums that it receives as a
reinsurer.
Direct writer(s) ................... Insurance companies that sell directly to
the public using exclusive agents or
their own employees.
Domestic insurance company ......... Term used by a state to refer to any
company incorporated there.
Excess &Surplus Lines;
Surplus lines ...................... Property/casualty insurance coverage that
isn't generally available from insurers
licensed in the state (See: Admitted
companies) and must be purchased from a
"non−admitted company". Examples include
risks of an unusual nature that require
greater flexibility in policy terms and
conditions than exist in standard forms
or where the highest rates allowed by
state regulators are considered
inadequate by admitted companies. Laws
governing surplus lines vary by state.
Excess coverage; excess limits ..... An insurance policy that provides
coverage limits above another policy with
similar coverage terms, or above a
self−insured amount.
Extended Reporting Endorsement...... Also known as a "tail policy" or "tail
premium." Tail coverage provides
protection for future claims filed after
a claims−made policy has lapsed.
Typically requires payment of an
additional premium, the "tail premium."
"Tail coverage" may also be granted if
the insured becomes disabled, dies or
permanently retired from the covered
occupation (i.e., the practice of
medicine in medical liability policies.)
Facultative reinsurance ............ A generic term describing reinsurance
where the reinsurer assumes all or a
portion of a single risk. Each risk is
separately evaluated and each contract is
separately negotiated by the reinsurer.
Frequency .......................... Number of times a loss occurs per unit of
risk or exposure. One of the criteria
used in calculating premium rates.
Front, fronting .................... A procedure in which a primary insurer
acts as the insurer of record by issuing
a policy, but then passes all or
virtually all of the risk to a reinsurer
in exchange for a commission. Often, the
fronting insurer is licensed to do
business in a state or country where the
risk is located, but the reinsurer is
not. The reinsurer in this scenario is
often a captive or an independent
insurance company that cannot sell
insurance directly in a particular
country.
17
Gross premiums written ............. Total premiums for direct insurance
written and assumed reinsurance during a
given period. The sum of direct and
assumed premiums written.
Guaranty Fund; assessment(s) ....... The mechanism by which solvent insurers
ensure that some of the policyholder and
third party claims against insurance
companies that fail are paid. Such funds
are required in all 50 states, the
District of Columbia and Puerto Rico, but
the type and amount of claim covered by
the fund varies from state to state.
Homeowners insurance ............... The typical homeowners insurance policy
covers the house, the garage and other
structures on the property, as well as
personal possessions inside the house
such as furniture, appliances and
clothing, against a wide variety of
perils including windstorms, fire and
theft. The extent of the perils covered
depends on the type of policy. An
all−risk policy offers the broadest
coverage. This covers all perils except
those specifically excluded in the policy.
Incurred but not reported (IBNR) ... Actuarially estimated reserves for
estimated losses that have been incurred
by insureds and reinsureds but not yet
reported to the insurer or reinsurer
including unknown future developments on
losses which are known to the insurer or
reinsurer. Insurance companies regularly
adjust reserves for such losses as new
information becomes available.
Incurred losses .................... Losses covered by the insurer within a
fixed period, whether or not adjusted or
paid during the same period, plus changes
in the estimated value of losses from
prior periods.
Insolvent; insolvency .............. Insurer's inability to pay debts.
Typically the first sign of problems is
inability to pass the financial tests
regulators administer as a routine
procedure. (See: Risk−based capital)
Investment income .................. Income generated by the investment of
assets. Insurers have two sources of
income, underwriting (premiums less
claims and expenses) and investment
income.
Liability insurance ................ A line of casualty insurance for amounts
a policyholder is legally obligated to
pay because of bodily injury or property
damage caused to another person. (See:
Casualty insurance, Professional
liability insurance, Medical professional
liability insurance)
Limits ............................. Maximum amount of insurance that can be
paid for a covered loss.
Long−tail; short−tail .............. The long period of time between
collecting the premium for insuring a
risk and the ultimate payment of losses.
This allows insurance companies to invest
the premiums until losses are paid, thus
producing a higher level of invested
assets and investment income as compared
to other lines of property and casualty
business. Medical professional liability
is considered a
18
long tail line of insurance. Personal
lines is primarily considered a short
tail line of insurance due to shorter
time periods between insuring the risk
and the ultimate payment of claims. As a
result, there is less time to invest
premiums collected, which makes it
necessary to achieve an underwriting
profit in order to generate a
satisfactory return on equity. (See:
Medical professional liability,
Professional liability)
Loss adjustment expenses (LAE) ..... The expenses of settling claims,
including legal and other fees and the
portion of general expenses allocated to
claim settlement costs.
Loss costs ......................... The portion of an insurance rate used to
cover claims and the costs of adjusting
claims. Insurance companies typically
determine their rates by estimating their
future loss costs and adding a provision
for expenses, profit, and contingencies.
Loss ratio ......................... Percentage of each premium dollar an
insurer spends on claims.
Loss reserves ...................... Liabilities established by insurers and
reinsurers to reflect the estimated cost
of claims payments and the related
expenses that the insurer or reinsurer
will ultimately be required to pay in
respect of insurance or reinsurance it
has written. They represent a liability
on the insurer's balance sheet.
Medical professional
liability insurance ................ Insurance against the legal liability of
an insured (and against loss, damage or
expense incidental to a claim of such
liability) arising out of death, injury
or disablement of a person as the result
of negligent deviation from the standard
of care or other misconduct in rendering
professional service.
NAIC ............................... The National Association of Insurance
Commissioners is the organization of
insurance regulators from the 50 states,
the District of Columbia and the four
U.S. territories. The NAIC provides a
forum for the development of uniform
policy when uniformity is appropriate.
Net loss ratio ..................... The net loss ratio measures the ratio of
net losses to earned premiums determined
in accordance with SAP or GAAP.
Net premium earned ................. The portion of net premium written that
is recognized for accounting purposes as
income during a particular period. Equal
to net premiums written plus the change
in net unearned premiums during the
period.
Net premiums written ............... Gross premiums written for a given period
less premiums ceded to reinsurers during
such period.
Non−admitted company; basis ........ Insurers licensed in some states, but not
others. States where an insurer is not
licensed call that insurer
"non−admitted." Non−admitted companies
sell coverage that is unavailable from
licensed insurers within a state and are
generally exempt from most state laws and
regulations related to rates and
19
coverages. Policyholders of such
companies generally do not have the same
degree of consumer protection and
financial recourse as policyholders of
admitted companies. Non−admitted
companies are said to operate on a
"non−admitted" basis.
Occurrence policy; coverage......... Insurance that pays claims arising out of
incidents that occur during the policy
term, even if they are filed many years
later. Under an occurrence policy the
insured event becomes a liability when
the event takes place.
Operating ratio .................... The operating ratio is the combined
ratio, less the ratio of investment
income (exclusive of realized gains and
losses) to net earned premiums, if
determined in accordance with GAAP. While
the combined ratio strictly measures
underwriting profitability, the operating
ratio incorporates the effect of
investment income.
Personal lines insurance ........... Property and casualty insurance written
for an individual and on the personal and
real property of an individual such as
homeowners insurance and personal
automobile insurance.
Policy ............................. A written contract for insurance between
an insurance company and policyholder
stating details of coverage.
Premium ............................ The price of an insurance policy,
typically charged annually or
semiannually.
Premiums written ................... The total premiums on all policies
written by an insurer during a specified
period of time, regardless of what
portions have been earned.
Premium tax ........................ A state tax on premiums for policies
issued in the state, paid by insurers.
Primary Company .................... In a reinsurance transaction, the
insurance company that is reinsured.
Professional liability insurance ... Covers professionals for negligence and
errors or omissions that cause injury or
economic loss to their clients. (See:
Casualty insurance, Liability insurance,
Medical professional liability insurance)
Property/casualty insurance ........ Covers damage to or loss of
policyholders' property and legal
liability for damages caused to other
people or their property.
Rate ............................... The cost of insurance for a specific unit
of exposure, such as for one physician.
Rates are based on historical loss
experience for similar risks and may be
regulated by state insurance offices.
Rating agencies .................... These agencies assess insurers' financial
strength and viability to meet
claims obligations. Some of the factors
considered include company earnings,
capital adequacy, operating leverage,
liquidity, investment performance,
reinsurance programs, and management
ability, integrity and experience. A high
financial rating is not the same as a
high consumer satisfaction rating.
20
Reinsurance ........................ Insurance bought by insurance companies.
In a reinsurance contract the reinsurer
agrees to indemnify another insurance or
reinsurance company, the ceding company,
against all or a portion of the insurance
or reinsurance risks underwritten by the
ceding company under one or more policies.
Reinsurers may have their own reinsurers,
called retrocessionaires. Reinsurers don't
pay policyholder claims. Instead, they
reimburse insurers for claims paid.
Reinsured layer; retained layer ... The retained layer is the cumulative
portion of each loss, on a per−claim
basis, which is less than an insurer's
reinsurance retention for a given coverage
year. Likewise, the reinsured layer is the
cumulative portion of each loss that
exceeds the reinsurance retention. (See:
Reinsurance, Retention)
Reserves .......................... A company's best estimate of what it will
pay, at some point in the future, for
claims for which it is currently
responsible.
Retention ......................... The amount or portion of risk that an
insurer retains for its own account.
Losses in excess of the retention level up
to the outer limit, if any, are paid by
the reinsurer. In proportional treaties,
the retention may be a percentage of the
original policy's limit. In excess of loss
business, the retention is a dollar amount
of loss, a loss ratio or a percentage.
Risk−Based Capital (RBC) .......... A regulatory measure of the amount of
capital required for an insurance company,
based upon the volume and inherent
riskiness of the insurance sold, the
composition of its investment portfolio
and other financial risk factors.
Higher−risk types of insurance, liability
as opposed to property business, generally
necessitate higher levels of capital. The
NAIC's RBC model law stipulates four
levels of regulatory action with the
degree of regulatory intervention
increasing as the level of surplus falls
below a minimum amount as determined under
the model law. (See: NAIC)
Risk management ................... Management of the varied risks to which a
business firm or association might be
subject. It includes analyzing all
exposures to gauge the likelihood of loss
and choosing options to better manage or
minimize loss. These options typically
include reducing and eliminating the risk
with safety measures, buying insurance,
and self−insurance.
Self−insurance .................... The concept of assuming a financial risk
oneself, instead of paying an insurance
company to take it on. Every policyholder
is a self−insurer in terms of paying a
deductible and co−payments. Larger
policyholders often self−insure frequent
or predictable losses to avoid insurance
overhead expenses.
Severity .......................... The average claim cost, statistically
determined by dividing dollars of losses
by the number of claims.
21
Solvent, solvency ................. Insurance companies' ability to pay the
claims of policyholders. Regulations to
promote solvency include minimum capital
and surplus requirements, statutory
accounting conventions, limits to
insurance company investment and corporate
activities, financial ratio tests, and
financial data disclosure.
Statutory Accounting Principles;
SAP ............................ More conservative standards than under
GAAP accounting rules, they are imposed by
state laws that emphasize the present
solvency of insurance companies. SAP helps
ensure that the company will have
sufficient funds readily available to meet
all anticipated insurance obligations by
recognizing liabilities earlier or at a
higher value than GAAP and assets later or
at a lower value. For example, SAP
requires that selling expenses be recorded
immediately rather than amortized over the
life of the policy. (See: Generally
Accepted Accounting Principles, Admitted
assets)
Surplus; statutory surplus ........ The excess of admitted assets over total
liabilities (including loss reserves) that
protects policyholders in case of
unexpectedly high claims. "Statutory
Surplus" is determined in accordance with
Statutory Accounting Principles.
Tail .............................. The period of time that elapses between
the occurrence of the loss event and the
payment in respect thereof.
Third−party coverage .............. Liability coverage purchased by the
policyholder as a protection against
possible lawsuits filed by a third party.
The insured and the insurer are the first
and second parties to the insurance
contract.
Treaty reinsurance ................ The reinsurance of a specified type or
category of risks defined in a reinsurance
agreement (a "treaty") between a primary
insurer or other reinsured and a
reinsurer. Typically, in treaty
reinsurance, the primary insurer or
reinsured is obligated to offer and the
reinsurer is obligated to accept a
specified portion of all such type or
category of risks originally written by
the primary insurer or reinsured.
Umbrella coverage ................. Insurance protection for all classes of
business, including automobile, fire,
general liability, homeowners, multiple
peril, burglary, and glass, combining the
coverages for these classes of business
into one insurance contract. Typically
provides coverage limits in excess of
other insurance policies.
Underwriting ...................... The insurer's or reinsurer's process of
reviewing applications submitted for
insurance coverage, deciding whether to
accept all or part of the coverage
requested and determining the applicable
premiums.
Underwriting expense ratio ........ The ratio of underwriting, acquisition and
other insurance expenses incurred to net
premiums earned (for statutory purposes,
the ratio of underwriting expenses
incurred to net premiums written.)
22
Underwriting expenses ............. The aggregate of policy acquisition costs,
including commissions, and the portion of
administrative, general and other expenses
attributable to underwriting operations.
Underwriting income; loss ......... The insurer's profit on the insurance sale
after all expenses and losses have been
paid, before investment income or income
taxes. When premiums aren't sufficient to
cover claims and expenses, the result is
an "underwriting loss."
Underwriting profit ............... The amount by which net earned premiums
exceed Underwriting Income; the sum of
losses, loss adjustment expenses and
underwriting expenses (See: Underwriting
Income)
Unearned premium .................. The portion of premium that represents the
consideration for the assumption of risk
in the future. Such premium is not yet
earned since the risk has not yet been
assumed. May also be defined as the
pro−rata portion of written premiums that
would be returned to policyholders if all
policies were terminated by the insurer on
a given date.
23
ITEM 2. PROPERTIES
We own a 156,000 square foot office building located in Birmingham,
Alabama where we currently occupy approximately 78,000 square feet. The
remaining office space is leased to unaffiliated persons or is available to be
leased. We also own a 53,000 square foot office building in Okemos, Michigan
that we fully occupy. Both buildings are currently unencumbered. MEEMIC leases
its corporate offices in Auburn Hills, Michigan. In 2005 MEEMIC plans to begin
construction of new corporate offices on an 11.5−acre vacant parcel of land
currently owned in Auburn Hills, Michigan. We lease other office facilities in
various locations and lease computer and operating equipment under cancelable
and non−cancelable agreements.
ITEM 3. LEGAL PROCEEDINGS
Our insurance subsidiaries are involved in various legal actions, a
substantial number of which arise from claims made under insurance policies.
While the outcome of all legal actions is not presently determinable, management
and its legal counsel are of the opinion that these actions will not have a
material adverse effect on our financial position or results of operations.
See Note 8 to our Consolidated Financial Statements included herein.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
Not applicable.
EXECUTIVE OFFICERS OF PROASSURANCE CORPORATION
The executive officers of ProAssurance serve at the pleasure of the
Board of Directors.
Our senior management team is led by A. Derrill Crowe, M.D., our
Chairman and Chief Executive Officer, and Victor T. Adamo, Esq., our President
and Chief Operating Officer. Dr. Crowe (Age 68) has acted as the Chief Executive
Officer of Medical Assurance since its founding in 1977. He has applied a
hands−on management style in developing our underwriting and claims strategies
and was instrumental in establishing us as a leading professional liability
specialist. Mr. Adamo (Age 57) has held various positions with Professionals
Group since 1985, becoming its CEO in 1987 and being named President in 1989. He
is largely responsible for building Professionals Group into a successful
regional professional liability company.
Dr. Crowe practiced medicine as his principal occupation for more than
25 years and Mr. Adamo was in the private practice of law for 10 years,
providing them with knowledge of medical and legal issues that are critical to
our insurance operations. We also have a knowledgeable and experienced
management team with established track records in building and managing
successful insurance operations. In total, our senior management team has
average experience in the insurance industry of 22 years.
Here are the other executive officers of ProAssurance and a brief
description of their principal occupation and employment during the last five
years.
PAUL R. BUTRUS Mr. Butrus has served as our Vice Chairman and a director
of ProAssurance since we began operations in June 2001. Mr.
Butrus has been Executive Vice President and a director of
Medical Assurance since its incorporation in 1995. Mr.
Butrus has been employed by Medical Assurance Company and
its subsidiaries since 1977. (Age 64)
24
HOWARD H. FRIEDMAN Mr. Friedman was appointed as our Senior Vice President,
Chief Financial Officer, and Secretary in June 2001. Mr.
Friedman has served in a number of positions for Medical
Assurance since 1996, most recently as Senior Vice
President, Corporate Development of Medical Assurance. Mr.
Friedman is an Associate of the Casualty Actuarial Society.
He also serves as a director of MEEMIC. (Age 46)
JAMES J. MORELLO Mr. Morello was appointed as our Senior Vice President,
Chief Accounting Officer and Treasurer in June 2001. Mr.
Morello has been Senior Vice President and Treasurer for
Medical Assurance since its formation in 1995. Mr. Morello
has been employed as Treasurer and Chief Financial Officer
of Medical Assurance Company since 1984. He also serves as
a director of Medical Assurance's insurance subsidiaries
and as treasurer for ProNational. Mr. Morello is a
certified public accountant. (Age 56)
FRANK B. O'NEIL Mr. O'Neil was appointed as our Senior Vice President of
Corporate Communications and Investor Relations in
September 2001. Mr. O'Neil has been Senior Vice President
of Corporate Communications for Medical Assurance since
1997 and employed by Medical Assurance Company and its
subsidiaries since 1987. (Age 51)
EDWARD L. RAND Mr. Rand was appointed as our Senior Vice President of
Finance in November 2004. Prior to joining ProAssurance Mr.
Rand was the Chief Accounting Officer and Head of Corporate
Finance for PartnerRe Ltd. Prior to that time Mr. Rand
served as the Chief Financial Officer of Atlantic American
Corporation. (Age 38)
LYNN M. KALINOWSKI Mr. Kalinowski has been President of MEEMIC Holdings and
MEEMIC since September 2001. Mr. Kalinowski previously
served as President of MEEMIC from January 1993 to May 1997
and as Executive Vice President of MEEMIC from May 1997 to
September 2001. Prior to joining MEEMIC in 1993, Mr.
Kalinowski was the President of Southern Michigan Mutual
Insurance Company and previously served as Director of
Financial Analysis for the Michigan Insurance Bureau (now
the State of Michigan Office of Financial and Insurance
Services). Mr. Kalinowski has been a director of MEEMIC
Holdings since 1998. (Age 53)
ProAssurance has adopted a code of ethics that applies to its directors and
executive officers, including its principal executive officers, principal
financial officer, and principal accounting officer. See Item 1 for information
regarding the availability of the Code of Ethics.
25
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS
At March 2, 2005, ProAssurance Corporation (PRA) had 3,535 stockholders
of record and 29,205,007 shares of common stock outstanding. ProAssurance's
common stock currently trades on The New York Stock Exchange (NYSE) under the
symbol "PRA".
2004 2003
−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−
Quarter HIGH LOW High Low
−−−−−−− −−−−−− −−−−−− −−−−−− −−−−−−
First $35.00 $30.33 $23.92 $20.69
Second 37.42 32.83 30.50 23.40
Third 35.20 30.20 28.90 24.50
Fourth 40.57 33.48 32.97 26.86
ProAssurance has not paid any cash dividends on its common stock and
does not currently have a policy to pay regular dividends.
ProAssurance's insurance subsidiaries are subject to restrictions on
the payment of dividends to the parent. Information regarding restrictions on
the ability of the insurance subsidiaries to pay dividends is incorporated by
reference from the paragraphs under the caption "Insurance Regulatory
Matters−Regulation of Dividends and Other Payments from Our Operating
Subsidiaries" in Item 1 on page 11 of this 10−K.
26
ITEM 6. SELECTED FINANCIAL DATA
Year ended December 31
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
SELECTED FINANCIAL DATA (1) 2004 2003 2002 2001 2000
−−−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−− −−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
(In thousands except per share data)
Gross premiums written $ 789,660 $ 740,110 $ 636,156 $ 388,983 $ 223,871
Net premiums written 717,059 668,909 537,123 310,291 194,279
Premiums earned 765,643 698,347 576,414 381,510 216,297
Premiums ceded (69,623) (74,833) (99,006) (68,165) (38,701)
Net premiums earned 696,020 623,514 477,408 313,345 177,596
Net investment income 87,225 73,619 76,918 59,782 41,450
Net realized investment gains (losses) 7,609 5,992 (5,306) 5,441 913
Other income 3,699 6,515 6,747 3,987 2,630
Total revenues 794,553 709,640 555,767 382,555 222,589
Net losses and loss adjustment expenses 572,881 551,376 448,029 298,558 155,710
Income before cumulative effect
of accounting change 72,811 38,703 10,513 12,450 24,300
Net income (2) 72,811 38,703 12,207 12,450 24,300
Income per share before cumulative
effect of accounting change (3)
Basic $ 2.50 $ 1.34 $ 0.40 $ 0.51 $ 1.04
Diluted $ 2.37 $ 1.32 $ 0.39 $ 0.51 $ 1.04
Net income per share: (2) (3)
Basic $ 2.50 $ 1.34 $ 0.47 $ 0.51 $ 1.04
Diluted $ 2.37 $ 1.32 $ 0.46 $ 0.51 $ 1.04
Weighted average number of
shares outstanding: (3)
Basic 29,164 28,956 26,231 24,263 23,291
Diluted 31,984 30,389 26,254 24,267 23,291
BALANCE SHEET DATA (as of December 31)
Total investments $2,455,053 $2,055,672 $1,679,497 $1,521,279 $ 796,526
Total assets 3,239,198 2,879,352 2,586,650 2,238,325 1,122,836
Reserve for losses and loss
adjustment expenses 2,029,592 1,814,584 1,622,468 1,442,341 659,659
Long−term debt 151,480 104,789 72,500 82,500 −
Total liabilities 2,628,179 2,333,047 2,055,086 1,802,606 777,669
Total capital 611,019 546,305 505,194 413,231 345,167
Total capital per share of common
stock outstanding $ 20.92 $ 18.77 $ 17.49 $ 16.02 $ 15.22
Common stock outstanding at
end of year 29,204 29,105 28,877 25,789 22,682
(1) Includes Professionals Group since the date of consolidation, June 27,
2001.
(2) Net income for the year ended December 31, 2002 was increased by $1.7
million due to the adoption of SFAS 141 and 142. See Note 13 to our
consolidated financial statements. In accordance with SFAS 142, we wrote
off the unamortized balance of deferred credits that related to business
combinations completed prior to July 1, 2001. The cumulative effect
increased net income per share (basic and diluted) by $0.07 per share.
(3) Diluted net income per share for 2003 has been restated to reflect
implementation of Emerging Issues Task Force 04−8, "The Effect of
Contingently Convertible Debt on Diluted Earnings per Share". The
restatement reduced previously reported diluted net income per share by
$0.01.
27
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
The following discussion should be read in conjunction with the
consolidated financial statements and notes to the consolidated financial
statements appearing elsewhere in this report. Throughout the discussion,
references to ProAssurance, "we," "us" and "our" refers to ProAssurance
Corporation and its subsidiaries. The discussion contains certain
forward−looking information that involves risks and uncertainties. As discussed
under "Forward−Looking Statements," our actual financial condition and operating
results could differ significantly from these forward−looking statements.
CRITICAL ACCOUNTING POLICIES
Our consolidated financial statements have been prepared in accordance
with accounting principles generally accepted in the United States of America
(GAAP). Preparation of these financial statements requires us to make estimates
and assumptions in certain circumstances that affect the amounts reported in our
consolidated financial statements and related footnotes. We evaluate these
estimates and assumptions on an on−going basis based on historical developments,
market conditions, industry trends and other information that we believe to be
reasonable under the circumstances. There can be no assurance that actual
results will conform to our estimates and assumptions, and that reported results
of operations will not be materially affected by the need to make accounting
adjustments reflecting changes in these estimates and assumptions. Management
considers an accounting policy to be critical if it involves significant
judgment by management and if the effect of those judgments could result in a
material effect on the financial statements.
We believe the following critical accounting policies used in the
preparation of the consolidated financial statements are the most sensitive to
estimates and judgments.
Reserve for Losses and Loss Adjustment Expenses (reserve for losses)
Our reserve for losses represents our estimate of the future amounts
necessary to pay claims and expenses associated with the investigation and
settlement of claims. These estimates consist of case reserves and bulk
reserves. The estimates take into consideration our past loss experience,
available industry data and projections as to future claims frequency, severity,
inflationary trends and settlement patterns. Independent actuaries review our
reserves for losses each year and prepare reports that include recommendations
as to the level of reserves. We consider these recommendations as well as other
factors, such as known, anticipated or estimated changes in frequency and
severity of claims and loss retention levels and premium rates, in establishing
the amount of our reserves for losses. Estimating casualty insurance reserves,
and particularly professional liability reserves, is a complex process. These
claims are typically resolved over an extended period of time, often five years
or more, and estimating loss costs for these claims requires multiple judgments
involving many uncertainties. Our reserve estimates may vary significantly from
the eventual outcome. The assumptions used in establishing our reserves are
regularly reviewed and updated by management as new data becomes available. Any
adjustments necessary are reflected in then current operations. Due to the size
of our reserves, even a small percentage adjustment to these estimates could
have a material effect on our results of operations for the period in which the
adjustment is made. See the discussion under "Overview" in this section for a
history of our loss reserve development.
Reinsurance
Our receivable from reinsurers represents our estimate of the amount
of our future loss payments that will be recoverable from our reinsurers. These
estimates are based upon our estimates of the ultimate losses that we expect to
incur and the portion of those losses that we expect to be allocable to
reinsurers based upon the terms of our reinsurance agreements. We also estimate
premiums ceded under reinsurance agreements wherein the premium due to the
reinsurer, subject to certain maximums and minimums, is a percentage of the
losses reimbursed under the agreement. Given the uncertainty of the ultimate
amounts of our losses, these estimates may vary significantly from the eventual
outcome. Our estimates of the amounts receivable from and payable to reinsurers
are regularly reviewed and updated by management as new data becomes available.
Our assessment of the collectibility of the
28
recorded amounts receivable from reinsurers is based primarily upon public
financial statements and rating agency data. Any adjustments necessary are
reflected in then current operations. Due to the size of our receivable from
reinsurers, even a small adjustment to these estimates could have a material
effect on our results of operations for the period in which the adjustment is
made. At December 31, 2004, we considered all of our receivables from reinsurers
to be collectible.
Investments
We consider our fixed maturity securities as available−for−sale and
our equity securities as either available−for−sale or trading portfolio
securities. Both available−for−sale and trading portfolio securities are carried
at fair value. Positive and negative changes in the market value (unrealized
gains and losses) of available−for−sale securities are included, net of the
related tax effect, in accumulated comprehensive income, a component of
stockholders' equity, and are excluded from current period net income. Positive
and negative changes in the market value of trading portfolio securities are
included in current period net income as a component of net realized investment
gains (losses).
We evaluate the securities in our available−for−sale investment
portfolio on at least a quarterly basis for declines in market value below cost
for the purpose of determining whether these declines represent other than
temporary declines. Some of the factors we consider in the evaluation of our
investments are:
− the extent to which the market value of the security is less than its
cost basis,
− the length of time for which the market value of the security has been
less than its cost basis,
− the financial condition and near−term prospects of the security's
issuer, taking into consideration the economic prospects of the
issuer's industry and geographical region, to the extent that
information is publicly available, and
− our ability and intent to hold the investment for a period of time
sufficient to allow for any anticipated recovery in market value.
A decline in the fair value of an available−for−sale security below
cost that we judge to be other than temporary is realized as a loss in the
current period income statement and reduces the cost basis of the security. In
subsequent periods, we base any measurement of gain or loss or decline in value
upon the adjusted cost basis of the security.
Deferred Policy Acquisition Costs
Policy acquisition costs, primarily commissions, premium taxes and
underwriting salaries, vary directly with, and are primarily related to, the
acquisition of new and renewal premiums. Such costs are capitalized and charged
to expense as the related premium revenue is recognized. We evaluate the
recoverability of our deferred policy acquisition costs based on our estimates
of the profitability of the underlying business and any amounts estimated to be
unrecoverable are charged to expense in the current period.
Goodwill
In accordance with Statement of Financial Accounting Standards No. 142
"Goodwill and Other Intangible Assets" we make an annual assessment by reporting
unit as to whether the value of our goodwill assets is impaired. We completed
such assessments in 2004 and 2003 and concluded that the value of our goodwill
assets of approximately $23.7 million was not impaired. We use both market−based
valuation models and a capital assets pricing model to estimate the fair value
of each reporting unit. These models require the use of numerous assumptions
regarding market perceptions of value as related to our consolidated and
reporting unit historical and projected operating results and those of other
economically similar entities. Changes to these assumptions could significantly
lower our estimates of fair value and result in a determination that goodwill
has suffered impairment in value.
29
LIQUIDITY AND CAPITAL RESOURCES AND FINANCIAL CONDITION
ProAssurance Corporation is a legal entity separate and distinct from
its subsidiaries. Because the parent holding company has no other business
operations, dividends from its operating subsidiaries represent a significant
source of funds for its obligations, including debt service. The ability of
those insurance subsidiaries to pay dividends is subject to limitation by state
insurance regulations. See our discussions under "Regulation of Dividends...from
Our Operating Subsidiaries" in Part I, and in Note 16 of our Notes to the
Consolidated Financial Statements for additional information regarding dividend
limitations.
Within our operating subsidiaries our primary need for liquid funds is
to pay losses and operating expenses in the ordinary course of business. Our
operating activities provided positive cash flow of $373.5 million for the year
ended December 31, 2004 as compared to $282.8 million for the year ended
December 31, 2003. As in the prior year, the primary sources of our operating
cash flows are net investment income and the excess of premiums collected over
paid net losses and operating costs. Timing delays exist between the collection
of premiums and the payment of losses, particularly so with regard to our
professional liability premiums. A general measure of this timing delay is the
paid loss ratio, which is computed by dividing paid losses for the year by net
earned premium. Our paid loss ratios for the years ended December 31, 2004 and
2003 are 46% and 55%, respectively. This timing delay is more evident in periods
of premium growth, regardless of whether that growth is the result of additional
business or rate increases.
We believe that premium adequacy is critical to our long−term
liquidity. We continually review rates and submit requests for rate increases to
state insurance departments as we consider necessary to maintain rate adequacy.
We are unable to predict whether we will continue to receive approval for our
rate filings.
We held cash and cash equivalents of approximately $30.1 million at
December 31, 2004 as compared to $42.0 million at December 31, 2003. We transfer
most of the cash generated from operations into our investment portfolio.
We primarily invest in fixed maturity securities and in 2004 our
investment in fixed maturity securities grew by $467.2 million or 26%. The
growth is primarily due to the investment of funds generated from operations,
but also includes net proceeds of $44.9 million from the sale of trust preferred
securities having a face value of $46.4 million, and funds transferred to fixed
maturities from short−term investments, cash and cash equivalents. Offsetting
these increases is a $14.9 million decline in fixed maturity unrealized gains.
Substantially all of our fixed maturities are either United States
government agency obligations or investment grade securities as determined by
national rating agencies. The fixed maturity securities in our investment
portfolio had a dollar weighted average rating of "AA" at December 31, 2004. Our
investment policies implement an asset allocation that uses length to maturity
as one method of managing our long−term rate of return. The weighted average
modified duration of our fixed maturity securities at December 31, 2004 is 3.81
years. Changes in market interest rate levels generally affect our net income to
the extent that reinvestment yields are different than the original yields on
maturing securities. Additionally, changes in market interest rates may also
affect the fair value of our fixed maturity securities. Net unrealized gains
related to our available−for−sale securities decreased by $15.4 million at
December 31, 2004 as compared to December 31, 2003 primarily because average
bond yields increased and prices declined during 2004.
At December 31, 2004, equity investments represented approximately
1.6% of our total investments, and approximately 6.4% of our capital. Our equity
investments are diversified primarily among domestic growth and value holdings
through common and preferred stock.
For a more detailed discussion of the effect of changes in interest
rates on our investment portfolio see "Item 7A Quantitative and Qualitative
Disclosures about Market Risk."
30
Our net reserves for losses (net of amounts receivable from
reinsurers) at December 31, 2004 are approximately $1.6 billion, an increase of
$250 million over net reserves at December 31, 2003. Substantially all of this
increase is in our professional liability segment, a long−tailed business.
Because of this characteristic, it is not unusual for reserves to increase,
especially during periods of business growth. Activity in the net reserve for
losses during 2004 and 2003 is summarized below:
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
2004 2003 2002
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands
Balance, beginning of year $1,814,584 $1,622,468 $1,442,341
Less reinsurance recoverables 444,811 462,012 374,056
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net balance, beginning of year 1,369,773 1,160,456 1,068,285
Incurred related to:
Current year 589,497 562,256 439,600
Prior years (16,616) (10,880) 8,429
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Total incurred 572,881 551,376 448,029
Paid related to:
Current year (92,361) (94,824) (84,376)
Prior years (230,040) (247,235) (271,482)
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Total paid (322,401) (342,059) (355,858)
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net balance, end of year 1,620,253 1,369,773 1,160,456
Plus reinsurance recoverables 409,339 444,811 462,012
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Balance, end of year $2,029,592 $1,814,584 $1,622,468
========== ========== ==========
As of December 31, 2004, our insurance subsidiaries had consolidated
reserves for losses on a GAAP basis that exceeded those on a statutory basis by
approximately $21.2 million, which is principally due to the portion of GAAP
reserves that are reflected for statutory accounting purposes as unearned
premiums. These unearned premiums are applicable to extended reporting
endorsements ("tail" coverage) issued without a premium charge upon death,
disability, or retirement of an insured.
We use reinsurance to provide capacity to write large limits of
liability, to reduce losses of a catastrophic nature and to stabilize
underwriting results in those years in which such losses occur. The purchase of
reinsurance does not relieve us from the ultimate risk on our policies, but it
does provide reimbursement from the reinsurer for certain losses paid by us.
The effective transfer of risk is dependent on the credit−worthiness
of the reinsurer. We purchase reinsurance from a number of companies to mitigate
concentrations of credit risk. Our reinsurance brokers assist us in the analysis
of the credit quality of our reinsurers. We base our reinsurance buying
decisions on an evaluation of the then−current financial strength and stability
of prospective reinsurers. However, the financial strength of our reinsurers,
and their corresponding ability to pay us, may change in the future due to
forces or events we cannot control or anticipate.
31
At December 31, 2004 our receivable from reinsurers approximated $409
million. The following table identifies our reinsurers from which our
recoverables (net of amounts due to the reinsurer) are $10 million or more as of
December 31, 2004:
A. M. Best Net Amounts Due
Reinsurer Company Rating From Reinsurer
−−−−−−−−− −−−−−−−−−−−−−− −−−−−−−−−−−−−−−
Michigan Catastrophic Claims Association * Not rated $115,126
Hannover Ruckversicherung AG A $ 50,544
General Reinsurance Corp A++ $ 31,059
PMA Capital Insurance Company B+ $ 23,196
American Re−Insurance Company A $ 13,960
Lloyd's Syndicate 435 A $ 12,556
AXA Re A− $ 11,582
Dorinco Reinsurance Company A− $ 10,744
* The Michigan Catastrophic Claims Association (MCCA) is an unincorporated
nonprofit association created by Michigan law, and every insurer engaged in
writing personal protection auto insurance coverage in Michigan is required
to be a member of the MCCA. Although the MCCA acts in the same manner as a
reinsurer, it is not an insurance company and hence is not rated by A.M.
Best.
We have not experienced any difficulties in collecting amounts due
from reinsurers due to the financial condition of the reinsurer. Should future
events lead us to believe that any reinsurer is unable to meet its obligations
to us, adjustments to the amounts recoverable would be reflected in the results
of current operations.
As our premiums have grown, so has our need for capital to support our
insurance operations and maintain our ratings. In recent years, we have taken
actions to obtain additional capital for general corporate purposes, including
supporting growth by our insurance subsidiaries.
In late 2002, we raised $46.5 million through the sale of our common
stock in an underwritten public offering. In July 2003 we received $104.6
million from the issuance of twenty−year 3.9% Convertible Debentures Due June
2023 (the Convertible Debentures); and in April and May 2004, we received net
proceeds of $44.9 million from the sale of trust preferred securities having a
face value of $46.4 million. See note 10 of the Notes to the Consolidated
Financial Statements included herein for a more detailed description of the
Convertible Debentures and the Trust Preferred Subordinated Debentures. During
the three year period ended December 31, 2004, we repaid bank debt of $67.5
million and contributed $39.8 million on a net basis to our insurance
subsidiaries.
We have on file a universal shelf registration statement with the
Securities and Exchange Commission (SEC) that would allow us to offer from
time−to−time up to $250 million in common stock, preferred stock or debt
securities. We may sell any class of the registered securities or combinations
thereof in one or more separate offerings at a total price up to the amount
registered with the amount, price and terms of the securities sold in each
offering to be determined at the time of sale. Our ability to sell any of these
securities will depend in part on our ability to continue profitable operations
and maintain the credit ratings assigned to us by A.M. Best and Standard &
Poor's. Any sale would require us to file a supplemental prospectus that
specifies the terms of the securities to be sold. If securities are sold, we
expect that the net proceeds will be used for general corporate purposes, which
may include contributions to the capital and surplus of our subsidiaries, the
repurchase of outstanding debt securities, or the repayment of other
indebtedness.
32
Off Balance Sheet Arrangements /Guarantees
In April and May 2004, we formed two business trusts (the Trusts) with
the sole purpose of the Trusts being to issue, in private placement
transactions, $45.0 million of trust preferred stock (TPS), and use the proceeds
thereof; together with the equity proceeds that we contributed upon formation of
the Trusts, to purchase our $46.4 million variable rate subordinated debentures
(Trust Preferred Subordinated Debentures or Subordinated Debentures), which are
the only assets of the Trusts. The terms and maturities of the Subordinated
Debentures mirror those of the TPS. The Trusts will meet the obligations of the
TPS with the interest and principal we pay to the Trusts related to the
Subordinated Debentures.
In accordance with the guidance given in Financial Accounting
Standards Board Interpretation No. 46R, "Variable Interest Entities" (FIN 46R)
the Trusts are not included in our consolidated financial statements because we
are not the primary beneficiary of either of the Trusts.
The Subordinated Debentures are payable to the Trusts and are included
in our condensed consolidated financial statements as long−term debt. We have
issued guarantees that amounts paid to the Trusts related to the Subordinated
Debentures will subsequently be remitted to the holders of the TPS. The amounts
guaranteed are not expected to at any time exceed our obligations under the
Subordinated Debentures, and we have not recorded any additional liability
related to the TPS or the guarantee.
Contractual Obligations
A schedule of our non−cancelable contractual obligations at December
31, 2004 follows:
Payments due by period
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Less than More than
Total 1 year 1−3 years 3−5 years 5 years
−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−−
In thousands
Long−term debt obligations $151,480 $ −− $ −− $ −− $151,480
Operating lease obligations 8,723 3,786 3,880 936 121
−−−−−−−− −−−−−− −−−−−− −−−− −−−−−−−−
Total $160,203 $3,786 $3,880 $936 $151,601
======== ====== ====== ==== ========
Our long−term debt obligations above include the repayment of
principal on our Convertible Debentures and our Subordinated Debentures. Our
operating lease obligations are primarily for the rental of office space, office
equipment, and communications lines and equipment.
OVERVIEW
We are an insurance holding company and our operating results are
almost entirely derived from the operations of our insurance subsidiaries. In
2004, the professional liability segment contributed approximately 75% of our
total revenues and the personal lines segment contributed approximately 25% of
total revenues. ProAssurance's professional liability segment primarily provides
medical professional liability insurance to physicians and physician groups. The
personal lines segment primarily provides auto insurance to members of the
Michigan educational community and their families.
Corporate Strategy
We emphasize disciplined underwriting and do not manage our business
to achieve a certain level of premium growth or market share. In our
professional liability business, we apply our local knowledge to individual risk
selection, and determine the appropriate price based on our assessment of the
specific characteristics of each risk. In our personal lines business, we target
the educational community, which we believe provides a preferred, stable and
predictable group of risks.
In addition to prudent risk selection, we seek to control our
underwriting results through effective claims management. We investigate each
professional liability claim and have fostered a strong culture of aggressively
defending those claims that we believe have no merit. We manage these claims at
the local level, tailoring claims handling to the legal climate of each state,
which we believe differentiates us from
33
national writers. In our personal lines business, we seek to quickly and
efficiently resolve claims through an established network of auto repair shops
and other repair facilities, focusing on minimizing the cost of handling each
claim.
By concentrating on specialty markets where customers have specialized
needs, we seek to provide value added solutions through our underwriting
expertise and our emphasis on strong customer service. Through our regional
underwriting and claims office structure, we are able to gain a strong
understanding of local market conditions and efficiently adapt our underwriting
and claims strategies to regional conditions. Our regional presence also allows
us to maintain active relationships with our customers and be more responsive to
their needs. We believe these factors have allowed us to establish a leading
position in our markets, enabling us to compete on a basis other than just
price. We also believe that our presence in local markets allows us to monitor
and understand changes in the liability climate and thus develop better business
strategies in a more timely manner than our competitors.
Our goal is to build upon our position as a leading writer of
professional liability and personal lines insurance and expand within a defined
geographic area, while maintaining our commitment to disciplined underwriting
and aggressive claims management. According to A.M. Best, based on 2003 data we
are the 4th largest active medical liability insurance writer in the nation, and
we believe we are the largest medical liability writer in our collective states
of operation. We believe that our strong reputation in our regional markets,
combined with our financial strength, strong customer service and proven ability
to manage claims, should enable us to profitably expand our position in select
states. In our personal lines business, we estimate that we currently insure
approximately 17% of the educational community (active and retired teaching
professionals and service employees) in Michigan. We expect to increase our
penetration of the educational community by appointing additional agents and
broadening our existing relationships with educational institutions and their
employees.
We have successfully acquired and integrated companies and books of
business in the past and believe our financial size and strength make us an
attractive acquirer. The current professional liability climate may also provide
us with the opportunity to undertake additional mergers or acquisitions of
companies or books of business within or adjacent to, our states of operation.
We continually evaluate these opportunities to leverage our core underwriting
and claims expertise.
We have sustained our financial stability during difficult market
conditions through responsible pricing and loss reserving practices. We are
committed to maintaining prudent operating and financial leverage and
conservatively investing our assets. We recognize the importance that our
customers and producers place on the strong ratings of our principal insurance
subsidiaries and we intend to manage our business to protect our financial
security.
Growth Opportunities and Outlook
We expect our future growth in professional liability will be
supported by controlled expansion in states where we are already writing
business and into additional states within, or adjacent to, our existing
business footprint. We also believe there may be additional opportunities for
profitable expansion of our professional liability business as insurers continue
experiencing financial difficulties, requiring them to reduce their business or
completely exit the marketplace. This may also lead to opportunities to expand
through the acquisition of other companies or books of business.
We believe we are viewed as a market leader because of our financial
strength and stability, and our ability to deliver excellent service at the
local level. Our reputation allows us to take advantage of marketing conditions
that are improving as price increases are implemented and earned. Our stability
also makes us an attractive insurer in light of the highly publicized
insolvencies in our industry, as well as the regulatory actions taken against
several former competitors.
In 2004 and 2003, our professional liability segment achieved average
gross price increases of approximately 19% and 28%, respectively, on renewal
business (weighted by premium volume). In 2005 we expect professional liability
pricing to continue to increase, albeit at a much slower pace. We believe our
balance sheet strength will continue to be a differentiating factor in the
market. Additionally, we plan to appoint new agents in underserved areas in the
states where we write business and we believe that will bring us additional
business as well.
34
In the personal lines segment, our strong capitalization provides
operational flexibility allowing growth and expansion in Michigan and adjacent
states.
We believe we can take advantage of growth opportunities in both
segments while continuing to maintain our combined ratio. As with all property
and casualty companies, we expect the beneficial impact of price increases to be
fully reflected in our financial results over time as premiums written at the
higher prices are earned which generally occurs over the course of the year
after the policy is issued.
Losses and Reinsurance
Losses are the largest component of expense for both the professional
liability segment and the personal lines segment. As discussed in critical
accounting policies, net losses in any period reflect our estimate of net losses
related to the premiums earned in that period as well as any changes to our
estimates of the reserve established for net losses of prior periods.
The estimation of medical professional liability losses is inherently
difficult. Injuries may not be discovered until years after an incident, or the
claimant may delay pursuing the recovery of damages. Ultimate loss costs, even
for similar events, vary significantly depending upon many factors, including
but not limited to the nature of the injury and the personal situation of the
claimant or the claimants' family, the judicial climate where the insured event
occurred, general economic conditions and the trend of health care costs.
Medical liability claims are typically resolved over an extended period of time,
often five years or more. The combination of changing conditions and the
extended time required for claim resolution results in a loss cost estimation
process that requires actuarial skill and the application of judgment, and such
estimates require periodic revision.
Losses for the personal lines segment primarily result from property
claims. Such claims are typically settled and paid without litigation within one
year after the claim is reported. The personal lines segment also incurs losses
due to personal liability claims. Personal liability losses more closely
resemble medical professional liability losses and are more complex to estimate.
Injuries and their severity are subject to litigation and may take some years to
determine.
Due to the size of our reserves, even a small percentage adjustment
can have a material effect on our results of operations for the period in which
the change is made.
We use reinsurance to provide capacity to write large limits of
liability, to reduce losses of a catastrophic nature and to stabilize
underwriting results in those years in which such losses occur. The purchase of
reinsurance does not relieve us from the ultimate risk on our policies, but it
does provide reimbursement from the reinsurer for certain losses paid by us.
We reinsure professional liability risks under treaties pursuant to
which the reinsurer agrees to assume all or a portion of all risks that we
insure above our individual risk retention of $1 million per claim, up to the
maximum individual limit offered (currently $16 million). Historically, per
claim retention levels have varied between the first $200,000 and the first $2
million depending on the coverage year and the state in which business was
written. Periodically, we provide insurance to policyholders above the maximum
limits of our primary reinsurance treaties. In those situations, we reinsure the
excess risk above the limits of our reinsurance treaties on a facultative basis,
whereby the reinsurer agrees to insure a particular risk up to a designated
limit.
We currently reinsure our personal lines risks in excess of $250,000
per loss. Individual property risks are covered up to $1 million per risk and
casualty risks are covered on an excess of loss basis up to $3 million per
occurrence. As a member of the MCCA, we receive coverage for auto personal
liability losses in excess of $350,000 per loss. The MCCA charges an annual
assessment, based on the number of vehicles for which coverage is written, to
cover the losses reported by all member companies. Michigan law provides that
the MCCA assessments charged to member companies for this protection can be
recognized in the rate−making process and passed on to policyholders. We treat
any amounts due from the MCCA as reinsurance and the assessments due to MCCA as
ceded premiums. Our personal lines segment is further covered by catastrophe
reinsurance which provides additional protection from significant aggregate
physical damage exposure arising from a single event such as windstorm, hail,
tornado, earthquake, riot, blizzard, freezing temperatures or other
extraordinary events. Our catastrophe coverage is up to $34.5 million in excess
of $1.5 million subject to retention of 5%. We also cede 95% of our umbrella
policy liabilities under a quota share reinsurance arrangement.
35
Our risk retention level is dependent upon numerous factors including
the price and availability of reinsurance, volume of business, level of
experience, our analysis of the potential underwriting results within each state
and our assessment of our financial capacity to assume greater risk. Our
2004−2005 reinsurance treaties renewed with minimal change in terms or
conditions from the prior year. We have structured the program to include a
broader participation of reinsurers to further diversify our credit risk.
The following table, known as the Loss Reserve Development Table,
presents information over the preceding ten years regarding the payment of our
losses as well as changes to (the development of) our estimates of losses during
that time period.
The table includes losses on both a direct and an assumed basis and is
net of reinsurance recoverables. The gross liability for losses before
reinsurance, as shown on the balance sheet, and the reconciliation of that gross
liability to amounts net of reinsurance are reflected below the table. We do not
discount our reserves to present value. Information presented in the table is
cumulative and, accordingly, each amount includes the effects of all changes in
amounts for prior years. The table presents the development of our balance sheet
reserves; it does not present accident year or policy year development data.
Conditions and trends that have affected the development of liabilities in the
past may not necessarily occur in the future. Accordingly, it may not be
appropriate to extrapolate future redundancies or deficiencies based on this
table.
The following may be helpful in understanding the Loss Reserve
Development Table:
− The line entitled "Reserve for losses, undiscounted and net of
reinsurance recoverables" reflects the Company's reserve for losses
and loss adjustment expense, less the receivables from reinsurers,
each as showing in the Company's consolidated financial statements at
the end of each year (the Balance Sheet Reserves).
− The section entitled "Cumulative net paid, as of" reflects the
cumulative amounts paid as of the end of each succeeding year with
respect to the previously recorded Balance Sheet Reserves.
− The section entitled "Re−estimated net liability as of" reflects the
re−estimated amount of the liability previously recorded as Balance
Sheet Reserves that includes the cumulative amounts paid and an
estimate of additional liability based upon claims experience as of
the end of each succeeding year (the Net Re−estimated Liability).
− The line entitled "Net cumulative redundancy (deficiency)" reflects
the difference between the previously recorded Balance Sheet Reserve
for each applicable year and the Net Re−estimated Liability relating
thereto as of the end of the most recent fiscal year.
36
ANALYSIS OF LOSSES AND LOSS RESERVE DEVELOPMENT
(IN THOUSANDS)
DECEMBER 31,
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
1994 1995 1996 1997 1998 1999
−−−−−−−− −−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−−
Reserve for losses,
undiscounted and net of
reinsurance recoverables $295,541 $352,521 $ 440,040 $ 464,122 $ 480,741 $ 486,279
Cumulative net paid, as of:
One Year Later 24,102 27,532 48,390 67,383 89,864 133,832
Two Years Later 42,115 58,769 98,864 128,758 192,716 239,872
Three Years Later 58,793 80,061 136,992 194,139 257,913 313,993
Four Years Later 65,520 107,005 173,352 227,597 308,531 358,677
Five Years Later 76,291 120,592 191,974 252,015 331,796 387,040
Six Years Later 81,722 129,043 204,013 266,056 346,623
Seven Years Later 82,605 135,620 212,282 276,052
Eight Years Later 84,649 138,534 218,919
Nine Years Later 85,008 140,712
Ten Years Later 85,333
Re−estimated Net Liability as of:
End of Year 295,541 352,521 440,040 464,122 480,741 486,279
One Year Later 268,154 325,212 393,363 416,814 427,095 463,779
Two Years Later 239,243 280,518 347,258 364,196 398,308 469,934
Three Years Later 200,311 237,280 294,675 333,530 400,333 488,416
Four Years Later 157,836 190,110 264,714 323,202 414,008 487,366
Five Years Later 122,570 173,148 259,195 320,888 415,381 485,719
Six Years Later 105,779 168,828 248,698 321,232 412,130
Seven Years Later 99,787 160,784 250,927 321,959
Eight Years Later 94,192 161,717 251,584
Nine Years Later 95,625 158,743
Ten Years Later 94,399
Net cumulative redundancy (deficiency) $201,142 $193,778 $ 188,456 $ 142,163 $ 68,611 $ 560
======== ======== ========= ========= ========= =========
Original gross liability − end of year $355,735 $432,937 $ 548,732 $ 614,720 $ 660,631 $ 665,786
Less: reinsurance recoverables (60,194) (80,416) (108,692) (150,598) (179,890) (179,507)
−−−−−−−− −−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−−
Original net liability − end of year $295,541 $352,521 $ 440,040 $ 464,122 $ 480,741 $ 486,279
======== ======== ========= ========= ========= =========
Gross re−estimated liability − latest $123,173 $182,961 $ 295,291 $ 416,516 $ 517,812 $ 587,501
Re−estimated reinsurance recoverables (28,774) (24,218) (43,707) (94,557) (105,682) (101,782)
−−−−−−−− −−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−−
Net re−estimated liability − latest $ 94,399 $158,743 $ 251,584 $ 321,959 $ 412,130 $ 485,719
======== ======== ========= ========= ========= =========
Gross cumulative redundancy (deficiency) $232,562 $249,976 $ 253,441 $ 198,204 $ 142,819 $ 78,285
======== ======== ========= ========= ========= =========
DECEMBER 31,
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
2000 2001 2002 2003 2004
−−−−−−−−− −−−−−−−−−− −−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Reserve for losses,
undiscounted and net of
reinsurance recoverables $ 493,457 $1,068,286 $1,160,456 $1,369,773 $1,620,253
Cumulative net paid, as of:
One Year Later 143,892 271,482 247,235 230,040
Two Years Later 251,855 468,630 425,190
Three Years Later 321,957 599,432
Four Years Later 367,810
Five Years Later
Six Years Later
Seven Years Later
Eight Years Later
Nine Years Later
Ten Years Later
Re−estimated Net Liability as of:
End of Year 493,457 1,068,286 1,160,456 1,369,773
One Year Later 507,275 1,076,714 1,149,575 1,353,157
Two Years Later 529,698 1,069,435 1,149,092
Three Years Later 527,085 1,078,936
Four Years Later 534,382
Five Years Later
Six Years Later
Seven Years Later
Eight Years Later
Nine Years Later
Ten Years Later
Net cumulative redundancy (deficiency) $ (40,925) $ (10,650) $ 11,364 $ 16,616
========= ========== ========== ==========
Original gross liability − end of year $ 659,659 $1,442,341 $1,622,468 $1,814,584
Less: reinsurance recoverables (166,202) (374,055) (462,012) (444,811)
−−−−−−−−− −−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Original net liability − end of year $ 493,457 $1,068,286 $1,160,456 $1,369,773
========= ========== ========== ==========
Gross re−estimated liability − latest $ 625,782 $1,403,927 $1,529,546 $1,758,903
Re−estimated reinsurance recoverables (91,400) (324,991) (380,454) (405,746)
−−−−−−−−− −−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net re−estimated liability − latest $ 534,382 $1,078,936 $1,149,092 $1,353,157
========= ========== ========== ==========
Gross cumulative redundancy (deficiency) $ 33,877 $ 38,414 $ 92,922 $ 55,681
========= ========== ========== ==========
37
In years 2001 and thereafter the table reflects the reserves of
ProAssurance, formed in 2001 in order to merge Medical Assurance and
Professionals Group, and includes both professional liability segment and
personal lines segment reserves. Amounts shown in the table for years prior to
2001 relate only to the reserves of Medical Assurance.
In each year reflected in the table, we have utilized actuarial
methodologies, including incurred loss development, paid loss development and
frequency−severity projections, to estimate reserves. These techniques are
applied to the data and the resulting projections are evaluated by management to
establish the estimate of reserves.
Factors that have contributed to the variation in loss development
include the following:
− Our volume of business in the late 1980's and early 1990's, while
substantial, was not of a sufficient size to fully support the
actuarial projection process; thus, our data was supplemented with
industry−based data. Substantially all of our business was derived
from medical professional liability insurance written in Alabama until
we began to geographically expand our business in the mid to late
1990s. We utilized a rigorous and disciplined approach to
investigating, managing and defending claims. This philosophy
generally produced results in Alabama that were better than industry
averages in terms of loss payments and the proportion of claims closed
without indemnity payment. Ultimately, actual results proved better
than the industry data, creating redundancies.
− Our reserves established in the late 1980's and early 1990's were
strongly influenced by the dramatically increased frequency and
severity that we, and the industry as a whole, experienced during the
mid−1980s. Some of these trends moderated, and in some cases,
reversed, by the late 1980s or early 1990s. However, the ability to
recognize the improved environment was delayed due to the extended
time required for claims resolution. When these negative trends
moderated, the reserves we established during those periods proved to
be redundant.
− The professional liability legal environment deteriorated once again
in the late 1990's. Beginning in 2000, we recognized adverse trends in
claim severity causing increased estimates of certain loss
liabilities. As a result, favorable development of prior year loss
reserves slowed in 2000 and reversed in 2001 and 2002. We have
addressed these trends through increased rates, stricter underwriting
and modifications to claims handling procedures.
− Beginning in 2001 the table includes reserves for personal liability
losses which are also initially difficult to estimate. We established
reserves for these claims at levels that we consider reasonable but
prudent, given rising medical costs and unpredictable litigation
trends. As the claims matured, our reserve estimates were adjusted to
reflect actual loss costs experienced.
38
RESULTS OF OPERATIONS − YEAR ENDED DECEMBER 31, 2004 COMPARED TO YEAR ENDED
DECEMBER 31, 2003
Selected financial data for each period is summarized in the table below.
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase
2004 2003 (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−−
In Thousands
Revenues:
Gross premiums written $789,660 $740,110 $49,550
======== ======== =======
Net premiums written $717,059 $668,909 $48,150
======== ======== =======
Premiums earned $765,643 $698,347 $67,296
Premiums ceded (69,623) (74,833) 5,210
−−−−−−−− −−−−−−−− −−−−−−−
Net premiums earned 696,020 623,514 72,506
Net investment income 87,225 73,619 13,606
Net realized investment gains (losses) 7,609 5,992 1,617
Other income 3,699 6,515 (2,816)
−−−−−−−− −−−−−−−− −−−−−−−
Total revenues 794,553 709,640 84,913
−−−−−−−− −−−−−−−− −−−−−−−
Expenses:
Losses and loss adjustment expenses 596,070 576,043 20,027
Reinsurance recoveries (23,189) (24,667) 1,478
−−−−−−−− −−−−−−−− −−−−−−−
Net losses and loss adjustment expenses 572,881 551,376 21,505
Underwriting, acquisition and insurance expenses 117,689 104,216 13,473
Loss on early extinguishment of debt −− 305 (305)
Interest expense 6,515 3,409 3,106
−−−−−−−− −−−−−−−− −−−−−−−
Total expenses 697,085 659,306 37,779
−−−−−−−− −−−−−−−− −−−−−−−
Income before income taxes and minority interest 97,468 50,334 47,134
Income taxes (benefit) 24,657 11,450 13,207
−−−−−−−− −−−−−−−− −−−−−−−
Income before minority interest 72,811 38,884 33,927
Minority interest −− (181) 181
−−−−−−−− −−−−−−−− −−−−−−−
Net Income $ 72,811 $ 38,703 $34,108
======== ======== =======
Net loss ratio 82.3% 88.4% (6.1%)
Underwriting expense ratio 16.9% 16.7% 0.2%
−−−−−−−− −−−−−−−− −−−−−−−
Combined ratio 99.2% 105.1% (5.9%)
Less: Investment income ratio 12.5% 11.8% 0.7%
−−−−−−−− −−−−−−−− −−−−−−−
Operating ratio 86.7% 93.3% (6.6%)
======== ======== =======
Return on equity * 12.6% 7.4% 5.2%
======== ======== =======
* Net income divided by the average of beginning and ending stockholders'
equity.
39
We measure performance in a number of ways, but particularly focus on
the combined ratio and investment returns which directly affect our return on
equity (ROE). We target a return on equity of 12% to 14%.
Our earnings are almost entirely derived from the operations of our
insurance subsidiaries. We manage our insurance operations at a segment level
because of the differing operating characteristics of each segment. We believe
that a focus on a premium adequacy, selective underwriting and effective claims
management is required if we are to achieve our ROE targets and we closely
monitor premium revenues, losses and loss adjustment costs, and acquisition,
underwriting and insurance expenses at the segment level.
Investment income and net realized investment gains and losses are
managed and monitored both at the segment level and on a consolidated basis in
order to meet the liquidity and profitability needs of each insurance company as
well as to maximize after−tax income investment returns at a corporate level.
Our segments engage in activities that generate other income. Such
activities, principally fee generating and agency services, do not constitute a
significant source of revenues or profits on either a segment or a consolidated
basis.
The 2004 increase in our ROE is primarily attributable to our success
in reducing our net loss ratio. Both segments showed improvement in their net
loss ratio. The improvement in the professional liability ratio had the most
pronounced effect on ROE because 74% of 2004 consolidated net earned premiums
are attributable to this segment.
Our 2004 operating results also benefited from additional investment
income earned as a result of the growth in our invested assets.
40
PREMIUMS
Gross Premiums Written
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase Increase
2004 2003 (Decrease) (Decrease)
−−−−−−−− −−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands %
Gross premiums written:
Professional liability $573,592 $543,323 $30,269 5.6%
Personal lines 216,068 196,787 19,281 9.8%
−−−−−−−− −−−−−−−− −−−−−−−
$789,660 $740,110 $49,550 6.7%
======== ======== =======
Professional liability written premiums vary from period to period for
a number of reasons. Some of the more common differences result from changes to
premium rates, the volume of new business written during the period, the loss of
business to competitors or due to our own underwriting decisions, and the
percentage of our policies that renew, which may also affect the level of tail
premiums written. Strategic factors, such as our decision to convert our
remaining occurrence policies to claims−made coverage, and market factors, such
as the entry or exit of a competitor in a given market, may also affect written
premiums from period to period. The effect of any of these changes also varies
by the proportion of policies written or renewed during each period in the
various geographical regions and classes of business in which we operate.
Professional liability premiums exhibited strong growth in 2004;
however, the growth was at a slower pace than in 2003 primarily because we
implemented smaller rate increases in 2004 as compared to 2003. Our rates are
based on our expected losses for the coverages provided; the cumulative effect
of the rate increases we have obtained in the past several years allowed us to
pursue lower rate increases in some states in 2004. On average, renewals during
the year ended December 31, 2004 have been at rates that are approximately 19%
higher than expiring rates. Rate increases on 2003 renewals, on average, were at
rates that were 28% higher than expiring rates. New business written in 2004 was
largely offset by business that did not renew, including business that we
selectively chose not to renew. We continue to aggressively pursue only that
business that we believe we can write at a profitable rate.
Virtually all of the growth that we experienced in 2004 was related to
physician coverages. This growth included an increase of approximately $5.0
million related to physician tail policies. Tail policies are written to
physicians that are discontinuing their claims−made coverage with us. We prefer
not to write tail coverage due to the occurrence−like loss liability that it
creates, but the decision to purchase this coverage is at the option of the
departing policyholder. Premiums written for this coverage can vary
significantly from year to year.
In the latter half of 2003, we began the process of converting our
professional liability occurrence coverages to claims−made coverages and
completed this process in 2004. First−year claims−made coverage has a
significantly lower premium than occurrence coverage due to lower loss exposure,
but steps through an increasing rate progression from first−year to mature, over
a multi−year period which is generally five years. This increasing rate
progression is the result of our increasing exposure to loss. During the period
of rate progression, all else being equal, our premiums and our losses will
increase.
Personal lines premium revenues are almost entirely comprised of auto
and homeowners premiums with auto premiums representing 81% of 2004 written
premiums and 82% of 2003 written premiums. During the year ended December 31,
2004 auto premiums increased by $13.3 million while homeowner premiums grew by
$5.9 million. The growth of auto premiums is primarily attributable to rate
increases and to increases in the value of insured autos and a small increase in
the number of autos insured. The growth in homeowner premiums is due to
increases in the number of insured homes, rate increases, and an increase in the
value of the homes insured with no one factor predominating.
41
Premiums Earned
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase Increase
2004 2003 (Decrease) (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands %
Premiums earned:
Professional liability $555,524 $509,260 $46,264 9.1%
Personal lines 210,119 189,087 21,032 11.1%
−−−−−−−− −−−−−−−− −−−−−−−
$765,643 $698,347 $67,296 9.6%
======== ======== =======
Premiums are earned pro rata over the entire policy period (generally
one year) after the policy is written. Thus the increase in 2004 earned premiums
reflects on a pro rata basis the changes in written premiums that occurred
during both 2004 and 2003.
Premiums ceded
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase Increase
2004 2003 (Decrease) (Decrease)
−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands %
Premiums ceded:
Professional liability $42,869 $56,014 $(13,145) (23.5%)
Personal lines 26,754 18,819 7,935 42.2%
−−−−−−− −−−−−−− −−−−−−−−
$69,623 $74,833 $ (5,210) (7.0%)
======= ======= ========
Premiums ceded represent the portion of earned premiums that we must
ultimately pay to our reinsurers for their assumption of a portion of our
losses.
In both 2004 and 2003, we reduced our estimates of prior year gross
losses in our professional liability segment. As a result, we also reduced our
estimates of ultimate ceded premiums. The reduction was $8.9 million in 2004 and
$5.4 million in 2003. Professional liability premiums ceded were also reduced by
$1.6 million in 2004 due to the commutation of reinsurance treaties with
Gerling. Additionally, as premium rates have risen, our insureds have purchased
policies with lower coverage limits. We do not cede these premiums, and as a
result, premiums ceded have declined.
Personal lines premiums ceded primarily increased because of a
significant rise in the per car assessment charged by the MCCA, and also as a
result of growth in the volume of premiums written.
LOSSES AND LOSS ADJUSTMENT EXPENSES
Calendar year losses may be divided into three components: (i)
actuarial evaluation of incurred losses for the current accident year; (ii)
actuarial re−evaluation of incurred losses for prior accident years; and (iii)
actuarial re−evaluation of the reserve for the death, disability and retirement
provision (DDR) in our claims−made policies.
Accident year refers to the accounting period in which the insured
event becomes a liability of the insurer. For occurrence policies the insured
event becomes a liability when the event takes place; for claims−made policies
the insured event becomes a liability when the event is first reported to the
insurer. We believe that measuring losses on an accident year basis is the most
indicative measure of the underlying profitability of the premiums earned in
that period since it associates policy premiums earned with our estimate of the
losses incurred related to those policy premiums. Calendar year results include
the operating results for the current accident year and, as discussed in
critical accounting policies, any changes in estimates related to prior accident
years.
42
Net Losses
The following table summarizes net losses and net loss ratios for the
years ended December 31, 2004 and 2003 by separating losses between the current
accident year and all prior accident years. The net loss ratios shown are
calculated by dividing the applicable net losses by calendar year net premiums
earned.
DECEMBER 31, 2004 December 31, 2003 Net Loss
−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−− Ratio
NET LOSS Net Loss Increase
NET LOSSES RATIO Net Losses Ratio (Decrease)
−−−−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−−
In thousands except percentage amounts
Net losses − calendar year
Professional liability $460,437 89.8% $439,368 96.9% (7.1%)
Personal lines 112,444 61.3% 112,008 65.8% (4.5%)
−−−−−−−− −−−−−−−−
$572,881 82.3% $551,376 88.4% (6.1%)
======== ========
Net losses current accident year
Professional liability $469,151 91.5% $439,418 96.9% (5.4%)
Personal lines 120,346 65.6% 122,838 72.1% (6.5%)
−−−−−−−− −−−−−−−−
$589,497 84.7% $562,256 90.2% (5.5%)
======== ========
Change in prior accident year losses (favorable):
Professional liability $ (8,714) (1.7%) $ (50) −−% (1.7%)
Personal lines (7,902) (4.3%) (10,830) (6.4%) 2.1%
−−−−−−−− −−−−−−−−
$(16,616) (2.4%) $(10,880) (1.8%) (0.6%)
======== ========
Current accident year net losses in the professional liability segment
increased by 6.8% or $29.7 million in 2004 as compared to 2003. During 2004, we
have continued to see an increase in loss severity, which has increased loss
costs. Professional liability current accident year net loss ratios are lower in
2004 than in 2003 primarily because loss costs, while continuing to increase,
have increased at a slower pace than premium rates. Loss ratios have also
improved because we converted our occurrence policies to claims−made coverage as
discussed under premiums. Generally, loss ratios associated with claims−made
coverage are initially lower than those associated with occurrence coverage.
We decreased our estimate of professional liability prior year net
losses by $8.7 million in 2004 and $50,000 in 2003. The 2004 amount represents
0.7% of 2003 professional liability net reserves. These adjustments were in
response to actuarial evaluations of loss reserves performed during the period.
No change was made to our estimates of the reserves required for death,
disability and retirement during 2004 or 2003.
Personal lines losses have remained relatively stable, even though the
number of insured risks has increased. We experienced an overall reduction in
the frequency of auto collision and comprehensive claims reported in 2004, which
more than offset increased water damage claims from severe thunderstorms in May
2004. The reduction in frequency is the primary reason that loss ratios improved
in 2004.
As a result of favorable development related to the frequency and
severity of prior year auto liability reserves, we reduced personal lines prior
year net losses during both 2004 and 2003.
43
Gross Losses and Reinsurance Recoveries
The effect of adjustments made to reinsured losses is mitigated by the
corresponding adjustment that is made to insurance recoveries. Thus, in any
given year, we may make significant adjustments to gross losses that have little
effect on our net losses. The following table reflects our losses by segment on
both a gross and a net basis:
Year ended December 31
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Increase
2004 2003 (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−−
In thousands
Gross Losses:
Professional liability $447,521 $414,828 $ 32,693
Personal lines 148,549 161,215 (12,666)
−−−−−−−− −−−−−−−− −−−−−−−−
596,070 576,043 20,027
Reinsurance Recoveries:
Professional liability $(12,916) $(24,540) $ 11,624
Personal lines 36,105 49,207 (13,102)
−−−−−−−− −−−−−−−− −−−−−−−−
23,189 24,667 (1,478)
Net Losses:
Professional liability $460,437 $439,368 $ 21,069
Personal lines 112,444 112,008 436
−−−−−−−− −−−−−−−− −−−−−−−−
$572,881 $551,376 $ 21,505
======== ======== ========
When discussing losses that are reinsured and losses that are
retained, it is common to refer to "layers" of loss. The retained layer is the
cumulative portion of each loss, on a per−claim basis, which is less than our
reinsurance retention for a given coverage year. Likewise, the reinsured layer
is the cumulative portion of each loss that exceeds the reinsurance retention.
In 2004, as was also the case in 2003, our actuarial analysis of our
professional liability reserves indicates that our claims severity has continued
to increase as expected in our retained layers. However, we have not experienced
the high level of losses in our reinsured layers that we originally anticipated
and for which we established reserves. Accordingly, we reduced our estimates of
prior accident year gross losses by approximately $60.4 million during the year
ended December 31, 2004 and $74.2 million during the year ended December 31,
2003. These losses were heavily reinsured; therefore, we reduced expected
reinsurance recoveries by $51.7 million in 2004 and $74.1 million in 2003. As
previously discussed, these changes to prior year estimates reduced net losses
by $8.7 million in 2004 and nominally reduced net losses in 2003. In both 2004
and 2003, the decrease to reinsurance recoveries for prior accident years more
than offset reinsurance recoveries for current accident years resulting in a
non−traditional relationship between gross losses and recoveries.
Our personal lines segment gross losses and reinsurance recoveries
also reflect large adjustments for heavily reinsured losses. We increased our
loss estimates for auto personal injury losses ceded to the MCCA by
approximately $15.3 million during the year ended December 31, 2004 and $30.0
million during the year ended December 31, 2003. In both years, these
unfavorable adjustments were offset by favorable adjustments made to losses that
were not heavily reinsured, primarily auto liability reserves. As previously
discussed, these reserve adjustments decreased net losses by $7.9 million in
2004 and $10.8 million in 2003.
Assumptions used in establishing our reserves are regularly reviewed
and updated by management as new data becomes available. Any adjustments
necessary are reflected in current operations. Due to the size of our reserves,
even a small percentage adjustment to the assumptions can have a material effect
on our results of operations for the period in which the change is made.
44
NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)
Net investment income is primarily derived from the interest income
earned by our fixed maturity securities and includes interest income from
short−term and cash equivalent investments, dividend income from equity
securities, increases in the cash surrender value of business owned executive
life insurance contracts, and rental income earned by our commercial real estate
holdings. Investment fees and expenses and real estate expenses are deducted
from investment income.
%
Increase Increase
2004 2003 (Decrease) (Decrease)
−−−−−−− −−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands except percentage amounts
Net investment income:
Professional liability $75,029 $63,099 $11,930 18.9%
Personal lines 10,879 10,253 626 6.1%
Not attributed to segments 1,317 267 1,050 > 100%
−−−−−−− −−−−−−− −−−−−−−
$87,225 $73,619 $13,606 18.5%
======= ======= =======
The increase in our net investment income in 2004 as compared to 2003
is due to higher average invested funds in 2004, offset by a slight decline in
the yield of our fixed maturity securities. While prevailing market interest
rates have remained historically low, changes in the duration and asset mix of
the portfolio have helped to stabilize the yield of the portfolio. We have
increased the weighted average duration of the portfolio from 3.54 years at
December 31, 2003 to 3.81 years at December 31, 2004 in order to take advantage
of improved yields on certain longer−term securities. We have also increased the
proportion of the portfolio that is invested in tax−exempt securities because of
the higher after−tax yields available on these securities. However, we have
continued to see some decline in our income yields as older, higher yielding
securities mature or are sold. Our average income yield, on a consolidated
basis, was 4.1% for the year ended December 31, 2004 as compared to 4.4% for the
year ended December 31, 2003. Our average tax equivalent income yield on a
consolidated basis was 4.5% for the year ended December 31, 2004 as compared to
4.8% for the year ended December 31, 2003.
Investment income is a more substantial revenue source for the
professional liability segment both because of significantly higher premium
collections and because, on average, professional liability premiums are
collected some years before the related losses are paid. As a result, investment
income is a less significant component of revenues for the personal lines
segment than for the professional liability segment because the length of time
between the collection of premiums and the settlement of claims is generally
short. Thus premium growth, as compared to the professional liability segment,
generally has a less significant effect on average invested funds. Personal
lines investment income has increased due to higher average invested funds;
however the improvement is less pronounced in this segment.
The components of net realized investment gains are shown in the
following table.
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−−−
2004 2003
−−−−−− −−−−−−
In thousands
Net gains (losses) from sales $5,323 $5,991
Other−than−temporary impairment losses (611) (322)
Trading portfolio gains (losses) 2,897 323
−−−−−− −−−−−−
Net realized investment gains (losses) $7,609 $5,992
====== ======
45
UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES
Underwriting, acquisition and insurance expenses are comprised of
variable costs, such as commissions and premium taxes that are directly related
to premiums earned, and fixed costs that have an indirect relationship to
premium volume, such as salaries, benefits, and facility costs assessments.
Underwriting, acquisition and insurance expenses increased in 2004 in both
segments primarily because of higher variable costs. Underwriting, acquisition
and insurance expenses increased in both segments, primarily due to additional
commission expense incurred as a result of premium growth. In the professional
liability segment, changes in the mix of premiums by state and coverage type
also increased commission expense. Both segments also experienced increases in
costs for salaries, benefits and professional fees, most significantly those
fees related to Sarbanes−Oxley compliance. The expense ratio for the
professional liability segment increased by 0.3% because of higher commission
costs; there was no notable change in the personal lines expense ratio.
Expense Ratio
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Year Ended December 31 Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase −−−−−−−−−−−−−−−−−−−−−−− Increase
2004 2003 (Decrease) 2004 2003 (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−− −−−− −−−− −−−−−−−−−−
In thousands
Underwriting, acquisition and
insurance expenses:
Professional liability $ 77,141 $ 66,638 $10,503 15.0% 14.7% 0.3%
Personal lines 40,548 37,578 2,970 22.1% 22.1% −−
−−−−−−−− −−−−−−−− −−−−−−−
$117,689 $104,216 $13,473 16.9% 16.7% 0.2%
======== ======== =======
Guaranty fund assessments are amounts we are required to contribute to
state insolvency or guaranty fund associations when so assessed by the state.
Such assessments can and do vary significantly from period to period, but
remained low throughout both 2004 and 2003. Guaranty fund assessments were
approximately $396,000 for the year ended December 31, 2004 as compared to
approximately $321,000 for the year ended December 31, 2003.
INTEREST EXPENSE
Interest expense increased in 2004 as compared to 2003 primarily
because the average amount of debt outstanding was higher in 2004 but also
because interest was paid at a higher rate in the first half of 2004 as compared
to the first half of 2003. In the first half of 2003 our only debt was an
outstanding bank term loan. In July 2003 we issued $107.6 million of Convertible
Debentures at a fixed rate of 3.9% and repaid a $67.5 million bank term loan
which carried a variable rate. We increased our debt again in April and May of
2004, when we issued Subordinated Debentures of $46.5 million.
TAXES
Our effective tax rate for each period is significantly lower than the
35% statutory rate because a considerable portion of our net investment income
is from tax−exempt interest and dividends. The effect of tax−exempt income on
our effective tax rate is shown in the table below:
Year ended December 31
−−−−−−−−−−−−−−−−−−−−−−
2004 2003
−−−− −−−−
Statutory rate 35% 35%
Tax−exempt income (7%) (11%)
Other (3%) (1%)
−−− −−−
Effective tax rate 25% 23%
=== ===
46
RESULTS OF OPERATIONS − YEAR ENDED DECEMBER 31, 2003 COMPARED TO YEAR ENDED
DECEMBER 31, 2002
Selected financial data for each period is summarized in the table
below.
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase
2003 2002 (Decrease)
−−−−−−−− −−−−−−−−− −−−−−−−−−−
In thousands
Revenues:
Gross premiums written $740,110 $ 636,156 $103,954
======== ========= ========
Net premiums written $668,909 $ 537,123 $131,786
======== ========= ========
Premiums earned $698,347 $ 576,414 $121,933
Premiums ceded (74,833) (99,006) 24,173
−−−−−−−− −−−−−−−−− −−−−−−−−
Net premiums earned 623,514 477,408 146,106
Net investment income 73,619 76,918 (3,299)
Net realized investment gains (losses) 5,992 (5,306) 11,298
Other income 6,515 6,747 (232)
−−−−−−−− −−−−−−−−− −−−−−−−−
Total revenues 709,640 555,767 153,873
−−−−−−−− −−−−−−−−− −−−−−−−−
Expenses:
Losses and loss adjustment expenses 576,043 569,099 6,944
Reinsurance recoveries (24,667) (121,070) 96,403
−−−−−−−− −−−−−−−−− −−−−−−−−
Net losses and loss adjustment expenses 551,376 448,029 103,347
Underwriting, acquisition and insurance expenses 104,216 91,253 12,963
Loss on early extinguishment of debt 305 − 305
Interest expense 3,409 2,875 534
−−−−−−−− −−−−−−−−− −−−−−−−−
Total expenses 659,306 542,157 117,149
−−−−−−−− −−−−−−−−− −−−−−−−−
Income before income taxes 50,334 13,610 36,724
Income taxes (benefit) 11,450 (188) 11,638
−−−−−−−− −−−−−−−−− −−−−−−−−
Income before minority interest and
cumulative effect of accounting change 38,884 13,798 25,086
Minority interest (181) (3,285) 3,104
−−−−−−−− −−−−−−−−− −−−−−−−−
Income before cumulative effect of
accounting change 38,703 10,513 28,190
Cumulative effect of accounting change,
net of tax −− 1,694 (1,694)
−−−−−−−− −−−−−−−−− −−−−−−−−
Net Income $ 38,703 $ 12,207 $ 26,496
======== ========= ========
Net loss ratio 88.4% 93.8% (5.4%)
Underwriting expense ratio 16.7% 19.1% (2.4%)
−−−−−−−− −−−−−−−−− −−−−−−−−
Combined ratio 105.1% 112.9% (7.8%)
Less: Investment income ratio 11.8% 16.1% (4.3%)
−−−−−−−− −−−−−−−−− −−−−−−−−
Operating ratio 93.3% 96.8% (3.5%)
======== ========= ========
Return on equity * 7.4% 2.7% 4.7%
======== ========= ========
* Net income divided by the average of beginning and ending stockholders'
equity.
Our ROE improved in 2003 primarily because we reduced our net loss
ratio by more than five points as compared to 2002. The net loss ratio of our
professional liability segment, which produced 73% of 2003 net earned premiums,
was reduced from 107.2% to 96.9%; this improvement contributed significantly to
the increase in our 2003 ROE.
47
PREMIUMS
GROSS PREMIUMS WRITTEN
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase Increase
2003 2002 (Decrease) (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands %
Gross premiums written:
Professional liability $543,323 $461,715 $ 81,608 18%
Personal lines 196,787 174,441 22,346 13%
−−−−−−−− −−−−−−−− −−−−−−−−
$740,110 $636,156 $103,954 16%
======== ======== ========
The increase in professional liability gross written premiums is
principally due to rate increases. On average, renewals during the year ended
December 31, 2003 were at rates that were approximately 28% higher than expiring
rates. We also experienced premium growth in 2003 from new business in states
where competitors had left the professional liability market. The growth in new
business was largely offset by policies that did not renew due to higher rates
or our own underwriting decisions.
In addition, in 2003 we were able to convert a substantial majority of
our remaining occurrence policies to claims−made policies. First−year
claims−made coverage has a significantly lower premium than occurrence coverage
due to lower loss exposure, and the conversion reduced 2003 premiums written as
compared to 2002 by approximately $13.5 million.
The 2003 increase in personal lines gross premiums written reflects a
$14.2 million increase in auto premiums, primarily due to increases in the
number and value of autos insured. Homeowner premiums increased by $8.0 million
due to higher premium rates and increases in the number and value of insured
homes.
PREMIUMS EARNED
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase Increase
2003 2002 (Decrease) (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands %
Premiums earned:
Professional liability $509,260 $412,656 $ 96,604 23%
Personal lines 189,087 163,758 25,329 15%
−−−−−−−− −−−−−−−− −−−−−−−−
$698,347 $576,414 $121,933 21%
======== ======== ========
Premiums are earned pro rata over the entire policy period (generally
one year) after the policy is written. The increase in 2003 earned premiums
therefore reflects on a pro rata basis the changes in written premiums that
occurred during both 2003 and 2002.
PREMIUMS CEDED
Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase Increase
2003 2002 (Decrease) (Decrease)
−−−−−−− −−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands %
Premiums ceded:
Professional liability $56,014 $85,011 $(28,997) (34%)
Personal lines 18,819 13,995 4,824 34%
−−−−−−− −−−−−−− −−−−−−−−
$74,833 $99,006 $(24,173) (24%)
======= ======= ========
Under reinsurance contracts that became effective in October 2002, our
retention levels for insured medical liability events became $1.0 million in all
states whereas previously our retention in many states was as low as $250,000.
The change in retention reduced premiums ceded in our professional liability
segment in 2003, both in total dollars and as a percentage of premiums earned.
48
Additionally in 2003, as discussed in more detail under "Losses and
Loss Adjustment Expenses" we reduced our estimates of certain prior year gross
losses, as well as the related reinsurance recoveries. Some of our reinsurance
agreements adjust the premium due to the reinsurer based upon the losses
reimbursed under the agreement. Consequently the estimate of ultimate ceded
premiums was reduced by $5.4 million as a result of this change.
Personal lines premiums ceded increased due to the increased volume of
our business and increased rates charged by our reinsurers.
LOSSES AND LOSS ADJUSTMENT EXPENSES
Net Losses
The following table summarizes net losses and net loss ratios for the
years ended December 31, 2003 and 2002 by separating losses between the current
accident year and all prior accident years. The net loss ratios shown are
calculated by dividing the applicable net losses by calendar year net premiums
earned.
($ in thousands)
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−− Net Loss
DECEMBER 31, 2003 December 31, 2002 Ratio
−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−
NET LOSS Net Loss Increase
NET LOSSES RATIO Net Losses Ratio (Decrease)
−−−−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−−
Net losses − calendar year
Professional liability $439,368 96.9% $351,320 107.2% (10.3%)
Personal lines 112,008 65.8% 96,709 64.6% 1.2%
−−−−−−−− −−−−−−−−
$551,376 88.4% $448,029 93.8% (5.4%)
======== ========
Net losses − current accident
year
Professional liability $439,418 96.9% $333,160 101.7% (4.8%)
Personal lines 122,838 72.2% 106,440 71.1% 1.1%
−−−−−−−− −−−−−−−−
$562,256 90.2% $439,600 92.1% (1.9%)
======== ========
Change in prior accident year
losses (favorable):
Professional liability $ (50) −− $ 18,160 5.5% (5.5%)
Personal lines (10,830) (6.4%) (9,731) (6.5%) 0.1%
−−−−−−−− −−−−−−−−
$(10,880) (1.8%) $ 8,429 1.7% (3.5%)
======== ========
Current accident year net losses for the professional liability
segment have increased in 2003 as compared to 2002 by $106.3 million or 31.9%.
There is little change in the number of insured risks during 2003 as compared to
2002; net losses increased during 2003 primarily because of higher loss costs.
The current accident year net loss ratio for the year ended December 31, 2003
decreased to 96.9% as compared to 101.7% for the same period in 2002. The 2003
loss ratio is lower than the 2002 ratio because premium rates increased at a
faster pace than did loss costs.
Personal lines current accident year net losses are $16.4 million
higher than 2002 losses, a 15.4% increase. Net losses increased in 2003
primarily due to growth in the number of insureds but also due to higher loss
costs for auto liability coverages and higher homeowner losses from an isolated
ice storm and the August 2003 Midwestern power outage. The current accident year
net loss ratios for 2003 reflect the beneficial effect of rate increases, which
were more than offset by the previously listed increases to loss costs.
49
Change in Prior Accident Year Losses and Change in DDR Reserves
We decreased our estimate of professional liability prior year net
losses by $50,000 in 2003 and increased our estimates by $18.2 million in 2002.
These adjustments were in response to actuarial evaluations of loss reserves
performed during the period. No significant change was made to our estimates of
the reserves required for death, disability and retirement during 2003 or 2002.
In our personal lines segment, we reduced net losses by $10.8 million
in 2003 and $9.7 million in 2002 as a result of favorable developments in our
estimates of prior years' auto liability reserves. We established initial
reserves, particularly liability reserves, at levels that considered our
estimates of rising costs and unpredictable litigation trends. More favorable
results are recognized if and when they materialize.
Gross Losses and Reinsurance Recoveries
Year ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase
2003 2002 (Decrease)
−−−−−−−− −−−−−−−− −−−−−−−−−−
In thousands
Gross Losses:
Professional liability segment $414,828 $460,289 $ (45,461)
Personal lines segment 161,215 108,810 52,405
−−−−−−−− −−−−−−−− −−−−−−−−−
576,043 569,099 6,944
Reinsurance Recoveries:
Professional liability segment $(24,540) $108,969 $(133,509)
Personal lines segment 49,207 12,101 37,106
−−−−−−−− −−−−−−−− −−−−−−−−−
24,667 121,070 (96,403)
Net Losses:
Professional liability segment $439,368 $351,320 $ 88,048
Personal lines segment 112,008 96,709 15,299
−−−−−−−− −−−−−−−− −−−−−−−−−
$551,376 $448,029 $ 103,347
======== ======== =========
Our actuarial analysis of our professional liabilities reserve
indicates that our claims severity has continued to increase as expected in our
retained layers. However, we have not experienced the high level of losses in
our reinsured layers that we originally anticipated and for which we established
reserves. Accordingly we reduced our estimates of prior accident year gross loss
and loss adjustment expenses by approximately $74.2 million during the year
ended December 31, 2003. Since these losses were reinsured, we reduced expected
reinsurance recoveries by approximately the same amount. The reduction of $74.1
million for prior accident years more than offset current accident year
recoveries of $49.6 million, thus creating a non−traditional relationship
between gross losses and recoveries for 2003. These changes in estimates had a
nominal effect on 2003 net losses.
Assumptions used in establishing our reserves are regularly reviewed
and updated by management as new data becomes available. Any adjustments
necessary are reflected in current operations. Due to the size of our reserves,
even a small percentage adjustment to the assumptions can have a material effect
on our results of operations for the period in which the change is made.
50
NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)
Our net investment income is primarily derived from the interest
income earned by our fixed maturity securities but also includes interest income
from short−term and cash equivalent investments, dividend income from equity
securities, increases in the cash surrender value of business owned executive
life insurance contracts, and rental income earned by our commercial real estate
holdings. Investment fees and expenses and real estate expenses are deducted
from investment income. Our consolidated net investment income for 2003 is
comprised of the following:
Increase Increase
2003 2002 (Decrease) (Decrease)
−−−−−−− −−−−−−− −−−−−−−−−− −−−−−−−−−−
In thousands
Net investment income:
Professional liability segment $63,099 $66,790 $(3,691) (5.5%)
Personal lines segment 10,253 10,071 182 1.8%
Not attributed to segments 267 57 210 >100%
−−−−−−− −−−−−−− −−−−−−−
$73,619 $76,918 $(3,299) (4.3%)
======= ======= =======
The decrease in our net investment income in 2003 as compared to 2002
is primarily due to lower fixed maturity yields. Prevailing market interest and
equity yields were at historically low levels throughout 2003 and 2002. The low
market rates available for the investment of new and matured funds have reduced
average yields. As a result, net investment income is lower even though our
average invested funds increased. Our average tax equivalent income yield of our
fixed maturity investments is 4.8% for the year ended December 31, 2003 as
compared to 6.2% for the same period in 2002. Also, in the fourth quarter of
2002 we sold a significant portion of our fixed maturity portfolio in order to
realize capital gains and these proceeds were reinvested during 2003 at
substantially lower rates.
Investment income is a more substantial revenue source for the
professional liability segment than for the personal lines segment. The
professional liability segment writes, and therefore collects, significantly
more premiums and those premiums are collected some years before the related
losses are paid. In the personal lines segment, the length of time between the
collection of premiums and the settlement of claims is generally short. The
decline in yields has had a more pronounced effect on our professional liability
segment because the professional liability segment holds significantly more
investments than the personal lines segment. At December 31, 2003 the
professional liability segment held fixed maturity securities having a book
value of $1.502 billion; the personal lines segment held fixed maturity
securities having a book value of $234.6 million.
The components of net realized investment gains (losses) are shown in
the following table.
Year ended December 31
−−−−−−−−−−−−−−−−−−−−−−
2003 2002
−−−−−− −−−−−−−−
In thousands
Net gains (losses) from sales $5,991 $ 15,998
Other than temporary impairment losses (322) (21,304)
Trading portfolio gains/losses 323 −−
−−−−−− −−−−−−−−
Net realized investment gains (losses) $5,992 $ (5,306)
====== ========
UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES
Underwriting, acquisition and insurance expenses are comprised of
variable costs, such as commissions and premium taxes that are directly related
to premiums earned, and fixed costs that have no direct relationship to premium
volume, such as salaries, benefits, facility costs and guaranty fund
assessments. Underwriting, acquisition and insurance expenses by segment for the
years ending December 31, 2003 and 2002 are as follows:
51
Expense Ratio
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Year Ended December 31 Year Ended December 31
−−−−−−−−−−−−−−−−−−−−−− Increase −−−−−−−−−−−−−−−−−−−−−− Increase
2003 2002 (Decrease) 2003 2002 (Decrease)
−−−−−−−− −−−−−−− −−−−−−−−−− −−−− −−−− −−−−−−−−−−
In thousands
Underwriting, acquisition and
insurance expenses:
Professional liability $ 66,638 $56,613 $10,025 14.7% 17.3% (2.6%)
Personal lines 37,578 34,640 2,938 22.1% 23.1% (1.0%)
−−−−−−−− −−−−−−− −−−−−−−
$104,216 $91,253 $12,963 16.7% 19.1% (2.4%)
======== ======= =======
Underwriting, acquisition and insurance expenses increased in 2003 in
both segments primarily because of higher variable costs, due largely to
additional commission expense incurred as a result of premium growth.
In the professional liability segment, the increased premium related
costs were offset by a $1.8 million reduction in guaranty fund assessments.
Also, late in the second quarter of 2003 we ceased to provide medical
credentialing services. Expenses associated with this business activity were
$1.4 million for the year ended December 31, 2003 as compared to $2.8 million
for the year ended December 31, 2002. In our personal lines segment, the
increase in premium related costs was partially offset by a decline in the
amount of mandatory statutory assessments.
Our underwriting expense ratio decreased in the professional liability
segment because there was no significant change in our fixed costs, other than
the previously discussed decrease in guaranty fund assessments, while premiums
earned increased significantly in 2003. The personal lines ratio is lower for
2003 due to operating efficiencies and a decrease in mandatory statutory
assessments.
Guaranty fund assessments vary widely from year to year. Guaranty fund
assessments totaled $321,000 for the year ended December 31, 2003 as compared to
$2.2 million for the year ended December 31, 2002.
INTEREST EXPENSE
Interest expense increased to $3.4 million for the year ended December
31, 2003 as compared to $2.9 million for the same period in 2002. The increase
results from higher costs during the third and fourth quarters of 2003 as
compared to 2002 because the debentures issued in July 2003 carried a higher
rate than did the bank term loan and because the total outstanding amount of
debt increased. Management elected to replace the term loan with the debentures
because the debentures provided a longer−term source of capital at a fixed
interest rate. Interest expense was lower in the first six months of 2003 as
compared to 2002 because both the average outstanding balance on the term loan
and the variable interest rate on the term loan were lower in 2003.
TAXES
Our effective tax rate for each period is significantly lower than the
35% statutory rate because a considerable portion of our net investment income
is from tax−exempt interest and dividends. The effect of tax−exempt income on
our effective tax rate is shown in the table below.
Year ended December 31
−−−−−−−−−−−−−−−−−−−−−−
2003 2002
−−−− −−−−
Statutory rate 35% 35%
Tax−exempt income (11%) (42%)
Other (1%) 6%
−−−− −−−−
Effective tax rate 23% (1%)
==== ====
52
MINORITY INTEREST
Minority interest in both 2003 and 2002 relates entirely to the
minority interest in the income of MEEMIC Holdings. As discussed under
"Liquidity and Capital Resources and Financial Condition" we purchased this
minority interest on January 29, 2003. In 2003, earnings were allocable to the
minority interest only for the period from January 1 to January 29. In 2002,
earnings were allocable to the minority interest for the entire period.
53
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We believe that we are principally exposed to three types of market
risk related to our investment operations. These risks are interest rate risk,
credit risk and equity price risk.
The term market risk refers to the risk of loss arising from adverse
changes in market rates and prices, such as interest rates, equity prices and
foreign currency exchange rates.
As of December 31, 2004, our fair value investment in fixed maturity
securities was $2,258 million. These securities are subject primarily to
interest rate risk and credit risk. We have not and currently do not intend to
enter into derivative transactions.
Interest Rate Risk
Our fixed maturities portfolio is exposed to interest rate risk.
Fluctuations in interest rates have a direct impact on the market valuation of
these securities. As interest rates rise, market values of fixed income
portfolios fall and vice versa. We believe we are in a position to keep our
fixed income investments until maturity as we do not invest in fixed maturity
securities for trading purposes.
2004 2003
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−
PORTFOLIO CHANGE IN MODIFIED Portfolio Modified
VALUE VALUE DURATION Value Duration
Interest Rates $ MILLIONS $ MILLIONS YEARS $ Millions Years
−−−−−−−−−−−−−− −−−−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−− −−−−−−−−
200 basis point rise $2,082 $(176) 4.11 $1,664 3.73
100 basis point rise $2,170 $ (88) 4.00 $1,727 3.63
Current rate * $2,258 $ −− 3.81 $1,791 3.54
100 basis point decline $2,344 $ 86 3.70 $1,854 3.45
200 basis point decline $2,434 $ 176 3.79 $1,919 3.52
* Current rates are as of December 31, 2004 and 2003
At December 31, 2004, the fair value of our investment in preferred
stocks was $21.2 million, including net unrealized gains of $725 thousand.
Preferred stocks are primarily subject to interest rate risk because they bear a
fixed rate of return. The investments in the above table do not include
preferred stocks.
Computations of prospective effects of hypothetical interest rate
changes are based on numerous assumptions, including the maintenance of the
existing level and composition of fixed income security assets, and should not
be relied on as indicative of future results.
Certain shortcomings are inherent in the method of analysis presented
in the computation of the fair value of fixed rate instruments. Actual values
may differ from those projections presented should market conditions vary from
assumptions used in the calculation of the fair value of individual securities,
including non−parallel shifts in the term structure of interest rates and
changing individual issuer credit spreads.
ProAssurance's cash and short−term investment portfolio at December
31, 2004 was on a cost basis which approximates its fair value. This portfolio
lacks significant interest rate sensitivity due to its short duration.
54
Credit Risk
We have exposure to credit risk primarily as a holder of fixed income
securities. We control this exposure by emphasizing investment grade credit
quality in the fixed income securities we purchase.
As of December 31, 2004, 99.6% of our fixed income portfolio consisted
of securities rated investment grade. We believe that this concentration in
investment grade securities reduces our exposure to credit risk on these fixed
income investments to an acceptable level. However, in the current environment
even investment grade securities can rapidly deteriorate and result in
significant losses.
Equity Price Risk
At December 31, 2004 the fair value of our investment in common stocks
was $18.2 million, which included net unrealized gains of $3 million and net
holding gains of approximately $410 thousand. These securities are subject to
equity price risk, which is defined as the potential for loss in market value
due to a decline in equity prices. A hypothetical 10% increase in the market
prices as of December 31, 2004 would increase the fair value of these securities
to $20.0 million; a hypothetical 10% decrease in the price of each of these
marketable securities would reduce the fair value to $16.4 million. The selected
hypothetical change does not reflect what could be considered the best or worst
scenarios.
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
The Consolidated Financial Statements and Financial Statement
Schedules of ProAssurance Corporation and subsidiaries listed in Item 15(a) have
been included herein beginning on page 61. The Supplementary Financial
Information required by Item 302 of Regulation S−K is included in Note 18 of the
Notes to Consolidated Financial Statements of ProAssurance and its subsidiaries.
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE.
Not Applicable.
ITEM 9A. CONTROLS AND PROCEDURES
Disclosure Controls
Under the supervision and with the participation of management,
including the Chief Executive Officer and Chief Financial Officer, the Company
has evaluated the effectiveness of the design and operation of our disclosure
controls and procedures within ninety (90) days of the filing of this Annual
Report on Form 10−K. Based on that evaluation, the Chief Executive Officer and
Chief Financial Officer have concluded that these controls and procedures are
effective. There were no significant changes in the internal controls or in
other factors that could significantly affect these controls subsequent to the
date of their evaluation.
Disclosure controls and procedures are the Company's controls and
other procedures that are designed to ensure that information, required to be
disclosed by the Company in the reports that it files or submits under the
Exchange Act, is accumulated and communicated to management, including the Chief
Executive Officer and Chief Financial Officer, as appropriate, to allow timely
decisions regarding required disclosure.
Management's Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining
adequate internal control over financial reporting, as such term is defined in
Exchange Act Rules 13a−15(f) and 15d−15(f). Under the supervision and with the
participation of our management, including our Chief Executive Officer and Chief
Financial Officer, we conducted an evaluation of the effectiveness of our
internal control over financial reporting as of December 31, 2004 based on the
framework in Internal Control−Integrated Framework issued by the Committee of
Sponsoring Organizations of the Treadway Commission (COSO). Based on that
evaluation, our management concluded that our internal control over financial
reporting was effective as of December 31, 2004.
55
Management's assessment of the effectiveness of our internal control
over financial reporting as of December 31, 2004 has been audited by Ernst &
Young LLP, an independent registered public accounting firm, as stated in their
report which is included elsewhere herein.
56
Report of Independent Registered Public Accounting Firm on Internal Control over
Financial Reporting
The Board of Directors and Shareholders of ProAssurance Corporation
We have audited management's assessment, included in the accompanying
Management's Annual Report on Internal Control over Financial Reporting, that
ProAssurance Corporation and subsidiaries maintained effective internal control
over financial reporting as of December 31, 2004, based on criteria established
in Internal Control−−Integrated Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission (the COSO criteria). ProAssurance
Corporation's management is responsible for maintaining effective internal
control over financial reporting and for its assessment of the effectiveness of
internal control over financial reporting. Our responsibility is to express an
opinion on management's assessment and an opinion on the effectiveness of the
company's internal control over financial reporting based on our audit.
We conducted our audit in accordance with the standards of the Public
Company Accounting Oversight Board (United States). Those standards require that
we plan and perform the audit to obtain reasonable assurance about whether
effective internal control over financial reporting was maintained in all
material respects. Our audit included obtaining an understanding of internal
control over financial reporting, evaluating management's assessment, testing
and evaluating the design and operating effectiveness of internal control, and
performing such other procedures as we considered necessary in the
circumstances. We believe that our audit provides a reasonable basis for our
opinion.
A company's internal control over financial reporting is a process
designed to provide reasonable assurance regarding the reliability of financial
reporting and the preparation of financial statements for external purposes in
accordance with generally accepted accounting principles. A company's internal
control over financial reporting includes those policies and procedures that (1)
pertain to the maintenance of records that, in reasonable detail, accurately and
fairly reflect the transactions and dispositions of the assets of the company;
(2) provide reasonable assurance that transactions are recorded as necessary to
permit preparation of financial statements in accordance with generally accepted
accounting principles, and that receipts and expenditures of the company are
being made only in accordance with authorizations of management and directors of
the company; and (3) provide reasonable assurance regarding prevention or timely
detection of unauthorized acquisition, use, or disposition of the company's
assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial
reporting may not prevent or detect misstatements. Also, projections of any
evaluation of effectiveness to future periods are subject to the risk that
controls may become inadequate because of changes in conditions, or that the
degree of compliance with the policies or procedures may deteriorate.
In our opinion, management's assessment that ProAssurance Corporation
and subsidiaries maintained effective internal control over financial reporting
as of December 31, 2004, is fairly stated, in all material respects, based on
the COSO criteria. Also, in our opinion, ProAssurance Corporation and
subsidiaries maintained, in all material respects, effective internal control
over financial reporting as of December 31, 2004, based on the COSO criteria.
We also have audited, in accordance with the standards of the Public
Company Accounting Oversight Board (United States), the consolidated balance
sheets of ProAssurance Corporation and subsidiaries as of December 31, 2004 and
2003, and the related consolidated statements of income, changes in capital and
cash flow for each of the three years in the period ended December 31, 2004, and
our report dated March 14, 2005 expressed an unqualified opinion thereon.
Ernst & Young LLP
Birmingham, Alabama
March 14, 2005
57
PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
The information required by this Item regarding executive officers is
included in Part I of the Form 10K (Pages 24 and 25) in accordance with
Instruction 3 of the Instructions to Paragraph (b) of Item 401 of Regulation
S−K.
The information required by this Item regarding directors is
incorporated by reference pursuant to General Instruction G (3) of Form 10K from
ProAssurance's definitive proxy statement for the 2005 Annual Meeting of its
Stockholders to be filed with the Securities and Exchange Commission pursuant to
Regulation 14A on or before April 29, 2005.
ITEM 11. EXECUTIVE COMPENSATION
The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2005 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2005.
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT.
The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2005 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2005.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.
The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2005 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2005.
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2005 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2005.
58
PART IV
ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES
(a) Financial Statements. The following consolidated financial statements of
ProAssurance Corporation and subsidiaries are included herein in accordance
with Item 8 of Part II of this report.
Report of Independent Auditors
Consolidated Balance Sheets − December 31, 2004 and 2003
Consolidated Statements of Changes in Capital − years ended December
31, 2004, 2003 and 2002
Consolidated Statements of Income − years ended December 31, 2004,
2003 and 2002
Consolidated Statements of Cash Flows − years ended December 31, 2004,
2003 and 2002
Notes to Consolidated Financial Statements
Financial Statement Schedules. The following consolidated financial
statement schedules of ProAssurance Corporation and subsidiaries are
included herein in accordance with Item 14(d):
Schedule I − Summary of Investments − Other than Investments in
Related Parties
Schedule II − Condensed Financial Information of ProAssurance
Corporation (Registrant Only)
Schedule III − Supplementary Insurance Information
Schedule IV − Reinsurance
Schedule VI − Supplementary Property and Casualty Insurance
Information
All other schedules to the consolidated financial statements required by
Article 7 of Regulation S−X are not required under the related instructions
or are inapplicable and therefore have been omitted.
(b) The exhibits required to be filed by Item 15(b) are listed herein in the
Exhibit Index.
59
SIGNATURES
Pursuant to the requirements of Section 13 of 15(d) of the Securities Exchange
Act of 1934, the Registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized, on this the 14th day of
March 2005.
PROASSURANCE CORPORATION
By: /s/ A. Derrill Crowe, M.D.
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
A. Derrill Crowe, M.D.
Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed below by the following persons on behalf of the Registrant and
in the capacities and on the dates indicated.
Name Title Date
−−−− −−−−− −−−−
/s/ A. Derrill Crowe, M.D. Chairman of the Board and March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−− Chief Executive Officer
A. Derrill Crowe, M.D. (Principal Executive Officer)
and Director
/s/ Howard H. Friedman Senior Vice President, March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−− Chief Financial Officer and
Howard H. Friedman Secretary
(Principal Financial and
Accounting Officer)
/s/ Victor T. Adamo, Esq. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Victor T. Adamo, Esq.
/s/ Paul R. Butrus Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Paul R. Butrus
/s/ Lucian F. Bloodworth Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Lucian F. Bloodworth
/s/ Robert E. Flowers, M.D. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Robert E. Flowers, M.D.
/s/ John J. McMahon, Jr., Esq. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
John J. McMahon, Jr., Esq.
/s/ John P. North, Jr. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
John P. North, Jr.
/s/ Ann F. Putallaz, Ph.D. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Ann F. Putallaz, Ph.D.
/s/ William H. Woodhams, M.D. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
William H. Woodhams, M.D.
/s/ Wilfred W. Yeargan, Jr., M.D. Director March 14, 2005
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Wilfred W. Yeargan, Jr., M.D.
60
ProAssurance Corporation and Subsidiaries
Consolidated Financial Statements
Years ended December 31, 2004, 2003 and 2002
TABLE OF CONTENTS
Report of Independent Registered Public
Accounting Firm................................. 62
Audited Consolidated Financial Statements
Consolidated Balance Sheets..................... 63
Consolidated Statements of Changes in Capital... 65
Consolidated Statements of Income............... 66
Consolidated Statements of Cash Flow............ 67
Notes to Consolidated Financial Statements ..... 68
61
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM ON CONSOLIDATED
FINANCIAL STATEMENTS
To the Board of Directors and Shareholders of
ProAssurance Corporation
We have audited the accompanying consolidated balance sheets of
ProAssurance Corporation and subsidiaries as of December 31, 2004 and 2003, and
the related consolidated statements of changes in capital, income and cash flow
for each of the three years in the period ended December 31, 2004. Our audits
also included the financial statement schedules listed in the Index at Item
15(a). These financial statements and schedules are the responsibility of the
Company's management. Our responsibility is to express an opinion on these
financial statements and schedules based on our audits.
We conducted our audits in accordance with the standards of the Public
Company Accounting Oversight Board (United States). Those standards require that
we plan and perform the audit to obtain reasonable assurance about whether the
financial statements are free of material misstatement. An audit includes
examining, on a test basis, evidence supporting the amounts and disclosures in
the financial statements. An audit also includes assessing the accounting
principles used and significant estimates made by management, as well as
evaluating the overall financial statement presentation. We believe that our
audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above
present fairly, in all material respects, the consolidated financial position of
ProAssurance Corporation and subsidiaries at December 31, 2004 and 2003, and the
consolidated results of their operations and their cash flow for each of the
three years in the period ended December 31, 2004, in conformity with U.S.
generally accepted accounting principles. Also, in our opinion, the related
financial statement schedules, when considered in relation to the basic
financial statements taken as a whole, present fairly in all material respects
the information set forth therein.
As discussed in Note 13 to the consolidated financial statements, in 2002
ProAssurance changed its method of accounting for goodwill and intangible
assets.
We also have audited, in accordance with the standards of the Public
Company Accounting Oversight Board (United States), the effectiveness of
ProAssurance Corporation's internal control over financial reporting as of
December 31, 2004, based on criteria established in Internal Control−−Integrated
Framework issued by the Committee of Sponsoring Organizations of the Treadway
Commission and our report dated March 14, 2005 expressed an unqualified opinion
thereon.
Ernst & Young LLP
Birmingham, Alabama
March 14, 2005
62
PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS EXCEPT SHARE DATA)
DECEMBER 31 December 31
2004 2003
−−−−−−−−−−−−− −−−−−−−−−−−−−
ASSETS
Investments:
Fixed maturities available for sale, at fair value $ 2,257,985 $ 1,790,778
Equity securities available for sale, at fair value 35,230 42,136
Equity securities, trading portfolio, at fair value 4,150 5,863
Real estate, net 19,244 17,262
Short−term investments 41,423 114,767
Business owned life insurance 54,138 51,706
Other 42,883 38,247
−−−−−−−−−−−−− −−−−−−−−−−−−−
Total investments 2,455,053 2,060,759
Cash and cash equivalents 30,084 42,045
Premiums receivable 131,736 132,255
Receivable from reinsurers on unpaid losses
and loss adjustment expenses 409,339 444,811
Prepaid reinsurance premiums 18,888 17,651
Deferred taxes 80,107 73,118
Other assets 113,991 108,713
−−−−−−−−−−−−− −−−−−−−−−−−−−
$ 3,239,198 $ 2,879,352
============= =============
See accompanying notes.
63
PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS EXCEPT SHARE DATA)
DECEMBER 31 December 31
2004 2003
−−−−−−−−−−−−− −−−−−−−−−−−−−
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities:
Policy liabilities and accruals:
Reserve for losses and loss adjustment expenses $ 2,029,592 $ 1,814,584
Unearned premiums 314,179 290,134
Reinsurance premiums payable 69,507 68,510
−−−−−−−−−−−−− −−−−−−−−−−−−−
Total policy liabilities 2,413,278 2,173,228
Other liabilities 63,421 55,030
Long−term debt 151,480 104,789
−−−−−−−−−−−−− −−−−−−−−−−−−−
Total liabilities 2,628,179 2,333,047
Commitments and contingencies − −
Stockholders' Equity:
Common stock, par value $0.01 per share
100,000,000 shares authorized;
29,326,228 and 29,226,774 shares
issued, in 2004 and 2003, respectively 293 292
Additional paid−in capital 313,957 312,030
Accumulated other comprehensive income, net of
deferred tax expense of $13,139 and $18,537,
respectively 24,397 34,422
Retained earnings 272,428 199,617
−−−−−−−−−−−−− −−−−−−−−−−−−−
611,075 546,361
Less treasury stock, at cost, 121,765 shares (56) (56)
−−−−−−−−−−−−− −−−−−−−−−−−−−
Total stockholders' equity 611,019 546,305
−−−−−−−−−−−−− −−−−−−−−−−−−−
$ 3,239,198 $ 2,879,352
============= =============
See accompanying notes.
64
PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN CAPITAL
(IN THOUSANDS)
Accumulated
Additional Other
Common Paid−in Comprehensive Retained Treasury
Stock Capital Income (Loss) Earnings Stock Total
−−−−−−− −−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−−
Balance at January 1, 2002 $ 259 $ 260,788 $ 3,533 $ 148,707 $ (56) $ 413,231
Common stock issued for compensation − 980 − − − 980
Stock options exercised − 265 − − − 265
Offering of common stock 31 46,468 − − − 46,499
Comprehensive income:
Change in fair value of securities available
for sale, net of deferred taxes,
reclassification adjustments and
minority interest − − 32,012 − −
Net Income − − − 12,207 −
Total comprehensive income 44,219
Balance at December 31, 2002 290 308,501 35,545 160,914 (56) 505,194
−−−−−−− −−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−−
Common stock issued for compensation − 1,061 − − − 1,061
Stock options exercised 2 2,468 − − − 2,470
Change in minority interest − − 886 − − 886
Comprehensive income:
Change in fair value of securities available
for sale, net of deferred taxes, and
reclassification adjustments − − (2,009) − −
Net Income − − − 38,703 −
Total comprehensive income 36,694
−−−−−−− −−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−−
Balance at December 31, 2003 292 312,030 34,422 199,617 (56) 546,305
Common stock issued for compensation 1 1,710 − − − 1,711
Stock options exercised − 217 − − − 217
Comprehensive income:
Change in fair value of securities available
for sale, net of deferred taxes, and
reclassification adjustments − − (10,025) − −
Net Income − − − 72,811 −
Total comprehensive income 62,786
−−−−−−− −−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−− −−−−−−−− −−−−−−−−−−
Balance at December 31, 2004 $ 293 $ 313,957 $ 24,397 $ 272,428 $ (56) $ 611,019
======= ========== ============= ========== ======== ==========
See accompanying notes.
65
PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS EXCEPT PER SHARE DATA)
Year ended December 31
2004 2003 2002
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Revenues:
Gross premiums written $ 789,660 $ 740,110 $ 636,156
========== ========== ==========
Net premiums written $ 717,059 $ 668,909 $ 537,123
========== ========== ==========
Premiums earned $ 765,643 $ 698,347 $ 576,414
Premiums ceded (69,623) (74,833) (99,006)
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net premiums earned 696,020 623,514 477,408
Net investment income 87,225 73,619 76,918
Net realized investment gains (losses) 7,609 5,992 (5,306)
Other income 3,699 6,515 6,747
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Total revenues 794,553 709,640 555,767
Expenses:
Losses and loss adjustment expenses 596,070 576,043 569,099
Reinsurance recoveries (23,189) (24,667) (121,070)
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net losses and loss adjustment expenses 572,881 551,376 448,029
Underwriting, acquisition and insurance expenses 117,689 104,216 91,253
Loss on early extinguishment of debt − 305 −
Interest expense 6,515 3,409 2,875
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Total expenses 697,085 659,306 542,157
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Income before income taxes, minority interest and
cumulative effect of accounting change 97,468 50,334 13,610
Provision for income taxes:
Current expense (benefit) 23,550 11,357 (275)
Deferred expense (benefit) 1,107 93 87
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
24,657 11,450 (188)
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Income before minority interest and cumulative
effect of accounting change 72,811 38,884 13,798
Minority interest − (181) (3,285)
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Income before cumulative effect of accounting change 72,811 38,703 10,513
Cumulative effect of accounting change, net of tax − − 1,694
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net income $ 72,811 $ 38,703 $ 12,207
========== ========== ==========
Earnings per share (basic):
Income before cumulative effect of accounting change $ 2.50 $ 1.34 $ 0.40
Cumulative effect of accounting change, net of tax − − 0.07
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net income $ 2.50 $ 1.34 $ 0.47
========== ========== ==========
Earnings per share (diluted):
Income before cumulative effect of accounting change $ 2.37 $ 1.32 $ 0.39
Cumulative effect of accounting change, net of tax − − 0.07
−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Net income $ 2.37 $ 1.32 $ 0.46
========== ========== ==========
Weighted average number of common shares outstanding
Basic 29,164 28,956 26,231
========== ========== ==========
Diluted 31,984 30,389 26,254
========== ========== ==========
See accompanying notes.
66
PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOW
(IN THOUSANDS)
Year ended December 31
2004 2003 2002
−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
OPERATING ACTIVITIES
Net income $ 72,811 $ 38,703 $ 12,207
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation 3,880 3,804 4,337
Amortization 23,146 19,708 10,707
Increase in cash surrender value of business owned life insurance (2,432) (1,706) −
Net realized investment (gains) losses (7,609) (5,992) 5,306
Deferred income taxes 1,107 93 87
Policy acquisition costs deferred, net of related amortization (4,059) (874) (7,241)
Other (622) (577) (812)
Changes in assets and liabilities:
Trading portfolio securities, excluding net holding gains 4,610 (5,540) −
Premiums receivable 519 (21,227) (32,963)
Receivable from reinsurers 35,472 17,201 (87,956)
Prepaid reinsurance premiums (1,237) 3,643 (1,029)
Other assets (3,551) (4,777) 8,275
Reserve for losses and loss adjustment expenses 215,008 192,116 180,127
Unearned premiums 24,045 41,763 59,742
Reinsurance premiums payable 997 5,961 13,845
Other liabilities 11,456 321 9,044
Minority interest in net income − 181 3,285
−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
Net cash provided by operating activities 373,541 282,801 176,961
INVESTING ACTIVITIES
Purchases of:
Fixed maturities available for sale (1,196,991) (1,082,573) (897,928)
Equity securities available for sale (856) (3,019) (10,932)
Other investments (4,205) (19,110) (15,000)
Business owned life insurance − (50,000) −
Proceeds from sale or maturities of:
Fixed maturities available for sale 699,434 612,480 900,641
Equity securities available for sale 8,854 26,296 20,235
Net decrease (increase) in short−term investments 73,352 138,087 (116,841)
Other (10,032) (6,905) (2,785)
−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
Net cash (used by) investing activities (430,444) (384,744) (122,610)
FINANCING ACTIVITIES
Net proceeds from stock issuance − − 46,499
Net proceeds from long−term debt 44,907 104,641 −
Repayment of debt − (72,500) (10,000)
Purchase of minority interest − (33,304) (707)
Other 35 1,845 −
−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
Net cash provided by financing activities 44,942 682 35,792
−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
Increase (decrease) in cash and cash equivalents (11,961) (101,261) 90,143
Cash and cash equivalents at beginning of period 42,045 143,306 53,163
−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
Cash and cash equivalents at end of period $ 30,084 $ 42,045 $ 143,306
========== ============ ===========
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
Net cash paid (received) during the year for income taxes $ 23,081 $ 14,312 $ (8,884)
========== ============ ===========
Cash paid during the year for interest $ 5,501 $ 3,136 $ 2,714
========== ============ ===========
See accompanying notes.
67
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
1. ACCOUNTING POLICIES
Principles of Consolidation
The accompanying consolidated financial statements include the accounts of
ProAssurance Corporation (a Delaware corporation) and its subsidiaries
(ProAssurance). All significant intercompany accounts and transactions between
consolidated companies have been eliminated.
Basis of Presentation
The preparation of financial statements in accordance with accounting
principles generally accepted in the United States (GAAP) requires management to
make estimates and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the date of
the financial statements and the reported amounts of revenues and expenses
during the reporting period. Actual results could differ from those estimates.
The significant accounting policies followed by ProAssurance that
materially affect financial reporting are summarized in these notes to the
consolidated financial statements.
Segment Information
ProAssurance operates in the United States of America (U.S.) in two
reportable industry segments. As discussed in Note 2, the professional liability
segment principally provides professional and general liability insurance for
providers of health care services, and to a lesser extent, providers of legal
services. The personal lines segment provides private passenger automobile,
homeowner, boat, and umbrella insurance products primarily for educational
employees and their families.
Investments
Fixed Maturities and Equity Securities Available for Sale
ProAssurance considers all fixed maturity securities as
available−for−sale. Equity securities are considered as either
available−for−sale or trading portfolio securities. Available−for−sale
securities are carried at fair value, and unrealized gains and losses on such
available−for−sale securities are excluded from earnings and included, net of
related tax effects, in stockholders' equity as "Accumulated other comprehensive
income (loss)" until realized.
Fair values for fixed maturity and equity securities are based on quoted
market prices, where available. For fixed maturity and equity securities not
actively traded, fair values are estimated using values obtained from
independent pricing services.
Investment income includes amortization of premium and accretion of
discount related to debt securities acquired at other than par value. Debt
securities and mandatorily redeemable preferred stock with maturities beyond one
year when purchased are classified as fixed maturities.
68
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
1. ACCOUNTING POLICIES (CONTINUED)
Equity Securities, Trading Portfolio
ProAssurance has designated certain equity security purchases as trading
portfolio securities. A trading portfolio is carried at fair value with the
holding gains and losses included in realized investment gains and losses in the
current period. Fair values are based on quoted market prices.
Real Estate
Real estate properties are classified as investment real estate. All
balances are reported at cost, less allowances for depreciation. Depreciation is
computed over the estimated useful lives of the related property using the
straight−line method. Rental income and expenses are included in net investment
income.
Short−term Investments
Short−term investments, which have an original maturity of one year or
less, are primarily composed of investments in U.S. Treasury obligations and
commercial paper. All balances are reported at cost, which approximates fair
value.
Other Investments
Other investments are primarily comprised of equity interests in
non−public investment partnerships/limited liability companies. Interests where
ProAssurance has virtually no influence over the operating and financial
policies of the entity and for which there is no readily determinable fair value
are accounted for using the cost method. Interests where ProAssurance has a
greater than minor interest in the entity are accounted for using the equity
method.
Business Owned Life Insurance (BOLI)
ProAssurance owns life insurance contracts on certain key management
employees. The life insurance contracts are carried at their current cash
surrender value. Changes in the cash surrender value are included in income in
the current period as investment income. Death proceeds from the contracts are
recorded when the proceeds become payable under the policy terms.
Cash and Cash Equivalents
For purposes of the consolidated balance sheets and statements of cash
flow, ProAssurance considers all demand deposits and overnight investments to be
cash equivalents.
Realized Gains and Losses
Realized gains and losses on sales of investments are recognized on the
specific identification basis.
Reclassifications
Certain reclassifications have been made to the prior year balance sheet
and statement of cash flow to conform to the current year presentation.
69
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
1. ACCOUNTING POLICIES (CONTINUED)
Impairments
In accordance with Statement of Financial Accounting Standard (SFAS) No.
115, "Accounting for Certain Investments in Debt and Equity Securities,"
ProAssurance evaluates its investment securities on at least a quarterly basis
for declines in market value below cost for the purpose of determining whether
these declines represent other than temporary declines. A decline in the fair
value of a security below cost judged to be other than temporary is recognized
as a loss in the then current period and reduces the cost basis of the security.
In subsequent periods, ProAssurance measures any gain or loss or decline in
value against the adjusted cost basis of the security. The following factors are
considered in determining whether an investment's decline is other than
temporary:
− the extent to which the market value of the security is less than its
cost basis,
− the length of time for which the market value of the security has been
less than its cost basis,
− the financial condition and near−term prospects of the security's issuer,
taking into consideration the economic prospects of the issuer's industry
and geographical region, to the extent that information is publicly
available, and
− ProAssurance's ability and intent to hold the investment for a period
of time sufficient to allow for any anticipated recovery in market value.
Reinsurance
ProAssurance enters into reinsurance agreements whereby other insurance
entities agree to assume a portion of the risk associated with the policies
issued by ProAssurance. In return, ProAssurance agrees to pay a premium to the
reinsurer. ProAssurance purchases (cedes) reinsurance to provide for greater
diversification of business, allow management to control exposure to potential
losses arising from large risks, and provide additional capacity for growth.
Receivable from reinsurers is the estimated amount of future loss payments
that will be recoverable from reinsurers. Reinsurance recoveries are the portion
of losses incurred during the period that are estimated to be allocable to
reinsurers. Premiums ceded are the estimated premiums that will be due to
reinsurers with respect to premiums earned and losses incurred during the
period.
These estimates are based upon management's estimates of ultimate losses
and the portion of those losses that are allocable to reinsurers under the terms
of the related reinsurance agreements. Given the uncertainty of the ultimate
amounts of losses, these estimates may vary significantly from the eventual
outcome. Management regularly reviews these estimates and any adjustments
necessary are reflected in the period in which the estimate is changed. Due to
the size of the receivable from reinsurers, even a small adjustment to the
estimates could have a material effect on ProAssurance's results of operations
for the period in which the change is made.
Reinsurance contracts do not relieve ProAssurance from its obligations to
policyholders. A contingent liability exists with respect to reinsurance ceded
to the extent that any reinsurer does not meet the obligations assumed under the
reinsurance agreements. ProAssurance continually monitors its reinsurers to
minimize its exposure to significant losses from reinsurer insolvencies. Any
amount found to be uncollectible is written off in the period in which the
uncollectible amount is identified.
70
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
1. ACCOUNTING POLICIES (CONTINUED)
Goodwill
Intangible assets consist primarily of the excess of cost over the fair
value of net assets acquired (i.e., goodwill). In accordance with SFAS No. 142,
"Goodwill and Other Intangible Assets", goodwill is not amortized. Goodwill is
tested annually for impairment. ProAssurance regularly reviews its goodwill and
other intangibles to determine if any adverse conditions exist that could
indicate impairment. Conditions that could trigger impairment include, but are
not limited to, a significant adverse change in legal factors or business
climate that could affect the value of an asset or an adverse action or
assessment by a regulator. ProAssurance does not believe that any of its
recorded goodwill or intangible assets has suffered impairment.
Deferred Policy Acquisition Costs
Costs that vary with and are directly related to the production of new and
renewal premiums (primarily premium taxes, commissions and underwriting
salaries) are deferred to the extent they are recoverable against unearned
premiums and are amortized as related premiums are earned.
Reserve for Losses and Loss Adjustment Expenses (Reserve for Losses)
ProAssurance establishes its reserve for loss and loss adjustment expenses
(reserve for losses) based on estimates of the future amounts necessary to pay
claims and expenses (losses) associated with the investigation and settlement of
claims. The reserve for losses is determined on the basis of individual claims
and payments thereon as well as actuarially determined estimates of future
losses based on past loss experience, available industry data and projections as
to future claims frequency, severity, inflationary trends, judicial trends,
legislative changes and settlement patterns.
ProAssurance believes that the methods it uses to establish the reserve
for losses are reasonable and appropriate. Independent actuaries review the
reserve for losses of each insurance subsidiary at least semi−annually and
prepare reports that include recommendations as to the level of reserves.
ProAssurance considers these recommendations and other factors, such as known,
anticipated or estimated changes in frequency and severity of claims, loss
retention levels and premium rates in establishing its reserves. Estimating
casualty insurance reserves, and particularly liability reserves, is a complex
process. Claims may be resolved over an extended period of time, often five
years or more, and may be subject to litigation. Estimating losses for liability
claims requires ProAssurance to make and revise judgments and assessments
regarding multiple uncertainties over an extended period of time. As a result,
reserve estimates may vary significantly from the eventual outcome. Reserve
estimates and the assumptions on which these estimates are predicated are
regularly reviewed and updated as new information becomes available. Any
adjustments necessary are reflected in then current operations. Due to the size
of ProAssurance's reserve for losses, even a small percentage adjustment to
these estimates could have a material effect on earnings in the period in which
the adjustment is made.
The effect of adjustments made to reinsured losses is mitigated by the
corresponding adjustment that is made to insurance recoveries. Thus, in any
given year, the Company may make significant adjustments to gross losses that
have little effect on its net losses.
Recognition of Revenues
Insurance premiums are recognized as revenues pro rata over the terms of
the policies.
71
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
1. ACCOUNTING POLICIES (CONTINUED)
Stock−Based Compensation
ProAssurance accounts for stock options under the recognition and
measurement principles of Accounting Principles Board Opinion No. 25, Accounting
for Stock Issued to Employees, and related interpretations (APB 25). The
following table illustrates the effect on net income and earnings per share as
if ProAssurance had applied the fair value recognition provisions of SFAS No.
123, Accounting for Stock−Based Compensation, to outstanding options. See Note
12 for additional information regarding outstanding options.
YEAR ENDED DECEMBER 31
2004 2003 2002
−−−−−−−− −−−−−−−− −−−−−−−−−−
In thousands except per share data
Net income as reported $ 72,811 $ 38,703 $ 12,207
Add: Stock−based employee compensation expense recognized
under APB 25 related to the exercise of options, net of
related tax effects 218 130 −
Deduct: Total stock−based employee compensation expense
determined under fair value based method
for all awards, net of related tax effects (1,234) (697) (564)
−−−−−−−− −−−−−−−− −−−−−−−−−−
Pro forma net income $ 71,795 $ 38,136 $ 11,643
======== ======== ==========
Earnings per share:
Basic−−as reported $ 2.50 $ 1.34 $ 0.47
======== ======== ==========
Basic−−pro forma $ 2.46 $ 1.32 $ 0.44
======== ======== ==========
Diluted−−as reported $ 2.37 $ 1.32 $ 0.46
======== ======== ==========
Diluted−−pro forma $ 2.34 $ 1.30 $ 0.44
======== ======== ==========
Income Taxes
ProAssurance files a consolidated federal income tax return. Deferred
income taxes are provided for temporary differences between financial and income
tax reporting relating primarily to unrealized gains on securities, discounting
of losses for income tax reporting, and the limitation of the unearned premiums
deduction for income tax reporting.
72
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
1. ACCOUNTING POLICIES (CONTINUED)
Accounting Changes
On December 16, 2004 the Financial Accounting Standards Board (FASB)
issued SFAS 123(revised 2004), Share−Based Payment, hereafter referred to as
SFAS 123(R), which is a revision of SFAS 123, Accounting for Stock−Based
Compensation. SFAS 123(R) supersedes APB 25, Accounting for Stock Issued to
Employees , and amends SFAS 95, Statement of Cash Flows. SFAS 123(R) requires
all share−based payments to employees, including grants of employee stock
options, to be recognized in the financial statements based on their fair
values. SFAS 123(R) is effective for public companies at the beginning of the
first interim or annual period beginning after June 15, 2005; early adoption is
permitted. ProAssurance plans to adopt SFAS 123(R) on its effective date using
the "modified prospective" method permitted by the statement.
Under the "modified prospective" method stock based compensation is
recognized (a) under the requirements of SFAS 123(R) for all share−based
payments granted after the effective data of SFAS 123(R) and (b) under the
requirements of SFAS 123 for all non−vested share−based payments granted
prior to the adoption of SFAS 123(R).
As permitted by SFAS 123, ProAssurance currently accounts for stock
options awarded to employees using APB 25's intrinsic value method and, as such,
generally recognizes no compensation cost related to such awards. SFAS 123(R)
differs from SFAS 123 in several key computational areas, and implementation of
SFAS 123(R) will require ProAssurance to select among various assumptions in
order to perform the computations required under SFAS 123(R). Those assumptions
have not yet been selected, thus the effect that SFAS 123(R) would have had on
prior periods has not been computed. The effect of adoption of SFAS 123 (R) on
future operating results cannot be predicted at this time because the effect
will depend on the levels of share based payments granted in the future and the
methods and assumptions used to determine the fair value of those share based
payments. SFAS 123(R) also requires the benefits of tax deductions in excess of
recognized compensation cost to be reported as a financing cash flow, rather
than as an operating cash flow as required under current literature.
In September, 2004 the Emerging Issues Task Force of the FASB reached a
consensus regarding Issue 04−08−"Accounting Issues Related to Certain Features
of Contingently Convertible Debt and the Effect on Diluted EPS" ("EITF 04−8").
Under the new guidance, issuers of contingently convertible (Co−Co) debt
instruments must include the potential common shares underlying the Co−Co (the
Co−Co shares) in diluted earnings per share computations (if dilutive)
regardless of whether the market price contingency has been met or not. The
consensus is effective for financial statements ending after December 15, 2004
and is to be retroactively applied to all periods presented. Previously,
following commonly accepted interpretations of SAFS 128, "Earnings Per Share",
ProAssurance did not include the potential common shares underlying its
Convertible Debentures in the calculation of diluted earnings per share because
the market price contingency had not been met. Implementation of EITF 04−8
reduced diluted net income per share by $0.11 and $0.01 per share for the years
ended December 31, 2004 and 2003, respectively.
73
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
2. SEGMENT INFORMATION
ProAssurance operates in the U.S. in two reportable industry segments: the
professional liability insurance segment and the personal lines segment.
The professional liability insurance segment principally provides
professional liability insurance for providers of health care services
principally in the Southeast and Midwest. The professional liability segment
includes the operating results of three significant insurance companies: The
Medical Assurance Company, Inc., ProNational Insurance Company, and Red Mountain
Casualty Insurance Company, Inc. ProAssurance also writes professional liability
insurance through Medical Assurance of West Virginia, Inc.
The personal lines segment provides personal auto, homeowners, boat and
umbrella coverages principally in the state of Michigan primarily to educational
employees and their families through a single insurance company, MEEMIC
Insurance Company (MEEMIC).
The accounting policies of each segment are consistent with those
described in the summary of significant accounting policies in Note 1. Other
than cash and securities owned directly by the parent company, the assets of
ProAssurance are attributable to the reportable operating segments. Other than
investment income earned directly by the parent company and interest expense
attributable to long−term debt held by the parent company, all revenues and
expenses of ProAssurance are attributable to the operating segments for purposes
of SFAS No. 131, Disclosures about Segments of an Enterprise and Related
Information. Revenue is primarily from unaffiliated customers and the effect of
transactions between segments has been eliminated.
74
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
2. SEGMENT INFORMATION (CONTINUED)
The table below provides a reconciliation of segment information to total
consolidated information.
Year ended December 31
2004 2003 2002
−−−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−
In thousands
Revenues:
Professional liability segment:
Net premiums earned $ 512,655 $ 453,246 $ 327,645
Net investment income 75,029 63,099 66,790
Other revenues 6,173 10,318 (1,139)
−−−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−
Total segment revenues $ 593,857 $ 526,663 $ 393,296
Personal lines segment:
Net premiums earned 183,365 170,268 149,763
Net investment income 10,879 10,253 10,071
Other revenues 2,395 2,189 2,580
−−−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−
Total segment revenues 196,639 182,710 162,414
Corporate (not attributed to segments) 4,057 267 57
−−−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−
Total revenues $ 794,553 $ 709,640 $ 555,767
============ ============ ==========
Income (loss) before taxes, minority interest
and cumulative effect of accounting change:
Professional liability $ 56,279 $ 20,657 $ (14,637)
Personal lines 43,647 33,124 31,065
Corporate (not attributed to segments) (2,458) (3,447) (2,818)
−−−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−
Income before taxes, minority interest and
cumulative effect of accounting changes $ 97,468 $ 50,334 $ 13,610
============ ============ ==========
December 31
2004 2003
−−−−−−−−−−−− −−−−−−−−−−−−
In thousands
Assets:
Professional liability $ 2,682,987 $ 2,413,043
Personal lines 495,903 431,264
Corporate (not attributed to segments) 60,308 35,045
−−−−−−−−−−−− −−−−−−−−−−−−
Total assets $ 3,239,198 $ 2,879,352
============ ============
75
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
3. INVESTMENTS
The amortized cost and estimated fair value of available−for−sale fixed
maturities and equity securities are as follows:
DECEMBER 31, 2004
GROSS GROSS ESTIMATED
AMORTIZED UNREALIZED UNREALIZED FAIR
COST GAINS (LOSSES) VALUE
−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−
IN THOUSANDS
Fixed Maturities
U.S. Treasury securities $ 171,256 $ 1,167 $ (1,076) $ 171,347
State and municipal bonds 823,951 16,503 (1,533) 838,921
Corporate bonds 658,177 19,601 (3,439) 674,339
Asset−backed securities 570,744 4,696 (2,062) 573,378
−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−
2,224,128 41,967 (8,110) 2,257,985
Equity securities 31,548 3,878 (196) 35,230
−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−
$ 2,255,676 $ 45,845 $ (8,306) $ 2,293,215
============= =========== ============= =============
December 31, 2003
Gross Gross Estimated
Amortized Unrealized Unrealized Fair
Cost Gains (Losses) Value
−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−−−
In thousands
Fixed Maturities
U.S. Treasury securities $ 305,564 $ 2,471 $ (839) $ 307,196
State and municipal bonds 377,833 18,053 (211) 395,675
Corporate bonds 597,514 26,919 (2,752) 621,681
Asset−backed securities 460,048 6,215 (1,107) 465,156
Other 1,069 1 − 1,070
−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−−−
1,742,028 53,659 (4,909) 1,790,778
Equity securities 37,923 4,303 (90) 42,136
−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−−−
$ 1,779,951 $ 57,962 $ (4,999) $ 1,832,914
============= =========== ============ =============
ProAssurance held certain available−for−sale securities in an unrealized
loss position at December 31, 2004, as summarized in the following table. After
an evaluation of each security, Management concluded that these securities have
not suffered an other than temporary impairment in value. Each fixed maturity
security has paid all scheduled contractual payments. Management believes that
each issuer has the capacity to meet the remaining contractual obligations of
the security, including payment at maturity, and that ProAssurance has the
capacity to hold the security until the scheduled maturity date. Management also
believes each of the equity securities, given the characteristics of the
underlying company, industry, and price volatility of the security, has a
reasonable expectation of being valued at or above book value in the near term.
76
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
3. INVESTMENTS (CONTINUED)
TOTAL LESS THAN 12 MONTHS MORE THAN 12 MONTHS
−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−
FAIR UNREALIZED FAIR UNREALIZED FAIR UNREALIZED
VALUE LOSS VALUE LOSS VALUE LOSS
−−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−− −−−−−−−−−−−
IN THOUSANDS
Fixed maturities, available for sale
U.S. Treasury securities $ 104,993 $ (1,076) $ 95,180 $ (803) $ 9,813 $ (273)
State and municipal bonds 184,136 (1,533) 180,268 (1,426) 3,868 (107)
Corporate bonds 256,105 (3,439) 208,521 (1,924) 47,584 (1,515)
Asset−backed securities 267,806 (2,062) 247,354 (1,710) 20,452 (352)
−−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−− −−−−−−−−−−−
813,040 (8,110) 731,323 (5,863) 81,717 (2,247)
Equity securities available for sale 3,746 (196) 3,614 (184) 132 (12)
−−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−− −−−−−−−−−−−
Available for sale securities held
with unrealized losses $ 816,786 $ (8,306) $ 734,937 $ (6,047) $ 81,849 $ (2,259)
=========== ========== =========== ============ ========= ===========
The amortized cost and estimated fair value of fixed maturities at
December 31, 2004, by contractual maturity, are shown below. Expected maturities
will differ from contractual maturities because borrowers may have the right to
call or prepay obligations with or without call or prepayment penalties.
ProAssurance uses the call date as the contractual maturity for prerefunded
state and municipal bonds which are 100% backed by U.S. Treasury obligations.
ESTIMATED
AMORTIZED FAIR
COST VALUE
−−−−−−−−−−−−− −−−−−−−−−
IN THOUSANDS
Due in one year or less $ 95,979 $ 96,375
Due after one year through five years 578,222 585,478
Due after five years through ten years 542,354 561,087
Due after ten years 436,829 441,667
Asset−backed securities 570,744 573,378
−−−−−−−−−−−−− −−−−−−−−−−−−−
$ 2,224,128 $ 2,257,985
============= ==============
Excluding investments in bonds and notes of the U.S. Government, a U.S.
Government agency, or prerefunded state and municipal bonds which are 100%
backed by U.S. Treasury obligations, no investment in any person or its
affiliates exceeded 10% of stockholders' equity at December 31, 2004.
77
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
3. INVESTMENTS (CONTINUED)
At December 31, 2004 ProAssurance had available−for−sale securities with a
carrying value of $12.8 million on deposit with various state insurance
departments to meet regulatory requirements.
Business Owned Life Insurance
During 2003 ProAssurance purchased BOLI policies on executive employees at
a cost of approximately $50 million. The primary purpose of the program is to
offset future employee benefit expenses through earnings on the cash value of
the policies. ProAssurance is the owner and principal beneficiary of these
policies; however, $50,000 of each death benefit is payable to beneficiaries
designated by the insured employee.
Real Estate
Real estate consists of two properties currently in use as corporate
offices and a parcel of land expected to be developed as an additional corporate
office. One property includes 78,000 square feet of office space which is leased
or available for lease. Accumulated depreciation was approximately $9.8 million
and $8.7 million at December 31, 2004 and 2003, respectively.
78
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
3. INVESTMENTS (CONTINUED)
Net Investment Income / Net Realized Investment Gains (Losses)
Investment income by investment category is as follows:
Year ended December 31
2004 2003 2002
−−−−−−−− −−−−−−−− −−−−−−−−
In thousands
Fixed maturities $ 80,830 $ 68,381 $ 73,008
Equities 1,831 2,510 3,435
Real estate 1,078 1,120 1,428
Short−term investments 1,585 2,637 2,922
Other invested assets 4,592 1,664 −
Business owned life insurance 2,432 1,706 −
Other 4 − 174
−−−−−−−− −−−−−−−− −−−−−−−−
92,352 78,018 80,967
Investment expenses (5,127) (4,399) (4,049)
−−−−−−−− −−−−−−−− −−−−−−−−
Net investment income $ 87,225 $ 73,619 $ 76,918
======== ======== ========
Gross investment gains and losses are primarily from sales of investment
securities. Net realized investment gains (losses) are as follows:
Year ended December 31
2004 2003 2002
−−−−−−−− −−−−−−−− −−−−−−−−
In thousands
Gross gains $ 7,066 $ 9,388 $ 26,040
Gross losses (1,743) (3,397) (10,042)
Other than temporary impairments (611) (322) (21,304)
Trading portfolio gains 2,897 323 −
−−−−−−−− −−−−−−−− −−−−−−−−
Net realized investment gains (losses) $ 7,609 $ 5,992 $ (5,306)
======== ======== ========
Net gains related to fixed maturities included in the above table are $3.7
million, $2.3 million and $11.7 million during 2004, 2003 and 2002,
respectively.
ProAssurance's net realized investment gains and losses on
available−for−sale securities are shown in the table below. The amounts
recognized in the income statement were reclassified from "Other Accumulated
Comprehensive Income (Loss)" in accordance with the provisions of SFAS 115.
Year ended December 31
2004 2003 2002
−−−−−−−− −−−−−−− −−−−−−−−
In thousands
Net realized investment gains (losses) $ 5,315 $ 5,458 $ (5,306)
Related tax expense (benefit) 1,860 1,910 (1,857)
−−−−−−−− −−−−−−− −−−−−−−−
Reclassified gains (losses) $ 3,455 $ 3,548 $ (3,449)
======== ======= ========
Proceeds from sales (excluding maturities and paydowns) of
available−for−sale securities were $505.7 million, $358.5 million and $646.4
million during 2004, 2003 and 2002, respectively.
79
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
4. REINSURANCE
ProAssurance has various quota share, excess of loss, and cession
reinsurance agreements. Historically, professional liability per claim retention
levels have varied between the first $200,000 and the first $2 million depending
on the coverage year and the state in which business was written. ProAssurance
also insures some large professional liability risks that are above the limits
of its basic reinsurance treaties. These risks are reinsured on a facultative
basis, whereby the reinsurer agrees to insure a particular risk up to a
designated limit. Personal lines retention levels historically have been
$250,000 per loss. Individual property risks are covered up to $1 million per
risk and casualty risks are covered on an excess of loss basis up to $3 million
per occurrence, with catastrophe reinsurance arrangements in place to provide
coverage for aggregate property loss events.
The effect of reinsurance on premiums written and earned is as follows:
2004 PREMIUMS 2003 Premiums 2002 Premiums
WRITTEN EARNED Written Earned Written Earned
−−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−−
In thousands
Direct $ 789,564 $ 765,547 $ 737,602 $ 695,839 $ 634,142 $ 573,423
Assumed 96 96 2,508 2,508 2,014 2,991
Ceded (72,601) (69,623) (71,201) (74,833) (99,033) (99,006)
−−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−− −−−−−−−−−
Net premiums $ 717,059 $ 696,020 $ 668,909 $ 623,514 $ 537,123 $ 477,408
========= ========= ========= ========= ========= =========
Reinsurance contracts do not relieve ProAssurance from its obligations to
policyholders. A contingent liability exists with respect to reinsurance ceded
to the extent that any reinsurer does not meet the obligations assumed under the
reinsurance agreements. ProAssurance continually monitors its reinsurers to
minimize its exposure to significant losses from reinsurer insolvencies.
At December 31, 2004, all reinsurance recoverables are considered
collectible. As required by the various state insurance laws, reinsurance
recoverables totaling approximately $32.7 million are collateralized by letters
of credit or funds withheld.
At December 31, 2004 amounts due from individual reinsurers that exceed 5%
of stockholders' equity are as follows:
Amount Due
Reinsurer From Reinsurer
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−
In millions
Michigan Catastrophic Claims Association $115.1
Hannover Ruckversicherung AG $ 50.5
General Reinsurance Corp $ 31.0
During 2004, ProAssurance commuted (terminated) its various agreements
with one of its reinsurers, Gerling Global Reinsurance Corporation of America.
As a result of that commutation, ProAssurance reduced its receivable from
reinsurers by approximately $5.6 million (net of $12.3 million cash received)
and reduced its reinsurance liabilities by approximately $1.6 million.
80
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
5. INCOME TAXES
Deferred income taxes reflect the net tax effects of temporary differences
between the amount of assets and liabilities for financial reporting purposes
and the amounts used for income tax purposes. Significant components of
ProAssurance's deferred tax liabilities and assets are as follows:
December 31
2004 2003
−−−−−−−− −−−−−−−−
In thousands
Deferred tax assets
Unpaid loss discount $ 72,151 $ 64,843
Unearned premium adjustment 22,166 20,186
Alternative minimum tax credits − 8,440
Tax basis in intangibles 8,943 9,588
Other 6,032 3,697
−−−−−−−− −−−−−−−−
Total deferred tax assets 109,292 106,754
−−−−−−−− −−−−−−−−
Deferred tax liabilities
Deferred acquisition costs 9,682 8,261
Unrealized gains on investments, net 13,139 18,537
Other 6,364 6,838
−−−−−−−− −−−−−−−−
Total deferred tax liabilities 29,185 33,636
−−−−−−−− −−−−−−−−
Net deferred tax assets $ 80,107 $ 73,118
======== ========
In management's opinion, it is more likely than not that ProAssurance will
realize the benefit of the deferred tax assets, and therefore, no valuation
allowance has been established.
A reconciliation of "expected" income tax expense (35% of income before
income taxes) to actual income tax expense in the accompanying financial
statements follows:
Year ended December 31
2004 2003 2002
−−−−−−−− −−−−−−−− −−−−−−−−
In thousands
Computed "expected" tax expense $ 34,114 $ 17,617 $ 4,764
Tax−exempt income (6,830) (5,307) (5,757)
Other (2,627) (860) 805
−−−−−−−− −−−−−−−− −−−−−−−−
Actual tax (benefit) $ 24,657 $ 11,450 $ (188)
======== ======== ========
81
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
6. DEFERRED POLICY ACQUISITION COSTS
Underwriting and insurance costs directly related to the production of new
and renewal premiums are considered as acquisition costs and are capitalized and
amortized to expense over the period in which the related premiums are earned.
Reinsurance ceding commissions due ProAssurance are considered as a reduction of
acquisition costs, and therefore reduce the total amount capitalized.
Amortization of deferred acquisition costs amounted to approximately $63.4
million, $54.9 million, and $41.8 million for the years ended December 31, 2004,
2003 and 2002, respectively. Unamortized deferred acquisition costs are included
in other assets on the consolidated balance sheets and amounted to approximately
$27.7 million and $23.6 million at December 31, 2004 and 2003, respectively.
7. RESERVE FOR LOSSES AND LOSS ADJUSTMENT EXPENSES
ProAssurance establishes its reserve for losses based on estimates of the
future amounts necessary to pay claims and expenses associated with the
investigation and settlement of claims. These estimates consist of case reserves
and bulk reserves. Case reserves are estimates of future losses for reported
claims and are established by ProAssurance's claims department. Bulk reserves,
which include a provision for losses that have occurred but have not been
reported to ProAssurance as well as anticipated changes to losses on reported
claims, are the difference between (i) the sum of case reserves and paid losses
and (ii) an actuarially determined estimate of the total losses necessary for
the ultimate settlement of all reported and incurred but not reported claims,
including amounts already paid.
The reserve for losses is established based on estimates of individual
claims and actuarially determined estimates of future losses based on
ProAssurance's past loss experience, available industry data and projections as
to future claims frequency, severity, inflationary trends and settlement
patterns. Estimating reserves, and particularly liability reserves, is a complex
process. Claims may be resolved over an extended period of time, often five
years or more, and may be subject to litigation. Estimating losses for liability
claims requires ProAssurance to make and revise judgments and assessments
regarding multiple uncertainties over an extended period of time. As a result,
reserve estimates may vary significantly from the eventual outcome. The
assumptions used in establishing ProAssurance's reserves are regularly reviewed
and updated by management as new data becomes available. Changes to estimates of
previously established reserves are included in earnings in the period in which
the estimate is changed.
ProAssurance believes that the methods it uses to establish reserves are
reasonable and appropriate. Each year, ProAssurance obtains an independent
actuarial review of the reserve for losses of each insurance subsidiary. The
independent actuaries prepare reports that include recommendations as to the
level of reserves. ProAssurance considers these recommendations as well as other
factors, such as known, anticipated or estimated changes in frequency and
severity of claims and loss retention levels and premium rates, in establishing
the amount of its reserve for losses. The statutory filings of each insurance
company with the insurance regulators must be accompanied by an actuary's
certification as to their respective reserves in accordance with the
requirements of the National Association of Insurance Commissioners (NAIC).
82
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
7. RESERVE FOR LOSSES AND LOSS ADJUSTMENT EXPENSES (CONTINUED)
Activity in the reserve for losses and loss adjustment expenses is
summarized as follows:
Year ended December 31
2004 2003 2002
−−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−−
In thousands
Balance, beginning of year $ 1,814,584 $ 1,622,468 $ 1,442,341
Less reinsurance recoverables 444,811 462,012 374,056
−−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−−
Net balance, beginning of year 1,369,773 1,160,456 1,068,285
Net losses:
Current year 589,497 562,256 439,600
Unfavorable (favorable) development of reserves
established in prior years (16,616) (10,880) 8,429
−−−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−−
Total 572,881 551,376 448,029
Paid related to:
Current year (92,361) (94,824) (84,376)
Prior years (230,040) (247,235) (271,482)
−−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−−
Total paid (322,401) (342,059) (355,858)
−−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−−
Net balance, end of year 1,620,253 1,369,773 1,160,456
Plus reinsurance recoverables 409,339 444,811 462,012
−−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−−
Balance, end of year $ 2,029,592 $ 1,814,584 $ 1,622,468
============== ============= ==============
As discussed in Note 1, estimating liability reserves is complex and
requires the use of many assumptions. As time passes and ultimate losses for
prior years are either known or become subject to a more definite estimation,
ProAssurance increases or decreases the reserve estimates established in prior
periods. The prior year development recognized in 2004 and 2003 decreased the
net loss reserve at the end of the prior year by 1.2% and 0.9% and increased the
net loss reserve at end of the prior year in 2002 by 0.8%. This development was
recognized in response to annual actuarial reviews that resulted in estimates of
ultimate loss costs for prior years that differed from the prior estimates of
those loss costs.
83
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
8. COMMITMENTS AND CONTINGENCIES
ProAssurance is involved in various legal actions arising primarily from
claims related to insurance policies and claims handling, including but not
limited to claims asserted by policyholders. The legal actions arising from
these claims have been considered by ProAssurance in establishing its reserves.
While the outcome of all legal actions is not presently determinable,
ProAssurance's management is of the opinion, based on consultation with legal
counsel, that the resolution of these actions will not have a material adverse
effect on ProAssurance's financial position. However, to the extent that the
cost of resolving these actions exceeds the corresponding reserves, the legal
actions could have a material effect on ProAssurance's results of operations for
the period in which any such action is resolved.
ProAssurance is involved in a number of operating leases primarily for
office space, office equipment, and communication lines. The following is a
schedule of future minimum lease payments for operating leases that had initial
or remaining noncancelable lease terms in excess of one year as of December 31,
2004.
Operating Leases
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
In thousands
2005 $ 3,786
2006 3,004
2007 876
2008 658
2009 278
Thereafter 121
−−−−−−−−−
Total minimum lease payments $ 8,723
=========
ProAssurance had rent expense of $4.1 million in the year ended December
31, 2004 and $4.3 million in the years ended December 31, 2003 and 2002.
9. MINORITY INTEREST
On January 29, 2003 ProAssurance's indirect subsidiary, MEEMIC Holdings,
Inc. (MEEMIC Holdings) repurchased all of the outstanding shares of its common
stock that were not owned by ProAssurance's subsidiary, ProNational Insurance
Company. MEEMIC Holdings used cash and investment resources of approximately
$34.1 million to complete the transaction. ProAssurance recognized goodwill of
$7.6 million related to the transaction. Income for the year ended December 31,
2003 was reduced by the income attributable (16%) to the MEEMIC Holdings
minority interest for the period from January 1, 2003 to January 29, 2003.
MEEMIC Holdings is the 100% owner of MEEMIC.
84
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
10. LONG−TERM DEBT
Outstanding long−term debt, as of December 31, 2004 and December 31, 2003,
consisted of the following:
December 31
2004 2003
−−−−−−−−−−−−−−−−−−−−−−−−−−
$ In thousands
Convertible Debentures due June 30, 2023, unsecured
and bearing a fixed interest rate of 3.9%, net of
unamortized original issuer's discounts of $2,515
and $2,811 at December 31, 2004 and December 31,
2003, respectively. $ 105,085 $ 104,789
Trust Preferred Subordinated Debentures, unsecured,
and bearing floating interest rate, adjustable
quarterly, at three−month LIBOR plus 3.85%.
Due December 31, 2004 Rate
April 29, 2034 6.14% 13,403 −
May 12, 2034 6.14% 10,310 −
May 12, 2034 6.14% 22,682 −
−−−−−−−−−−−− −−−−−−−−−−−
$ 151,480 $ 104,789
============ ===========
Convertible Debentures Due June 30, 2023
In early July 2003, ProAssurance issued $107.6 million of 3.9% Convertible
Debentures in a Private Offering transaction, net of an initial purchaser's
discount of $3.0 million. ProAssurance used the net proceeds to pay off its
existing term loan having an outstanding principal balance of $67.5 million.
Summarized information regarding the structure and terms of the
Convertible Debentures follows:
Issue Price. The Convertible Debentures were issued at 100.0% of their
principal amount and each Convertible Debenture has a principal amount at
maturity of $1,000.
Maturity Date. June 30, 2023.
Ranking. The Convertible Debentures are unsecured obligations and rank
equally in right of payment with all other existing and future unsecured
and unsubordinated obligations. The Convertible Debentures are not
guaranteed by any of ProAssurance's subsidiaries.
85
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
10. LONG−TERM DEBT (CONTINUED)
and, accordingly, the Convertible Debentures are effectively subordinated
to the indebtedness and other liabilities of ProAssurance's subsidiaries,
including insurance policy−related liabilities.
Interest. Interest is payable on June 30 and December 30 of each year,
beginning December 30, 2003, at an annual rate of 3.90%. In addition,
ProAssurance may be required to pay contingent interest, as set forth
below under Contingent Interest.
Contingent Interest. Contingent interest is due to the holders of the
Convertible Debentures during any six−month period from June 30 to
December 29 and from December 30 to June 29 commencing with the six−month
period beginning June 30, 2008, if the average market price of a
Convertible Debenture for the five trading days ending on the second
trading day immediately preceding the relevant six−month period equals
120% or more of the principal amount of the Convertible Debentures. The
amount of contingent interest payable in respect of any six−month period
will equal 0.1875% of the average market price of a Convertible Debenture
for the five trading day period referred to above.
Conversion Rights. At December 31, 2004 the Convertible Debentures are not
eligible for conversion; however, holders may convert the Convertible
Debentures at any time prior to stated maturity from and after the date of
the following events:
− if the sale price of ProAssurance's common stock for at least
20 trading days in the 30 trading−day period ending on the
last trading day of the immediately preceding fiscal quarter
exceeds 120% of the conversion price on that 30th trading day,
− if ProAssurance calls the Convertible Debentures for
redemption, or
− upon the occurrence of certain corporate transactions.
For each $1,000 principal amount of Convertible Debentures surrendered for
conversion, holders initially will receive 23.9037 shares of common stock.
This represents an initial conversion price of approximately $41.83 per
share of common stock. The conversion rate may be adjusted for certain
reasons, but will not be adjusted for accrued interest or contingent
interest, if any. Upon conversion, holders will generally not receive any
cash payment representing accrued interest or contingent interest, if any.
Instead, accrued interest and contingent interest will be deemed paid by
the common stock received by the holders on conversion. Convertible
Debentures called for redemption may be surrendered for conversion until
the close of business two business days prior to the redemption date.
Upon conversion, ProAssurance has the right to deliver, in lieu of common
stock, cash or a combination of cash and shares of common stock.
Payment at Maturity. Each holder of $1,000 Convertible Debentures will be
entitled to receive $1,000 at maturity, plus accrued interest, including
contingent interest, if any.
Sinking Fund. None.
Optional Redemption. ProAssurance may not redeem the Convertible
Debentures prior to July 7, 2008. ProAssurance may redeem some or all of
the Convertible Debentures for cash on or after July 7, 2008, upon at
least 30 days but not more than 60 days notice by mail to holders at par.
86
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
Repurchase Right of Holders. Each holder of the Convertible Debentures may
require ProAssurance to repurchase all or a portion of the holder's
Convertible Debentures on June 30, 2008, June 30, 2013 and June 30, 2018
at a purchase price equal to the principal amount of the Convertible
Debentures plus accrued and unpaid interest, including contingent
interest, if any, to the date of repurchase. ProAssurance may choose to
pay the purchase price in cash, shares of common stock, or a combination
of cash and shares of common stock. If ProAssurance elects to pay all or a
portion of the repurchase price in common stock, the shares of common
stock will be valued at 97.5% of the average sale price for the 20 trading
days immediately preceding and including the third day prior to the
repurchase date.
Change of Control. Upon a change of control of ProAssurance, holders may
require ProAssurance, subject to conditions, to repurchase all or a
portion of the Convertible Debentures. Depending upon the date at which
the change of control occurs, ProAssurance will pay a purchase price equal
to a varying percentage of the applicable principal amount of such
Convertible Debentures plus accrued and unpaid interest, including
contingent interest and additional amounts, if any. The percentage ranges
from 108% for dates before June 29, 2005 to 100% for dates after June 30,
2008. ProAssurance may choose to pay the repurchase price in cash, shares
of common stock, shares of common stock of the surviving corporation or a
combination of cash and shares of the applicable common stock. If
ProAssurance elects to pay all or a portion of the repurchase price in
shares of common stock, the shares of the applicable common stock will be
valued at 97.5% of the average sale price of the applicable common stock
for 20 trading days commencing after the third trading day following
notice of the occurrence of a change of control.
Events of Default. If there is an event of default under the Convertible
Debentures, the principal amount of the Convertible Debentures, plus
accrued interest, including contingent interest, if any, may be declared
immediately due and payable. These amounts automatically become due and
payable if an event of default relating to certain events of bankruptcy,
insolvency or reorganization occurs.
Registration Rights. On December 15, 2003 ProAssurance filed a shelf
registration statement with the SEC with respect to the resale of the
Convertible Debentures and the shares of common stock issuable upon
conversion of the Convertible Debentures pursuant to a registration rights
agreement. ProAssurance has agreed to keep the shelf registration
statement effective until the earliest of:
− two years after the last date of original issuance of any of
the Convertible Debentures,
− the date when the holders of the Convertible Debentures and
common stock issuable upon conversion of the Convertible
Debentures are able to sell all such securities immediately
pursuant to Rule 144 under the Securities Act,
− the date when all of the Convertible Debentures and common
stock issuable upon conversion of the Convertible Debentures
are registered upon the shelf registration statement and sold
in accordance with it, or
− the date when all of the Convertible Debentures and common
stock issuable upon conversion of the Convertible Debentures
have ceased to be outstanding.
The Convertible Debentures do not require ProAssurance to maintain minimum
financial covenants.
87
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
10. LONG−TERM DEBT (CONTINUED)
Trust Preferred Subordinated Debentures
In April and May 2004, ProAssurance formed two business trusts,
ProAssurance Capital Trust I and ProAssurance Capital Trust II (the Trusts), as
the holder of all voting securities issued by the Trusts, for the sole purpose
of issuing, in private placement transactions, $45.0 million of trust preferred
securities (TPS) and using the proceeds thereof, together with the equity
proceeds received from ProAssurance in the initial formation of the Trusts, to
purchase subordinated debentures issued by ProAssurance. The only assets of the
Trusts are $46.4 million variable rate ProAssurance subordinated debentures
(Subordinated Debentures). The terms and maturities of the Subordinated
Debentures mirror those of the TPS. The Trusts will meet the obligations of the
TPS with the interest and principal ProAssurance pays to the Trusts on the
Subordinated Debentures. ProAssurance is not the primary beneficiary of the
Trusts, and therefore, in accordance with the provisions of FIN 46, the Trusts
are not consolidated by ProAssurance. ProAssurance's equity investment in the
Trusts is included in other assets and the Subordinated Debentures payable to
the Trusts are included as long−term debt in the accompanying Condensed
Consolidated Balance Sheets.
The Subordinated Debentures and the TPS have the same maturities and other
applicable terms and features. They are uncollateralized and bear a floating
interest rate equal to the three−month LIBOR plus 3.85%, adjustable and payable
quarterly, with a maximum rate within the first five years of 12.5%.
ProAssurance has the right under the Subordinated Debentures to extend interest
payment periods up to twenty consecutive quarterly periods, and as a
consequence, dividends on the preferred securities may be deferred (but will
continue to accumulate, together with additional dividends on any accumulated
but unpaid dividends at the dividend rate) during any such extended interest
payment periods. ProAssurance may not pay any stockholder dividends during any
extended interest payment period or at any time ProAssurance is in default under
the Subordinated Debentures. The Subordinated Debentures and the TPS have stated
maturities of thirty years but may be redeemed at any time after five years. The
Subordinated Debentures do not require ProAssurance to maintain minimum
financial covenants.
ProAssurance received net proceeds from the TPS transactions, after
commissions and other costs of issuance, of $44.9 million. Issue costs of $1.5
million were capitalized and are being amortized over five years as a component
of amortization expense. The proceeds are available for general corporate
purposes, including providing statutory capital for ProAssurance's professional
liability insurance subsidiaries.
ProAssurance has guaranteed that amounts paid to the Trusts related to the
Subordinated Debentures will be remitted to the holders of the TPS. The
guarantee, when taken together with the obligations of ProAssurance under the
Subordinated Debentures, the Indenture pursuant to which the Subordinated
Debentures were issued, and the related trust agreements (including its
obligations to pay related trust cost, fees, expenses, debts and other
obligations of the Trusts other than with respect to the TPS and the common
securities of the Trusts), provides a full and unconditional guarantee of
amounts due on the TPS. The amounts guaranteed are not expected to at any time
exceed the obligations of the Subordinated Debentures, and no additional
liability has been recorded related to the TPS or the guarantee.
At December 31, 2004 the fair value of our Convertible Debentures is
approximately 114.5% of face value based on available independent market quotes.
The fair value of our Subordinated Debentures approximates the face value of
those debentures.
88
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
11. STOCKHOLDERS' EQUITY
At December 31, 2004 ProAssurance had 100 million shares of authorized
common stock and 50 million shares of authorized preferred stock. The Board of
Directors has the authorization to determine the provisions for the issuance of
shares of the preferred stock, including the number of shares to be issued, the
designations, powers, preferences and rights, and the qualifications,
limitations or restrictions of such shares. At December 31, 2004, the Board of
Directors had not authorized the issuance of any preferred stock nor determined
any provisions for the preferred stock.
At December 31, 2004 approximately 2.9 million of ProAssurance's
authorized shares of common stock are reserved by the Board of Directors of
ProAssurance for the award or issuance of shares under incentive compensation
plans as described in Note 12. Additionally, approximately 1.1 million common
shares are reserved for the exercise of outstanding options, also discussed in
Note 12.
"Accumulated other comprehensive income (loss)" shown in the Consolidated
Statements of Changes in Capital is solely comprised of net unrealized gains
(losses) on securities available for sale, net of taxes.
On November 13, 2002, ProAssurance sold 2.65 million common shares at an
offering price of $16.55 per share. The offering generated net proceeds of $40.6
million. ProAssurance used the net proceeds from the sale of the newly issued
shares to support the growth of its professional liability insurance business
and for general corporate purposes. The underwriting agreement granted the
underwriters a thirty−day over−allotment option for up to 375,000 shares that
was exercised on December 4, 2002 and that generated additional net proceeds of
$5.9 million.
ProAssurance has on file a universal shelf registration statement with the
Securities and Exchange Commission, allowing up to $250 million in common stock,
preferred stock or debt securities. ProAssurance may sell any class of the
registered securities or combinations thereof in one or more separate offerings
at a total price up to the amount registered with the amount, price and terms of
the securities sold in each offering to be determined at the time of sale.
ProAssurance has no present commitments to sell securities under the shelf
registration.
12. STOCK OPTIONS
ProAssurance provides performance−based stock compensation to employees
under the ProAssurance 2004 Equity Incentive Plan (the 2004 Plan) and the
ProAssurance Corporation Incentive Compensation Stock Plan (the 1995 Plan). The
2004 Plan was adopted in May 2004 and is intended as a replacement for the 1995
Plan. Under both plans, the terms and conditions of all grants are at the
discretion of the compensation committee. At December 31, 2004 there were 10,000
options outstanding under the 2004 Plan and 1,039,337 options outstanding under
the 1995 Plan. All options have been granted at a price equal to the market
price of the stock on the date of grant. The stock options granted in 2004, 2003
and 2002 expire ten years after the grant date and vest at a rate of 20% each
year, beginning six months after the grant date. The remaining options
outstanding under the plan were granted in 1997, 1998 and 1999; these options
expire ten years after the grant date and were fully vested at the grant date.
As a part of the consolidation with Professionals Group, ProAssurance
assumed all options outstanding under Professionals Group, Inc.'s 1996 Long−term
Stock Incentive Plan (the Professionals Plan). The options assumed were fully
vested. At December 31, 2004 there were 56,036 options outstanding under the
Professionals Plan. No additional options are expected to be issued related to
the Professionals Plan.
89
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
12. STOCK OPTIONS (CONTINUED)
Information regarding ProAssurance's outstanding options for the years
ending December 31, 2004, 2003, and 2002 follows:
WEIGHTED Weighted Weighted
AVERAGE Average Average
EXERCISE Exercise Exercise
SHARES PRICE Shares Price Shares Price
−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−
2004 2003 2002
−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−
Outstanding at beginning of year 993,576 $ 20.72 1,103,037 $ 19.46 719,313 $ 20.82
Granted 291,329 $ 33.28 303,000 $ 22.00 415,000 $ 16.80
Exercised (141,832) $ 19.50 (348,815) $ 18.23 (31,276) $ 15.54
Forfeited (37,700) $ 26.58 (63,646) $ 18.72 − −
−−−−−−−−−−− −−−−−−−−−− −−−−−−−−−−
Outstanding at end of year 1,105,373 $ 24.03 993,576 $ 20.72 1,103,037 $ 19.46
=========== ========== ==========
Options exercisable at end of year 585,994 $ 22.74 552,176 $ 21.75 771,037 $ 20.60
=========== ========== ==========
Outstanding ProAssurance options as of December 31, 2004 consisted of the
following:
OPTIONS OUTSTANDING OPTIONS EXERCISABLE
−−−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−
WEIGHTED
AVERAGE WEIGHTED WEIGHTED
REMAINING AVERAGE AVERAGE
RANGE OF CONTRACTUAL EXERCISE EXERCISE
EXERCISE PRICES NUMBERS LIFE PRICE NUMBER PRICE
−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−− −−−−−−−−−−− −−−−−−−− −−−−−−− −−−−−−−−
$ 9.57 − $ 14.27 19,096 2.9 YEARS $ 12.98 19,096 $ 12.98
$ 16.80 − $ 17.38 288,684 6.5 YEARS $ 16.87 142,684 $ 16.93
$ 18.66 − $ 21.01 38,247 4.4 YEARS $ 20.75 38,247 $ 20.75
$ 22.00 − $ 22.00 213,000 8.7 YEARS $ 22.00 63,000 $ 22.00
$ 24.68 − $ 26.03 270,517 3.1 YEARS $ 24.89 270,517 $ 24.89
$ 33.28 − $ 33.28 262,250 9.7 YEARS $ 33.28 52,450 $ 33.28
$ 36.46 − $ 38.52 13,579 8.3 YEARS $ 37.00 − −
−−−−−−−−− −−−−−−−
ALL 1,105,373 6.7 YEARS $ 24.03 585,994 $ 22.74
========= =======
The weighted average fair value of options granted during 2004, 2003 and
2002 was $13.10, $8.46 and $6.97, respectively. The fair values have been
estimated as of the date of grant using the Black−Scholes option pricing model,
based on the following assumptions (on a weighted−average basis):
2004 2003 2002
−−−−− −−−−− −−−−
Risk−free interest rate 3.4% 3.1% 4.6%
Expected volatility 0.34 0.34 0.34
Dividend yield 0% 0% 0%
Expected average term (in years) 6 6 6
90
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
13. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE
ProAssurance adopted SFAS No. 142 "Goodwill and Other Intangible Assets"
on January 1, 2002.
In accordance with SFAS No. 142, as of January 1, 2002 ProAssurance
discontinued amortizing its recorded goodwill and deferred credits, and
recognized the unamortized balance of deferred credits of $1.7 million that
existed at December 31, 2001 related to business combinations completed prior to
July 1, 2001. The write−off has been recognized as the cumulative effect of a
change in accounting principle. There is no tax effect related to the write−off
because the deferred credits were not amortizable for tax purposes.
14. EARNINGS PER SHARE
The following represents a reconciliation from the basic to the diluted
numerator and denominator used in calculating the diluted earnings per share:
Year ended December 31
2004 2003 2002
−−−−−−−− −−−−−−−− −−−−−−−−
In thousands except per share data
Basic earnings per share calculation:
Numerator:
Income before cumulative effect of accounting change $ 72,811 $ 38,703 $ 10,513
Cumulative effect of accounting change − − 1,694
−−−−−−−− −−−−−−−− −−−−−−−−
Net income $ 72,811 $ 38,703 $ 12,207
======== ======== ========
Denominator:
Weighted average number of common shares outstanding 29,164 28,956 26,231
======== ======== ========
Basic earnings per share:
Income before cumulative effect of accounting change $ 2.50 $ 1.34 $ 0.40
Cumulative effect of accounting change − − 0.07
−−−−−−−− −−−−−−−− −−−−−−−−
Net income $ 2.50 $ 1.34 $ 0.47
======== ======== ========
Diluted earnings per share calculation:
Numerator:
Income before cumulative effect of accounting change $ 72,811 $ 38,703 $ 10,513
Effect of MEEMIC Holdings stock options held by
minority stockholders − − (210)
Effect of assumed conversion of contingently convertible
debt instruments 2,967 1,425 −
−−−−−−−− −−−−−−−− −−−−−−−−
Income before cumulative effect of accounting change −
diluted computation 75,778 40,128 10,303
Cumulative effect of accounting change −− −− 1,694
−−−−−−−− −−−−−−−− −−−−−−−−
Net income−diluted computation $ 75,778 $ 40,128 $ 11,997
======== ======== ========
Denominator:
Weighted average number of common shares outstanding 29,164 28,956 26,231
Assumed conversion of dilutive stock options and awards 248 188 23
Assumed conversion of contingently convertible
debt instruments 2,572 1,245 −
−−−−−−−− −−−−−−−− −−−−−−−−
Diluted weighted average equivalent shares 31,984 30,389 26,254
======== ======== ========
Diluted earnings per share:
Income before cumulative effect of accounting change $ 2.37 $ 1.32 0.39
Cumulative effective of accounting change − − 0.07
−−−−−−−− −−−−−−−− −−−−−−−−
Net income $ 2.37 $ 1.32 $ 0.46
======== ======== ========
91
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
14. EARNINGS PER SHARE (CONTINUED)
In accordance with SFAS 128 "Earnings per Share", the diluted weighted
average number of shares outstanding includes an incremental adjustment for the
assumed exercise of dilutive stock options. The adjustment is computed
quarterly; the annual incremental adjustment is the average of the quarterly
adjustments. Stock options are considered dilutive stock options if the assumed
conversion of the options, using the treasury stock method as specified by SFAS
128, produces an increased number of outstanding shares. Options are not
dilutive when the exercise price of the option is below the average share price
during the quarter. During years ended December 31, 2004, 2003 and 2002 certain
of ProAssurance's outstanding options were not considered to be dilutive,
because the strike price of the options was below the average ProAssurance share
price during the quarter. The number of options not considered to be dilutive
during the years ended December 31, 2004, 2003, and 2002 averaged 126,400,
83,500 and 638,000, respectively.
In compliance with the consensus reached in EITF 04−8, ProAssurance has
assumed conversion of its outstanding convertible debt in the computation of
diluted earnings per share for the year ended December 31, 2004 and has restated
diluted earnings per share for the year ending December 31, 2003 to assume
conversion of its convertible debt for the period in which the debt was
outstanding in 2003. The restatement reduced previously reported diluted
earnings per share for the year ending December 31, 2003 by $0.01. Diluted
earnings per share for the year ending December 31, 2002 was not restated
because there was no outstanding convertible debt in 2002.
15. BENEFIT PLANS
ProAssurance currently maintains several defined contribution employee
benefit plans that are intended to provide additional income to eligible
employees upon retirement. ProAssurance's contributions to the plans are
primarily based upon employee contributions to the plans. ProAssurance's expense
under these benefit plans was $3.3 million during the year ended December 31,
2004 and $3.1 million during each of the years ended December 31, 2003 and 2002.
16. STATUTORY ACCOUNTING AND DIVIDEND RESTRICTIONS
ProAssurance's insurance subsidiaries are required to file statutory
financial statements with state insurance regulatory authorities. GAAP differs
from statutory accounting practices prescribed or permitted by regulatory
authorities. Differences between financial statement net income and statutory
net income are principally due to: (a) policy acquisition costs which are
deferred under GAAP but expensed for statutory purposes; (b) investments in
affiliates which are valued and carried on the cost or equity method for
statutory purposes but consolidated under GAAP; and (c) deferred income taxes
which are recorded under GAAP but not for statutory purposes.
92
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
16. STATUTORY ACCOUNTING AND DIVIDEND RESTRICTIONS (CONTINUED)
The NAIC specifies risk−based capital requirements for property and
casualty insurance providers. At December 31, 2004, statutory capital for each
insurance subsidiary was sufficient to satisfy regulatory requirements.
Statutory surplus and net income (loss) for each of ProAssurance's insurance
subsidiaries for the years ended December 31, 2004 and 2003 are as follows:
STATUTORY
STATUTORY SURPLUS NET INCOME (LOSS)
AS OF FOR THE YEAR ENDED
DECEMBER 31, 2004 DECEMBER 31, 2004
−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−
In thousands
The Medical Assurance Company, Inc. $276,909 $ 17,555
ProNational Insurance Company 241,825 32,448
Red Mountain Casualty Insurance Company, Inc. 16,511 1,233
Medical Assurance of West Virginia, Inc. 8,285 (2,608)
MEEMIC Insurance Company 142,753 24,033
Statutory
Statutory Surplus Net Income (Loss)
as of for the year ended
December 31, 2003 December 31, 2003
−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−
In thousands
The Medical Assurance Company, Inc. $238,740 $ 11,719
ProNational Insurance Company 187,937 (8,971)
Red Mountain Casualty Insurance Company, Inc. 16,785 963
Medical Assurance of West Virginia, Inc. 10,202 (42)
MEEMIC Insurance Company 116,780 17,677
Consolidated retained earnings are comprised primarily of subsidiaries'
retained earnings. ProAssurance's insurance subsidiaries are permitted to pay
dividends of approximately $58 million during the next year to ProAssurance or
its directly owned non−insurance subsidiaries without prior approval. However,
the payment of any dividend requires prior notice to the insurance regulator in
the state of domicile and the regulator may prevent the dividend if, in its
judgment, payment of the dividend would have an adverse effect on the surplus of
the insurance subsidiary.
93
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
17. VARIABLE INTEREST ENTITIES
ProAssurance holds passive investments in four limited
partnerships/limited liability companies that are considered to be VIE's under
FIN 46(R) guidance. ProAssurance is not the primary beneficiary relative to
these entities and is not required to consolidate the entities under FIN 46(R).
These investments are included in Other Investments and total $39.3 million at
December 31, 2004 and $37.1 million at December 31, 2003. The entities are all
non−public investment pools formed for the purpose of achieving diversified
equity and debt returns. ProAssurance's investment in one of the entities
approximates $6.1 million ( a 31% interest) and is accounted for using the
equity method of accounting; this investment was acquired in 2002. The remaining
three investments each represent less than 10% interests in the investee, and
ProAssurance uses the cost method of accounting. These investments were acquired
between 2001 and 2003. ProAssurance's maximum loss exposure relative to each of
the entities is limited to the carrying value of ProAssurance`s investment in
the entity.
ProAssurance also holds all the voting securities issued by two Trusts,
ProAssurance Capital Trust I and ProAssurance Capital Trust II, that are
considered to be VIE's. See Note 10. The Trusts are not consolidated because
ProAssurance is not the primary beneficiary of either trust. Accordingly, within
the accompanying December 31, 2004 condensed consolidated balance sheet, the
Subordinated Debentures issued by ProAssurance to the Trusts are included in
long−term debt, and ProAssurance's $1.4 million equity investment in the Trusts
is included in Other Assets.
18. QUARTERLY RESULTS OF OPERATIONS (UNAUDITED)
The following is a summary of unaudited quarterly results of operations
for 2004 and 2003:
2004
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
1st 2nd 3rd 4th
−−−−−−−−−− −−−−−−−−−− −−−−−−−−− −−−−−−−−−−
IN THOUSANDS EXCEPT PER SHARE DATA
Net premiums earned $ 167,842 $ 165,897 $ 175,346 $ 186,934
Net losses and loss adjustment expenses 141,920 136,779 144,281 149,901
Net income 15,981 15,804 19,518 21,509
Basic earnings per share 0.55 0.54 0.67 0.74
Diluted earnings per share 0.52 0.52 0.63 0.69
Diluted earnings per share, as reported prior NOT
to the implementation of EITF 04−08 0.54 0.54 0.66 APPLICABLE
2003
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
1st 2nd 3rd 4th
−−−−−−−−−− −−−−−−−−−− −−−−−−−−− −−−−−−−−−−
Net premiums earned $ 138,196 $ 147,684 $ 165,430 $ 172,204
Net losses and loss adjustment expenses 125,048 131,300 145,783 149,245
Net income 6,349 8,792 9,735 13,827
Basic earnings per share 0.22 0.30 0.34 0.48
Diluted earnings per share 0.22 0.30 0.33 0.46
Diluted earnings per share, as reported prior
to the implementation of EITF 04−08 0.22 0.30 0.33 0.47
The sum of the above amounts may vary from the annual amounts because of
rounding.
As discussed in Note 1, ProAssurance has adopted the provisions of EITF
04−08 and diluted earnings per share for all periods presented includes the
dilutive effect of common shares potentially issuable related to ProAssurance's
contingently convertible debt. ProAssurance had no contingently convertible debt
outstanding in the 1st and 2nd quarters of 2003.
94
PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2004
19. SUBSEQUENT EVENTS
On February 28, 2005 ProAssurance Corporation and NCRIC Group, Inc.
(NASDAQ: NCRI) reached an agreement to merge NCRIC into ProAssurance in a $69.6
million, all−stock transaction which values NCRIC at $10.10 per share, based on
the closing price of ProAssurance common stock on Friday, February 25, 2005.
Under the terms of the agreement each holder of common stock of NCRIC will
have the right to receive 0.25 of a share of ProAssurance common stock for each
share of NCRIC common stock. This exchange ratio is subject to adjustment in the
event that the market price of the ProAssurance stock prior to the closing
either exceeds $44 or is less than $36 such that the exchange ratio would then
be adjusted such that the value per NCRIC share would neither exceed $11 nor be
less than $9, respectively. The transaction is subject to required regulatory
approvals and a vote of NCRIC stockholders and is expected to close early in the
third quarter of 2005.
The proposed transaction will be submitted to NCRIC Group's stockholders
for their consideration. ProAssurance and NCRIC Group will file with the SEC a
registration statement and a proxy statement/prospectus and other relevant
documents concerning the proposed transaction.
95
ProAssurance Corporation and Subsidiaries
Schedule I − Summary of Investments − Other Than Investments in Related Parties
December 31, 2004
COST AMOUNT
OR AT WHICH
AMORTIZED FAIR SHOWN IN THE
TYPE OF INVESTMENT COST VALUE BALANCE SHEET
−−−−−−−−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−−−
In thousands
Fixed Maturities:
U.S. Treasury securities $ 171,256 $ 171,347 $ 171,347
State and municipal bonds 823,951 838,921 838,921
Corporate bonds 658,177 674,339 674,339
Asset−backed securities 570,744 573,378 573,378
Certificates of deposit − − −
−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−−−
Total fixed maturities 2,224,128 $ 2,257,985 2,257,985
===========
Equity securities:
Available for sale 31,548 35,230 35,230
Trading 3,739 4,150 4,150
−−−−−−−−−−− −−−−−−−−−−− −−−−−−−−−−−−−
Total equity securities 35,287 $ 39,380 39,380
===========
Real Estate, net 19,244 19,244
Short−term investments 41,423 41,423
Other invested assets 42,883 42,883
Business owned life insurance 54,138 54,138
−−−−−−−−−−− −−−−−−−−−−−−−
Total investments $ 2,417,103 $ 2,455,053
=========== =============
97
PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE II − CONDENSED FINANCIAL INFORMATION OF REGISTRANT (CONTINUED)
ProAssurance Corporation − Registrant Only
Condensed Balance Sheet
December 31
2004 2003
−−−−−−−−− −−−−−−−−−
In thousands
ASSETS
Investment in subsidiaries, at equity $ 661,575 $ 610,297
Fixed maturities available for sale, at fair value 56,889 5,501
Equity securities, trading portfolio, at fair value − 5,226
Short−term investments 2,676 23,440
Cash and cash equivalents 743 878
Due from subsidiaries 11,956 −
Other assets 29,827 30,215
−−−−−−−−− −−−−−−−−−
$ 763,666 $ 675,557
========= =========
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities:
Payable to subsidiaries $ − $ 23,868
Other liabilities 1,167 595
Long−term debt 151,480 104,789
−−−−−−−−− −−−−−−−−−
152,647 129,252
Stockholders' Equity:
Common stock 293 292
Other stockholders' equity, including
unrealized gains (losses) on securities
of subsidiaries 610,726 546,013
−−−−−−−−− −−−−−−−−−
Total stockholders' equity 611,019 546,305
−−−−−−−−− −−−−−−−−−
$ 763,666 $ 675,557
========= =========
ProAssurance Corporation − Registrant Only
Condensed Statements of Income
Year ended December 31
2004 2003 2002
−−−− −−−− −−−−
In thousands
Revenues:
Investment income $ 1,317 $ 267 $ 57
Other Income 2,779 308 −
−−−−−−−−− −−−−−−−−− −−−−−−−−−
4,096 575 57
Expenses:
Loss on early extinguishment of debt − 305 −
Interest expense 6,515 3,409 2,875
Other expenses 3,882 1,702 1,441
−−−−−−−−− −−−−−−−−− −−−−−−−−−
10,397 5,416 4,316
−−−−−−−−− −−−−−−−−− −−−−−−−−−
Loss before income tax (benefit) and equity in
net income of subsidiaries (6,301) (4,841) (4,259)
Income tax (benefit) (2,319) (967) (1,491)
−−−−−−−−− −−−−−−−−− −−−−−−−−−
Loss before equity in net income of subsidiaries (3,982) (3,874) (2,768)
Equity in net income of subsidiaries 76,793 42,577 14,975
−−−−−−−−− −−−−−−−−− −−−−−−−−−
Net income $ 72,811 $ 38,703 $ 12,207
========= ========= =========
98
PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE II − CONDENSED FINANCIAL INFORMATION OF REGISTRANT (CONTINUED)
ProAssurance Corporation − Registrant Only
Condensed Statements of Cash Flow
Year ended December 31
2004 2003 2002
−−−−−−−−− −−−−−−−−− −−−−−−−−−
In thousands
Cash used by operating activities $ (11,896) $ (9,733) $ (6,533)
Investing activities
Purchases of fixed maturities (101,172) (134,661) −
Proceeds from sale or maturities of :
Fixed maturities available for sale 50,480 129,160 −
Equity securities available for sale 7,791 − −
Net decrease/increase in short−term investments 20,764 (23,440) −
Dividends from subsidiaries 28,350 − −
Contribution of capital to subsidiaries (38,000) (25,483) −
Other (1,395) − −
−−−−−−−−− −−−−−−−−− −−−−−−−−−
(33,182) (54,424) −
−−−−−−−−− −−−−−−−−− −−−−−−−−−
Financing activities
Proceeds from long−term debt 44,907 104,641 −
Repayment of debt − (72,500) (10,000)
Proceeds from stock offering − − 46,499
Other 36 2,881 −
−−−−−−−−− −−−−−−−−− −−−−−−−−−
44,943 35,022 36,499
−−−−−−−−− −−−−−−−−− −−−−−−−−−
Increase (decrease) in cash and cash equivalents (135) (29,135) 29,966
Cash and cash equivalents, beginning of period 878 30,013 47
−−−−−−−−− −−−−−−−−− −−−−−−−−−
Cash and cash equivalents, end of period $ 743 $ 878 $ 30,013
========= ========= =========
NOTES TO CONDENSED FINANCIAL STATEMENTS OF REGISTRANT
1. Basis of Presentation
ProAssurance Corporation (PRA Holding) was formed for the purpose of
consolidating Medical Assurance, Inc. (Medical Assurance) and Professionals
Group, Inc. (Professionals Group); the consolidation date was June 27, 2001. The
registrant−only financial statements should be read in conjunction with
ProAssurance's consolidated financial statements. At December 31, 2004 and 2003
PRA Holding's investment in subsidiaries is stated at the initial consolidation
value plus equity in the undistributed earnings of subsidiaries since the date
of acquisition less dividends received from the subsidiaries.
2. Other Assets
Other assets includes goodwill of $15.6 million related to PRA Holding's
acquisition of Professionals Group and goodwill of $7.6 million related to the
2003 acquisition of the minority interest of MEEMIC Holdings, Inc., a subsidiary
of Professionals Group.
99
PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE II − CONDENSED FINANCIAL INFORMATION OF REGISTRANT (CONTINUED)
NOTES TO CONDENSED FINANCIAL STATEMENTS OF REGISTRANT (CONTINUED)
3. Long−term Debt
Outstanding long−term debt, as of December 31, 2004 and December 31, 2003,
consisted of the following:
December 31
2004 2003
−−−−−−−−− −−−−−−−−−
$ In thousands
Convertible Debentures due June 30, 2023 (Convertible Debentures),
unsecured and bearing a fixed interest rate of 3.9%, net of
unamortized original issuer's discounts of $2,515 and $2,811 at
December 31, 2004 and December 31, 2003, respectively. $ 105,085 $ 104,789
Trust Preferred Subordinated Debentures (Subordinated Debentures),
unsecured, and bearing floating interest rate, adjustable
quarterly, at three−month LIBOR plus 3.85%.
Due December 31, 2004 Rate
April 29, 2034 6.14% 13,403 −
May 12, 2034 6.14% 10,310 −
May 12, 2034 6.14% 22,682 −
−−−−−−−−− −−−−−−−−−
$ 151,480 $ 104,789
========= =========
PRA Holding issued $107.6 million of 3.9% Convertible Debentures in a Private
Offering transaction, net of an initial purchaser's discount of $3.0 million, in
July 2003. The Convertible Debentures are due June 30, 2023 but may be repaid or
called prior to that date. PRA Holding used the net proceeds of the Convertible
Debentures to pay off its existing term loan having an outstanding principal
balance of $67.5 million.
In April and May 2004, PRA Holding formed two business trusts (the Trusts), as
the holder of all voting securities issued by the Trusts, for the sole purpose
of issuing, in private placement transactions, $45.0 million of trust preferred
securities (TPS) and using the proceeds thereof, together with the equity
proceeds received from ProAssurance in the initial formation of the Trusts, to
purchase Subordinated Debentures issued by ProAssurance. The Subordinated
Debentures and the TPS have the same maturities and other applicable terms and
features. They are uncollateralized and bear a floating interest rate equal to
the three−month LIBOR plus 3.85%, adjustable and payable quarterly, with a
maximum rate within the first five years of 12.5%.
See Note 10 of the Notes to the consolidated financial statements of
ProAssurance and its subsidiaries included herein for a detailed description of
the terms of the Convertible Debentures and the Subordinated Debentures.
4. Related Party Transactions
PRA Holding received dividends of $28.4 million from its subsidiaries in 2004.
No dividends were received in 2003. PRA Holding contributed capital of $18
million in 2004 to its subsidiaries. In 2003, PRA Holding contributed $45
million to its subsidiaries, of which $20 million was paid in 2004.
All of PRA Holding's treasury shares are owned by its subsidiaries. In the
registrant−only financial statements, stockholders' equity has been reduced by
the cost of these treasury shares and PRA Holding's investment in subsidiaries
has been reduced by the cost of the treasury shares owned by the subsidiaries.
5. Income Taxes
Under terms of PRA Holding's tax sharing agreement with its subsidiaries, income
tax provisions for individual companies are allocated on a separate company
basis.
100
PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE III − SUPPLEMENTARY INSURANCE INFORMATION
YEARS ENDED DECEMBER 31, 2004, 2003, AND 2002
2004 2003 2002
−−−−−−−−−−− −−−−−−−−−−−− −−−−−−−−−−−
In thousands
Deferred policy acquisition costs...................... $ 27,662 $ 23,603 $ 22,729
Reserve for losses and loss adjustment expenses........ 2,029,592 1,814,584 1,622,468
Unearned premiums...................................... 314,179 290,134 248,371
Net premiums earned.................................... 696,020 623,514 477,408
Premiums assumed from other companies.................. 96 2,508 2,991
Net investment income.................................. 87,225 73,619 76,918
Net losses and loss adjustment expenses................ 572,881 551,376 448,029
Underwriting, acquisition and insurance expenses:
Amortization of deferred policy acquisition costs... 63,370 54,863 41,800
Other underwriting, acquisition and
insurance expenses................................ 54,319 49,353 49,453
Net premiums written................................... 717,059 668,909 537,123
101
PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE IV − REINSURANCE
YEARS ENDED DECEMBER 31, 2004, 2003, AND 2002
2004 2003 2002
−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−
In thousands
PROPERTY AND CASUALTY
Premiums earned $ 765,547 $ 695,839 $ 573,091
Premiums ceded (69,623) (74,833) (98,918)
Premiums assumed 280 2,495 2,516
−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−
Net premiums earned $ 696,204 $ 623,501 $ 476,689
=========== ============= ============
Percentage of amount assumed to net 0.04% 0.40% 0.53%
=========== ============= ============
ACCIDENT AND HEALTH
Premiums earned − − 332
Premiums ceded − − (88)
Premiums assumed (184) 13 475
−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−
Net premiums earned $ (184) $ 13 $ 719
=========== ============= ============
Percentage of amount assumed to net 100% 100% 66.06%
=========== ============= ============
Total net premiums earned $ 696,020 $ 623,514 $ 477,408
=========== ============= ============
102
PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE VI − SUPPLEMENTARY PROPERTY AND CASUALTY INSURANCE INFORMATION
YEARS ENDED DECEMBER 31, 2004, 2003, AND 2002
2004 2003 2002
−−−−−−−−−−−−− −−−−−−−−−−−−− −−−−−−−−−−−−−
In thousands
Deferred policy acquisition costs ..................... $ 27,662 $ 23,603 $ 22,729
Reserve for losses and loss adjustment expenses ....... 2,029,592 1,814,584 1,622,468
Unearned premiums ..................................... 314,179 290,134 248,371
Net premiums earned ................................... 696,020 623,514 477,408
Net investment income ................................. 87,225 73,619 76,918
Losses and loss adjustment expenses incurred
related to current year, net of reinsurance ........ 589,497 562,256 439,600
Losses and loss adjustment expenses incurred
related to prior year, net of reinsurance .......... (16,616) (10,880) 8,429
Amortization of deferred policy acquisition costs ..... 63,370 54,863 41,800
Paid losses and loss adjustment expenses related to
current year losses, net of reinsurance ............ (92,362) (94,824) (84,376)
Paid losses and loss adjustment expenses related to
prior year losses, net of reinsurance .............. (230,040) (247,235) (271,482)
103
EXHIBIT INDEX
Exhibit
Number Description
−−−−−−− −−−−−−−−−−−
2.1 Agreement to Consolidate by and between Medical Assurance, Inc. and
Professionals Group, Inc. dated June 22, 2000 as amended as of
November 1, 2000. (1)
2.2 Agreement and Plan of Merger dated as of July 9, 2002 among
ProNational Insurance Company, MEEMIC Merger Corp. and MEEMIC
Holdings (2)
2.3 Amendment No. 1 to Agreement and Plan of Merger dated as of July 9,
2002 among ProNational Insurance Company, MEEMIC Merger Corp. and
MEEMIC Holdings, Inc. made on September 18, 2002 (3)
2.4 Agreement and Plan of Merger among ProAssurance, NCRIC Group, Inc.
and NCP Merger Corporation, dated February 28, 2005 (4)
3.1(a) Certificate of Incorporation of ProAssurance (1)
3.1(b) Certificate of Amendment of ProAssurance (5)
3.2 Bylaws of ProAssurance
4.1 Purchase Agreement, dated July 1, 2003, between Registrant and the
representatives of the initial purchasers of the Debentures (without
exhibits) (6)
4.2 Indenture dated July 7, 2003, between and among Registrant and the
initial purchasers of the Debentures (7)
4.3 Registration Rights Agreement, dated July 7, 2003, between and among
Registrant and the initial purchasers of the Debentures (7)
4.4 ProAssurance Corporation Floating Rate Junior Subordinated Debenture
due 2034 issued as on April 29, 2004 in original principal amount of
$13,403,000 (8)
4.5 Indenture between ProAssurance Corporation and Wilmington Trust
Company as Trustee dated as of April 29, 2004 (8)
4.6 Certificate for 13,000 Preferred Securities of ProAssurance Capital
Trust I (Liquidation Amount $1,000 per Preferred Security) issued on
April 29, 2004 (8)
4.7 Amended and Restated Declaration of Trust of ProAssurance Capital
Trust I dated as of April 29, 2004 (8)
4.8 Preferred Securities Guarantee Agreement ProAssurance Capital Trust
I dated as of April 29, 2004 (8)
104
4.9 ProAssurance Corporation Floating Rate Junior Subordinated Debenture
due 2034 issued as on May 26, 2004 in original principal amount of
$22,682,000 (9)
4.10 ProAssurance Corporation Floating Rate Junior Subordinated Debenture
due 2034 issued as on May 12, 2004 in original principal amount of
$10,310,000 (9)
4.11 Amended and Restated Declaration of Trust of ProAssurance Capital
Trust II dated as of May 12, 2004 (9)
4.12 Preferred Securities Guarantee Agreement ProAssurance Capital Trust
II dated as of May 12, 2004 (9)
4.13 Indenture between ProAssurance Corporation and Wilmington Trust
Company as Trustee dated as of May 12, 2004 (9)
10.1(a) Medical Assurance, Inc. Incentive Compensation Stock Plan (formerly
known as the Mutual Assurance, Inc. 1995 Stock Award Plan) (10)
10.1(b) Amendment and Assumption Agreement by and between ProAssurance and
Medical Assurance, Inc. (5)
10.1(c) Amendment and Assumption Agreement by and between Mutual Assurance,
Inc. and MAIC Holdings, Inc. dated April 8, 1996 (11)
10.2 Professionals Insurance Company Management Group 1996 Long Term
Incentive Plan (12)
10.3 ProAssurance Corporation 2004 Equity Incentive Plan (13)
10.4(a) Release and Severance Agreement between Victor T. Adamo and
ProAssurance (14)
10.4(b) Amendment to Release and Severance Compensation Agreement of Victor
T. Adamo (15)
10.4(c) Release and Severance Agreement between Lynn M. Kalinowski and
ProAssurance (16)
10.4(d) Release and Severance Agreement between Howard H. Friedman and
ProAssurance (15)
10.4(e) Release and Severance Agreement between James J. Morello and
ProAssurance (15)
10.4(f) Release and Severance Agreement between Frank B. O'Neil and
ProAssurance (3)
10.5 Employment Agreement of A. Derrill Crowe, as amended (15)
105
10.6 Form of Indemnification Agreement between ProAssurance and each of
the following named executive officers and directors of
ProAssurance: (3)
Victor T. Adamo
Lucian F. Bloodworth
Paul R. Butrus
A. Derrill Crowe
Robert E. Flowers
Howard H. Friedman
Lynn M. Kalinowski
John J. McMahon
James J. Morello
John P. North
Frank B. O'Neil
Ann F. Putallaz
Edward N. Rand
10.7 ProAssurance Group Employee Benefit Plan which includes the
Executive Supplemental Life Insurance Program (Article VIII)
10.8 ProAssurance Group 2004 Deferred Compensation Plan dated October 11,
2004, of which A. Derrill Crowe is the sole participant
10.9 Development Agreement Between Kero Development LLC and MEEMIC
Insurance Company dated November 18, 2004 (without Rider and
Exhibits)
21.1 Subsidiaries of ProAssurance Corporation
23.1 Consent of Ernst &Young − Report on Consolidated Financial
Statements of Registrant and Subsidiaries
31.1 Certification of Principal Executive Officer of ProAssurance as
required under SEC Rule 13a−14(a)
31.2 Certification of Principal Financial Officer of ProAssurance
Corporation required under SEC Rule 13a−14(a)
32.1 Certification of Principal Executive Officer of ProAssurance as
required under SEC Rule 13a−14(b) and Section 1350 of Chapter 63 of
Title 18 of the United States Code, as amended (18 U.S.C. 1350)
32.2 Certification of Principal Financial Officer of ProAssurance as
required under SEC Rule 13a−14(b) and Section 1350 of Chapter 63 of
Title 18 of the United States Code, as amended (18 U.S.C. 1350)
106
Footnotes
(1) Filed as an Exhibit to ProAssurance's Registration Statement on Form S−4
(File No. 333−49378) and incorporated herein by reference pursuant to Rule
12b−32 of the Securities and Exchange Commission ("SEC").
(2) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10−Q for
the period ended June 30, 2002 (File No. 001−16533) and incorporated
herein by reference pursuant to SEC Rule 12b−32.
(3) Filed as an Exhibit to ProAssurance's Annual Report on Form 10−K for the
year ended December 31, 2002 (Commission File No. 001−16533) and
incorporated herein by reference pursuant to SEC Rule 12b−32.
(4) Filed as an Exhibit to ProAssurance's Current Report on Form 8−K for event
occurring on February 28, 2005 (File No. 001−16533) and incorporated
herein by reference pursuant to SEC Rule 12b−32
(5) Filed as an Exhibit to ProAssurance's Annual Report on Form 10−K for the
year ended December 31, 2001 (File No. 001−16533) and incorporated herein
by reference pursuant to SEC Rule 12b−32.
(6) Filed as an Exhibit to ProAssurance's Registration Statement on Form S−3
(File No. 333−109972) and incorporated by reference pursuant to SEC Rule
12b−32.
(7) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10−Q for
the period ended June 30, 2003 (File No. 001−16533) and incorporated by
reference pursuant to SEC Rule 12b−32.
(8) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10−Q for
the quarter ended March 31, 2004 (File No. 001−16533) and incorporated
herein by this reference pursuant to SEC Rule 12b−32.
(9) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10−Q for
the quarter ended June 30, 2004 (File No. 001−16533) and incorporated
herein by this reference pursuant to SEC Rule 12b−32.
(10) Filed as an Exhibit to MAIC Holding's Registration Statement on Form S−4
(File No. 33−91508) and incorporated herein by reference pursuant to SEC
Rule 12b−32.
(11) Filed as an Exhibit to MAIC Holding's Proxy Statement for the 1996 Annual
Meeting (File No. 0−19439) is incorporated herein by reference pursuant to
SEC Rule 12b−32.
(12) Filed as an Exhibit to Professionals Group's Registration Statement on
Form S−4 (File No. 333−3138) and incorporated herein by reference pursuant
to SEC Rule 12b−32.
(13) Filed as an Exhibit to ProAssurance's Definitive Proxy Statement (File No.
001−165333) on April 16, 2004 and incorporated herein by reference
pursuant to SEC Rule 12b−32.
107
(14) Filed as an Exhibit to ProAssurance's Form 10−Q (File No. 001−16533) for
the quarter ended June 30, 2001 and incorporated herein by reference
pursuant to SEC Rule 12b−32.
(15) Filed as an Exhibit to ProAssurance's Registration Statement on Form S−3
(File No. 333−100526) and incorporated herein by reference pursuant to SEC
Rule 12b−32.
(16) Filed as an Exhibit to ProAssurance's Form 10−Q (File No. 001−16533) for
the quarter ended September 30, 2001 and incorporated herein by reference
pursuant to SEC Rule 12b−32.
108
EXHIBIT 3.2
FIRST RESTATEMENT OF THE
BY−LAWS
OF
PROASSURANCE CORPORATION
ARTICLE I
OFFICES
SECTION 1. The registered office of ProAssurance Corporation (herein
called the "Corporation"), in the State of Delaware shall be in the City of
Wilmington, County of New Castle, State of Delaware.
SECTION 2. The Corporation may also have offices at such other places both
within and without the State of Delaware as the Board of Directors may from time
to time determine or the business of the Corporation may require.
SECTION 3. This First Restatement of the By−Laws of the Corporation has
been adopted by the Board of Directors of the Corporation to serve as the
By−Laws of the Corporation effective December 3, 2003, and this First
Restatement of the By−Laws amends, supersedes and replaces all provisions of the
By−Laws previously adopted by the Board of Directors, including all prior
amendments thereto.
ARTICLE II
MEETINGS OF STOCKHOLDERS
SECTION 1. Meetings of stockholders may be held at such time and place,
within or without the State of Delaware, as shall be determined from time to
time by the Board of Directors and stated in the notice of the meeting or in a
duly executed Waiver of Notice thereof. In the event that no place is
designated, or if a special meeting is otherwise called, the place of the
meeting shall be the principal office of the Corporation.
SECTION 2. Annual meetings of stockholders, commencing with the year 2002,
shall be held on the second Tuesday in the month of May, if not a legal holiday,
and if a legal holiday, then on the next succeeding business day, at 10:00 A.M.,
or at such other date and time as shall be designated from time to time by the
Board of Directors and stated in the notice of the meeting, for the purpose of
electing directors and for the transaction of such other business as may
properly come before the meeting. If the annual meeting is not held on the date
designated therefor, the Board of Directors shall cause the meeting to be held
as soon thereafter as convenient.
SECTION 3. Written notice of the annual meeting stating the place, date
and hour of the meeting shall be given to each stockholder entitled to vote at
such meeting not less than ten nor more than sixty days before the date of the
meeting.
SECTION 4. The officer or agent who has charge of the stock ledger of the
Corporation shall prepare and make, at least ten days before every meeting of
stockholders, a complete list of the stockholders entitled to vote at the
meeting, arranged in alphabetical order, and showing the address of each
stockholder and the number of shares registered in the name of each stockholder.
Such list shall be open to the examination of any stockholder, for any purpose
germane to the meeting, during ordinary business hours, for a period of at least
ten days prior to the meeting, either at a place within the city where the
meeting is to be held, which place shall be specified in the notice of the
meeting, or, if not so specified, at the place where the meeting is to be held.
The list shall also be produced and kept at the time and place of the meeting
during the whole time thereof, and may be inspected by any stockholder who is
present.
SECTION 5. Special meetings of the stockholders, for any purpose or
purposes, unless otherwise prescribed by statute or by the Certificate of
Incorporation, may be called by the Chairman of the Board, the Vice Chairman of
the Board, or the President, and shall be called by the President or Secretary
at the request in writing of eighty percent (80%) of the Board of Directors.
Such request shall state the purpose or purposes of the proposed meeting.
SECTION 6. Written notice of a special meeting stating the place, date and
hour of the meeting and the purpose or purposes for which the meeting is called,
shall be given not less than ten nor more than sixty days before the date of the
meeting, to each stockholder entitled to vote at such meeting.
SECTION 7. Business transacted at any special meeting of stockholders
shall be limited to the purposes stated in the notice therefor.
SECTION 8. Except as otherwise provided by law, the Certificate of
Incorporation or these By−Laws, at each meeting of stockholders the presence in
person or by proxy of the holders of shares of stock having one−third of the
votes which could be cast by the holders of all outstanding shares of stock
entitled to vote at the meeting shall be necessary and sufficient to constitute
a quorum. Shares of its own stock belonging to the Corporation or to another
corporation, if a majority of the shares entitled to vote in the election of
directors of such other corporation is held, directly or indirectly, by the
Corporation, shall neither be entitled to vote nor be counted for quorum
purposes; provided, however, that the foregoing shall not limit the right of the
Corporation to vote stock, including but not limited to its own stock, held by
it in a fiduciary capacity.
SECTION 9. Meetings of stockholders shall be presided over by the Chairman
of the Board, if any, or in his or her absence by the Vice Chairman of the
Board, if any, or in his or her absence by the President, or in his or her
absence by a Vice President, or in the absence of the foregoing persons by a
chairman designated by the Board of Directors, or in the absence of such
designation by a chairman chosen at the meeting. The Secretary shall act as
secretary of the meeting, but in his or her absence the chairman of the meeting
may appoint any person to act as secretary of the meeting. The chairman of the
meeting shall announce at the meeting of stockholders the date and time of the
opening and the closing of the polls for each matter upon which the stockholders
will vote.
2
SECTION 10. Each stockholder entitled to vote at a meeting of stockholders
may authorize another person or persons to act for such stockholder by proxy,
but no such proxy shall be voted or acted upon after three years from its date,
unless the proxy provides for a longer period. A stockholder may grant authority
to another person or persons to act for him or her by proxy by any valid means
permitted by law, or the Certificate of Incorporation or the By−Laws of the
Corporation. A proxy shall be irrevocable if it states that it is irrevocable
and if, and only as long as, it is coupled with an interest sufficient in law to
support an irrevocable power. A stockholder may revoke any proxy which is not
irrevocable by attending the meeting and voting in person or by filing an
instrument in writing revoking the proxy or by delivering a proxy in accordance
with applicable law bearing a later date to the Secretary of the Corporation.
Voting at meetings of stockholders need not be by written ballot and, unless
otherwise required by law, need not be conducted by inspectors of election
unless so determined by the holders of shares of stock having a majority of the
votes which could be cast by the holders of all outstanding shares of stock
entitled to vote thereon which are present in person or by proxy at such
meeting. At all meetings of stockholders for the election of directors a
plurality of the votes cast shall be sufficient to elect. All other elections
and questions shall, unless otherwise provided by law, the Certificate of
Incorporation or these By−Laws, be decided by the vote of the holders of shares
of stock having a majority of the votes which could be cast by the holders of
all shares of stock outstanding and entitled to vote thereon.
SECTION 11. In order that the Corporation may determine the stockholders
entitled to notice of or to vote at any meeting of stockholders or any
adjournment thereof, or entitled to receive payment of any dividend or other
distribution or allotment of any rights, or entitled to exercise any rights in
respect of any change, conversion or exchange of stock or for the purpose of any
other lawful action, the Board of Directors may fix a record date, which record
date shall not precede the date upon which the resolution fixing the record date
is adopted by the Board of Directors and which record date: (1) in the case of
determination of stockholders entitled to vote at any meeting of stockholders or
adjournment thereof, shall, unless otherwise required by law, not be more than
sixty nor less than ten days before the date of such meeting; and (2) in the
case of any other action, shall not be more than sixty days prior to such other
action. If no record date is fixed: (1) the record date for determining
stockholders entitled to notice of or to vote at a meeting of stockholders shall
be at the close of business on the day next preceding the day on which notice is
given, or, if notice is waived, at the close of business on the day next
preceding the day on which the meeting is held; and (2) the record date for
determining stockholders for any other purpose shall be at the close of business
on the day on which the Board of Directors adopts the resolution relating
thereto. A determination of stockholders of record entitled to notice of or to
vote at a meeting of stockholders shall apply to any adjournment of the meeting;
provided, however, that the Board of Directors may fix a new record date for the
adjourned meeting.
SECTION 12. The Board of Directors of the Corporation may adopt by
resolution such rules and regulations for the conduct of the meeting of
stockholders as it shall deem appropriate. Except to the extent inconsistent
with such rules and regulations as adopted by the Board of Directors, the
chairman of any meeting of stockholders shall have the right and authority to
prescribe such rules, regulations and procedures and to do all such acts as, in
the judgment of such chairman, are appropriate for the proper conduct of the
meeting. Such rules, regulations or procedures, whether adopted by the Board of
Directors or prescribed by the chairman of the
3
meeting, may include, without limitation, the following: (i) the establishment
of an agenda or order of business for the meeting; (ii) rules and procedures for
maintaining order at the meeting and the safety of those present; (iii)
limitations on attendance at or participation in the meeting to stockholders of
record of the corporation, their duly authorized and constituted proxies or such
other persons as the chairman of the meeting shall determine; (iv) restrictions
on entry to the meeting after the time fixed for the commencement thereof; and
(v) limitations on the time allotted to questions or comments by participants.
Unless and to the extent determined by the Board of Directors or the chairman of
the meeting, meetings of stockholders shall not be required to be held in
accordance with the rules of parliamentary procedure.
SECTION 13. The chairman of the meeting may adjourn any meeting of the
stockholders from time to time, whether or not a quorum is present, without
notice other than an announcement at the meeting. At such adjourned meeting, at
which a quorum shall be present or represented, any business may be transacted
which might have been transacted at the meeting as originally notified. If the
adjournment is for more than thirty (30) days, or if after the adjournment a new
record date is fixed for the adjourned meeting, a notice of the adjourned
meeting shall be given to each stockholder of record entitled to vote at the
meeting.
SECTION 14. When a quorum is present at any meeting, the vote of the
holders of a majority of the stock having voting power present in person or
represented by proxy shall decide any question brought before such meeting,
unless the question is one upon which by express provision of the statutes or of
the Certificate of Incorporation, a different vote is required in which case
such express provision shall govern and control the decision of such question.
SECTION 15. A stockholder may propose a matter that is a proper subject
for action by the stockholders for consideration at the annual meeting of the
stockholders of the Corporation in accordance with the following procedure.
Nominations for election to the Board of Directors shall be made only as
provided in Article III, Section 9 of these By−Laws. A stockholder may submit
not more than one proposal (excluding any for which a meeting has been called
and is specified in the notice of the meeting) by delivery of written notice of
such stockholder's intent to make such proposal, either by personal delivery or
by United States mail, postage prepaid, to the secretary of the Corporation not
later than December 1 in the year preceding the annual meeting at which the
proposal is to be considered or such other date as may be established by the
Board of Directors for a particular annual meeting by written notice to the
stockholder or in a report or proxy statement filed with the Securities and
Exchange Commission. Each such notice shall set forth: (a) a brief description
of the matter or matters desired to be brought before the meeting (including the
complete text of the resolutions to be presented at the meeting) and the reasons
for considering such matter or matters at the meeting; (b) the name and address
of the stockholder who intends to propose such matter or matters, as they appear
on the Corporation's books, or evidence from the record holder in the
Corporation's books that the person sending the notice is the owner of the
shares; (c) a representation that the stockholder has been a holder of shares of
the Corporation entitled to vote as such meeting for a period of one year and
intends to hold such shares through the date of the annual meeting and to appear
in person or by proxy at the meeting to bring before the meeting the matter
specified in the notice; (iv) a description of all arrangements, understandings
or relationships between the stockholder and any other person or persons (naming
such person or persons) with respect to shares of capital stock of the
Corporation or the matter specified in the notice; and (v) any material interest
of the stockholder
4
in the matter specified in the notice. A stockholder proposal, including any
accompanying statement, may not exceed five hundred (500) words. Stockholders
may not submit proposals for consideration at a special meeting of the
stockholders of the Corporation. The presiding officer at a meeting of the
stockholders may refuse to acknowledge the proposal of any stockholder not made
in compliance with the foregoing.
SECTION 16. A shareholder may not participate at an annual meeting or
special meeting of shareholders by a conference telephone or other similar
communications equipment.
ARTICLE III
DIRECTORS
SECTION 1. The business and affairs of the Corporation shall be managed by
its Board of Directors which may exercise all such powers of the Corporation and
do all such lawful acts and things as are not by statute or by the Certificate
of Incorporation directed or required to be exercised or done by the
stockholders or officers of the Corporation.
SECTION 2. The Board of Directors of the Corporation may hold meetings,
both regular and special, either within or without the State of Delaware.
SECTION 3. A regular meeting of the Board of Directors shall be held
without other notice than this By−Law immediately after, and at the same place
as, the annual meeting of stock− holders. The Board of Directors may provide, by
resolution, the time and place, either within or without the State of Delaware,
for the holding of additional regular meetings without other notice than such
resolution.
SECTION 4. Special meetings of the Board of Directors may be called by or
at the request of the Chairman of the Board of Directors, or the Vice−Chairman
of the Board of Directors, or the President, and shall be called by the
President at the request of at least sixty−six and two−thirds percent (66−2/3%)
of the directors then serving on the Board of Directors.
SECTION 5. Notice of any special meeting shall be given at 24 hours before
the time such special meeting is to be held. Said notice shall be in writing and
delivered personally or by commercial courier, electronic mail or facsimile, to
each director at his business address, or by telegram. If notice be given by
facsimile or electronic mail, such notice shall be deemed to be delivered upon
confirmation of the transmission of the notice to the business address of the
director. If notice be given by courier, such notice shall be deemed to be
delivered when the notice is delivered to the commercial courier. Any director
may waive notice of any meeting. The attendance of a director at a meeting shall
constitute a waiver of notice of such meeting, except where a director attends a
meeting for the express purpose of objecting to the transaction of any business
because the meeting is not lawfully called or convened. Neither the business to
be transacted at, nor the purpose of, any regular or special meeting of the
Board of Directors need be specified in the notice or waiver of notice of such
meeting.
SECTION 6. At all meetings of the Board of Directors, or of a committee
thereof, a majority of the directors shall constitute a quorum for the
transaction of business and the act of a
5
majority of the directors present at any meeting at which there is a quorum
shall be the act of the Board of Directors, or such committee, except as may be
otherwise specifically provided by statute or by the Certificate of
Incorporation. If a quorum shall not be present at any meeting of the Board of
Directors, or such committee, the directors present thereat may adjourn the
meeting from time to time, without notice other than announcement at the
meeting, until a quorum shall be present.
SECTION 7. Unless otherwise restricted by the Certificate of Incorporation
or these By−Laws, any action required or permitted to be taken at any meeting of
the Board of Directors or of any committee thereof may be taken without a
meeting, if all members of the Board or committee, as the case may be, consent
thereto in writing, and the writing or writings are filed with the minutes of
proceedings of the Board or committee.
SECTION 8. By resolution of the Board of Directors, the directors may be
paid their expenses, if any, of attendance at each meeting of the Board of
Directors, and may be paid compensation for attendance at each meeting of the
Board of Directors or fixed compensation as a director or both. No such payment
shall preclude any director from serving the Corporation in any other capacity
and receiving compensation therefor.
SECTION 9.
(a) Nominations for election to the Board of Directors shall be made
by the Nominating/Corporate Governance Committee of the Board of Directors, or
if none, by the independent Directors. The nominations for directors shall take
into consideration the likelihood that a sufficient number of nominees will be
determined to be independent directors so that the Board of Directors will have
a majority of independent directors after their election to the Board. The Board
of Directors shall determine the independence of directors and nominees for
election as directors not less frequently than annually and prior to the
solicitation of proxies from the stockholders for election of directors. The
determination of the independence of a director or nominee shall comply with the
rules and regulations of the Securities and Exchange Commission and the rules
and listing standards of any regulatory or self−regulatory organization
applicable to the Corporation, including without limitation, the New York Stock
Exchange, Inc. For purposes of the By−Laws, the term "independent directors"
shall refer to the directors and nominees elected as directors that the Board of
Directors has determined are independent in accordance with these By−Laws.
(b) Any stockholder of any outstanding class of capital stock
entitled to vote for the election for directors may nominate one or more persons
for election as directors at an annual meeting of the stockholders only in
accordance with the nomination procedure herein set forth. Nominations by a
stockholder shall be made only by delivery of written notice of such
stockholder's intent to make such nomination or nominations, either by personal
delivery or by United States mail, postage prepaid, to the Secretary of the
Corporation not later than December 1 in the year preceding the annual meeting
at which the nomination(s) is proposed to be made or such other date as may be
established by the Board of Directors for a particular annual meeting by notice
to the stockholders in a proxy statement or report filed with the Securities and
Exchange Commission. Each such notice shall be set forth: (a) the name and
address of the stockholder, as they appear on the Corporation's books, who
intends to make the nomination and
6
the name and address of the person or persons to be nominated; (b) a
representation that the stockholder is a holder of shares of the Corporation
entitled to vote at such meeting and a representation that the stockholder
intends to be a holder on date of the meeting and to appear in person or by
proxy to nominate the person or persons specified in the notice; (c) a
description of all arrangements or understandings between the stockholder and
each nominee and any other person or persons (naming such person or persons)
pursuant to which the nomination or nominations are to be made by the
stockholder; (d) such other information regarding each nominee proposed by such
stockholder as would be required to be included in a proxy statement filed
pursuant to the proxy rules of the Securities and Exchange Commission had the
Board of Directors solicited proxies for the election of such nominee at the
meeting; and (e) the consent of each nominee to serve as a director of the
Corporation if so elected.
(c) The Board of Directors shall have no obligation to solicit
proxies from the stockholders for election of any directors other than those
nominated by the Nominating/Corporate Governance Committee or the Board of
Directors, as the case may be. The presiding officer at the meeting of the
stockholders may refuse to acknowledge the nomination of any person not made in
compliance with the foregoing procedure.
SECTION 10. Members of the Board of Directors, or any committee designated
by the Board of Directors, may participate in a meeting thereof by means of
conference telephone or similar communications equipment by means of which all
persons participating in the meeting can hear each other, and participation in a
meeting pursuant to this By−Law shall constitute presence in person at such
meeting.
SECTION 11. No person shall be nominated to serve on the Board of
Directors if such person would be 72 years of age on or after January 1 of the
first year of the term for which such person is proposed to be nominated; except
that the Chairman of the Board of Directors may be nominated for election so
long as such nominee would not be 76 years of age on or after January 1 of the
first year of the term the director is proposed to be elected.
ARTICLE IV
COMMITTEES OF THE BOARD OF DIRECTORS
SECTION 1.
(a) The Board of Directors may appoint an Executive Committee of the
Board of Directors. The Executive Committee shall be comprised of at least three
(3) directors appointed by the Chairman of the Board of Directors. Unless
another member is designated, the Chairman of the Board of Directors shall be
designated as Chairman of the Executive Committee. The members of the Executive
Committee need not be independent directors. The members of the Executive
Committee shall be subject to ratification by the Board of Directors.
(b) During the intervals between the meetings of the Board of
Directors, the Executive Committee shall have and may exercise all the powers
and authority of the Board of Directors in the management of the business and
affairs of the Corporation, subject to Article IV, Section 6 below, and may
authorize the seal of the Corporation to be affixed to all papers which
7
may require it; provided, however, that (i) the Executive Committee shall not
have the power to amend or repeal any resolution of the Board of Directors that
by its terms shall not be subject to amendment or repeal by the Executive
Committee, or any resolution of the Board of Directors concerning the
establishment or membership of the Executive Committee; and (ii) the Executive
Committee shall not have the authority of the Board of Directors in reference to
matters required to be passed upon by the full Board, by the independent
directors, or by a committee comprised of independent directors; and (iii) the
Executive Committee shall not have authority to act on matters delegated to the
Audit Committee, the Nominating and Corporate Governance Committee, and the
Compensation Committee in their respective charters.
(c) The Executive Committee shall meet from time to time on call of
its Chairman. Meetings of the Executive Committee may be held at such place or
places, within or without the State of Delaware, as the Executive Committee
shall determine or as may be specified or fixed in the respective notices or
waivers of such meetings. The Executive Committee may fix its own rules of
procedure, including provision for notice of its meetings. It shall keep a
written record of its proceedings and shall report these proceedings to the
Board of Directors at the meeting thereof held next after they have been taken.
(d) The Executive Committee shall act by majority vote of its
members.
SECTION 2.
(a) There is hereby created a Nominating/Corporate Governance
Committee of the Board of Directors to be comprised of at least three (3)
directors who meet the criteria as set forth in subparagraph (b) below; one of
whom shall be designated as Chairman of the Nominating/Corporate Governance
Committee. The Nominating/Corporate Governance Committee shall be elected by the
full Board of Directors at the first meeting following the annual meeting of the
stockholders. In its election of the members of the Nominating/Corporate
Governance Committee, the Board of Directors shall consider nominees that are
recommended by the Chairman of the Board of Directors, and nominees that may be
recommended by the independent directors.
(b) All of the directors serving on the Nominating/Corporate
Governance Committee must be independent directors in accordance with the
independence standards for members of the Nominating/Corporate Governance
Committee or other committee having similar functions under the rules and
listing requirements of the regulatory and self−regulatory organization
applicable to the Corporation, including without limitation the Securities and
Exchange Commission and the New York Stock Exchange, Inc. Prior to their
election to the Nominating/Corporate Governance Committee, the Board of
Directors shall determine that each member of the Nominating/Corporate
Governance Committee is an independent director as required in these By−Laws.
(c) The Board of Directors shall adopt a written charter for the
Nominating/Corporate Governance Committee that sets forth the committee's
purposes and responsibilities and that requires an annual performance evaluation
of the committee. The purposes and responsibilities of the committee shall
include, without limitation, such duties and responsibilities as may from time
to time be required or suggested for the Nominating/Corporate
8
Governance Committee, or other committee of the Board of Directors performing
similar functions, under the rules and regulations of the Securities and
Exchange Commission and rules and requirements of other regulatory and
self−regulatory organizations applicable to the Corporation, including without
limitation, the New York Stock Exchange, Inc.
(d) The Nominating/Corporate Governance Committee shall meet from
time to time on call of its Chairman. Meetings of the Nominating/Corporate
Governance Committee may be held at such place or places, within or without the
State of Delaware, as the Nominating/Corporate Governance Committee shall
determine or as may be specified or fixed in the respective notices or waivers
of such meetings. The Nominating/Corporate Governance Committee may fix its own
rules of procedure, including provision for notice of its meetings. It shall
keep a written record of its proceedings and shall report these proceedings to
the Board of Directors at the meeting thereof held next after they have been
taken.
(e) The Nominating/Corporate Governance Committee shall act by a
majority vote of its members.
SECTION 3.
(a) There is hereby created a Audit Committee of the Board of
Directors to be comprised of at least three (3) directors who meet the criteria
set forth in subparagraph (b) hereof; one of whom shall be designated as the
Chairman of the Audit Committee. The Audit Committee shall be elected by the
full Board of Directors at its first meeting following the annual stockholders
meeting. In its election of the members of the Audit Committee, the Board of
Directors shall consider nominees that are recommended by the Chairman of the
Board of Directors and nominees that may be recommended by the independent
directors.
(b) All of the directors serving on the Audit Committee must be
independent directors in accordance with the independence standards for members
of the audit committee or other committee having similar functions under the
provisions of Section 10A of the Securities Exchange Act of 1934, as amended,
and the rules and regulations promulgated thereunder and other independence
standards for directors under the rules and requirements of regulatory and
self−regulatory organizations applicable to the Corporation, including without
limitation, the New York Stock Exchange, Inc. Prior to their election to the
Audit Committee, the Board of Directors shall determine that each member of the
Audit Committee is an independent director as required in these By−Laws and
shall further determine, using business judgment in interpreting such
qualifications, that each member is financially literate and that at least one
member has accounting or related financial expertise. The Board of Directors
shall also determine whether or not at least one member of the Audit Committee
is an "audit committee financial expert" as defined under the rules and
regulations promulgated under Section 407 of the Sarbanes−Oxley Act of 2002 not
less frequently than annually.
(c) The Board of Directors shall adopt a written charter for the
Audit Committee that sets forth the purposes and responsibilities of the
committee and that requires an annual evaluation of the Audit Committee. The
purposes and responsibilities shall include, without limitation, such purposes
and responsibilities as may from time to time be required or suggested for the
Audit Committee, or other committee of the Board of Directors performing
9
similar functions, under the rules and regulations of the Securities and
Exchange Commission and rules and requirements of other regulatory and
self−regulatory organizations applicable to the Corporation, including without
limitation, the New York Stock Exchange, Inc.
(d) The Audit Committee shall meet from time to time on call of its
Chairman. Meetings of the Audit Committee may be held at such place or places,
within or without the State of Delaware, as the Audit Committee shall determine
or as may be specified or fixed in the respective notices or waivers of such
meetings. The Audit Committee may fix its own rules of procedure, including
provision for notice of its meetings. It shall keep a written record of its
proceedings and shall report these proceedings to the Board of Directors at the
meeting thereof held next after they have been taken.
(e) The Audit Committee shall act by a majority vote of its members.
SECTION 4.
(a) There is hereby created a Compensation Committee of the Board of
Directors to be comprised of at least three (3) directors who meet the criteria
set forth in subparagraph (b) below; one of whom shall be designated as Chairman
of the Compensation Committee. The full Board of Directors shall elect the
Compensation Committee at the first meeting following the annual meeting of
stockholders. In its election of the Compensation Committee, the Board of
Directors shall consider nominees that are recommended by the Chairman and
nominees that may be recommended by the independent directors.
(b) All of the directors serving on the Compensation Committee must
be independent directors in accordance with the independence standards for
members of the Compensation Committee or other committee having similar
functions under the rules and listing requirements of the regulatory and
self−regulatory organization applicable to the Corporation, including without
limitation the Securities and Exchange Commission and the New York Stock
Exchange, Inc. Prior to their election to the Compensation Committee, the Board
of Directors shall determine that each member of the Compensation Committee is
an independent director as required in these By−Laws.
(c) The Board of Directors shall adopt a written charter for the
Compensation Committee that sets forth the committee's purposes and
responsibilities and that requires an annual performance evaluation of the
committee. The purposes and responsibilities of the Compensation Committee shall
include without limitation, such purposes and responsibilities as may from time
to time be required or suggested for the Compensation Committee, or other
committee of the Board of Directors performing similar functions, under the
rules and regulations of the Securities and Exchange Commission and the rules
and requirements of other regulatory and self−regulatory organizations
applicable to the Corporation, including without limitation, the New York Stock
Exchange, Inc.
(d) The Compensation Committee shall meet from time to time on call
of its Chairman. Meetings of the Compensation Committee may be held at such
place or places, within or without the State of Delaware, as the Compensation
Committee shall determine or as may be specified or fixed in the respective
notices or waivers of such meetings. The
10
Compensation Committee may fix its own rules of procedure, including provision
for notice of its meetings. It shall keep a written record of its proceedings
and shall report these proceedings to the Board of Directors at the meeting
thereof held next after they have been taken.
(e) The Compensation Committee shall act by a majority vote of its
members.
SECTION 5. The Board of Directors, by resolution adopted by a majority of
the entire Board, may create one or more additional committees, which shall have
and may exercise such powers of the Board of Directors as may be determined from
time to time by the Board of Directors. Each committee shall be comprised of at
least three (3) directors appointed by the Chairman of the Board of Directors
subject to ratification by the Board of Directors.
SECTION 6. No committee of the Board of Directors shall have the power or
authority to approve or adopt, or recommend to stockholders, any action or
matter expressly required by applicable law to be submitted to stockholders for
approval or to adopt, amend or repeal any By−Law of the Corporation. No
committee of the Board of Directors shall have the power or authority to declare
a distribution, or dividend or to authorize the issuance of stock. Any committee
of the Board of Directors, and each member thereof, shall serve at the pleasure
of the Board of Directors.
SECTION 7. The Board of Directors and each of its committees shall have
the authority to engage independent counsel and other advisers as each of them
determines necessary to carry out its purposes and responsibilities, and the
Corporation shall provide appropriate funding for the payment of compensation to
independent counsel and other advisers engaged by any of the Board and its
committees and for the payment of ordinary administrative expenses that are
necessary or appropriate for carrying out any of their respective duties. In
addition, the Corporation shall provide appropriate funding as determined by the
Audit Committee for the payment of compensation to the independent auditor
engaged to prepare or issue an audit report or to perform other audit, review or
attest services for the Corporation.
ARTICLE V
NOTICES
SECTION 1. Whenever, under the provisions of the statutes or of the
Certificate of Incorporation or of these By−Laws, notice is required to be given
to any stockholder, it shall not be construed to mean personal notice, but such
notice may be given in writing, by mail, addressed to such stockholder, at his
address as it appears on the records of the Corporation, with postage thereon
prepaid, and such notice shall be deemed to be given at the time when the same
shall be deposited in the United States mail.
SECTION 2. Whenever any notice is required to be given under the
provisions of the statutes or of the Certificate of Incorporation or of these
By−Laws, a waiver thereof in writing, signed by the person or persons entitled
to said notice, whether before or after the time stated therein, shall be deemed
equivalent thereto.
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ARTICLE VI
OFFICERS
SECTION 1. The officers of the Corporation shall be a Chairman of the
Board of Directors, a Chief Executive Officer, one or more Vice Chairmen of the
Board of Directors, a President, one or more Vice Presidents, a Treasurer, a
Secretary, and such Assistant Treasurers, Assistant Secretaries, and other
officers (including, without limitation, a Chief Operating Officer) as may from
time to time be elected or appointed as herein provided. Any two or more offices
may be held by the same person. Two or more offices may be held by the same
person but an officer shall not execute, acknowledge or verify an instrument in
more than one capacity if the instrument is required by law or the Certificate
of Incorporation or By−Laws to be executed, acknowledged or verified by two or
more officer.
SECTION 2. The officers of the Corporation shall be elected annually by
the Board of Directors at the regular meetings of the Board of Directors held
after each annual meeting of the stockholders. If the election of officers shall
not be held at such meeting, such election shall be held as soon thereafter as
is practicable. Each officer shall hold office until his or her successor shall
have been duly elected and shall have qualified, or until his or her death, or
until he or she shall resign or shall have been removed in the manner
hereinafter provided. The Board of Directors or the Chairman of the Board may
appoint agents and employees to serve for such time and to have such duties and
authority as the Board of Directors or the Chairman of the Board may determine.
SECTION 3. Any officer or agent elected or appointed by the Board of
Directors or the Chief Executive Officer may be removed, with or without cause,
at any time, by the Board of Directors, but such removal shall be without
prejudice to the contract rights, if any, of the person so removed. Election or
appointment of an officer or agent shall not of itself create any contract right
in favor of such officer or agent.
SECTION 4. Vacancies occurring in any office filled by the Board of
Directors because of death, resignation, removal, and disqualification or
otherwise, shall be filled by the Nominating Committee of the Board of
Directors, or if none, by the Board of Directors, for the unexpired portion of
the term. A vacancy in any other office for any reason shall be filled by the
Chairman of the Board of Directors for the unexpired portion of the term.
SECTION 5. The Chairman of the Board of Directors shall, when present,
preside at all meetings of the stockholders and of the Board of Directors.
Unless otherwise determined by the Board of Directors, the Chairman of the Board
of Directors shall be the Chief Executive Officer of the Corporation, and in
general shall perform all duties incident to the office of the Chairman of the
Board of Directors and such other duties as may be prescribed by the Board of
Directors from time to time.
SECTION 6. The Chief Executive Officer, subject to the control of the
Board of Directors, shall in general supervise control of the business and
affairs of the Corporation. The Chief Executive Officer may sign, with the
Secretary or any Assistant Secretary, certificates for shares of the
Corporation, any deeds, mortgages, bonds, contracts, or other instruments which
the
12
Board of Directors has authorized to be executed, except in cases where the
signing and execution thereof shall be expressly delegated by the Board of
Directors or by these By−Laws to some other officers or agent of the
Corporation, or shall be required by law to be otherwise signed or executed; and
in general shall perform all duties incident to the office of the Chief
Executive Officer and such other duties as may be prescribed by the Board of
Directors from time to time.
SECTION 7. The Vice Chairman of the Board of Directors (or in the event
there be more than one Vice Chairman, the Vice Chairman in the order designated
by the Board of Directors at the time of their election or from time to time
thereafter, or in the absence of any designation, then in the order of the Vice
Chairman who has held such office for the longest consecutive period) shall
preside at meetings of the stockholders and the Board of Directors in the
absence of the Chairman of the Board of Directors, or in the event of his or her
death, inability or refusal to act. The Vice Chairman of the Board of Directors
shall perform all duties incident to the office of Vice Chairman of the Board of
Directors and such other duties as from time to time may be assigned to him or
her by the Board of Directors or the Chairman of the Board of Directors.
SECTION 8. The Chief Operating Officer, subject to the control of the
Board of Directors and the Chief Executive Officer, shall in general supervise
the administrative affairs of the Corporation. The Chief Operating Officer may
sign, with the Secretary or an Assistant Secretary, certificates for shares of
the Corporation, any deeds, mortgages, bonds, contracts, or other instruments
which the Board of Directors has authorized to be executed, except in cases
where the signing and execution thereof shall be expressly delegated by the
Board of Directors or by these By−Laws to some other officers or agent of the
Corporation, or shall be required by law to be otherwise signed or executed; and
in general shall perform all duties incident to the office of the Chief
Operating Officer and such other duties as may be prescribed by the Board of
Directors or the Chief Executive Officer from time to time.
SECTION 9. The President shall have such administrative and supervisory
duties as are assigned to the President by the Board of Directors or the Chief
Executive Officer. The President may sign, with the Secretary or an Assistant
Secretary, certificates for shares of the Corporation, any deeds, mortgages,
bonds, contracts, or other instruments which the Board of Directors has
authorized to be executed, except in cases where the signing and execution
thereof shall be expressly delegated by the Board of Directors or by these
By−Laws to some other officers or agent of the Corporation, or shall be required
by law to be otherwise signed or executed; and in general shall perform all
duties incident to the office of President and such other duties as may be
prescribed by the Board of Directors from time to time.
SECTION 10. The Board may elect one or more Vice−Presidents with such
designations as determined by the Board. In the absence of the President or in
the event of their death, inability or refusal to act, the Vice President (or in
the event there be more than one Vice President, the Vice Presidents in the
order designated by the Board of Directors at the time of their election or from
time to time thereafter, or in the absence of any designation, then in the order
of the Vice President who has held such office for the longest period) shall
perform the duties of the President, and when so acting, shall have all the
powers of and be subject to all the restrictions upon the President. Each Vice
President shall perform such other duties as from time
13
to time may be assigned to him or her by the Chief Executive Officer, the Chief
Operating Officer, or by the Board of Directors.
SECTION 11. The Secretary shall: (a) keep the minutes of the proceedings
of the stockholders and of the Board of Directors (including each committee of
the Board of Directors) in one or more books provided for that purpose; (b) see
that all notices are duly given in accordance with the provisions of these
By−Laws or as required by law; (c) be custodian of the corporate records and of
the seal of the Corporation and see that the seal of the Corporation is affixed
to all documents the execution of which on behalf of the Corporation under its
seal is duly authorized; (d) keep a register of the post office address of each
stockholder which shall be furnished to the Secretary by such stockholder; (e)
sign with the Chairman of the Board of Directors, Vice Chairman of the Board of
Directors, President, or a Vice President, certificates for shares of the
Corporation, the issuance of which shall have been authorized by resolution of
the Board of Directors; (f) have general charge of the stock transfer books of
the Corporation; and (g) in general perform all duties incident to the office of
Secretary and such other duties as from time to time may be assigned to him or
her by the Chief Executive Officer, the Chief Operating Officer, or by the Board
of Directors.
SECTION 12. The Treasurer shall: (a) have charge and custody of and be
responsible for all funds and securities of the Corporation; (b) receive and
give receipts for moneys due and payable to the Corporation from any source
whatsoever, and deposit all such moneys in the name of the Corporation in such
banks, trust companies or other depositories as shall be selected by the Board
of Directors; and (c) in general perform all of the duties as from time to time
may be assigned to him or her by the Chief Executive Officer, the Chief
Operating Officer, or by the Board of Directors. If required by the Board of
Directors, the Treasurer shall give a bond for the faithful discharge of his or
her duties in such sum and with such surety or sureties as the Board of
Directors shall determine.
SECTION 13. The Assistant Treasurers shall perform the duties of the
Treasurer during his absence or incapacity. The Assistant Secretaries shall
perform the duties of the Secretary during his absence or incapacity. The
Assistant Secretaries may sign with the Chairman of the Board of Directors, Vice
Chairman of the Board of Directors, President, or a Vice President certificates
for shares of the Corporation the issuance of which shall have been authorized
by a resolution of the Board of Directors. The Assistant Secretaries and
Assistant Treasurers, in general, shall perform such duties as shall be assigned
to them by the Secretary or the Treasurer, respectively, by the Chief Executive
Officer, the Chief Operating Officer, or by the Board of Directors. The
Assistant Treasurers shall, if required by the Board of Directors, give bonds
for the faithful discharge of their duties in such sums and with such sureties
as the Board of Directors shall determine. The Assistant Secretaries and
Assistant Treasurers, in general, shall perform such duties as shall be assigned
to them by the Secretary or the Treasurer, respectively, or by the Chief
Executive Officer, the Chief Operating Officer, or the Board of Directors.
SECTION 14. The salaries of all officers, employees and agents of the
Corporation, including the Chairman of the Board of Directors, Chief Executive
Officer, Vice Chairman of the Board of Directors, Chief Operating Officer,
President, Secretary and Treasurer, shall be fixed from time to time by the
Board of Directors; provided, however, that the Board of Directors may delegate
to any committee of the Board of Directors, or to any officer(s) of the
Corporation, the
14
power to fix the compensation of any officer, employee or agent of the
Corporation. No officer shall be prevented from receiving such salary by reason
of the fact that he or she is also a director of the Corporation.
ARTICLE VII
CERTIFICATES OF STOCK
SECTION 1. Every holder of stock in the Corporation shall be entitled to
have a certificate, signed by, or in the name of, the Corporation by the
Chairman of the Board of Directors, the President, or a Vice President, and the
Secretary or an Assistant Secretary, of the Corporation, certifying the number
of shares owned by such holder in the Corporation.
SECTION 2. Where a certificate is countersigned (l) by a transfer agent
other than the Corporation, or (2) by a registrar other than the Corporation,
any other signature on the certificate may be a facsimile. In case any officer,
transfer agent or registrar who has signed or whose facsimile signature has been
placed upon a certificate shall have ceased to be such officer, transfer agent
or registrar before such certificate is issued, it may be issued by the
Corporation with the same effect as if he were such officer, transfer agent or
registrar at the date of issue.
SECTION 3. The Board of Directors may direct a new certificate or
certificates to be issued in place of any certificate or certificates
theretofore issued by the Corporation alleged to have been lost, stolen or
destroyed, upon the making of an affidavit of that fact by the person claiming
the certificate of stock to be lost, stolen or destroyed. When authorizing such
issue of a new certificate or certificates, the Board of Directors may, in its
discretion and as a condition precedent to the issuance thereof, require the
owner of such lost, stolen or destroyed certificate or certificates, or his
legal representative, to advertise the same in such manner as it shall require
and/or to give the Corporation a bond or indemnity agreement in such sum as it
may direct as indemnity against any claim that may be made against the
Corporation with respect to the certificate alleged to have been lost, stolen or
destroyed.
SECTION 4. Upon surrender to the Corporation or the transfer agent of the
Corporation of a certificate for shares duly endorsed or accompanied by proper
evidence of succession, assignment or authority to transfer, it shall be the
duty of the Corporation, subject to any restrictions on transfer noted
conspicuously on such certificate or imposed by law, to issue a new certificate
to the person entitled thereto, cancel the old certificate and record the
transaction upon its books.
SECTION 5. In order that the Corporation may determine the stockholders
entitled to notice of or to vote at any meeting of the stockholders or any
adjournment thereof, or to express consent to corporate action in writing
without a meeting, or entitled to receive payment of any dividend or other
distribution or allotment of any rights, or entitled to exercise any rights in
respect of any change, conversion or exchange of stock or for the purpose of any
other lawful action, the Board of Directors may fix, in advance, a record date,
which shall not be more than sixty nor less than ten days before the date of
such meeting, nor more than sixty days prior to any other action. A
determination of stockholders of record entitled to notice of or to vote at a
15
meeting of stockholders shall apply to any adjournment of the meeting subject to
the provisions of Article II, Section 10 hereof.
SECTION 6. The Corporation shall be entitled to recognize the exclusive
right of a person registered on its books as the owner of shares to receive
dividends, and to vote as such owner, and to hold liable for calls and
assessments a person registered on its books as the owner of shares, and shall
not be found to recognize any equitable or other claim to interest in such share
or shares on the part of any other person, whether or not it shall have express
or other notice thereof, except as otherwise provided by the applicable law.
ARTICLE VIII
GENERAL PROVISIONS
SECTION 1. Dividends upon the capital stock of the Corporation, subject to
the provisions of the Certificate of Incorporation, if any, may be declared by
the Board of Directors at any regular or special meeting, pursuant to law.
Dividends may be paid in cash, in property, or in shares of the capital stock,
subject to the provisions of the Certificate of Incorporation.
SECTION 2. Before payment of any dividend, there may be set aside out of
any funds of the Corporation available for dividends such sum or sums as the
directors from time to time, in their absolute discretion, think proper as a
reserve or reserves to meet contingencies, or for equalizing dividends, or for
repairing or maintaining any property of the Corporation, or for such other
purpose as the directors shall think conducive to the interest of the
Corporation, and the directors may modify or abolish any such reserve in the
manner in which it was created.
SECTION 3. All checks or demands for money and notes of the Corporation
shall be signed by such officer or officers or such other person or persons as
the Board of Directors may from time to time designate.
SECTION 4. The fiscal year of the Corporation shall be as established from
time to time by the Board of Directors.
SECTION 5. The corporate seal shall have inscribed thereon the name of the
Corporation, the year of its organization and the words "Corporate Seal,
Delaware". The seal may be used by causing it or a facsimile thereof to be
impressed or affixed or reproduced or otherwise.
ARTICLE IX
INDEMNIFICATION
SECTION 1. The Corporation shall indemnify and hold harmless any person
who was or is a party or is threatened to be made a party to any threatened,
pending or completed action, suit or proceeding, whether civil, criminal,
administrative or investigative (other than an action by or in the right of the
Corporation) by reason of the fact that the person is or was a director,
officer, employee or agent of the Corporation, or is or was serving at the
request of the
16
Corporation as a director, officer, employee or agent of another corporation,
partnership, joint venture, trust or other enterprise, against expenses
(including attorneys' fees), judgments, fines and amounts paid in settlement
actually and reasonably incurred by the person in connection with such action,
suit or proceeding if the person acted in good faith and in a manner the person
reasonably believed to be in or not opposed to the best interests of the
Corporation, and, with respect to any criminal action or proceeding, had no
reasonable cause to believe the person's conduct was unlawful. The termination
of any action, suit or proceeding by judgment, order, settlement, conviction, or
upon a plea of nolo contendere or its equivalent, shall not, of itself, create a
presumption that the person did not act in good faith and in a manner which the
person reasonably believed to be in or not opposed to the best interests of the
Corporation, and, with respect to any criminal action or proceeding, had
reasonable cause to believe that the person's conduct was unlawful.
SECTION 2. The Corporation shall indemnify and hold harmless any person
who was or is a party or is threatened to be made a party to any threatened,
pending or completed action or suit by or in the right of the Corporation to
procure a judgment in its favor by reason of the fact that the person is or was
a director, officer, employee or agent of the Corporation, or is or was serving
at the request of the Corporation, as a director, officer, employee or agent of
another corporation, partnership, joint venture, trust or other enterprise
against expenses (including attorneys' fees) actually and reasonably incurred by
the person in connection with the defense or settlement of such action or suit
if the person acted in good faith and in a manner the person reasonably believed
to be in or not opposed to the best interests of the Corporation, except that no
indemnification shall be made in respect of any claim, issue or matter as to
which such person shall have been adjudged to be liable to the Corporation
unless and only to the extent that the Court of Chancery or the court in which
such action or suit was brought shall determine upon application that, despite
the adjudication of liability but in view of all the circumstances of the case,
such person is fairly and reasonably entitled to indemnity for such expenses
which the Court of Chancery or such other court shall deem proper.
SECTION 3. To the extent that a present or former director, officer,
employee or agent of the Corporation has been successful on the merits or
otherwise, including the dismissal of an action without prejudice, the
disposition of a claim or issue by partial summary judgment, or any other
partial success, or the settlement of any action without admission of liability,
in defense of any action, suit or proceeding referred to in Sections 1 or 2 of
this Article IX, or in defense of any claim, issue or matter therein, such
person shall be indemnified against expenses (including attorneys' fees)
actually and reasonably incurred by such person in connection therewith.
SECTION 4. Expenses incurred in defending or investigating a civil,
criminal, administrative, or investigative action, suit or proceeding shall be
paid by the Corporation in advance of the final disposition of such action, suit
or proceeding upon receipt of an undertaking by or on behalf of the director,
officer, employee or agent of the Corporation to repay such amount if it shall
ultimately be determined that such person is not entitled to be indemnified by
the Corporation.
SECTION 5. The indemnification and advancement of expenses provided by, or
granted pursuant to, the other portions of this Article IX shall not be deemed
exclusive of any other rights to which those seeking indemnification or
advancement of expenses may be entitled under any
17
By−Law, agreement, vote of stockholders or disinterested directors, court order
or otherwise, both as to action in such person's official capacity and as to
action in another capacity while holding such office. It is the policy of the
Corporation that indemnification shall be made to the fullest extent permitted
by law (as it presently exists or may hereafter be amended). All rights to
indemnification under this Article IX shall be deemed to be provided by a
contract between the Corporation and the director, officer, employee or agent of
the Corporation who serves in such capacity at any time while these By−Laws and
other relevant provisions of the General Corporation Law of the State of
Delaware and other applicable law, if any, are in effect. Any repeal or
modification thereof shall not effect any rights or obligations then existing.
SECTION 6. Any indemnification or advance shall be made promptly and in
any event within forty−five (45) days, upon the written request of the director,
officer, employee or agent of the Corporation, unless a determination is
reasonably and promptly made that such director, officer, employee or agent
failed to meet the applicable standard of conduct set forth in Sections 1 or 2
of this Article IX. Such determination shall be made (l) by the Board of
Directors by a majority vote of a quorum consisting of disinterested directors,
or (2) by a committee of such directors designated by majority vote of such
directors, even though less than a quorum, or (3) if such a quorum is not
obtainable, or, even if obtainable a quorum of disinterested directors so
directs, by independent legal counsel in a written opinion, or (4) by the
stockholders. If the request for indemnification involves an action, suit or
proceeding that arises from the merger, consolidation, reorganization,
liquidation, sale of all or substantially all of the assets, or other
extraordinary transaction of the Corporation, the inquiry and resolution thereof
required by this Section 6, at the option of the person seeking indemnification,
shall be made by a neutral person mutually acceptable to the Corporation and the
person seeking indemnification (the "Neutral Person"). If no disposition of such
claim for indemnification is made within forty−five (45) days, a favorable
determination of entitlement to indemnification shall be deemed to have been
made. The expenses (including attorney's fees) incurred by the person seeking
indemnification in connection with successfully establishing such person's right
to indemnification, in whole or in part, shall also be indemnified by the
Corporation.
SECTION 7. The indemnification and advancement of expenses provided by, or
granted pursuant to, this Article IX shall continue as to a person who has
ceased to be a director, officer, employee or agent of the Corporation and shall
inure to the benefit of the heirs, executors and administrators of such person.
SECTION 8. Neither the repeal or modification of this Article IX nor the
adoption of any provision of the Certificate of Incorporation or the By−Laws
inconsistent with this Article IX shall adversely affect the rights of any
director, officer, employee or agent of the Corporation with respect to causes
of action, suits or claims that accrue or arise prior to such repeal,
modification or adoption of an inconsistent provision. If this Article IX or any
portion thereof shall be invalidated on any ground by any court of competent
jurisdiction, then the Corporation shall nevertheless indemnify each director,
officer, employee and agent against expenses (including attorneys' fees),
judgments, fines and amounts paid in settlement with respect to any action, suit
or proceeding whether civil, criminal, administrative or investigative, and
whether internal or external, including a grand jury proceeding and an action or
suit brought by or in the right of the Corporation, to the fullest extent
permitted by applicable portions of this Article IX that shall not have been
invalidated, or by any other applicable law.
18
SECTION 9. The Corporation may purchase and maintain insurance on behalf
of any person who is or was a director, officer, employee or agent of the
Corporation against any liability asserted against such person and incurred by
such person in any such capacity, or arising out of such person's status as
such, whether or not the Corporation would have the power to indemnify such
person against such liability under the provisions of this Article IX.
SECTION 10. Upon resolution adopted by the Board of Directors, the
Corporation may establish a trust or other designated account, grant a security
interest or use other means (including, without limitation, a letter of credit),
to ensure the payment of certain of its obligations arising under this Article
IX and/or agreements which may be entered into between the Corporation and
directors, officers, employees, or agents of the Corporation from time to time.
SECTION 11. For purposes of this Article X, references to "the
Corporation" shall include, in addition to the resulting or surviving
corporation, any constituent corporation (including any constituent of a
constituent) absorbed in a consolidation or merger which, if its separate
existence had continued, would have had power to indemnify its directors,
officers and employees or agents, so that any person who is or was a director,
officer, employee or agent of such constituent corporation, or is or was serving
at the request of such constituent corporation as a director, officer, employee
or agent of another corporation, partnership, joint venture, trust or other
enterprise, shall stand in the same position under this Article IX with respect
to the resulting or surviving corporation as such person would have with respect
to such constituent corporation if its separate existence had continued;
references to "other enterprises" shall include employee benefit plans;
references to "fines" shall include any excise taxes assessed against a person
with respect to any employee benefit plan; references to "serving at the request
of the Corporation" shall include any service as a director, officer, employee
or agent of the Corporation which imposes duties on, or involves services by,
such director, officer, employee or agent with respect to any employee benefit
plan, its participants, or beneficiaries; references to "director, officer,
employee or agent of the Corporation" shall include any person who is or was a
director, officer, employee or agent of the Corporation, or is or was serving at
the request of the Corporation as a director, officer, employee or agent of
another corporation, partnership, joint venture, trust or other enterprise; and
a person who acted in good faith and in a manner such person reasonably believed
to be in the interest of the participants and beneficiaries of an employee
benefit plan shall be deemed to have acted in a manner "not opposed to the best
interests of the Corporation" as referred to in this Article IX.
SECTION 12. If a director, officer, employee or agent of the Corporation
is entitled to indemnification under Sections 1 or 2 of this Article IX for a
portion of expenses, including attorneys' fees, judgments, penalties, fines, and
amounts paid in settlement, but not for the total amount, the Corporation shall
indemnify the director, officer, employee or agent of the Corporation for the
portion of the expenses, judgments, penalties, fines, or amounts paid in
settlement for which such director, officer, employee or agent of the
Corporation is entitled to be indemnified.
SECTION 13. Each and every paragraph, sentence, term and provision of this
Article IX shall be considered severable in that, in the event a court finds any
paragraph, sentence, term or provision to be invalid or unenforceable, the
validity and enforceability, operation, or effect of
19
the remaining paragraphs, sentences, terms, or provisions shall not be affected,
and this Article IX shall be construed in all respects as if the invalid or
unenforceable matter had been omitted.
SECTION 14. If the Delaware General Corporation Law is amended to
authorize further expansion of the rights of any director, officer, employee or
agent of the Corporation to indemnification by the Corporation, then the rights
of such director, officer, employee or agent of the Corporation to such
indemnification hereunder shall be expanded to the fullest extent permitted by
the Delaware General Corporation Law, as so amended.
ARTICLE X
AMENDMENTS
SECTION 1. To the extent permitted by the Certificate of Incorporation,
these By−Laws may be altered, amended or repealed or new By−Laws may be adopted
by the stockholders or by the Board of Directors at any regular meeting of the
stockholders or of the Board of Directors or at any special meeting of the
stockholders or of the Board of Directors if notice of such alteration,
amendment, repeal or adoption of new By−Laws be contained in the notice of such
meeting. Amendment of these By−Laws by the Board of Directors shall require the
vote of not less than a majority of the members of the Board of Directors then
in office.
20
Exhibit 10.7
PROASSURANCE GROUP
EMPLOYEE BENEFIT PLAN
.
.
.
TABLE OF CONTENTS
PAGE
−−−−
ARTICLE I
DEFINITIONS
ARTICLE II
PARTICIPATION
SECTION 2.01 ELIGIBILITY.............................................. 3
SECTION 2.02 EFFECTIVE DATE OF PARTICIPATION.......................... 4
SECTION 2.03 APPLICATION TO PARTICIPATE............................... 4
SECTION 2.04 TERMINATION OF PARTICIPATION............................. 4
SECTION 2.05 CHANGE OF EMPLOYMENT STATUS.............................. 4
SECTION 2.06 TERMINATION OF EMPLOYMENT................................ 5
SECTION 2.07 DEATH.................................................... 5
ARTICLE III
CONTRIBUTIONS TO THE PLAN
SECTION 3.01 SALARY REDIRECTION....................................... 6
SECTION 3.02 APPLICATION OF CONTRIBUTIONS............................. 6
SECTION 3.03 PERIODIC CONTRIBUTIONS................................... 6
ARTICLE IV
BENEFITS
SECTION 4.01 BENEFITS................................................. 7
SECTION 4.02 HEALTH CARE REIMBURSEMENT PROGRAM........................ 7
SECTION 4.03 DEPENDENT CARE ASSISTANCE PROGRAM........................ 7
SECTION 4.04 HEALTH INSURANCE BENEFIT................................. 7
SECTION 4.05 GROUP LIFE INSURANCE BENEFIT............................. 8
SECTION 4.06 DISABILITY INSURANCE BENEFIT............................. 8
SECTION 4.07 EXECUTIVE SUPPLEMENTAL LIFE INSURANCE BENEFIT............ 8
SECTION 4.08 NONDISCRIMINATION REQUIREMENTS........................... 8
i
ARTICLE V
PARTICIPANT ELECTIONS FOR CAFETERIA BENEFITS
SECTION 5.01 INITIAL ELECTIONS........................................ 9
SECTION 5.02 SUBSEQUENT ANNUAL ELECTIONS.............................. 9
SECTION 5.03 FAILURE TO ELECT......................................... 10
SECTION 5.04 CHANGE OF ELECTIONS...................................... 10
ARTICLE VI
HEALTH CARE REIMBURSEMENT PROGRAM
SECTION 6.01 ESTABLISHMENT OF PROGRAM................................. 13
SECTION 6.02 DEFINITIONS.............................................. 13
SECTION 6.03 FORFEITURES.............................................. 14
SECTION 6.04 LIMITATION ON ALLOCATIONS................................ 14
SECTION 6.05 NONDISCRIMINATION REQUIREMENTS........................... 14
SECTION 6.06 COORDINATION WITH CAFETERIA PLAN......................... 15
SECTION 6.07 HEALTH CARE REIMBURSEMENT CLAIMS......................... 15
ARTICLE VII
DEPENDENT CARE ASSISTANCE PROGRAM
SECTION 7.01 ESTABLISHMENT OF PROGRAM................................. 16
SECTION 7.02 DEFINITIONS.............................................. 16
SECTION 7.03 DEPENDENT CARE ASSISTANCE ACCOUNTS....................... 17
SECTION 7.04 INCREASES IN DEPENDENT CARE ASSISTANCE ACCOUNTS.......... 18
SECTION 7.05 DECREASES IN DEPENDENT CARE ASSISTANCE ACCOUNTS.......... 18
SECTION 7.06 ALLOWABLE DEPENDENT CARE ASSISTANCE REIMBURSEMENT........ 18
SECTION 7.07 STATEMENT OF BENEFITS.................................... 18
SECTION 7.08 FORFEITURES.............................................. 18
SECTION 7.09 LIMITATION ON PAYMENTS................................... 18
SECTION 7.10 NONDISCRIMINATION REQUIREMENTS........................... 18
SECTION 7.11 COORDINATION WITH CAFETERIA PLAN......................... 19
SECTION 7.12 DEPENDENT CARE ASSISTANCE PROGRAM CLAIMS................. 19
ii
ARTICLE VIII
EXECUTIVE SUPPLEMENTAL LIFE INSURANCE PROGRAM
SECTION 8.01 ESTABLISHMENT OF PLAN.................................... 20
SECTION 8.02 PARTICIPATION &TERMINATION.............................. 20
SECTION 8.03 COORDINATION WITH CAFETERIA PLAN......................... 21
ARTICLE IX
ERISA PROVISIONS
SECTION 9.01 CLAIM FOR BENEFITS....................................... 21
SECTION 9.02 APPLICATION OF BENEFIT PLAN SURPLUS...................... 23
SECTION 9.03 NAMED FIDUCIARY.......................................... 24
SECTION 9.04 GENERAL FIDUCIARY RESPONSIBILITIES....................... 24
SECTION 9.05 NONASSIGNABILITY OF RIGHTS............................... 24
ARTICLE X
ADMINISTRATION
SECTION 10.01 PLAN ADMINISTRATION...................................... 24
SECTION 10.02 EXAMINATION OF RECORDS................................... 25
SECTION 10.03 PAYMENT OF EXPENSES...................................... 25
SECTION 10.04 INSURANCE CONTROL CLAUSE................................. 25
SECTION 10.05 INDEMNIFICATION OF ADMINISTRATOR......................... 25
ARTICLE XI
AMENDMENT OR TERMINATION OF PLAN
SECTION 11.01 AMENDMENT................................................ 26
SECTION 11.02 TERMINATION.............................................. 26
ARTICLE XII
MISCELLANEOUS
SECTION 12.01 PLAN INTERPRETATION...................................... 26
SECTION 12.02 GENDER AND NUMBER........................................ 26
SECTION 12.03 WRITTEN DOCUMENT......................................... 27
SECTION 12.04 EXCLUSIVE BENEFIT........................................ 27
SECTION 12.05 PARTICIPANT'S RIGHTS..................................... 27
SECTION 12.06 ACTION BY THE EMPLOYER................................... 27
iii
SECTION 12.07 EMPLOYER'S PROTECTIVE CLAUSES............................ 27
SECTION 12.08 NO GUARANTEE OF TAX CONSEQUENCES......................... 28
SECTION 12.09 INDEMNIFICATION OF EMPLOYER BY PARTICIPANTS.............. 28
SECTION 12.10 FUNDING.................................................. 28
SECTION 12.11 GOVERNING LAW............................................ 28
SECTION 12.12 SEVERABILITY............................................. 28
SECTION 12.13 CAPTIONS................................................. 29
SECTION 12.14 CONTINUATION OF COVERAGE................................. 29
SECTION 12.15 FAMILY AND MEDICAL LEAVE ACT............................. 29
SECTION 12.16 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT...... 29
SECTION 12.17 UNIFORM SERVICES EMPLOYMENT AND
REEMPLOYMENT RIGHTS ACT.................................. 29
iv
PROASSURANCE GROUP
EMPLOYEE BENEFIT PLAN
INTRODUCTION
Effective January 1, 1995, Mutual Assurance, Inc. established the
Mutual Assurance, Inc. and Affiliated Companies Employee Benefit Plan (the
"Plan") for the benefit of its and its Affiliated Companies' eligible employees
and their dependents. At the time of its initial establishment, the Plan had
three components: group medical insurance, long term disability insurance, and a
cafeteria program under Code Section 125. Effective January 1, 2002, the name of
the Plan was changed to the ProAssurance Corporation Employee Benefit Plan, and
the Plan was expanded to include a fourth component − group life and accidental
death and dismemberment insurance. Effective October 1, 2003, the Plan was
restated and amended in its entirety. Pursuant to the restated Plan,
ProAssurance Group Services Corporation became the sponsor of the Plan and the
name of the Plan was changed to the ProAssurance Group Employee Benefit Plan.
The restated Plan also contains provisions adding a fifth component to the Plan
− executive supplemental life insurance − which such addition is effective May
1, 2003.
The purpose of the Plan is to recognize the contribution made to
the Employers who have adopted the Plan by its Employees. The Plan's purpose is
to reward them by providing benefits for those Employees who shall qualify
hereunder and their dependents and beneficiaries.
ARTICLE I
DEFINITIONS
SECTION 1.01 "Administrator" means the individual(s) or corporation
appointed by the Employer to carry out the administration of the Plan. The
Employer shall be empowered to appoint and remove the Administrator from time to
time as it deems necessary for the proper administration of the Plan. In the
event the Administrator has not been appointed, or resigns from a prior
appointment, the Employer shall be deemed to be the Administrator.
SECTION 1.02 "Affiliated Employer" means the Employer and any
corporation which is a member of a controlled group of corporations (as defined
in Code Section 414(b)) which includes the Employer; any trade or business
(whether or not incorporated) which is under common control (as defined in Code
Section 414(c)) with the Employer; any organization (whether or not
incorporated) which is a member of an affiliated service group (as defined in
Code Section 414(m)) which includes the Employer; and any other entity required
to be aggregated with the Employer pursuant to Treasury regulations under Code
Section 414(o).
SECTION 1.03 "Benefit" includes "Plan Benefits" and "Cafeteria
Benefits." "Plan Benefit" means any of the benefits provided to Eligible
Employees by the Employer at no cost to the Employee as outlined in Section
4.01(b). "Cafeteria Benefit" means any of the optional contributory benefit
choices available to a Participant as outlined in Section 4.01(a).
SECTION 1.04 "Cafeteria Plan" means the component of this Plan which
provides for a cafeteria program under Section 125 of the Code.
1
SECTION 1.05 "Cafeteria Plan Benefit Dollars" means the amount
available to Participants, pursuant to Article III, to purchase Cafeteria
Benefits. Each dollar contributed through Salary Redirection to this Plan shall
be converted into one Cafeteria Plan Benefit Dollar.
SECTION 1.06 "Code" means the Internal Revenue Code of 1986, as
amended or replaced from time to time.
SECTION 1.07 "Compensation" means the amounts received by the
Participant from the Employer during a Plan Year.
SECTION 1.08 "Dependent" means any individual who qualifies as a
dependent under an Insurance Contract or under Code Section 152 (as modified by
Code Section 105(b)).
SECTION 1.09 "Effective Date" means January 1, 1995.
SECTION 1.10 "Election Period" means the period immediately preceding
the beginning of each Plan Year established by the Administrator, such period to
be applied on a uniform and nondiscriminatory basis for all Employees and
Participants. However, an Employee's initial Election Period shall be determined
pursuant to Section 5.01.
SECTION 1.11 "Eligible Employee" means any Employee who has satisfied
the provisions of Section 2.01.
An individual shall not be an "Eligible Employee" if such
individual is not reported on the payroll records of the Employer as a common
law employee. In particular, it is expressly intended that individuals not
treated as common law employees by the Employer on its payroll records are not
"Eligible Employees" and are excluded from Plan participation even if a court or
administrative agency determines that such individuals are common law employees
and not independent contractors.
However, any Employee who is a "part−time" Employee shall not be
eligible to participate in this Plan. A "part−time" Employee is any Employee who
works, or is expected to work on a regular basis, less than 30 hours a week.
SECTION 1.12 "Employee" means any person who is employed by the
Employer. The term Employee shall include leased employees within the meaning of
Code Section 414(n)(2).
SECTION 1.13 "Employer" means ProAssurance Group Services Corporation
and any successor which shall maintain this Plan; and any predecessor which has
maintained this Plan.
SECTION 1.14 "ERISA" means the Employee Retirement Income Security Act
of 1974, as amended from time to time.
SECTION 1.15 "Insurance Contract" means any contract issued by an
Insurer underwriting a Benefit.
SECTION 1.16 "Insurance Premium Payment Program" means the plan of
benefits contained in Section 4.01 of this Plan, which provides for the payment
of Premium Expenses.
SECTION 1.17 "Insurer" means any insurance company that underwrites a
Benefit under this Plan.
2
SECTION 1.18 "Key Employee" means an Employee described in Code
Section 416(i)(1) and the Treasury regulations thereunder.
SECTION 1.19 "Participant" means any Eligible Employee who elects to
become a Participant pursuant to Section 2.03 and has not for any reason become
ineligible to participate further in the Plan.
SECTION 1.20 "Plan" means this instrument, including all amendments
thereto.
SECTION 1.21 "Plan Year" means the 12−month period beginning January 1
and ending December 31. The Plan Year shall be the coverage period for the
Benefits provided for under this Plan. In the event a Participant commences
participation during a Plan Year, then the initial coverage period shall be that
portion of the Plan Year commencing on such Participant's date of entry and
ending on the last day of such Plan Year.
SECTION 1.22 "Premium Expenses" or "Premiums" mean the Participant's
cost for the Cafeteria Benefits described in Section 4.01(a)(3) .
SECTION 1.23 "Premium Reimbursement Account" means the account
established for a Participant pursuant to this Plan to which part of his
Cafeteria Plan Benefit Dollars may be allocated and from which Premiums of the
Participant may be paid or reimbursed. If more than one type of insured
Cafeteria Benefit is elected, sub−accounts shall be established for each type of
insured Cafeteria Benefit.
SECTION 1.24 "Salary Redirection" means the contributions made by the
Employer on behalf of Participants pursuant to Section 3.01. These contributions
shall be converted to Cafeteria Plan Benefit Dollars and allocated to the funds
or accounts established under the Plan pursuant to the Participants' elections
made under Article V.
SECTION 1.25 "Salary Redirection Agreement" means an agreement between
the Participant and the Employer under which the Participant agrees to reduce
his Compensation or to forego all or part of the increases in such Compensation
and to have such amounts contributed by the Employer to the Plan on the
Participant's behalf. The Salary Redirection Agreement shall apply only to
Compensation that has not been actually or constructively received by the
Participant as of the date of the agreement (after taking this Plan and Code
Section 125 into account) and, subsequently does not become currently available
to the Participant.
SECTION 1.26 "Spouse" means the legally married husband or wife of a
Participant, unless legally separated by court decree.
ARTICLE II
PARTICIPATION
SECTION 2.01 ELIGIBILITY
Except as otherwise provided herein, any Eligible Employee shall
be eligible to participate hereunder on his date of employment (or the Effective
Date of the Plan, if later). Notwithstanding the foregoing, an Eligible Employee
shall be eligible to participate hereunder with respect to insured Benefits as
of the date he is eligible under the relevant Insurance
3
Contract. However, any Eligible Employee who was a Participant in the Plan on
the effective date of this amendment shall continue to be eligible to
participate in the Plan.
SECTION 2.02 EFFECTIVE DATE OF PARTICIPATION
An Eligible Employee shall become a Participant effective as of
the first day of the month coinciding with or next following the date on which
he met the eligibility requirements of Section 2.01.
SECTION 2.03 APPLICATION TO PARTICIPATE
An Employee who is eligible to participate in this Plan shall,
during the applicable Election Period, complete an application to participate
and election of Cafeteria Benefits form which the Administrator shall furnish to
the Employee. The Cafeteria Benefits election made on such form shall be
irrevocable until the end of the applicable Plan Year unless the Participant is
entitled to change his Benefit elections pursuant to Section 5.04 hereof.
An Eligible Employee shall also be required to execute a Salary
Redirection Agreement during the Election Period for the Plan Year during which
he wishes to participate in this Plan. Any such Salary Redirection Agreement
shall be effective for the first pay period beginning on or after the Employee's
effective date of participation pursuant to Section 2.02.
SECTION 2.04 TERMINATION OF PARTICIPATION
Except with respect to benefits under Article VIII, a Participant
shall no longer participate in this Plan upon the occurrence of any of the
following events:
(a) His termination of employment, subject to the provisions of
Section 2.06;
(b) The end of the Plan Year during which he became a limited
Participant because of a change in employment status pursuant to
Section 2.05;
(c) His death, subject to the provisions of Section 2.07; or
(d) The termination of this Plan, subject to the provisions of
Section 11.02.
SECTION 2.05 CHANGE OF EMPLOYMENT STATUS
If a Participant ceases to be eligible to participate because of
a change in employment status or classification (other than through termination
of employment), the Participant shall become a limited Participant in this Plan
for the remainder of the Plan Year in which such change of employment status
occurs. As a limited Participant, no further Salary Redirection may be made on
behalf of the Participant, and, except as otherwise provided herein, all further
Benefit elections shall cease, subject to the limited Participant's right to
continue coverage under any Insurance Contracts. However, any balances in the
limited Participant's Dependent Care Assistance Account may be used during such
Plan Year to reimburse the limited Participant for any allowable
Employment−Related Dependent Care incurred during the Plan Year. Subject to the
provisions of Section 2.06, if the limited Participant later becomes an Eligible
Employee, then the limited Participant may again become a full Participant in
this Plan, provided he otherwise satisfies the participation requirements set
forth in this Article II as if he were a new Employee and made an election in
accordance with
4
Section 5.01. Notwithstanding the foregoing, a Participant's rights to benefits
under Article VIII shall be determined in accordance with that Article.
SECTION 2.06 TERMINATION OF EMPLOYMENT
If a Participant's employment with the Employer is terminated for
any reason other than death, his participation in the Plan shall be governed in
accordance with the following:
(a) With regard to Benefits which are insured, the Participant's
participation in the Plan shall cease, subject to the Participant's
right to continue coverage under any Insurance Contract for which
premiums have already been paid.
(b) With regard to the Dependent Care Assistance Program, the
Participant's participation in the Plan shall cease and no further
Salary Redirection contributions shall be made. However, such
Participant may submit claims for employment related Dependent Care
Expense reimbursements for 60 days after termination, based on the
level of his Dependent Care Assistance Account as of his date of
termination.
(c) With regard to the Health Care Reimbursement Plan, the
Participant's participation in the Plan shall cease and no further
Salary Redirection contributions shall be made. However, such
Participant may submit claims for expenses incurred prior to date of
termination of employment up to 30 days after his termination date.
(d) In the event a Participant terminates his participation in
the Health Care Reimbursement Program during the Plan Year, if Salary
Redirections are made other than on a pro rata basis, upon termination
the Participant shall be entitled to a reimbursement for any Salary
Redirection previously paid for coverage or benefits relating to the
period after the date of the Participant's separation from service
regardless of the Participant's claims or reimbursements as of such
date.
(e) This Section shall be applied and administered consistent
with such further rights a Participant and his Dependents may be
entitled to pursuant to Code Section 4980B and Section 12.14 of the
Plan.
(f) Notwithstanding the foregoing, a Participant's right to
benefits under Article VIII shall be determined in accordance with the
provisions of that Article.
SECTION 2.07 DEATH
If a Participant dies, his participation in the Plan shall cease.
However, such Participant's beneficiaries, or the representative of his estate,
may submit claims for expenses or benefits for the remainder of the Plan Year or
until the Cafeteria Plan Benefit Dollars allocated to each specific Cafeteria
Benefit are exhausted. A Participant may designate a specific beneficiary for
this purpose. If no such beneficiary is specified, the Administrator may
designate the Participant's Spouse, one of his Dependents or a representative of
his estate.
5
ARTICLE III
CONTRIBUTIONS TO THE PLAN
SECTION 3.01 SALARY REDIRECTION
Benefits under the Plan shall be financed by Salary Redirections
sufficient to support Cafeteria Benefits that a Participant has elected
hereunder and to pay the Participant's Premium Expenses. The salary
administration program of the Employer shall be revised to allow each
Participant to agree to reduce his pay during a Plan Year by an amount
determined necessary to purchase the elected Cafeteria Benefit. The amount of
such Salary Redirection shall be specified in the Salary Redirection Agreement
and shall be applicable for a Plan Year. Notwithstanding the above, for new
Participants, the Salary Redirection Agreement shall only be applicable from the
first day of the pay period following the Employee's entry date up to and
including the last day of the Plan Year. However, in no event shall a
Participant's Salary Redirection per Plan Year exceed the sum of (a) the amount
specified in Section 6.04, (b) the amount specified in Section 7.09, plus (c)
the amount of the required contribution for the Health Insurance Benefit which
is described in Section 4.40. These contributions shall be converted to
Cafeteria Plan Benefit Dollars and allocated to the funds or accounts
established under the Plan pursuant to the Participants' elections made under
Article V.
Any Salary Redirection shall be determined prior to the beginning
of a Plan Year (subject to initial elections pursuant to Section 5.01) and prior
to the end of the Election Period and shall be irrevocable for such Plan Year.
However, a Participant may revoke a Benefit election or a Salary Redirection
Agreement after the Plan Year has commenced and make a new election with respect
to the remainder of the Plan Year, if both the revocation and the new election
are on account of and consistent with a change in status and such other
permitted events as determined under Article V of the Plan and consistent with
the rules and regulations of the Department of the Treasury. Salary Redirection
amounts shall be contributed on a pro rata basis for each pay period during the
Plan Year. All individual Salary Redirection Agreements are deemed to be part of
this Plan and incorporated by reference hereunder.
SECTION 3.02 APPLICATION OF CONTRIBUTIONS
As soon as reasonably practical after each payroll period, the
Employer shall apply the Salary Redirection to provide the Cafeteria Benefits
elected by the affected Participants. Any contribution made or withheld for the
Health Care Reimbursement Fund or Dependent Care Assistance Account shall be
credited to such fund or account. Amounts designated for the Participant's
Premium Expense Reimbursement Account shall likewise be credited to such account
for the purpose of paying Premium Expenses.
SECTION 3.03 PERIODIC CONTRIBUTIONS
Notwithstanding the requirement provided above and in other
Articles of this Plan that Salary Redirections be contributed to the Plan by the
Employer on behalf of an Employee on a level and pro rata basis for each payroll
period, the Employer and Administrator may implement a procedure in which Salary
Redirections are contributed throughout the Plan Year on a periodic basis that
is not pro rata for each payroll period. However, with regard to the Health Care
Reimbursement Program, the payment schedule for the required contributions may
not be based on the rate or amount of reimbursements during the Plan Year. In
the event Salary Redirections are not made on a pro rata basis, upon termination
of participation, a Participant may be entitled to a refund of such Salary
Redirections pursuant to Section 2.06.
6
ARTICLE IV
BENEFITS
SECTION 4.01 BENEFITS
(a) Each Participant may elect to have the amount of his
Cafeteria Plan Benefit Dollars applied to any one or more of the
following optional Cafeteria Benefits (to the extent the Participant
is eligible for such benefit):
(1) Health Care Reimbursement Program
(2) Dependent Care Assistance Program
(3) Insurance Premium Payment Program − Health Insurance
Benefit
(b) Each Participant may be eligible for the following Plan
Benefits in accordance with terms of this Plan and the Insurance
Contract pursuant to which such Plan Benefit is provided:
(1) Group Life Insurance Benefit
(2) Disability Insurance Benefit
(3) Executive Supplemental Life Insurance Benefit
SECTION 4.02 HEALTH CARE REIMBURSEMENT PROGRAM
Each Participant may elect coverage under the Health Care
Reimbursement Program option, in which case Article VI shall apply.
SECTION 4.03 DEPENDENT CARE ASSISTANCE PROGRAM
Each Participant may elect coverage under the Dependent Care
Assistance Program option, in which case Article VII shall apply.
SECTION 4.04 HEALTH INSURANCE BENEFIT
(a) Each Participant may elect to be covered under a health and
hospitalization Insurance Contract for the Participant, his or her
spouse, and his or her Dependents.
(b) The Employer may select suitable health, hospitalization, and
dental Insurance Contracts for use in providing this health insurance
benefit, which policies will provide uniform benefits for all
Participants electing this Benefit.
(c) The rights and conditions with respect to the benefits
payable from such health and hospitalization Insurance Contract shall
be determined therefrom, and such Insurance Contract shall be
incorporated herein by reference.
7
SECTION 4.05 GROUP LIFE INSURANCE BENEFIT
(a) Each Participant will be covered under the Group Life
Insurance Benefit if eligible therefor.
(b) The Employer may select suitable Life Insurance Contracts for
use in providing this Group Life Insurance Benefit.
(c) The rights and conditions with respect to the Benefits
payable from such Group Life Insurance Contract shall be determined
therefrom, and such Group Life Insurance Contract shall be
incorporated herein by reference.
SECTION 4.06 DISABILITY INSURANCE BENEFIT
(a) Each Participant will be covered under the Employer's Group
Disability Insurance Contract if eligible therefor.
(b) The Employer may select suitable Disability Insurance
Contracts for use in providing this disability Benefit. The Disability
Insurance Contract(s) may provide for long−term or short−term
coverage.
(c) The rights and conditions with respect to the Benefits
payable from such Disability Insurance Contract shall be determined
therefrom, and such Disability Insurance Contract shall be
incorporated herein by reference.
SECTION 4.07 EXECUTIVE SUPPLEMENTAL LIFE INSURANCE BENEFIT
(a) The Employer has elected to purchase business−owned life
insurance on behalf of certain Participants.
(b) The rights, conditions and benefits with respect to the
Executive Supplemental Life Insurance Benefit are set forth in Article
VIII.
SECTION 4.08 NONDISCRIMINATION REQUIREMENTS
(a) It is the intent of this Plan to provide Cafeteria Benefits
to a classification of employees which the Secretary of the Treasury
finds not to be discriminatory in favor of the group in whose favor
discrimination may not occur under Code Section 125.
(b) It is the intent of this Plan not to provide "qualified
Benefits" as defined under Code Section 125 to Key Employees in
amounts that exceed 25% of the aggregate of such Cafeteria Benefits
provided for all Eligible Employees under the Plan. For purposes of
the preceding sentence, "qualified benefits" shall not include
benefits which (without regard to this paragraph) are includible in
gross income.
(c) If the Administrator deems it necessary to avoid
discrimination or possible taxation to Key Employees or a group of
employees in whose favor discrimination may not occur in violation of
Code Section 125, it may, but shall not be required to, reject any
election or reduce contributions or non−taxable Cafeteria Benefits in
order to assure compliance with this Section. Any act taken by the
Administrator under this Section shall be carried out in a uniform and
nondiscriminatory manner. If the Administrator decides
8
to reject any election or reduce contributions or non−taxable
Cafeteria Benefits, it shall be done in the following manner. First,
the non−taxable Cafeteria Benefits of the affected Participant (either
an employee who is highly compensated or a Key Employee, whichever is
applicable) who has the highest amount of non−taxable Cafeteria
Benefits for the Plan Year shall have his non−taxable benefits reduced
until the discrimination tests set forth in this Section are satisfied
or until the amount of his non−taxable Cafeteria Benefits equals the
non−taxable Cafeteria Benefits of the affected Participant who has the
second highest amount of non−taxable Cafeteria Benefits . This process
shall continue until the nondiscrimination tests set forth in this
Section are satisfied. With respect to any affected Participant who
has had Cafeteria Benefits reduced pursuant to this Section, the
reduction shall be made proportionately among Health Care
Reimbursement Program Benefits and Dependent Care Assistance Program
Benefits, and once all these Cafeteria Benefits are expended,
proportionately among insured Cafeteria Benefits. Contributions which
are not utilized to provide Cafeteria Benefits to any Participant by
virtue of any administrative act under this paragraph shall be
forfeited and deposited into the benefit plan surplus.
ARTICLE V
PARTICIPANT ELECTIONS FOR CAFETERIA BENEFITS
SECTION 5.01 INITIAL ELECTIONS
An Employee who meets the eligibility requirements of Section
2.01 on the first day of, or during, a Plan Year may elect to participate in the
component of this Plan which provides Cafeteria Benefits for all or the
remainder of such Plan Year, provided he elects to do so before his effective
date of participation pursuant to Section 2.02. However, if such Employee does
not complete an application to participate and benefit election form and deliver
it to the Administrator before such date, his Election Period shall extend 30
calendar days after such date, or for such further period as the Administrator
shall determine and apply on a uniform and nondiscriminatory basis. However, any
election during the extended 30−day election period pursuant to this Section
5.01 shall not be effective until the first pay period following the later of
such Participant's effective date of participation pursuant to Section 2.02 or
the date of the receipt of the election form by the Administrator, and shall be
limited to the Cafeteria Benefit expenses incurred for the balance of the Plan
Year for which the election is made. Notwithstanding the foregoing, in the case
of insured Benefits, a new Participant will automatically be enrolled for such
Benefits unless the Participant elects not to be covered.
SECTION 5.02 SUBSEQUENT ANNUAL ELECTIONS
During the Election Period prior to each subsequent Plan Year,
each Participant shall be given the opportunity to elect, on an election of
benefits form to be provided by the Administrator, which Benefit options he
wishes to select and purchase with his Cafeteria Plan Benefit Dollars. Any such
election shall be effective for any Cafeteria Benefit expenses incurred during
the Plan Year which follows the end of the Election Period. With regard to
subsequent annual elections, the following options shall apply:
(a) A Participant or Employee who failed to initially elect to
participate may elect different or new Cafeteria Benefits under the
Plan during the Election Period;
9
(b) A Participant may terminate his participation in the Plan by
notifying the Administrator in writing during the Election Period that
he does not want to participate in the Plan for the next Plan Year;
(c) An Employee who elects not to participate for the Plan Year
following the Election Period will have to wait until the next
Election Period before again electing to participate in the Plan,
except as provided for in Section 5.04.
SECTION 5.03 FAILURE TO ELECT
Any Participant who fails to complete a new benefit election form
pursuant to Section 5.02 by the end of the applicable Election Period shall be
treated in the following manner:
(a) With regard to Cafeteria Benefits available under the Plan
for which no Premium Expenses apply, such Participant shall be deemed
to have elected not to participate in the Plan for the upcoming Plan
Year. No further Salary Redirections shall therefore be authorized or
made for the subsequent Plan Year for such Cafeteria Benefits.
(b) With regard to Cafeteria Benefits available under the Plan
for which Premium Expenses apply, such Participant shall be deemed to
have made the same Cafeteria Benefit elections as are then in effect
for the current Plan Year. The Participant shall also be deemed to
have elected Salary Redirection in an amount necessary to purchase
such Cafeteria Benefit options.
SECTION 5.04 CHANGE OF ELECTIONS
(a) Any Participant may change a Cafeteria Benefit election after
the Plan Year (to which such election relates) has commenced and make
new elections with respect to the remainder of such Plan Year if,
under the facts and circumstances, the changes are necessitated by and
are consistent with a change in status which is acceptable under rules
and regulations adopted by the Department of the Treasury, the
provisions of which are incorporated by reference. Notwithstanding
anything herein to the contrary, if the rules and regulations
conflict, then such rules and regulations shall control.
In general, a change in election is not consistent if the
change in status is the Participant's divorce, annulment or legal
separation from a spouse, the death of a spouse or dependent, or a
dependent ceasing to satisfy the eligibility requirements for
coverage, and the Participant's election under the Plan is to cancel
accident or health insurance coverage for any individual other than
the one involved in such event. In addition, if the Participant,
spouse or dependent gains or loses eligibility for coverage, then a
Participant's election under the Plan to cease or decrease coverage
for that individual under the Plan corresponds with that change in
status only if coverage for that individual becomes applicable or is
increased under the family member plan.
Regardless of the consistency requirement, if the
individual, the individual's spouse, or dependent becomes eligible for
continuation coverage under the Employer's group health plan as
provided in Code Section 4980B or any similar state law, then the
individual may elect to increase payments under this Plan in order to
pay
10
for the continuation coverage. However, this does not apply for COBRA
eligibility due to divorce, annulment or legal separation.
Any new election shall be effective at such time as the
Administrator shall prescribe, but not earlier than the first pay
period beginning after the election form is completed and returned to
the Administrator. For the purposes of this subsection, a change in
status shall only include the following events or other events
permitted by Treasury regulations:
(1) Legal Marital Status: events that change a Participant's
legal marital status, including marriage, divorce, death of a
spouse, legal separation or annulment;
(2) Number of Dependents: Events that change a Participant's
number of dependents, including birth, adoption, placement for
adoption, or death of a dependent;
(3) Employment Status: Any of the following events that
change the employment status of the Participant, spouse, or
dependent: termination or commencement of employment, a strike or
lockout, commencement or return from an unpaid leave of absence,
or a change in worksite. In addition, if the eligibility
conditions of this Plan or other employee benefit plan of the
Employer of the Participant, spouse, or dependent depend on the
employment status of that individual and there is a change in
that individual's employment status with the consequence that the
individual becomes (or ceases to be) eligible under the Plan,
then that change constitutes a change in employment under this
subsection;
(4) Dependent satisfies or ceases to satisfy the eligibility
requirements: An event that causes the Participant's dependent to
satisfy or cease to satisfy the requirements for coverage due to
attainment of age, student status, or any similar circumstance;
and
(5) Residency: A change in the place of residence of the
Participant, spouse or dependent.
For the Dependent Care Assistance Program, a dependent
becoming or ceasing to be a "Qualifying Dependent" as defined under
Code Section 21(b) shall also qualify as a change in status.
(b) Notwithstanding subsection (a), a Participant may change an
election for accident or health coverage during a Plan Year and make a
new election that corresponds with the special enrollment rights
provided in Code Section 9801(f). Such change shall take place on a
prospective basis.
(c) Notwithstanding subsection (a), in the event of a judgment,
decree, or order ("order") resulting from a divorce, legal separation,
annulment, or change in legal custody (including a qualified medical
child support order defined in ERISA Section 609) which requires
accident or health coverage for a Participant's child (including a
foster child who is a dependent of the Participant):
11
(1) The Plan may change an election to provide coverage for
the child if the order requires coverage under the Participant's
plan; or
(2) The Participant shall be permitted to change an election
to cancel coverage for the child if the order requires the former
spouse to provide coverage for such child, under that
individual's plan and such coverage is actually provided.
(d) Notwithstanding subsection (a), a Participant may change
elections to cancel accident or health coverage for the Participant or
the Participant's spouse or dependent if the Participant or the
Participant's spouse or dependent is enrolled in the accident or
health coverage of the Employer and becomes entitled to coverage
(i.e., enrolled) under Part A or Part B of the Title XVIII of the
Social Security Act (Medicare) or Title XIX of the Social Security Act
(Medicaid), other than coverage consisting solely of benefits under
Section 1928 of the Social Security Act (the program for distribution
of pediatric vaccines). If the Participant or the Participant's spouse
or dependent who has been entitled to Medicaid or Medicare coverage
loses eligibility, that individual may prospectively elect coverage
under the Plan if a benefit package option under the Plan provides
similar coverage.
(e) If the cost of a Cafeteria Benefit provided under the Plan
increases or decreases during a Plan Year, then the Plan shall
automatically increase or decrease, as the case may be, the Salary
Redirections of all affected Participants for such Cafeteria Benefit.
Alternatively, if the cost of a benefit package option increases
significantly, the Administrator shall permit the affected
Participants to either make corresponding changes in their payments or
revoke their elections and, in lieu thereof, receive on a prospective
basis coverage under another benefit package option with similar
coverage, or drop coverage prospectively if there is no benefit
package option with similar coverage.
A cost increase or decrease refers to an increase or
decrease in the amount of elective contributions under the Plan,
whether resulting from an action taken by the Participants or an
action taken by the Employer.
If the coverage under a Cafeteria Benefit is significantly
curtailed or ceases during a Plan Year, affected Participants may
revoke their elections of such cafeteria Benefit and, in lieu thereof,
elect to receive on a prospective basis coverage under another plan
with similar coverage, or drop coverage prospectively if no similar
coverage is offered.
If, during the period of coverage, a new benefit package
option or other coverage option is added, an existing benefit package
option is significantly improved, or an existing benefit package
option or other coverage option is eliminated, then the affected
Participants may elect the newly−added option, or elect another option
if an option has been eliminated prospectively and make corresponding
election changes with respect to other benefit package options
providing similar coverage. In addition, those Eligible Employees who
are not participating in the Plan may opt to become Participants and
elect the new or newly improved benefit package option.
A Participant may make a prospective election change to add
group health coverage for the Participant, the Participant's spouse or
dependent if such
12
individual loses group health coverage sponsored by a governmental or
educational institution, including a state children's health insurance
program under the Social Security Act, the Indian Health Service or a
health program offered by an Indian tribal government, a state health
benefits risk pool, or a foreign government group health plan.
A Participant may make a prospective election change that is
on account of and corresponds with a change made under the Plan of a
spouse's, former spouse's or dependent's employer if (1) the cafeteria
plan or other benefits plan of the spouse's, former spouse's or
dependent's employer permits its participants to make a change; or (2)
the Plan permits participants to make an election for a period of
coverage that is different from the period of coverage under the
cafeteria plan of a spouse's, former spouse's or dependent's employer.
A Participant may make a prospective election change that is
on account of and corresponds with a change by the Participant in the
dependent care provider. The availability of dependent care services
from a new childcare provider is similar to a new benefit package
option becoming available. A cost change is allowable in the Dependent
Care Assistance Program only if the cost change is imposed by a
dependent care provider who is not related to the Participant, as
defined in Code Section 152(a)(1) through (8).
A Participant shall not be permitted to change an election
to the Health Care Reimbursement Plan as a result of a cost or
coverage change under this subsection.
ARTICLE VI
HEALTH CARE REIMBURSEMENT PROGRAM
SECTION 6.01 ESTABLISHMENT OF PROGRAM
This Health Care Reimbursement Program is intended to qualify as
a medical reimbursement plan under Code Section 105 and shall be interpreted in
a manner consistent with such Code Section and the Treasury regulations
thereunder. Participants who elect to participate in this Health Care
Reimbursement Program may submit claims for the reimbursement of Medical
Expenses. All amounts reimbursed under this Health Care Reimbursement Program
shall be periodically paid from amounts allocated to the Health Care
Reimbursement Fund. Periodic payments reimbursing Participants from the Health
Care Reimbursement Fund shall in no event occur less frequently than monthly.
SECTION 6.02 DEFINITIONS
For the purposes of this Article and the Cafeteria Plan, the
terms below have the following meaning:
(a) "Health Care Reimbursement Fund" means the fund established
for Participants pursuant to this Plan to which part of their
Cafeteria Plan Benefit Dollars may be allocated and from which all
allowable Medical Expenses may be reimbursed.
(b) "Health Care Reimbursement Program" means the plan of
benefits contained in this Article, which provides for the
reimbursement of eligible Medical Expenses incurred by a Participant
or his Dependents.
13
(c) "Highly Compensated Participant" means, for the purposes of
this Article and determining discrimination under Code Section 105(h),
a participant who is:
(1) one of the 5 highest paid officers;
(2) a shareholder who owns (or is considered to own applying
the rules of Code Section 318) more than 10 percent in value of
the stock of the Employer; or
(3) among the highest paid 25 percent of all Employees
(other than exclusions permitted by Code Section 105(h)(3)(B) for
those individuals who are not Participants).
(d) "Medical Expenses" means any expense for medical care within
the meaning of the term "medical care" or "medical expense" as defined
in Code Section 213 and the rulings and Treasury regulations
thereunder, and not otherwise used by the Participant as a deduction
in determining his tax liability under the Code. However, a
Participant may not be reimbursed for the cost of other health
coverage such as premiums paid under plans maintained by the employer
of the Participant's spouse or individual policies maintained by the
Participant or his spouse or Dependent. Furthermore, a Participant may
not be reimbursed for "qualified long−term care services" as defined
in Code Section 7702B(c). Effective October 1, 2003, Medical Expenses
will include medicines and drugs purchased without a physician's
prescription.
(e) The definitions of Article I are hereby incorporated by
reference to the extent necessary to interpret and apply the
provisions of this Health Care Reimbursement Program.
SECTION 6.03 FORFEITURES
The amount in the Health Care Reimbursement Fund as of the end of
any Plan Year (and after the processing of all claims for such Plan Year
pursuant to Section 6.07 hereof) shall be forfeited and credited to the benefit
plan surplus. In such event, the Participant shall have no further claim to such
amount for any reason, subject to Section 9.02.
SECTION 6.04 LIMITATION ON ALLOCATIONS
Notwithstanding any provision contained in this Health Care
Reimbursement Program to the contrary, no more than $5,000 may be allocated to
the Health Care Reimbursement Fund by a Participant in or on account of any Plan
Year.
SECTION 6.05 NONDISCRIMINATION REQUIREMENTS
(a) It is the intent of this Health Care Reimbursement Program
not to discriminate in violation of the Code and the Treasury
regulations thereunder.
(b) If the Administrator deems it necessary to avoid
discrimination under this Health Care Reimbursement Program, it may,
but shall not be required to, reject any elections or reduce
contributions or Benefits in order to assure compliance with this
Section. Any act taken by the Administrator under this Section shall
be carried out in a uniform and nondiscriminatory manner. If the
Administrator decides to reject any
14
elections or reduce contributions or Benefits, it shall be done in the
following manner. First, the Benefits designated for the Health Care
Reimbursement Fund by the member of the group in whose favor
discrimination may not occur pursuant to Code Section 105 that elected
to contribute the highest amount to the fund for the Plan Year shall
be reduced until the nondiscrimination tests set forth in this Section
or the Code are satisfied, or until the amount designated for the fund
equals the amount designated for the fund by the next member of the
group in whose favor discrimination may not occur pursuant to Code
Section 105 who has elected the second highest contribution to the
Health Care Reimbursement Fund for the Plan Year. This process shall
continue until the nondiscrimination tests set forth in this Section
or the Code are satisfied. Contributions which are not utilized to
provide Benefits to any Participant by virtue of any administrative
act under this paragraph shall be forfeited and credited to the
benefit plan surplus.
SECTION 6.06 COORDINATION WITH CAFETERIA PLAN
All Participants under the Cafeteria Plan are eligible to receive
Cafeteria Benefits under this Health Care Reimbursement Program. The enrollment
under the Cafeteria Plan shall constitute enrollment under this Health Care
Reimbursement Program. In addition, other matters concerning contributions,
elections and the like shall be governed by the general provisions of the
Cafeteria Plan.
SECTION 6.07 HEALTH CARE REIMBURSEMENT CLAIMS
(a) All Medical Expenses incurred by a Participant shall be
reimbursed during the Plan Year subject to Section 2.06, even though
the submission of such a claim occurs after his participation
hereunder ceases; but provided that the Medical Expenses were incurred
during the applicable Plan Year. Medical Expenses are treated as
having been incurred when the Participant is provided with the medical
care that gives rise to the Medical Expenses, not when the Participant
is formally billed or charged for, or pays for the medical care.
(b) The Administrator shall direct the reimbursement to each
eligible Participant for all allowable Medical Expenses, up to a
maximum of the amount designated by the Participant for the Health
Care Reimbursement Fund for the Plan Year (prorated in the event of
termination of employment). Reimbursements shall be made available to
the Participant throughout the year without regard to the level of
Cafeteria Plan Benefit Dollars which have been allocated to the fund
at any given point in time. Furthermore, a Participant shall be
entitled to reimbursements only for amounts in excess of any payments
or other reimbursements under any health care plan covering the
Participant and/or his Spouse or Dependents.
(c) Claims for the reimbursement of Medical Expenses incurred in
any Plan Year shall be paid as soon after a claim has been filed as is
administratively practicable; provided however, that if a Participant
fails to submit a claim within the 60 day period immediately following
the end of the Plan Year or 60 days after termination of employment,
those Medical Expense claims shall not be considered for reimbursement
by the Administrator.
(d) Reimbursement payments under this Plan shall be made directly
to the Participant. However, in the Administrator's discretion,
payments may be made directly
15
to the service provider. The application for payment or reimbursement
shall be made to the Administrator on an acceptable form within a
reasonable time of incurring the debt or paying for the service. The
application shall include a written statement from an independent
third party stating that the Medical Expense has been incurred and the
amount of such expense. Furthermore, the Participant shall provide a
written statement that the Medical Expense has not been reimbursed or
is not reimbursable under any other health plan coverage and, if
reimbursed from the Health Care Reimbursement Fund, such amount will
not be claimed as a tax deduction. The Administrator shall retain a
file of all such applications.
ARTICLE VII
DEPENDENT CARE ASSISTANCE PROGRAM
SECTION 7.01 ESTABLISHMENT OF PROGRAM
This Dependent Care Assistance Program is intended to qualify as
a program under Code Section 129 and shall be interpreted in a manner consistent
with such Code Section. Participants who elect to participate in this program
may submit claims for the reimbursement of Employment−Related Dependent Care
Expenses. All amounts reimbursed under this Dependent Care Assistance Program
shall be paid from amounts allocated to the Participant's Dependent Care
Assistance Account.
SECTION 7.02 DEFINITIONS
For the purposes of this Article and the Cafeteria Plan the terms
below shall have the following meaning:
(a) "Dependent Care Assistance Account" means the account
established for a Participant pursuant to this Article to which part
of his Cafeteria Plan Benefit Dollars may be allocated and from which
Employment−Related Dependent Care Expenses of the Participant may be
reimbursed.
(b) "Dependent Care Assistance Program" means the program of
benefits contained in this Article, which provides for the
reimbursement of eligible expenses for the care of the Qualifying
Dependents of Participants.
(c) "Earned Income" means earned income as defined under Code
Section 32(c)(2), but excluding such amounts paid or incurred by the
Employer for dependent care assistance to the Participant.
(d) "Employment−Related Dependent Care Expenses" means the
amounts paid for expenses of a Participant for those services which if
paid by the Participant would be considered employment related
expenses under Code Section 21(b)(2). Generally, they shall include
expenses for household services or for the care of a Qualifying
Dependent, to the extent that such expenses are incurred to enable the
Participant to be gainfully employed for any period for which there
are one or more Qualifying Dependents with respect to such
Participant. Employment−Related Dependent Care Expenses are treated as
having been incurred when the Participant's Qualifying Dependents are
provided with the dependent care that gives rise to the
Employment−Related Dependent Care Expenses, not when the Participant
is formally billed or charged for, or pays for the dependent care. The
determination of whether an
16
amount qualifies as an Employment−Related Dependent Care Expense shall
be made subject to the following rules:
(1) If such amounts are paid for expenses incurred outside
the Participant's household, they shall constitute
Employment−Related Dependent Care Expenses only if incurred for a
Qualifying Dependent as defined in Section 7.02(e)(1) (or deemed
to be, as described in Section 7.2(e)(1) pursuant to Section
7.02(e)(3)), or for a Qualifying Dependent as defined in Section
7.02(e)(2) (or deemed to be, as described in Section 7.2(e)(2)
pursuant to Section 7.02(e)(3)) who regularly spends at least 8
hours per day in the Participant's household;
(2) If the expense is incurred outside the Participant's
home at a facility that provides care for a fee, payment, or
grant for more than 6 individuals who do not regularly reside at
the facility, the facility must comply with all applicable state
and local laws and regulations, including licensing requirements,
if any; and
(3) Employment−Related Dependent Care Expenses of a
Participant shall not include amounts paid or incurred to a child
of such Participant who is under the age of 19 or to an
individual who is a dependent of such Participant or such
Participant's Spouse.
(e) "Qualifying Dependent" means, for Dependent Care Assistance
Program purposes,
(1) a Dependent of a Participant who is under the age of 13,
with respect to whom the Participant is entitled to an exemption
under Code Section 151(c);
(2) a Dependent or the Spouse of a Participant who is
physically or mentally incapable of caring for himself or
herself; or
(3) a child that is deemed to be a Qualifying Dependent
described in paragraph (1) or (2) above, whichever is
appropriate, pursuant to Code Section 21(e)(5).
(f) The definitions of Article I are hereby incorporated by
reference to the extent necessary to interpret and apply the
provisions of this Dependent Care Assistance Program.
SECTION 7.03 DEPENDENT CARE ASSISTANCE ACCOUNTS
The Administrator shall establish a Dependent Care Assistance
Account for each Participant who elects to apply Cafeteria Plan Benefit Dollars
to Dependent Care Assistance Program benefits.
17
SECTION 7.04 INCREASES IN DEPENDENT CARE ASSISTANCE ACCOUNTS
A Participant's Dependent Care Assistance Account shall be
increased each pay period by the portion of Cafeteria Plan Benefit Dollars that
he has elected to apply toward his Dependent Care Assistance Account pursuant to
elections made under Article V hereof.
SECTION 7.05 DECREASES IN DEPENDENT CARE ASSISTANCE ACCOUNTS
A Participant's Dependent Care Assistance Account shall be
reduced by the amount of any Employment−Related Dependent Care Expense
reimbursements paid or incurred on behalf of a Participant pursuant to Section
7.12 hereof.
SECTION 7.06 ALLOWABLE DEPENDENT CARE ASSISTANCE REIMBURSEMENT
Subject to limitations contained in Section 7.09 of this Program,
and to the extent of the amount contained in the Participant's Dependent Care
Assistance Account, a Participant who incurs Employment−Related Dependent Care
Expenses shall be entitled to receive from the Employer full reimbursement for
the entire amount of such expenses incurred during the Plan Year or portion
thereof during which he is a Participant.
SECTION 7.07 STATEMENT OF BENEFITS
Information about the benefits paid from your accounts in the
Plan is shown on each paycheck that you receive.
SECTION 7.08 FORFEITURES
The amount in a Participant's Dependent Care Assistance Account
as of the end of any Plan Year (and after the processing of all claims for such
Plan Year pursuant to Section 7.12 hereof) shall be forfeited and credited to
the benefit plan surplus. In such event, the Participant shall have no further
claim to such amount for any reason.
SECTION 7.09 LIMITATION ON PAYMENTS
Notwithstanding any provision contained in this Article to the
contrary, amounts paid from a Participant's Dependent Care Assistance Account in
or on account of any taxable year of the Participant shall not exceed the lesser
of the Earned Income limitation described in Code Section 129(b) or $5,000
($2,500 if a separate tax return is filed by a Participant who is married as
determined under the rules of paragraphs (3) and (4) of Code Section 21(e)).
SECTION 7.10 NONDISCRIMINATION REQUIREMENTS
(a) It is the intent of this Dependent Care Assistance Program
that contributions or benefits not discriminate in favor of the group
of employees in whose favor discrimination may not occur under Code
Section 129(d).
(b) It is the intent of this Dependent Care Assistance Program
that not more than 25 percent of the amounts paid by the Employer for
dependent care assistance during the Plan Year will be provided for
the class of individuals who are shareholders or owners (or their
Spouses or Dependents), each of whom (on any day of the Plan Year)
18
owns more than 5 percent of the stock or of the capital or profits
interest in the Employer.
(c) If the Administrator deems it necessary to avoid
discrimination or possible taxation to a group of employees in whose
favor discrimination may not occur in violation of Code Section 129 it
may, but shall not be required to, reject any elections or reduce
contributions or non−taxable benefits in order to assure compliance
with this Section. Any act taken by the Administrator under this
Section shall be carried out in a uniform and nondiscriminatory
manner. If the Administrator decides to reject any elections or reduce
contributions or Benefits, it shall be done in the following manner.
First, the Benefits designated for the Dependent Care Assistance
Account by the affected Participant that elected to contribute the
highest amount to such account for the Plan Year shall be reduced
until the nondiscrimination tests set forth in this Section are
satisfied, or until the amount designated for the account equals the
amount designated for the account of the affected Participant who has
elected the second highest contribution to the Dependent Care
Assistance Account for the Plan Year. This process shall continue
until the nondiscrimination tests set forth in this Section are
satisfied. Contributions which are not utilized to provide Benefits to
any Participant by virtue of any administrative act under this
paragraph shall be forfeited.
SECTION 7.11 COORDINATION WITH CAFETERIA PLAN
All Participants under the Cafeteria Plan are eligible to receive
Benefits under this Dependent Care Assistance Program. The enrollment and
termination of participation under the Cafeteria Plan shall constitute
enrollment and termination of participation under this Dependent Care Assistance
Program. In addition, other matters concerning contributions, elections and the
like shall be governed by the general provisions of the Cafeteria Plan.
SECTION 7.12 DEPENDENT CARE ASSISTANCE PROGRAM CLAIMS
The Administrator shall direct the payment of all such Dependent
Care Assistance claims to the Participant upon the presentation to the
Administrator of documentation of such expenses in a form satisfactory to the
Administrator. However, in the Administrator's discretion, payments may be made
directly to the service provider. In its discretion in administering the Plan,
the Administrator may utilize forms and require documentation of costs as may be
necessary to verify the claims submitted. At a minimum, the form shall include a
statement from an independent third party as proof that the expense has been
incurred and the amount of such expense. In addition, the Administrator may
require that each Participant who desires to receive reimbursement under this
Program for Employment−Related Dependent Care Expenses submit a statement which
may contain some or all of the following information:
(a) The Dependent or Dependents for whom the services were
performed;
(b) The nature of the services performed for the Participant, the
cost of which he wishes reimbursement;
(c) The relationship, if any, of the person performing the
services to the Participant;
19
(d) If the services are being performed by a child of the
Participant, the age of the child;
(e) A statement as to where the services were performed;
(f) If any of the services were performed outside the home, a
statement as to whether the Dependent for whom such services were
performed spends at least 8 hours a day in the Participant's
household;
(g) If the services were being performed in a day care center, a
statement:
(1) that the day care center complies with all applicable
laws and regulations of the state of residence,
(2) that the day care center provides care for more than 6
individuals (other than individuals residing at the center), and
(3) of the amount of fee paid to the provider.
(h) If the Participant is married, a statement containing the
following:
(1) the Spouse's salary or wages if he or she is employed,
or
(2) if the Participant's Spouse is not employed, that
(i) he or she is incapacitated, or
(ii) he or she is a full−time student attending an
educational institution and the months during the year which
he or she attended such institution.
(i) If a Participant fails to submit a claim within the 60 day
period immediately following the end of the Plan Year or within the 60
day period immediately following termination of employment, those
claims shall not be considered for reimbursement by the Administrator.
ARTICLE VIII
EXECUTIVE SUPPLEMENTAL LIFE INSURANCE PROGRAM
SECTION 8.01 ESTABLISHMENT OF PLAN
This Executive Supplemental Life Insurance Program has been
established by the Employer to attract, reward and retain certain highly
qualified Employees. The basis of this program is a business−owned life
insurance contract purchased and maintained by the Employer. The terms and
conditions of such contract are incorporated herein. The Employer reserves the
right to terminate this program at any time.
SECTION 8.02 PARTICIPATION & TERMINATION
(a) Participation in the Plan shall be limited to those Employees
of the Employer or of an Affiliated Employer selected by the Employer,
in its sole discretion, to participate in the Plan.
20
(b) A Participant's rights under this Plan shall cease and his or
her participation in the Plan shall terminate upon the election of
company to terminate the Executive Supplemental Life Insurance Program
or the Plan. Participation does not terminate upon termination of
employment.
SECTION 8.03 COORDINATION WITH CAFETERIA PLAN
Participants under the Cafeteria Plan are not eligible to receive
Benefits under this Executive Supplemental Life Insurance Program unless
selected by the Administrator. Enrollment under the Cafeteria Plan shall not
constitute enrollment under this Executive Supplemental Life Insurance Plan. In
addition, other matters concerning contributions, elections and the like shall
not be governed by the general provisions of the Cafeteria Plan and shall
instead be governed by this Article and the insurance contract incorporated
herein by reference.
ARTICLE IX
ERISA PROVISIONS
SECTION 9.01 CLAIM FOR BENEFITS
(a) Any claim for Benefits underwritten by an Insurance Contract
shall be made to the Insurer. If the Insurer denies any claim, the
Participant or beneficiary shall follow the Insurer's claims review
procedure. Any other claim for Benefits shall be made to the
Administrator. If the Administrator denies a claim, the Administrator
may provide notice to the Participant or beneficiary, in writing,
within 90 days after the claim is filed unless special circumstances
require an extension of time for processing the claim. If the
Administrator does not notify the Participant of the denial of the
claim within the 90 day period specified above, then the claim shall
be deemed denied. The notice of a denial of a claim shall be written
in a manner calculated to be understood by the claimant and shall set
forth:
(1) specific references to the pertinent Plan provisions on
which the denial is based;
(2) a description of any additional material or information
necessary for the claimant to perfect the claim and an
explanation as to why such information is necessary; and
(3) an explanation of the Plan's claim procedure.
(b) Within 60 days after receipt of the above material, the
claimant shall have a reasonable opportunity to appeal the claim
denial to the Administrator for a full and fair review. The claimant
or his duly authorized representative may:
(1) request a review upon written notice to the
Administrator;
(2) review pertinent documents; and
(3) submit issues and comments in writing.
(c) A decision on the review by the Administrator will be made
not later than 60 days after receipt of a request for review, unless
special circumstances require an
21
extension of time for processing (such as the need to hold a hearing),
in which event a decision should be rendered as soon as possible, but
in no event later than 120 days after such receipt. The decision of
the Administrator shall be written and shall include specific reasons
for the decision, written in a manner calculated to be understood by
the claimant, with specific references to the pertinent Plan
provisions on which the decision is based.
(d) Any balance remaining in the Participants' Health Care
Reimbursement Fund or Dependent Care Assistance Account as of the end
of each Plan Year shall be forfeited and deposited in the benefit plan
surplus of the Employer pursuant to Section 6.03 or Section 7.08,
whichever is applicable, unless the Participant had made a claim for
such Plan Year, in writing, which has been denied or is pending; in
which event the amount of the claim shall be held in his account until
the claim appeal procedures set forth above have been satisfied or the
claim is paid. If any such claim is denied on appeal, the amount held
beyond the end of the Plan Year shall be forfeited and credited to the
benefit plan surplus.
(e) Notwithstanding the foregoing, in the case of a claim for
medical expenses under the Health Care Reimbursement Plan, the
following timetable for claims and rules below apply:
Notification of whether claim is accepted or denied 30 days
Extension due to matters beyond the control of the Plan 15 days
Insufficient information on the Claim:
Notification of 15 days
Response by Participant 45 days
Review of claim denial 60 days
The Plan Administrator will provide written or electronic
notification of any claim denial. The notice will state:
(1) The specific reason or reasons for the denial.
(2) Reference to the specific Plan provisions on which the
denial was based.
(3) A description of any additional material or information
necessary for the claimant to perfect the claim and an
explanation of why such material or information is necessary.
(4) A description of the Plan's review procedures and the
time limits applicable to such procedures. This will include a
statement of the right to bring a civil action under section 502
of ERISA following a denial on review.
(5) A statement that the claimant is entitled to receive,
upon request and free of charge, reasonable access to, and copies
of, all documents, records, and other information relevant to the
Claim.
22
(6) If the denial was based on an internal rule, guideline,
protocol, or other similar criterion, the specific rule,
guideline, protocol, or criterion will be provided free of
charge. If this is not practical, a statement will be included
that such a rule, guideline, protocol, or criterion was relied
upon in making the denial and a copy will be provided free of
charge to the claimant upon request.
When the Participant receives a denial, the Participant shall
have 180 days following receipt of the notification in which to appeal the
decision. The Participant may submit written comments, documents, records, and
other information relating to the Claim. If the Participant requests, the
Participant shall be provided, free of charge, reasonable access to, and copies
of, all documents, records, and other information relevant to the Claim.
The period of time within which a denial on review is required to
be made will begin at the time an appeal is filed in accordance with the
procedures of the Plan. This timing is without regard to whether all the
necessary information accompanies the filing.
A document, record, or other information shall be considered
relevant to a Claim if it:
(1) was relied upon in making the claim determination;
(2) was submitted, considered, or generated in the course of
making the claim determination, without regard to whether it was
relied upon in making the claim determination;
(3) demonstrated compliance with the administrative
processes and safeguards designed to ensure and to verify that
claim determinations are made in accordance with Plan documents
and Plan provisions have been applied consistently with respect
to all claimants; or
(4) constituted a statement of policy or guidance with
respect to the Plan concerning the denied claim.
The review will take into account all comments, documents,
records, and other information submitted by the claimant relating to the Claim,
without regard to whether such information was submitted or considered in the
initial claim determination. The review will not afford deference to the initial
denial and will be conducted by a fiduciary of the Plan who is neither the
individual who made the adverse determination nor a subordinate of that
individual.
SECTION 9.02 APPLICATION OF BENEFIT PLAN SURPLUS
Any forfeited amounts credited to the benefit plan surplus by
virtue of the failure of a Participant to incur a qualified expense or seek
reimbursement in a timely manner may, but need not be, separately accounted for
after the close of the Plan Year (or after such further time specified herein
for the filing of claims) in which such forfeitures arose. In no event shall
such amounts be carried over to reimburse a Participant for expenses incurred
during a subsequent Plan Year for the same or any other Benefit available under
the Plan; nor shall amounts forfeited by a particular Participant be made
available to such Participant in any other form or
23
manner, except as permitted by Treasury regulations. Amounts in the benefit plan
surplus shall first be used to defray any administrative costs and experience
losses and thereafter be retained by the Employer.
SECTION 9.03 NAMED FIDUCIARY
The Administrator shall be the named fiduciary pursuant to ERISA
Section 402 and shall be responsible for the management and control of the
operation and administration of the Plan.
SECTION 9.04 GENERAL FIDUCIARY RESPONSIBILITIES
The Administrator and any other fiduciary under ERISA shall
discharge their duties with respect to this Plan solely in the interest of the
Participants and their beneficiaries and
(a) for the exclusive purpose of providing Benefits to
Participants and their beneficiaries and defraying reasonable expenses
of administering the Plan;
(b) with the care, skill, prudence and diligence under the
circumstances then prevailing that a prudent man acting in like
capacity and familiar with such matters would use in the conduct of an
enterprise of a like character and with like aims; and
(c) in accordance with the documents and instruments governing
the Plan insofar as such documents and instruments are consistent with
ERISA.
SECTION 9.05 NONASSIGNABILITY OF RIGHTS
The right of any Participant to receive any reimbursement under
the Plan shall not be alienable by the Participant by assignment or any other
method, and shall not be subject to the rights of creditors, and any attempt to
cause such right to be so subjected shall not be recognized, except to such
extent as may be required by law.
ARTICLE X
ADMINISTRATION
SECTION 10.01 PLAN ADMINISTRATION
The operation of the Plan shall be under the supervision of the
Administrator. It shall be a principal duty of the Administrator to see that the
Plan is carried out in accordance with its terms, and for the exclusive benefit
of Employees entitled to participate in the Plan. The Administrator shall have
full power to administer the Plan in all of its details, subject, however, to
the pertinent provisions of the Code. The Administrator's powers shall include,
but shall not be limited to the following authority, in addition to all other
powers provided by this Plan:
(a) To make and enforce such rules and regulations as the
Administrator deems necessary or proper for the efficient
administration of the Plan;
(b) To interpret the Plan, the Administrator's interpretations
thereof in good faith to be final and conclusive on all persons
claiming benefits by operation of the Plan;
24
(c) To decide all questions concerning the Plan and the
eligibility of any person to participate in the Plan and to receive
benefits provided by operation of the Plan;
(d) To reject elections or to limit contributions or Benefits for
certain highly compensated participants if it deems such to be
desirable in order to avoid discrimination under the Plan in violation
of applicable provisions of the Code;
(e) To provide Employees with a reasonable notification of their
benefits available by operation of the Plan;
(f) To approve reimbursement requests and to authorize the
payment of benefits; and
(g) To appoint such agents, counsel, accountants, consultants,
and actuaries as may be required to assist in administering the Plan.
Any procedure, discretionary act, interpretation or construction
taken by the Administrator shall be done in a nondiscriminatory manner
based upon uniform principles consistently applied and shall be consistent
with the intent that the Plan shall continue to comply with the terms of
Code Section 125 and the Treasury regulations thereunder.
SECTION 10.02 EXAMINATION OF RECORDS
The Administrator shall make available to each Participant,
Eligible Employee and any other Employee of the Employer such records as pertain
to their interest under the Plan for examination at reasonable times during
normal business hours.
SECTION 10.03 PAYMENT OF EXPENSES
Any reasonable administrative expenses shall be paid by the
Employer unless the Employer determines that administrative costs shall be borne
by the Participants under the Plan or by any Trust Fund which may be established
hereunder. The Administrator may impose reasonable conditions for payments,
provided that such conditions shall not discriminate in favor of highly
compensated employees.
SECTION 10.04 INSURANCE CONTROL CLAUSE
In the event of a conflict between the terms of this Plan and the
terms of an Insurance Contract of an independent third party Insurer whose
product is then being used in conjunction with this Plan, the terms of the
Insurance Contract shall control as to those Participants receiving coverage
under such Insurance Contract. For this purpose, the Insurance Contract shall
control in defining the persons eligible for insurance, the dates of their
eligibility, the conditions which must be satisfied to become insured, if any,
the benefits Participants are entitled to and the circumstances under which
insurance terminates.
SECTION 10.05 INDEMNIFICATION OF ADMINISTRATOR
The Employer agrees to indemnify and to defend to the fullest
extent permitted by law any Employee serving as the Administrator or as a member
of a committee designated as Administrator (including any Employee or former
Employee who previously served as
25
Administrator or as a member of such committee) against all liabilities,
damages, costs and expenses (including attorney's fees and amounts paid in
settlement of any claims approved by the Employer) occasioned by any act or
omission to act in connection with the Plan, if such act or omission is in good
faith.
ARTICLE XI
AMENDMENT OR TERMINATION OF PLAN
SECTION 11.01 AMENDMENT
The Employer, at any time or from time to time, may amend any or
all of the provisions of the Plan without the consent of any Employee or
Participant. No amendment shall have the effect of modifying any benefit
election of any Participant in effect at the time of such amendment, unless such
amendment is made to comply with Federal, state or local laws, statutes or
regulations.
SECTION 11.02 TERMINATION
The Employer is establishing this Plan with the intent that it
will be maintained for an indefinite period of time. Notwithstanding the
foregoing, the Employer reserves the right to terminate this Plan, in whole or
in part, at any time. In the event the Plan is terminated, no further
contributions shall be made. Benefits under any Insurance Contract shall be paid
in accordance with the terms of the Contract.
No further additions shall be made to the Health Care
Reimbursement Fund or Dependent Care Assistance Account, but all payments from
such fund shall continue to be made according to the elections in effect until
the end of the Plan Year in which the Plan termination occurs (and for a
reasonable period of time thereafter, if required for the filing of claims). Any
amounts remaining in any such fund or account as of the end of the Plan Year in
which Plan termination occurs shall be forfeited and deposited in the benefit
plan surplus after the expiration of the filing period.
ARTICLE XII
MISCELLANEOUS
SECTION 12.01 PLAN INTERPRETATION
All provisions of this Plan shall be interpreted and applied in a
uniform, nondiscriminatory manner. This Plan shall be read in its entirety and
not severed except as provided in Section 12.12.
SECTION 12.02 GENDER AND NUMBER
Wherever any words are used herein in the masculine, feminine or
neuter gender, they shall be construed as though they were also used in another
gender in all cases where they would so apply, and whenever any words are used
herein in the singular or plural form, they shall be construed as though they
were also used in the other form in all cases where they would so apply.
26
SECTION 12.03 WRITTEN DOCUMENT
This Plan, in conjunction with any separate written document
which may be required by law, is intended to satisfy the written Plan
requirement of Code Section 125 and any Treasury regulations thereunder relating
to cafeteria plans.
SECTION 12.04 EXCLUSIVE BENEFIT
This Plan shall be maintained for the exclusive benefit of the
Employees who participate in the Plan.
SECTION 12.05 PARTICIPANT'S RIGHTS
This Plan shall not be deemed to constitute an employment
contract between the Employer and any Participant or to be a consideration or an
inducement for the employment of any Participant or Employee. Nothing contained
in this Plan shall be deemed to give any Participant or Employee the right to be
retained in the service of the Employer or to interfere with the right of the
Employer to discharge any Participant or Employee at any time regardless of the
effect which such discharge shall have upon him as a Participant of this Plan.
SECTION 12.06 ACTION BY THE EMPLOYER
Whenever the Employer under the terms of the Plan is permitted or
required to do or perform any act or matter or thing, it shall be done and
performed by a person duly authorized by its legally constituted authority.
SECTION 12.07 EMPLOYER'S PROTECTIVE CLAUSES
(a) Upon the failure of either the Participant or the Employer to
obtain the insurance contemplated by this Plan (whether as a result of
negligence, gross neglect or otherwise), the Participant's Benefits
shall be limited to the insurance premium(s), if any, that remained
unpaid for the period in question and the actual insurance proceeds,
if any, received by the Employer or the Participant as a result of the
Participant's claim.
(b) The Employer's liability to the Participant shall only extend
to and shall be limited to any payment actually received by the
Employer from the Insurer. In the event that the full insurance
Benefit contemplated is not promptly received by the Employer within a
reasonable time after submission of a claim, then the Employer shall
notify the Participant of such facts and the Employer shall no longer
have any legal obligation whatsoever (except to execute any document
called for by a settlement reached by the Participant). The
Participant shall be free to settle, compromise or refuse to pursue
the claim as the Participant, in his sole discretion, shall see fit.
(c) The Employer shall not be responsible for the validity of any
Insurance Contract issued hereunder or for the failure on the part of
the Insurer to make payments provided for under any Insurance
Contract. Once insurance is applied for or obtained, the Employer
shall not be liable for any loss which may result from the failure to
pay Premiums to the extent Premium notices are not received by the
Employer.
27
SECTION 12.08 NO GUARANTEE OF TAX CONSEQUENCES
Neither the Administrator nor the Employer makes any commitment
or guarantee that any amounts paid to or for the benefit of a Participant under
the Plan will be excludable from the Participant's gross income for federal or
state income tax purposes, or that any other federal or state tax treatment will
apply to or be available to any Participant. It shall be the obligation of each
Participant to determine whether each payment under the Plan is excludable from
the Participant's gross income for federal and state income tax purposes, and to
notify the Employer if the Participant has reason to believe that any such
payment is not so excludable. Notwithstanding the foregoing, the rights of
Participants under this Plan shall be legally enforceable.
SECTION 12.09 INDEMNIFICATION OF EMPLOYER BY PARTICIPANTS
If any Participant receives one or more payments or
reimbursements under the Plan that are not for a permitted Benefit, such
Participant shall indemnify and reimburse the Employer for any liability it may
incur for failure to withhold federal or state income tax or Social Security tax
from such payments or reimbursements. However, such indemnification and
reimbursement shall not exceed the amount of additional federal and state income
tax (plus any penalties) that the Participant would have owed if the payments or
reimbursements had been made to the Participant as regular cash compensation,
plus the Participant's share of any Social Security tax that would have been
paid on such compensation, less any such additional income and Social Security
tax actually paid by the Participant.
SECTION 12.10 FUNDING
Unless otherwise required by law, contributions to the Plan need
not be placed in trust or dedicated to a specific Benefit, but may instead be
considered general assets of the Employer. Furthermore, and unless otherwise
required by law, nothing herein shall be construed to require the Employer or
the Administrator to maintain any fund or segregate any amount for the benefit
of any Participant, and no Participant or other person shall have any claim
against, right to, or security or other interest in, any fund, account or asset
of the Employer from which any payment under the Plan may be made.
SECTION 12.11 GOVERNING LAW
This Plan is governed by the Code and the Treasury regulations
issued thereunder (as they might be amended from time to time). In no event
shall the Employer guarantee the favorable tax treatment sought by this Plan. To
the extent not preempted by Federal law, the provisions of this Plan shall be
construed, enforced and administered according to the laws of the State of
Alabama.
SECTION 12.12 SEVERABILITY
If any provision of the Plan is held invalid or unenforceable,
its invalidity or unenforceability shall not affect any other provisions of the
Plan, and the Plan shall be construed and enforced as if such provision had not
been included herein.
28
SECTION 12.13 CAPTIONS
The captions contained herein are inserted only as a matter of
convenience and for reference, and in no way define, limit, enlarge or describe
the scope or intent of the Plan, nor in any way shall affect the Plan or the
construction of any provision thereof.
SECTION 12.14 CONTINUATION OF COVERAGE
Notwithstanding anything in the Plan to the contrary, in the
event any benefit under this Plan subject to the continuation coverage
requirement of Code Section 4980B becomes unavailable, each Participant will be
entitled to continuation coverage as prescribed in Code Section 4980B.
SECTION 12.15 FAMILY AND MEDICAL LEAVE ACT
Notwithstanding anything in the Plan to the contrary, in the
event any Benefit under this Plan becomes subject to the requirements of the
Family and Medical Leave Act and regulations thereunder, this Plan shall be
operated in accordance with Regulation 1.125−3.
SECTION 12.16 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
Notwithstanding anything in this Plan to the contrary, this Plan
shall be operated in accordance with HIPAA and regulations thereunder.
SECTION 12.17 UNIFORM SERVICES EMPLOYMENT AND REEMPLOYMENT RIGHTS ACT
Notwithstanding any provision of this Plan to the contrary,
contributions, benefits and service credit with respect to qualified military
service shall be provided in accordance with USERRA and the regulations
thereunder.
29
IN WITNESS WHEREOF, this Plan document is hereby executed this
__________ day of ________________________, 2003.
ProAssurance Group Services Corporation
By
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
EMPLOYER
30
CERTIFICATE OF CORPORATE RESOLUTION
The undersigned Secretary of ProAssurance Group Services
Corporation (the Corporation) hereby certifies that the following resolutions
were duly adopted by the board of directors of the Corporation on
______________________, and that such resolutions have not been modified or
rescinded as of the date hereof:
RESOLVED, that the form of amended Cafeteria Plan including a
Dependent Care Assistance Program and Health Care Reimbursement Plan effective
October 1, 2003, presented to this meeting is hereby approved and adopted and
that the proper officers of the Corporation are hereby authorized and directed
to execute and deliver to the Administrator of the Plan one or more counterparts
of the Plan.
RESOLVED, that the Administrator shall be instructed to take such
actions that are deemed necessary and proper in order to implement the Plan, and
to set up adequate accounting and administrative procedures to provide benefits
under the Plan.
RESOLVED, that the proper officers of the Corporation shall act
as soon as possible to notify the employees of the Corporation of the adoption
of the Cafeteria Plan by delivering to each employee a copy of the summary
description of the Plan in the form of the Summary Plan Description presented to
this meeting, which form is hereby approved.
The undersigned further certifies that attached hereto as
Exhibits A and B, respectively, are true copies of ProAssurance Corporation
Employee Benefit Plan as amended and restated and the Summary Plan Description
approved and adopted in the foregoing resolutions.
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Secretary
Date:
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Exhibit 10.8
PROASSURANCE GROUP 2004
DEFERRED COMPENSATION PLAN
OCTOBER 11, 2004
.
.
.
TABLE OF CONTENTS
PAGE
−−−−
ARTICLE I PURPOSE........................................................ 1
ARTICLE II DEFINITIONS................................................... 1
ARTICLE III ELIGIBILITY.................................................. 2
ARTICLE IV DEFERRED COMPENSATION......................................... 2
ARTICLE V ACCOUNT GROWTH................................................. 3
ARTICLE VI VESTING....................................................... 3
ARTICLE VII PAYMENT OF BENEFITS.......................................... 3
ARTICLE VIII NATURE OF KEY EMPLOYEE'S INTEREST IN THE PLAN............... 5
ARTICLE IX NO GUARANTEE OF EMPLOYMENT.................................... 5
ARTICLE X DISPUTE RESOLUTION............................................. 6
ARTICLE XI AMENDMENT AND TERMINATION..................................... 6
PROASSURANCE GROUP 2004
DEFERRED COMPENSATION PLAN
PROASSURANCE GROUP SERVICES CORPORATION (hereinafter referred to as
the "Company") desires to establish the following deferred compensation plan
(the "Plan") to attract and retain the services of a select group of management
and executive personnel and to provide benefits to such employees upon their
retirement, death, disability or other termination of employment;
NOW, THEREFORE, effective as of the 11th day of October, 2004 (the
"Effective Date"), the following Plan is hereby established:
ARTICLE I.
PURPOSE
The Plan is an unfunded plan which is established for the benefit of a
select group of management and highly compensated employees within the meaning
of the Employee Retirement Income Security Act of 1974, as amended ("ERISA").
The Plan is for the benefit of Key Employees of the Company and, if the Company
is a member of a controlled group of corporations within the meaning of Section
414(b) of the Internal Revenue Code (the "Code") Key Employees of other
controlled group corporations (the Company and the other controlled group
corporations being sometimes hereinafter referred to as the "Employer" or
"Employers").
ARTICLE II
DEFINITIONS
The following definitions shall govern this Agreement:
1. ANNIVERSARY DATE means the last business day of each December
following the Effective Date.
2. BENEFICIARY means the person designated in writing by the Key
Employee to receive any benefits upon the death of the Key Employee. If no
Beneficiary designation is made or if the designated person is not living at the
death of the Key Employee, the Beneficiary shall be the deceased Key Employee's
spouse, if living, otherwise the Key Employee's estate.
3. BOARD means the Board of Directors of the Company.
4. COMPENSATION means the remuneration payable to the Key Employee as
basic salary or wages (inclusive of pay for sick days, holidays, and vacation),
plus overtime pay, bonus payments, and commissions.
5. DEFERRED COMPENSATION ACCOUNT means the individual account
maintained for the Key Employee by the Company, reflecting all amounts deferred
on behalf of the Key Employee, plus other additions or reductions pursuant to
ARTICLE V.
6. EFFECTIVE DATE means the effective date specified above.
7. KEY EMPLOYEE means an employee of an Participating Employer who has
been designated by the Board as being a Key Employee.
8. PARTICIPATING EMPLOYER means an Employer that has adopted this Plan
for the benefit of its Key Employees.
9. PLAN means this deferred compensation plan, as from time to time
amended.
10. PLAN YEAR means the calendar year, provided, however, that the
initial Plan Year will be the period commencing on the Effective Date and ending
on December 31, 2004.
ARTICLE III
ELIGIBILITY
The Board of Directors of each Participating Employer shall designate
those Key Employees of the Participating Employer who are eligible to
participate in the Plan and the date as of which such Key Employees will become
eligible to participate (the "eligibility date").
Upon becoming initially eligible to participate in the Plan, the Key
Employee may make a Deferral Election as described in ARTICLE IV below and a
Distribution Election as described in ARTICLE VII below within thirty (30) days
after his eligibility date.
ARTICLE IV
DEFERRED COMPENSATION
An eligible Key Employee may elect to defer any or all of his
Compensation, excluding such amounts as are required to satisfy required
withholdings for taxes and other items, and have such amounts allocated to his
Deferred Compensation Account. Such election will only apply to Compensation to
be deferred in the calendar year immediately following the calendar year in
which the election is made; provided, however, that (a) an eligible Key Employee
may make an initial election to defer compensation for services to be performed
in such Plan Year subsequent to the election, provided that the election is made
within thirty (30) days after the Effective Date, and (b) a Key Employee who
first becomes eligible in any Plan Year may elect to defer compensation for
services to be performed subsequent to the election within thirty (30) days
after the Key Employee's eligibility date.
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The Key Employee must deliver his deferral election to the Company
prior to January 1st of the calendar year to which the election relates, except
as provided above with respect to initial elections under the Plan or newly
eligible Key Employees. The election will remain in effect until amended or
terminated, but any such amendment or termination will only be effective on the
next following January 1st.
The Deferred Compensation of each Key Employee shall be segregated
from other accounts on the books and records of the Company as a contingent
liability of the Company to the Key Employee; provided, however, that the
Company may elect to establish a grantor trust to hold assets equal to all or
some portion of the amounts credited to the Key Employee's Deferred Compensation
Account, but any such trust shall be subject to the provisions of this Plan.
ARTICLE V
ACCOUNT GROWTH
The account growth attributable to the Key Employee's Deferred
Compensation Account shall be equal to the weighted average tax equivalent book
yield (tax adjusted gross earnings divided by the average quarterly ending book
value) on the consolidated portfolio of ProAssurance Corporation and its
subsidiaries. Account growth shall be allocated to the Account as of the last
day of each calendar quarter.
ARTICLE VI
VESTING
If the Key Employee separates from service or dies, the Key Employee's
benefit shall equal his Vested Severance Benefit, and such benefit will be paid
in accordance with Article VII hereof. The Vested Severance Benefit of a Key
Employee shall be an amount equal to the amount standing to his credit in his
Deferred Compensation Account.
ARTICLE VII
PAYMENT OF BENEFITS
In the event that the Key Employee separates from service prior to
attaining his normal retirement date (as defined below) or his death, the entire
amount standing to his credit in his Deferred Compensation Account will be
distributed to him in a lump−sum within ninety (90) days following his date of
termination of employment; but in no event earlier than the first day of the
calendar year following the year in which he separated from service, provided,
however, that, in addition to the foregoing requirements, if the Key Employee is
a "key employee" within the meaning of Section 416(i) of the Code, but without
regard to Section 416(i)(5) thereof, such
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lump−sum distribution must be made at least six (6) months after the Key
Employee's date of separation from service.
In the event of a separation from service on or after the normal
retirement death or in the event of the Key Employee's death, the Key Employee
may make a Distribution Election with respect to the distribution of any amounts
deferred hereunder. Such Distribution Election must be completed at or before
the time specified for completion of the Key Employee's initial Deferral
Election and shall apply to amounts deferred pursuant to the initial Deferral
Election and all future Deferral Elections. The Key Employee may make a separate
Distribution Election with respect to amounts to be paid to him at his normal
retirement date and a separate Distribution Election with respect to amounts
payable upon his death. Such Distribution Election shall specify the benefit
commencement date and the form of payment. The benefit commencement date can be
no earlier than the first day of the calendar year following the calendar year
in which the Key Employee separates from service or dies. Optional forms of
payment under this Plan include a lump−sum payment or annual installments over a
period not exceeding ten (10) years. In addition to the foregoing requirements,
if the Key Employee is a "key employee" within the meaning of Section 416(i) of
the Code, but without regard to Section 416(i)(5) thereof, the benefit
commencement date must be at least six (6) months after the Key Employee's date
of retirement or death.
The Key Employee may amend his Distribution Election to defer payments
and/or to change the form of payment, with respect to amounts to be paid to him
upon attainment of the normal retirement date or with respect to amounts payable
upon his death, at any time, provided such amendment will not take effect for at
least twelve (12) months after it is made. In the case of the amendment of a
Distribution Election relating to distributions at the normal retirement date,
such amendment must result in the deferral of the first payment for a period of
at least five (5) years from the date that the first payment would have
otherwise been made, and such amendment must be made at least twelve (12) months
prior to the date the first payment would have otherwise been made. A
Distribution Election specifying annual installment distributions may not be
amended so as to result in installments being paid over a shorter period of time
than originally elected.
If the Key Employee dies after the commencement of installment
distributions to him but prior to having received all amounts due to him under
the Plan, such installments will continue to be paid to the Key Employee's
Beneficiary in the same manner as if the Key Employee had not died. If permitted
by applicable law or regulations, the Key Employee may elect that, in the event
that the Key Employee dies after benefit commencement, any remaining amounts due
him under the Plan will be paid to his Beneficiary in a lump sum.
If the Key Employee fails to make a Distribution Election with respect
to any amounts deferred hereunder, such amounts will be distributed to the Key
Employee or to his Beneficiary in one (1) lump−sum payment on a date which is
within the ninety (90) day period following the date which is six (6) months
after the Key Employee's separation from service, normal retirement date, or
death.
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Notwithstanding the provisions hereof, if the total amount allocated
to a Key Employee's Deferred Compensation Account is less than $5,000 on his
normal retirement date or death, such amount will be paid to the Key Employee in
one (1) lump−sum payment on a date which is within the ninety (90) day period
following the date which is six (6) months after the Key Employee's separation
from service or death. In the event that the $5,000 amount described in Section
411(a)(11)(A) of the Code is adjusted in the future to an amount greater than
$5,000, the same adjustment(s) will be made to the amount specified herein.
For purposes hereof, a Key Employee's normal retirement date is the
date on which the Key Employee actually retires from the employ of an
Participating Employer following his attainment of age fifty−five (55) and
completion of at least five (5) years of Vesting Service (as such term is
defined in the ProAssurance Group Savings and Retirement Plan).
ARTICLE VIII
NATURE OF KEY EMPLOYEE'S INTEREST IN THE PLAN
The Key Employee will be regarded as a general creditor of the Company with
respect to any rights derived by the Key Employee from the existence of this
Plan or the existence or amount of the Deferred Compensation Account. The Key
Employees who are eligible to participate in the Plan have the status of general
unsecured creditors of the Company. The Plan constitutes a mere promise by the
Company to pay benefits in the future.
Title to and beneficial ownership of any assets, whether cash, investments, life
insurance policies, or other assets which the Company may earmark or place in
trust to pay the contingent benefits hereunder, shall at all times remain in the
Company. The Key Employee and Beneficiary shall not have any property interest
whatsoever in any specific assets of the Company.
A Key Employee's rights to benefit payments under the Plan are not subject in
any manner to anticipation, alienation, sale, transfer, assignment, pledge,
encumbrance, attachment, or garnishment by creditors of the Key Employee or of
the Beneficiary.
ARTICLE IX
NO GUARANTEE OF EMPLOYMENT
Nothing in this Plan shall be construed as guaranteeing future
employment to the Key Employee. The Key Employee continues to be an employee of
his Participating Employer solely at the will of the Participating Employer,
notwithstanding this Plan.
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ARTICLE X
DISPUTE RESOLUTION
Any controversy relating to a claim arising out of or relating to this
Plan, including, but not limited to claims for benefits due under this Plan,
claims based on state law, and assigned claims relating to this Plan shall be
settled by arbitration in accordance with the current Employee Benefit Claims
Arbitration Rules of the American Arbitration Association (AAA) or any successor
rules which are hereby incorporated into the Plan by this reference.
ARTICLE XI
AMENDMENT AND TERMINATION
The Company reserves the right to amend, modify, or terminate the Plan
or to merge or combine the Plan with any other plan maintained by the Company at
any time by resolution of the Board; provided, however, that no such amendment,
modification, termination, or merger will deprive any Key Employee or
Beneficiary of any portion of the amounts standing to his credit in the Key
Employee's Deferred Compensation Account on the effective date of such
amendment, modification or termination.
PROASSURANCE GROUP SERVICES CORPORATION
By:
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Its:
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
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Exhibit 10.9
DEVELOPMENT AGREEMENT
THIS AGREEMENT ("Agreement") made this 18th of November, 2004, by and
between KIRCO DEVELOPMENT LLC, a Michigan limited liability company, whose
address is 101 West Big Beaver Road, Suite 200, Troy, Michigan 48084−5255
(hereinafter referred to as "Kirco"), and MEEMIC INSURANCE COMPANY, a Michigan
corporation, whose address is 691 North Squirrel Road, Suite 100, Auburn Hills,
Michigan 48326 (hereinafter referred to as "Owner").
WITNESSETH:
1. CONTRACT. Owner is the owner of certain land, known as 1685 North
Opdyke Road, Auburn Hills, Michigan 48326, more fully described on the attached
Exhibit A (the "Property"). Owner desires to, and does hereby, engage Kirco to
design and obtain the necessary approvals and permits to construct an office
building of approximately 104,383 gross square feet (approximately 100,925
rentable square feet) (the "Building") and related improvements hereinafter
described (collectively with the Building, the "Improvements" or "Project"),
upon and subject to the terms and conditions hereinafter set forth.
2. CONTRACT PRICE, DEVELOPMENT FEE, FINANCING. The contract price for
the Improvements shall be a cost plus/open book with a guaranteed maximum price
("GMP") of approximately Fifteen Million Six Hundred Thirty Six Thousand One
Hundred Thirty and 00/100 Dollars ($15,636,130.00) (the "Contract Price"). The
Contract Price includes, among other things, a development fee payable to Kirco
in the amount of Seven Hundred Eighteen Thousand Nine Hundred Forty−Three and
00/100 Dollars ($718,943.00), as more fully discussed below and as set forth in
more detail on the Project Cost Summary attached hereto as part of Exhibit B
(the "Development Fee"). The Development Fee includes the cost of all
development personnel and overhead. The Contract Price has been established
based on the present scope of the Project and presently known facts, and is
subject to adjustment based on (i) any material changes or modifications to the
scope of the work with respect to the Building and other Improvements as may
hereafter be agreed to in writing by Kirco and Owner, (ii) any changes in
material prices prior to finalization of the plans and specifications for the
Project and final pricing, (iii) unforeseen soil conditions or other unforeseen
circumstance, and/or (iv) changes in statutes, ordinances or regulations or the
application thereof subsequent to the date hereof that results in a required
change or modification to the scope of the work.
3. PAYMENT OF CONTRACT PRICE. The Contract Price shall be paid by Owner
to Kirco as follows:
a. Fifteen percent (15%) of the Development Fee, or One Hundred Seven
Thousand Eight Hundred Forty One and 45/100 Dollars ($107,841.45) shall be paid
upon obtaining a building permit for the Project.
b. An additional Fifteen percent (15%) of the Development Fee, or One
Hundred Seven Thousand Eight Hundred Forty One and 45/100 Dollars ($107,841.45)
shall be paid upon commencement of construction on the Project.
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c. The balance of the Development Fee shall be paid in installments
over the construction period at the same time as the monthly installments of the
balance of the Contract Price. Each increment of the Development Fee actually
paid shall be deemed fully earned by Kirco upon achievement of the relevant
milestones set forth in the preceding subparagraphs and, thereafter, upon
payment to Kirco.
d. The balance of the Contract Price shall be paid in monthly progress
payments in accordance with the procedures set forth below. Owner shall make
monthly progress payments on account of the Contract Price to Kirco based upon
the percentage of completion of the work as evidenced by Applications for
Payment to be submitted to the Owner and to Neumann−Smith & Associates, Inc.
(the "Architect") by Kirco as hereinafter provided and Certificates for Payment
properly issued by the Architect. The period covered by each Application for
Payment shall be one calendar month ending on the twenty−fifth (25th) day of the
month.
e. On or before the first business day of each month after construction
has commenced, Kirco shall submit to the Owner an Application for Payment
reflecting the percentage of the work performed up to the twenty−fifth (25th)
day of the preceding month, or as close to that date as possible, for which the
Application is made. In addition to other required items, each Application for
Payment shall be accompanied by sworn statements and waivers of lien, including
partial conditional waivers of lien from the general contractor and all
subcontractors or suppliers. Kirco shall submit unconditional waivers for such
payment with the Application for Payment for the following month.
f. The Architect shall review each Application for Payment and the
supporting documentation and shall submit to the Owner a Certificate for Payment
certifying the percentage of completion of the work as determined by the
Architect.
g. If the Application for Payment and all supporting documentation are
satisfactory to the Owner and to the Architect and the Architect issues a
Certificate for Payment, then payment shall be made to Kirco on or before the
fifteenth (15th) day following the date on which the Certificate for Payment was
submitted to Owner.
h. Owner may hold back from the progress payment an amount, not to
exceed ten percent (10%) of the amount of Kirco's actual "hard" construction
costs and of the Kirco Development Fee included in that draw request pending
completion of the construction to ensure completion of the work by Kirco, the
general contractor and its subcontractors and suppliers (hereinafter referred to
as "Retainage"); provided, that upon completion by any of Kirco's contractors,
subcontractors and suppliers of their entire portion of the work and acceptance
of the same by the Architect and the Owner, Owner shall release the portion of
the Retainage pertaining to that contractor, subcontractor or supplier. There
shall be no Retainage held with respect to any engineer's fees, architect's
fees, or other professional fees, for which Kirco will receive 100% payment of
the amounts included in each progress payment application. All Retainage not
paid out pursuant to the foregoing shall be paid to Kirco at the time of Final
Payment. Notwithstanding the foregoing, the Owner shall have the option, but not
the obligation, to further reduce the Retainage from time to time or at any time
or release any portion of the Retainage prior to the completion of the work. Any
exercise of this option, however, shall not be a waiver of (1) any of the
Owner's rights respecting
2
Retainage for any other work, or (2) any other right or remedy that the Owner
has under this Agreement, at law or in equity.
i. Owner shall make the Completion Payment (as defined in Section 14
below) to Kirco upon Completion of Kirco's work in accordance with Section 14
below, and Final Payment of the balance of the Contract Price and all Retainage,
if any, in accordance with Section 23 below.
j. If at any time a lien is recorded with respect to the project site
or premises, by anyone claiming amounts due from Kirco, Kirco shall have thirty
(30) days after written notice of recordation of the lien to obtain a discharge
of the claim or lien by payment or to post a bond discharging the lien in
accordance with the Construction Lien Act; provided that if a lien is recorded
with respect to work for which the Owner then owes Kirco but Kirco has not been
paid by Owner, Kirco shall not be obligated to pay or otherwise discharge the
lien until Kirco has received payment from Owner for the work for which the lien
was recorded. If Kirco fails to timely discharge or post a bond with respect to
a lien for work for which Kirco has received payment from Owner, Owner at its
discretion shall have the right to discharge the claim of lien and deduct the
amount from any amount due to Kirco.
If Owner fails to make any monthly progress payment within ten (10) days
following the date such payment is due, or fails to make the Completion Payment
within thirty (30) days after the date of Completion, as provided above, or
fails to make Final Payment within thirty (30) days after the time Kirco has
satisfied all of the conditions for Final Payment set forth in Section 23 below,
then in addition to all other remedies available to Kirco, Owner shall pay to
Kirco interest on the amounts unpaid at a rate equal to 200 basis points over
the prime rate of Standard Federal Bank, in effect during the period that such
amounts remain unpaid, calculated on a per diem basis for each day after the
tenth (10th) or thirtieth (30th) day, as applicable, following the date on which
such payment is due until paid in full.
4. GENERAL DESCRIPTION OF BUILDING AND IMPROVEMENTS. The Building to be
constructed shall be an approximately 104,383 gross square foot (approximately
100,925 rentable square feet) office building consistent with the specifications
outlined in Kirco's proposal dated May 5, 2004, as modified or supplemented by
letters dated July 17, August 17, August 26, and August 30, 2004, and by this
Agreement, and as may hereafter be modified by subsequent letter agreements and
subject to any subsequent changes as properly approved and authorized by Kirco
and Owner as stated in this Agreement, the current site plan, elevation and
floor plans (collectively the "Preliminary Plans") attached hereto as a part of
Exhibit C. The Property shall also be landscaped by Kirco (subject to the
allowance limitation as hereinafter provided) in accordance with a landscape
plan prepared by the Architect and approved by the Owner.
5. PLANS AND SPECIFICATIONS.
a. The Building and improvements shall be constructed as depicted on
the proposed site plan for the project, and in accordance with the Scope of Work
for the project, and with the preliminary plans and specifications for the
Building and Improvements prepared by the Architects, all of which are described
on Exhibit C, as the same may be more fully depicted and/or modified by the
final plans and specifications (the "Plans and Specifications") to be prepared
by the Architect consistent with the
3
foregoing and to be mutually approved by Kirco and Owner in writing and to be
further described on Exhibit D and any modifications or changes to the Plans and
Specifications that may hereafter be agreed to by Kirco and Owner. Owner
acknowledges that the Architect has been selected by Owner. Kirco will engage
the Architect to provide its architectural services to Kirco and Owner pursuant
to this Agreement, and Architect will owe its customary duty of care to Owner as
well as to Kirco. Once the final Plans and Specifications have been agreed upon,
if any change from the Preliminary Plan and Scope of Work that is reflected in
the final Plans and Specifications results in a change in cost to Kirco, whether
requested by Owner, required by unforeseen circumstances, or required due to
changes in statutes, ordinances or regulations or the application thereof by
government officials, or price changes resulting from changes in material costs,
the Contract Price shall be increased or decreased accordingly, subject to the
approval of the Owner. The agreement between Kirco and the Architect shall
provide that the Architect will owe its customary duty of care to the Owner and
may report directly to the Owner as if the contract were directly between the
Owner and the Architect, including instances where Kirco has failed to comply
with the Agreement or with the Drawings or Specifications. The foregoing
notwithstanding, Kirco reserves the right to make reasonable changes or
substitutions of equivalent products and materials for those listed in the Plans
and Specifications in the event of unavailability or unanticipated price
increases or to avoid unnecessary delays in the construction of the Building,
such changes must be agreed to by Owner, whose consent shall not unreasonably be
withheld or delayed. Any Contract Price changes shall include a proportional
increase or decrease in the construction fee included in the Construction
Contract referred to in Section 6 below (the "Construction Fee").
b. Once the Plans, Specifications and Scope of Work have been approved
in writing by Kirco and Owner, if the Owner requests any changes in the Scope of
Work, any upgrade in materials or any variation from the Plans and
Specifications, or if any such change is required by unforeseen circumstances,
or required due to changes subsequent to the date hereof in statutes, ordinances
or regulations or the application thereof by government officials, Kirco will
obtain an estimate of any cost differential resulting from such change from one
or more of Kirco's subcontractors or suppliers, as applicable, and shall provide
that estimate to Owner, along with an estimate of the increase or decrease in
Kirco's on−site personnel costs, if any. If the change is based on an Owner
request, Owner shall notify Kirco in writing within ten (10) business days
thereafter if Owner desires to include that change in the Plans and
Specifications and, if Owner elects to make the change, the parties shall
execute an appropriate change order. In the absence of a timely notice electing
to make such change, Owner shall be deemed to have elected to not make such
change. Owner may direct Kirco to make a change in the Plans, the Specifications
or in the Building and, if time does not permit the parties to determine the
impact on the Contract Price, if any, and prepare and execute a complete Change
Order prior to the change being made, the adjustment in the Contract Price
(including a proportionate adjustment in the Construction Fee) will be
subsequently equitably determined based on the cost increase or decrease
resulting from the change. If the change is required by unforeseen
circumstances, or required due to changes in statutes, ordinances or regulations
or the application thereof by government officials, the Plans and Specifications
and Contract Price shall be adjusted in accordance with the foregoing and the
parties shall execute an appropriate change order if acceptable to the Architect
and to the Owner. Upon completion of the Plans and Specifications, as part of
Kirco's bidding process Kirco will obtain bids that reflect the actual
difference in cost resulting from the changes requested by Owner. Upon award of
the contracts by Kirco,
4
the amount of the difference in cost resulting from the changes requested by
Owner as bid by the successful bidder for that work or material will, as
applicable, be added to or subtracted from the Contract Price, together with any
increase or decrease in Kirco's on−site personnel costs resulting from such
change and, in the case of a change in costs, a proportional increase or
decrease in the Construction Fee will be added or deducted from the Contract
Price. Kirco's on−site personnel costs shall include direct salary or hourly
pay, reasonable and customary fringe benefits and ordinary and necessary
employer costs directly related to such change. Kirco's administrative and
overhead costs are included in the Development Fee and there will be no separate
adjustment for such costs.
c. Upon completion of the final plans, Kirco shall deliver the same to
Owner and Owner shall have ten (10) business days following the date of delivery
to Owner to review and approve or comment in writing on the design and
development drawings. If Owner timely comments or raises any objection to the
final drawings Kirco shall address the comments and objections with the
Architect within ten (10) business days and, if necessary, will convene a
meeting between representatives of Kirco, Owner and the Architect to resolve any
outstanding issues. Upon completion of any revised plans and delivery of the
same to Owner, Owner shall have ten (10) business days to review and approve or
comment in writing on them. If a second set of revised plans is necessitated by
Owner's timely comments the parties shall follow the same procedure as in the
case of the first set of revised plans. Upon review, revision and approval in
accordance with the foregoing the design and development plans shall become the
Plans and Specifications. If Owner does not provide any written comments or
objections to the drawings or Plans and Specifications, including any revisions
thereto, to Kirco within the time provided in this Section, Owner shall be
deemed to have not approved the drawings and Plans and Specifications as
delivered. Thereafter, Owner's review shall only be as necessary or required
unless and until Owner requests review of any subsequent drawings. Owner
acknowledges that its failure to timely approve such Plans and Specifications in
accordance with the Master Building Schedule may result in a delay in the
performance of Kirco's work under this Agreement, in which the time in which
Kirco is obligated to complete its work under this Agreement shall be extended
by one day for each day of Owner delay in such approval. Once the drawings or
Plans and Specifications have been approved, or Owner's right to comment or
object has expired, any changes or revisions thereafter requested by Owner shall
be deemed to be changes which Owner shall be liable for, and shall pay, any
increase in the Contract Price directly occasioned by such changes and the cost
incurred by Kirco in connection therewith including, without limitation, any
additional Architect's fees incurred for the preparation of revisions to the
drawings or Plans and Specifications and all additional fees and costs of
Kirco's construction contractor.
d. Kirco shall be responsible for reviewing the Plans and
Specifications and satisfying itself as to the accuracy and completeness of the
same, except for those matters pertaining to layout and functionality for
Owner's proposed use, which shall be Owner's responsibility to review. Kirco
shall provide to Owner for review summaries or, if available, copies of
manufacturer's and/or installer's warranties, if any, regarding all major
systems, HVAC, windows, roofing, parking (if applicable) and major fixtures
which shall meet or exceed commercially reasonable warranties which are normal
for construction of this size and type. Kirco shall also advise Owner if
extended warranties are available from the manufacturer or installer for any of
such components and the extra cost of obtaining the same, if any. Owner may
elect, at Owner's expense, to
5
purchase extended warranty coverage if and to the extent available from the
manufacturer or installer of any component covered by a separate warranty and,
if Owner elects to do so the Contract Price shall be increased accordingly.
Kirco shall bear all responsibility for errors or defects, or failure to meet
statutory or code requirements, in the Plans and Specifications of the Building
and Improvements, but Owner shall be responsible for any errors or defects in
the Plans and Specifications of the Building and Improvements pertaining to
layout and functionality for Owner's proposed use.
e. Upon completion of the work, Kirco shall provide to Owner at no
additional cost to Owner original manufacturer's and installer's warranties
regarding all major systems, HVAC, windows, roofing, parking (if applicable) and
major fixtures. In addition, five (5) complete sets of "as−built" plans for the
Building shall be delivered as soon as practicable following Completion.
f. If, after completion of the work and Final Payment by Owner, Owner
determines that the Architects have failed to properly design the Building
and/or Improvements or that there otherwise exists any basis on which Owner
intends to pursue a claim against the Architects, Kirco shall assign to Owner
all of Kirco's rights and claims under the agreement with the Architects. Owner
covenants that Owner will not join Kirco as a party in any suit or proceeding
against the Architects unless, and only, if the participation of Kirco in such
suit or proceeding is necessary as a matter of law to fully adjudicate Owner's
claims. In the latter event Owner shall, if requested by Kirco, reassign to
Kirco, in whole or in part, all of such previously assigned rights and claims
against the Architect and/or take such other action with respect to the assigned
claims as may be necessary to permit Kirco to retain a sufficient cause of
action against the Architect, whether for indemnity and reimbursement or
otherwise, to permit both Owner and Kirco to fully recover on their claims.
g. The work to be performed by Kirco for the Contract Price includes
all work necessary for the design, obtaining of permits and completion of
construction of the Building and Improvements as shown on the Plans and
Specifications to be described herein, but subject to certain clarifications
identified on Exhibit E. The costs of all work in excess of the clarifications
shall be the sole responsibility of Owner and, if installed or completed by
Kirco, shall be added to the Contract Price, together with an appropriate
increase in the Construction Fee, if applicable.
6. CONSTRUCTION. Subject to the foregoing, Kirco shall provide or cause to be
provided and pay for design services, labor, materials, equipment, tools,
construction equipment, and machinery, water, heat, utilities, transportation
and other facilities and services necessary for proper execution and completion
of construction of the Building. Kirco shall be responsible for all construction
means, methods, techniques, sequences, and procedures, and for coordinating all
portions of the construction. Kirco shall provide a Construction Superintendent
who is reasonably acceptable to Owner. In particular but without limitation,
Owner acknowledges that Kirco intends to engage a related entity, Kirco
Construction LLC, to perform the actual construction work. Owner acknowledges
that the contract with Kirco Construction, and the Contract Price, will include
a construction fee payable to Kirco Construction equal to two and one−half
percent (2 1/2%) of all costs incurred by Kirco Construction in the performance
of its work (the "Construction Fee").
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Kirco has commenced the performance of its obligations hereunder and shall
commence construction as soon as practical after (i) the issuance of all
necessary building permits and other permits necessary for the construction of
the Building and related Improvements, and (ii) completion of all necessary
pre−construction meetings between the designated representatives of Kirco and
Owner. Kirco will proceed with the site work based upon the approved final site
plan and, if the final Plans and Specifications have not been completed and
approved by the time for commencement of the Building shell, Kirco will proceed
with the Building shell construction based on the agreed plans and
specifications for the Building shell, but shall not be obligated to perform any
other work on the Building and related Improvements until the final Plans and
Specifications have been approved by Owner and Kirco unless Kirco and Owner
otherwise agree in writing. Kirco shall pursue the issuance of all permits,
approvals and construction with reasonable diligence in accordance with the
Master Building Schedule submitted by Kirco and approved by the Owner (Kirco
will promptly advise the Owner of any delay in processing or obtaining any
permits or approvals), and shall Complete the construction on or before June 1,
2006, (the "Completion Date") but subject to delays occasioned by unusual
weather conditions, unexpected material shortages, unexpected material delays in
obtaining permits or approvals, strikes, fires or other casualty, acts of God,
war, insurrection, actions of terrorists or foreign insurgents, or other causes
beyond Kirco's reasonable anticipation and control. In no event shall Kirco have
any liability to Owner for any damage caused by delays in completion of
construction except as may be expressly provided in this Agreement.
No work shall be performed and no appliances, wiring, cabinets, fixtures
or other materials shall be installed in the Building or on the Property by
Owner or any contractor, supplier or other person acting on Owner's behalf prior
to Completion without Kirco's prior written consent, which consent shall not be
unreasonably withheld or delayed. Owner shall be responsible for all actual and
demonstrable loss, cost or damage suffered or incurred by Kirco, if any,
including without limitation any additional costs occasioned by delay or
interference in Kirco's completion of any portion of its work, as a result of
any such work performed or installations made by Owner or on Owner's behalf,
whether with or without Kirco's consent, and Owner shall indemnify and hold
Kirco harmless with respect to the same, so long as Kirco gives Owner timely
notice thereof. Any such additional loss, costs or damage actually incurred by
Kirco as a result of Owner's work on site shall be added to the Contract Price
and shall be payable in full by Owner upon Final Completion.
It is mutually agreed by and between the parties hereto that time shall be
an essential part of this contract and that if Kirco fails to complete its
contract within the time specified and agreed upon, the Owner will be damaged
thereby due to extra rent and penalties which Owner may incur. Accordingly, if
Kirco fails to complete the Building within the time provided in Section 6 of
this Agreement, or July 1, 2006, whichever is later (the "Liquidated Damage
Date"), Kirco shall pay to Owner (or Owner may take credit for) at the time of
Final Payment as liquidated damages for delay, an amount equal to the sum of (i)
Four Thousand and 00/100 Dollars ($4,000.00) per day for each day of delay after
the Liquidated Damage Date through the thirtieth (30th) day, and (ii) Eight
Thousand and 00/100 Dollars ($8,000.00) per day, plus interest and reasonable
attorneys fees, for each day after the thirtieth (30th) day following the
Liquidated Damage Date until the Building is Completed; provided, that the
Liquidated Damage Date shall be extended one day of each day of delay in
completion occasioned by unusual weather conditions, unexpected material
shortages, unexpected material delays
7
in obtaining permits or approvals, strikes, fires or other casualty, acts of
God, war, insurrection, actions of terrorists or foreign insurgents, or other
causes beyond Kirco's reasonable anticipation and control. Owner's right to
liquidated damages for delay in Final Completion pursuant to this Section shall
be Owner's sole and exclusive measure of damages for any such delay. Kirco's
sole and exclusive remedy for delay shall be an extension of the Completion Date
and Liquidated Damage Date. However, Kirco acknowledges that due to the nature
of the Owner's business, it requires a three day holiday weekend to move into
the Building and commence business operations. Therefore, in the event that the
Building is not Completed prior to the July 4th holiday weekend, the Owner may
not be able to move until the Labor Day weekend and the liquidated damages shall
run through the Labor Day weekend notwithstanding that the Building may be
completed after the July 4th weekend, but prior to the Labor Day weekend.
7. CHANGES.
a. Except as otherwise provided herein, all changes or revisions to the
final Plans and Specifications ("Change Order") must be in writing and signed by
both Owner and Kirco to be effective. In the event any such Change Order results
in a change in Kirco's costs, whether for increases or decreases in
contractor/subcontractor/supplier charges or for Kirco's on−site personnel
costs, or both, the Contract Price shall be increased or decreased to reflect
those changed costs. The changed costs occasioned by such Change Order shall be
added to or deducted from the Contract Price and paid over the term of the
contract through progress payments as provided in Section 3 above. Each Change
Order shall also include any changes in the Master Building Schedule and in the
Completion Date. If the actual change in the Contract Price can be determined at
the time the Change Order is signed, the Change Order shall include the amount
of any increase or decrease in the Contract Price resulting from such change. If
the actual change in the Contract Price cannot be determined at that time due to
lack of revised construction drawings or any other reason, Kirco shall obtain an
estimate of the cost of the change in the same manner as provided in Section 5
above, the Change Order shall include an estimate of any change in the Contract
Price, and a revised Change Order shall be prepared and executed when the actual
change in the Contract Price can be determined. Neither Owners nor Kirco shall
be bound by any such Change Order revision unless and until agreed in writing by
Kirco and Owner; provided, if the change is occasioned by unforeseen
circumstances, changes in any statute, ordinance or regulation or the
application thereof by government officials, or increases in costs of materials
or supplies, and if the anticipated cost of remedying such circumstance,
condition or occurrence is Twenty−Five Thousand and 00/100 Dollars ($25,000.00)
or less, Kirco shall be free to proceed to remedy the same, but subject to
Owner's right to order Kirco to stop such remedial work pending a final decision
by Owner concerning the same. If the anticipated cost of remedying such
circumstance, condition or occurrence is more than Twenty−Five Thousand and
00/100 Dollars ($25,000.00), Kirco shall not take any action to remedy the same,
unless such action is necessary to avoid damage to the Building or the Property,
until Kirco has given Owner notice of such circumstance, condition or occurrence
including Kirco's best estimate of the cost of remedying the same. In all such
cases, Kirco shall give notice of such circumstance, condition or occurrence to
Owner within one business day after Kirco discovers the same. Owner acknowledges
that any material change or modification to the Plans or Specifications, Owner's
direction to Kirco to not proceed with or to cease any such remedial work, or
any delay by Owner responding to such notice of such circumstance, condition or
8
occurrence, may result in a delay in the anticipated completion date of the
Building, for which Kirco will have no liability to Owner for such delay and any
scheduled completion date and the Liquidated Damage Date shall be extended
accordingly. Kirco will promptly advise Owner of any Owner caused delay and
failure to do so shall constitute a waiver of any claim for delay or delay in
the Master Building Schedule or Completion Date.
b. The provisions contained herein with regard to Change Orders must be
adhered to strictly. No action, conduct, omission, prior failure or course of
dealing by the Owner shall act to waive, modify, change, or alter the
requirement that Change Orders must be in writing signed by the Owner and Kirco,
and that such written change orders are the exclusive method for effecting any
change to the contract sum or contract time. The Owner and Kirco understand and
agree that neither the Contract Price nor the Agreement time can be changed by
implication, oral agreements, actions, inactions, course of conduct, or
constructive change order.
c. NO CHANGE IN THE WORK, WHETHER BY WAY OF ALTERATION OR ADDITION TO
THE WORK, SHALL BE THE BASIS OF AN ADDITION TO THE GUARANTEED MAXIMUM PRICE OR A
CHANGE IN THE TIME BY WHICH ANY PORTION OF THE WORK IS TO BE COMPLETED UNLESS
AND UNTIL SUCH ALTERATION OR ADDITION AND ANY RESULTING ADDITION TO THE
GUARANTEED MAXIMUM PRICE OR CHANGE IN THE REQUIRED TIME FOR COMPLETING ANY
PORTION OF THE WORK HAVE BEEN AUTHORIZED BY A CHANGE ORDER EXECUTED AND ISSUED
IN ACCORDANCE WITH AND IN STRICT COMPLIANCE WITH THE REQUIREMENTS OF THE
AGREEMENT DOCUMENTS.
d. ANY CLAIM FOR INCREASED COST FOR DELAY AND ANY CLAIM FOR A CHANGE IN
THE AGREEMENT TIME SHALL BE ASSERTED IN ACCORDANCE WITH THE PROVISIONS OF THIS
AGREEMENT. THESE REQUIREMENTS ARE OF THE ESSENCE OF THE AGREEMENT DOCUMENTS.
ACCORDINGLY, NO COURSE OF CONDUCT OR DEALINGS BETWEEN THE PARTIES, NOR EXPRESS
OR IMPLIED ACCEPTANCE OF ALTERATIONS OR ADDITIONS TO THE WORK, AND NO CLAIM THAT
THE OWNER HAS BEEN UNJUSTLY ENRICHED BY ANY ALTERATION OR ADDITION TO THE WORK,
WHETHER OR NOT THERE IS IN FACT ANY SUCH UNJUST ENRICHMENT, SHALL BE THE BASIS
FOR ANY CLAIM TO AN INCREASE IN THE GUARANTEED MAXIMUM PRICE OR CHANGE IN THE
REQUIRED TIME FOR COMPLETING ANY PORTION OF THE WORK.
8. VEGETATION, LANDSCAPING. Subject to the laws and ordinances of
Auburn Hills and approval of the Owner, Kirco shall have the right, at any time
during construction of the Building, to remove such trees, shrubs, grass or
other natural vegetation as Kirco shall deem reasonably necessary to permit
construction of the Building as part of the Contract Price and not part of the
landscaping allowance. Subject to the landscaping allowance included in the
Project Summary, Kirco shall sod or seed (as agreed to by the parties) and
landscape the Property at the appropriate stage of construction, weather
conditions permitting, in accordance with the landscaping plan to be approved by
Kirco and Owner prior to commencement of physical site work. Any additional
landscaping requested by Owner shall require a Change Order, and shall otherwise
be subject to the change provisions of Section 7 above.
9
9. SELECTIONS. Owner shall, from time to time as requested by Kirco and
in any event within seven (7) business days after written notice from Kirco
which notice shall include proposed selections consistent with the Plans and
Specifications, indicate in writing to Kirco all necessary paint, tile,
carpeting or other selections of any kind or description required for completion
of the Building.
10. INSURANCE. Kirco shall maintain a Builder's Risk Insurance Policy
and such other insurance coverage as Owner deems appropriate covering the
Building, Improvements and the construction during the period of construction,
and in any event such insurance shall comply with the requirements of Owner and
Owner's construction lender. The cost of all such insurance is included in the
Contract Price.
11. EVIDENCE OF TITLE. As evidence of title, Owner has delivered to
Kirco, a copy of a title policy evidencing and insuring Owner's fee title
interest in the Property.
12. LIMITED WARRANTY.
a. Coverage. Subject to the limitations and exclusions from coverage
set forth below, Kirco hereby warrants: that the Building shall be constructed
in accordance with the Plans and Specifications and in accordance with this
Agreement and free from defects in design, materials or workmanship for a period
of twelve months following the date of Completion (as defined in paragraph 14
hereof), and that all materials shall be new and inspected for defects prior to
installation, but Kirco makes no warranty or representation with respect to
layout and functionality, for which Owner shall be solely responsible.
b. Exclusions from Coverage. Kirco does not assume responsibility for
any of the following, all of which are excluded from the coverage of this
Limited Warranty:
i. Roof membranes and/or other roofing materials, door sills and
frames, overhead doors, furnaces, boilers and other components, appliances and
articles of equipment which are covered by manufacturers' warranties. Kirco will
assign all manufacturers' warranties to Owner, and Owner will be responsible for
complying with the warranty claim procedures in those warranties if defects
appear in any of the covered components. Kirco agrees to provide reasonable
assistance to Owner in pursuing all such warranty claims and remedies and to
provide all documentation and testimony reasonably necessary to prosecute such
claims. All such warranties shall be in good standing as of the date of issuance
of a certificate of occupancy and shall not commence the running of such
warranty periods prior to the Final Completion date provided for in Section 14
below. Kirco shall provide the warranties customarily provided by the respective
manufacturers, unless a different warranty is specifically required by the final
Plans and Specifications. Kirco shall provide to Owner for Owner's review prior
to completion of the work copies of all manufacturers' warranties, if available,
along with the Plans and Specifications. Any items excluded from Kirco's limited
warranty must be covered by a manufacturer's warranty as approved by the Owner
as set forth in Section 5 hereof.
ii. Damage due to ordinary wear and tear, abusive use, or lack of
proper maintenance of the Building.
10
iii. Damage to Kirco's work caused by Owner or any contractor,
installer or other person acting on behalf of Owner.
iv. Minor defects which are the result of characteristics common
to the materials used, such as (but not limited to) warping and deflection of
wood; fading, chalking, and checking of paint due to sunlight; cracks due to
drying and curing of concrete, stucco, plaster, bricks, and masonry; spalling of
concrete; drying, shrinking and cracking of caulking and weather−stripping;
cracks in tile or concrete and heaving of tile or concrete , unless the heaving
of the concrete adversely affects the fitness of the Building or the use
contemplated thereof; or non−structural settlement of the Building or the ground
under or around the Building.
v. Damage to or destruction of any tree, shrub or plant growth
which is native to the Property and which remains after completion of
construction of the Building.
vi. Defects in items installed or work performed by Owner or by
anyone on Owner's behalf, other than Kirco or its agents, employees or
subcontractors.
vii. Loss or damage due to the elements subsequent to completion.
viii. Conditions resulting from abnormal expansion or contraction
of, materials which could not reasonably be foreseen or avoided.
ix. Consequential or incidental damages, including without
limitation the cost of replacement of wall coverings or other decorations or
improvements installed by Owner or loss of revenues due to Owner's inability to
occupy the Building when anticipated by Owner.
c. NO OTHER WARRANTIES. EXCEPT AS EXPRESSLY SET FORTH HEREIN, OR IN ANY
WRITTEN WARRANTY HEREAFTER DELIVERED BY KIRCO TO OWNER, TO THE FULLEST EXTENT
PERMITTED BY LAW, KIRCO HEREBY EXPRESSLY DISCLAIMS ALL OTHER WARRANTIES, WHETHER
EXPRESS OR IMPLIED, AND WHETHER ARISING UNDER ANY STATE OR FEDERAL STATUTE,
RULE, REGULATION OR CASE LAW, INCLUDING BUT NOT LIMITED TO WARRANTIES OF
HABITABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR OTHERWISE. THE FOREGOING
NOTWITHSTANDING, IF ANY APPLICABLE LAW OR REGULATION SHALL LIMIT OR PREVENT THE
DISCLAIMER OF IMPLIED WARRANTIES, THE WARRANTY PERIOD FOR ALL SUCH IMPLIED
WARRANTIES SHALL BE LIMITED TO THE PERIOD SET FORTH IN THIS LIMITED WARRANTY.
d. Claims Procedure. If a defect appears which is or may be covered by
this Limited Warranty, Owner must deliver to Kirco within the twelve (12) month
warranty period or within one month thereafter a written service request
describing the purported defect; provided, with respect to hidden or latent
defects that are not discovered within the twelve (12) month warranty period and
which, in the written opinion of a qualified independent inspector, existed or
occurred during the initial twelve (12) month period, but due to the latent or
hidden nature of the defect, could not reasonably have been, and were not,
discovered during the initial twelve (12) month claim period, the claims period
shall be extended until sixty (60) days after the discovery of the latent or
hidden defect but not later than five (5) years after the date of Final
Completion. Kirco will investigate and
11
determine whether or not there is a defect and, if so, whether the defect is
covered by any assigned manufacturer's warranty. If Kirco determines that there
is or may be a defect and that it is covered by a manufacturer's warranty, Kirco
shall so notify Owner and Owner will be responsible for filing a warranty claim
with the manufacturer. Kirco may aggregate service requests for defects that do
not present a safety or health risk, and make only occasional service calls to
the Property for warranty repairs. Except as provided above with respect to
latent or hidden defects, Kirco will not be obligated to respond to any written
notice delivered to Kirco after the expiration of the twelve (12) month warranty
period, even if the defects that are claimed in the notice may have arisen
within the twelve (12) month warranty period.
e. Repairs. If Kirco's investigation following submission of a service
request discloses that a defect exists that is covered by this Limited Warranty,
Kirco will repair or replace, at Kirco's option, the defective item at no charge
to Owner within 60 days after Kirco's inspection (longer if unusual weather
conditions, labor problems or unanticipated materials shortages cause delays);
provided, however, that if a defect exists that is covered by this Limited
Warranty and emergency or extenuating circumstances require immediate repair or
replacement, Kirco shall immediately commence such repairs or replacement and
shall diligently complete the same and, provided further, if Kirco is unable to
make final repairs or replacement due to lack of immediately available materials
or replacement components, Kirco shall make such temporary repairs as may be
reasonably necessary and shall make final repairs as soon as the necessary
materials or components are available. Kirco's failure to commence such
emergency warranty repairs within two (2) business days of Owner's written
notification of the claimed defect and the circumstances requiring emergency
repairs shall permit Owner to undertake such repairs at Kirco's cost which,
provided the defect is covered by this Limited Warranty, Kirco shall pay
promptly upon demand. The work will be performed by Kirco or
contractors/subcontractors chosen by Kirco.
13. LIMITATION OF LIABILITY. EXCEPT AS OTHERWISE EXPRESSLY PROVIDED IN
THIS AGREEMENT, KIRCO'S LIABILITY FOR ANY ALLEGED DEFECT IN DESIGN, MATERIALS OR
WORKMANSHIP SHALL BE LIMITED TO REPAIR OR REPLACEMENT AND TO ANY COSTS OR
DAMAGES FLOWING THEREFROM, INCLUDING, WITHOUT LIMITATION, COSTS OF RELOCATION OR
RENTING AND FURNISHING SPACE AND PROVIDING ALTERNATE UTILITIES (BEYOND THOSE
WHICH MEEMIC WOULD HAVE OTHERWISE INCURRED) AND OTHER SUPPORT SERVICES DURING
THE REPAIR OR REPLACEMENT PERIOD, DAMAGES TO OTHER IMPROVEMENTS, FURNITURE OR
FIXTURES OR INJURY TO PERSONS AS A DIRECT RESULT OF THE ALLEGED DEFECT IN
DESIGN, MATERIALS OR WORKMANSHIP. FURTHER, KIRCO SHALL HAVE NO LIABILITY FOR
INJURY TO PERSONS, PROPERTY, OR OTHERWISE RELATING TO THE PRESENCE OF ANY
ENVIRONMENTAL CONDITIONS (WHETHER NATURAL OR MAN−MADE) OR ANY TOXIC OR HAZARDOUS
WASTE, SUBSTANCE, OR CONTAMINATION, ON, OR UNDER THE PROPERTY, OR THE LAND
ADJACENT TO OR IN CLOSE PROXIMITY WITH THE PROPERTY THAT EXISTED PRIOR TO
KIRCO'S COMMENCEMENT OF ACTIVITIES ON THE PROPERTY. NO ACTION, REGARDLESS OF
FORM, ARISING OUT OF THE TRANSACTIONS UNDER THIS AGREEMENT MAY BE BROUGHT BY
OWNER MORE THAN SIX YEARS AFTER THE COMMENCEMENT OF THE WARRANTY PERIOD UNLESS
THE OWNER HAS NOTIFIED KIRCO OF THE CLAIMED DEFECT WITHIN THE TIME PROVIDED IN
THE PRECEDING SECTION 12. NOTWITHSTANDING THE ABOVE, NO ACTION
12
RELATING TO LATENT DEFECTS MAY BE BROUGHT AGAINST KIRCO UNLESS OWNER HAS
NOTIFIED KIRCO OF THE CLAIMED LATENT DEFECT WITHIN SIXTY (60) DAYS AFTER
DISCOVERY THEREOF AND THE ACTION BROUGHT NOT LATER THAN FIVE YEARS AFTER FINAL
COMPLETION.
14. COMPLETION OF CONSTRUCTION AND COMPLETION PAYMENT. Upon Completion
of construction of the Building Kirco shall so notify Owner and, as soon
thereafter as possible, shall submit a payment application for all work
performed through the date of Completion which application shall be processed in
accordance with the application and payment process provided herein. Owner shall
pay to Kirco the balance of the Contract Price less only Retainage not then due
and payable, the amounts, if any, to be withheld pursuant to this Section 14 and
Section 16, and a proportional share of the Developer's Fee (the "Completion
Payment"). The issuance of a certificate of occupancy, whether temporary or
final, by the City of Auburn Hills permitting the Owner to occupy and conduct
its business in the Building and the issuance of a certificate of completion by
the Architect shall be evidence of "Completion". The Completion Payment shall
not be delayed due to the lack of completion of minor details or Kirco's
inability to complete outside cement work, grading, landscaping (if included) or
other similar work due to then prevailing weather or ground conditions or other
conditions beyond the control of Kirco, provided that such incomplete items do
not materially affect Owner's ability to conduct business. In such case, Kirco
shall deliver to Owner a standard weather letter or work order setting forth the
minor detail work or other work to be completed and an amount equal to the
anticipated cost of completion of such items, the initial punchlist items and
Retainage shall be withheld from the Completion Payment, together with the
anticipated cost to complete the landscaping, until each component of such work
shall be completed, at which time the amount for that component shall be paid to
Kirco. Kirco shall be entitled to the release of the withheld funds for each
component of work upon submission of written notice to the Owner that the
component of the work has been completed, together with a receipt for payment
from the contractor or subcontractor completing the work and the required
Architect's Certificate and sworn statements and waivers of lien.
15. INTENTIONALLY DELETED.
16. INSPECTION.
a. Not earlier than thirty (30) days, or later than fifteen (15) days,
prior to initial occupancy of the Building, Kirco and Owner shall schedule an
initial inspection of the Building. During the inspection, which shall be
conducted by authorized representatives of Kirco and Owner, Kirco and Owner
shall prepare an initial "punchlist" of items in need of repair or correction
and Kirco and Owner shall agree on a reasonable time frame for completion of the
punchlist items based on then existing circumstances.
b. Not earlier than thirty (30) days, or later than forty five (45)
days, after initial occupancy of the Building, Kirco and Owner shall schedule a
subsequent inspection of the Building. During the inspection, which shall be
conducted by authorized representatives of Kirco and Owner, Kirco and Owner
shall prepare a subsequent "punchlist" of items in need of repair or correction
and Kirco and Owner shall agree on a reasonable time frame for completion of the
punchlist items based on then existing circumstances. Kirco shall complete such
items within the agreed upon timeframe, which shall be no later than sixty (60)
days following such inspection.
13
17. POSSESSION. The right of possession of the Building and Improvements
made thereon by Kirco shall remain at all times in the Owner; provided that
Kirco shall have the right to exclude any person other than Owner and its
authorized representatives, vendors or contractors from the Property at any time
prior to completion of the work, and the right to exclude any person from areas
under construction or other areas of danger for safety purposes or to avoid
interference with the performance of the work. However, the parties acknowledge
that the Owner's contractors may have access to the Building for installation of
cabling, installation of furniture and fixtures prior to Final Completion so
long as this work does not unreasonably interfere with Kirco. Kirco's right of
entry and use arises solely from the permission granted by the Owner in this
Agreement. The foregoing notwithstanding, if Owner denies Kirco access to the
Property at any time during this Agreement, such denial of access shall
constitute a default hereunder on the part of the Owner.
18. DEFAULT.
a. Owner's Default. In the event of default by Owner in the performance
of any of Owner's obligations hereunder, including the obligation to make
progress payments or Final Payment of the Contract Price within the time
provided in this Agreement, and if such default shall continue for a period of
fifteen(15) days after written notice thereof from Kirco to Owner, or if such
default is other than a failure to make a progress payment or Final Payment and
cannot be cured within fifteen (15) days, if Owner shall have failed to
undertake and diligently pursue the cure of such claimed default, Kirco shall
have all rights and remedies set forth in this Agreement or available at law or
in equity including without limitation, the right to enforce a construction lien
against the Property and, if such default occurs prior to Kirco's Final
Completion of the work, the right to suspend all work under this Agreement until
Owner's default has been cured and/or to declare this Agreement terminated, null
and void. In the event Kirco does so terminate this contract, Owner shall be
liable to Kirco for all of Kirco's damages including without limitation all
unpaid fees and profits that Kirco would have received had this Agreement not
been terminated.
b. Kirco's Default. Except as permitted pursuant to the preceding
subparagraph, if, following the commencement of construction of the Building by
Kirco pursuant to this Agreement, (i) Kirco ceases work on the Building and
other Improvements on the Property for a period of fifteen (15) consecutive work
days or thirty (30) days in the aggregate, unless delayed by unusual weather
conditions, unexpected material delays in obtaining permits or approvals,
strikes, unexpected shortages of materials, acts of God or other causes not
within Kirco's reasonable anticipation or control which excuse any delay on the
part of Kirco pursuant to Section 5 above and if Kirco fails to re−commence the
work within five (5) days after Owner's written notice of default to Kirco; or
(ii) if Kirco fails to finally complete construction within the time provided in
Section 6 (the "Default Deadline"), or (iii) Kirco persistently or repeatedly
fails to supply enough properly skilled workers or proper materials to maintain
progress of the work on a schedule that will permit final completion of the
Building within the time provided in Section 6, or (iv) Kirco persistently or
repeatedly fails to make payment to subcontractors for materials or labor in
accordance with the terms of this Agreement and the agreements with such
parties; or (v) persistently disregards laws, ordinances, or rules, regulations
or orders of a public authority having jurisdiction; or (vi) otherwise is guilty
of final breach of a provision of this Agreement and related documents, Owner
14
shall have the right, but not the obligation, to enter upon the Property and
take over the construction of the Building and other Improvements and, for the
purpose of completing the work, take possession of all materials, equipment,
tools, appliances and supplies belonging to or under the control of Kirco and
used or designated to be used in connection with the development of the
Property, and may finish the work by whatever method it may deem expedient
including having Kirco's contractors, subcontractors and suppliers continue to
perform under their contracts with Kirco or, if any of Kirco's contractors,
subcontractors or suppliers fails or refuses to perform under their contracts
for Owner, entering into contracts with replacement contractors, subcontractors
and/or suppliers to complete the work. If Owner does so proceed to take over the
work, Owner shall pursue the work to completion and, upon completion, the costs
incurred by Owner in completing the work shall be deducted from the balance of
the Contract Price. If the costs incurred by Owner to complete the work are less
than the balance of the Contract Price, the Contract Price shall be adjusted to
reflect such cost reduction. If the costs incurred by Owner to complete the work
are greater than the balance of the Contract Price, the difference shall be paid
by Kirco to Owner upon completion of all of the work.
In the event of litigation or other enforcement proceedings between the
parties as a result of any default or alleged default by either party hereunder,
the prevailing party shall also be entitled to receive from the other party all
costs and expenses incurred, including attorneys' fees, in connection with the
enforcement of this Agreement, as well as costs and attorneys' fees incurred in
the collection of such amounts.
19. NOTICES. The notices required or referred to in this Agreement shall
be sufficient if personally delivered or sent by first class mail, return
receipt requested with postage prepaid, by facsimile with confirmation of
receipt or by recognized overnight courier service to the parties at the
addresses shown above or at such other address as either party shall designate
in writing to the other. If mailed, delivery shall be deemed complete on the
earlier of the date on which the notice is receipted for in writing or the
second business day following the date of mailing. If sent by courier, delivery
shall be deemed complete on the earlier of the date on which the notice is
receipted for in writing or the first business day following the date of
delivery to the courier. Notice to Kirco shall be addressed to the attention of
A. Matthew Kiriluk, President. In addition, a copy of all notices to Kirco shall
be sent to Kirco's attorney, D. Stewart Green, Esquire, at Butzel Long, 100
Bloomfield Hills Parkway, Suite 200, Bloomfield Hills, Michigan 48304, and
Notice to Owner shall be addressed to the attention of Christine C. Schmitt,
with a copy to W. A. Steiner, Jr. at Dykema Gossett, 400 Renaissance Center,
Detroit, Michigan 48243. Failure to provide a copy of any notice to the attorney
for the addressee shall not invalidate notice otherwise properly served.
20. INTERIOR BUILDOUT ALLOWANCE. The Contract Price includes an
allowance for interior improvements to the Building in the amount of Thirty−Five
and 00/100 Dollars ($35.00) per square foot or a total of Three Million Five
Hundred Thirty−Two Thousand Three Hundred Seventy−Five and 00/100 Dollars
($3,532,375.00) based upon 100,925 rentable square feet which excludes any
Architect or interior designers fees for such interior improvements (the
"Buildout Allowance"). If the actual square footage of the Building varies is
more or less than 100,925 rentable square feet, the total Buildout Allowance,
will not change except as may be provided in a written change order executed by
the parties. If the actual cost of the interior improvements for the Building
not included in the base building exceeds the Buildout Allowance such excess
costs shall be reduced to a Change Order, and the Contract Price shall be
increased by an
15
amount equal to such excess costs and Owner shall pay the full amount of the
same as part of the monthly progress payments as provided above. Conversely, if
the actual cost of interior improvements for the Building not included in the
base building is less than the Buildout Allowance, the Contract Price shall be
reduced by an amount equal to the difference in such costs. The costs to be
charged against the Buildout Allowance include a Construction Fee payable to the
contractor in the amount of two and one−half percent (2 1/2%) of the hard costs
of the interior improvements, but will not include any architects' fees, which
are included in the base Building cost.
21. CONTINGENCY ALLOWANCE. The Contract Price includes contingency
allowances in the amount of Two Hundred Ninety−Four Thousand and 00/100 Dollars
($294,000.00) for construction costs and One Hundred Thousand and 00/100 Dollars
($100,000.00) for soft costs, as set forth on the Project Costs Summary attached
as part of Exhibit B. The contingency allowances are intended to be utilized by
Kirco for unanticipated costs due to unforeseen circumstances, increases in
material costs, or other causes not within the control of Kirco or Owner. Except
as provided in this Section, Owner shall not have the right to apply the
contingency allowance, or any portion thereof, toward the payment of costs or
Contract Price increases resulting from Owner's changes to the scope of the
work, Plans or Specifications. If, upon completion of the work and Final Payment
for the same by Owner, the contingency allowances have not been expended by
Kirco, the unexpended portion of the contingency allowances may, at Owner's
election, be deducted from the Contract Price or, if already paid to Kirco,
credited toward the unpaid balance of the Contract Price including, without
limitation, the cost of any changes requested by Owner or refunded to Owner. In
any event, any use of the contingency is subject to the Owner's prior written
approval, which approval shall not be unreasonably withheld, conditioned or
delayed.
22. AUTHORIZED REPRESENTATIVES. Any consent, approval, authorization or
other action required or permitted to be given or taken under this Agreement by
Owner or Kirco, as the case may be, shall be given or taken by one or more of
the authorized representatives of each. For purposes of this Agreement: (1) the
authorized representatives of Owner shall be any one or more of the following:
Lynn Kalinowski, Christine C. Schmitt or Carolyn Shaw and (2) the authorized
representatives of Kirco shall be any one or more of the following: A. Mathew
Kiriluk II and Clifford Aiken III. Either party hereto may from time to time
designate other or replacement authorized representatives to the other party
hereto. The written statements and representations of any authorized
representative of Owner or Kirco shall be binding upon the party for whom such
person is an authorized representative, and the other party hereto shall have no
obligation or duty whatsoever to inquire into the authority of any such
representative to take any action which he proposes to take.
23. KIRCO'S COMPLETION OBLIGATIONS. Following the Completion Payment
pursuant to section 14 above and completion of the subsequent punchlist items as
provided in section 16 above, Owner shall pay to Kirco the balance of the
Contract Price and any other sums remaining to be paid hereunder ("Final
Payment"), including without limitation any amounts withheld for completion of
"punchlist" items not paid out pursuant to section 14 above, upon execution,
delivery and/or completion of all of the following by Kirco, which shall be a
condition of Final Payment.
a. A bill of sale for any personal property included within the Plans
and Specifications that does not otherwise become affixed to the Property.
16
b. All written warranties from any manufacturer or installer to be
assigned to Owner pursuant to this Agreement, to the extent Kirco has received
the same from the manufacturers or installers prior to Final Payment, together
with an assignment of the same to Owner, and any manufacturer's or installer's
warranty received by Kirco after Final Payment shall be delivered upon receipt
along with an assignment of the same by Kirco to Owner.
c. A Final Payment application and sworn statement, together with
waivers of lien from contractors of Kirco, and for all subcontractors and
suppliers, as follows: Final unconditional lien waivers for work that has been
completed and paid for by Owner prior to Final Payment, final conditional lien
waivers for work that has been completed prior to Final Payment but which has
not been fully paid for by Owner prior to Final Payment, partial unconditional
lien waivers to the extent of payment by Owner prior to Final Payment for work
that has not been completed prior to Final Payment.
d. Completion of all items listed on the pre−occupancy inspection
"punchlist" and/or Kirco's other standard completion inspection documents
pertaining to incomplete or defective inspection items to be completed by Kirco.
e. A final certificate of occupancy upon completion of any items
required by the City of Auburn Hills for the issuance of the final certificate
of occupancy.
f. One complete set of record plans and specifications for the Building
(both in the form of a hard copy and in the form of a computer (CAD) disk in a
format reasonably acceptable to Owner).
24. BROKERAGE FEES. Kirco and Owner each represent to the other that,
except as to Signature Associates who Owner is paying directly, they have not
dealt with any real estate brokers in connection with this transaction, and each
party agrees to indemnify and hold the other party harmless from any liability
for any brokerage fees or commissions which may become due and payable to any
broker, with whom the indemnifying party has dealt.
25. DISPUTE RESOLUTION. Any claim or dispute which might be the subject
of a civil action against the Kirco or Owner arising out of or related to this
Agreement, or the alleged breach hereof including, without limitation, any claim
of breach of warranty, up to the total sum of $250,000.00 at the election of
either Kirco or Owner, shall be settled by binding arbitration conducted by the
American Arbitration Association. Any other claims or disputes are not subject
to arbitration unless the parties agree thereto. Any arbitration shall be
conducted in accordance with applicable Michigan law governing arbitrations and
then applicable construction industry arbitration rules of the American
Arbitration Association. Any arbitration award shall include the costs and
reasonable attorneys' fees incurred by the prevailing party as provided in
Section 18 above. Judgment upon the award rendered by arbitration may be entered
in a court of competent jurisdiction. Any award shall include an award of costs
and attorneys' fees to the prevailing party. The foregoing notwithstanding, no
claim seeking only specific performance shall be the subject of binding
arbitration and, if the dispute concerns the interpretation of the Plans and
Specifications, the Architect shall be the final arbiter of such dispute.
17
26. NO ASSIGNMENT. Neither party shall assign, set over or transfer this
Agreement or any of such party's rights or interest hereunder without the prior
written consent of the other any such purported assignment without such consent
shall be void and of no effect.
27. ENTIRE AGREEMENT. This Agreement, together with the Rider and other
attachments hereto, constitutes the entire agreement between Kirco and Owner and
supersedes any and all prior written or oral agreements and any contemporaneous
oral agreements between the parties. No amendment or modification of this
Agreement shall be effective or binding upon the parties hereto unless set forth
in writing and signed by all of the parties hereto.
28. SUCCESSORS. This Agreement shall be binding upon and inure to the
benefit of the parties hereto and their respective heirs, representatives,
successors or permissible assigns.
29 GOVERNING LAW. This Agreement shall be governed by and construed in
accordance with the laws of the State of Michigan.
30. COUNTERPARTS. This Agreement may be executed in several
counterparts, each of which shall be deemed an original, and all of such
counterparts together shall constitute one and the same instrument.
31. AUTHORIZATION. Both Owner and Kirco, and the undersigned on behalf
of the respective parties, hereby represent and warrant that the undersigned are
duly authorized to enter into this Agreement on behalf of their respective
parties and to consummate all transactions contemplated pursuant to the terms
hereof.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first set forth above.
WITNESSES: OWNER:
MEEMIC Insurance Company,
a Michigan corporation
/s/ Carolyn Shaw By: /s/ Lynn Kalinowski
−−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−−−−−
Carolyn Shaw
/s/ Christine C. Schmitt Printed Name: Lynn Kalinowski
−−−−−−−−−−−−−−−−−−−−−−−−−−
Christine C. Schmitt Title: President & CEO
[signatures continued on next page]
18
KIRCO:
KIRCO DEVELOPMENT LLC, a
Michigan limited liability company
/s/ John R. Boyd By: /s/ Cliff Aiken
−−−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−
John R. Boyd
/s/ Michael D. Piette Printed Name: Cliff Aiken
−−−−−−−−−−−−−−−−−−−−−−−−−−
Michael D. Piette Title: Vice President
Exhibits:
A Property (Paragraph 1)
B Project Cost Summary (Paragraph 2)
C Preliminary Plans (Paragraph 4)
D Final Plans and Specifications (Paragraph 5a)
E Clarifications (Paragraph 5g)
19
RIDER TO DEVELOPMENT AGREEMENT BETWEEN
MEEMIC INSURANCE COMPANY, AS OWNER, AND
KIRCO DEVELOPMENT COMPANY, AS DEVELOPER,
DATED NOVEMBER 18, 2004
The following provisions modify, delete and/or supplement (as indicated) the
Development Agreement Between the Owner and Kirco (sometimes referred to herein
as the "Agreement"). If a provision of this Rider conflicts with a provision of
the Development Agreement, the provisions of this Rider shall control.
1. RELATIONSHIP.
(a) Kirco agrees to furnish the architectural, engineering and
construction services set forth herein and agrees to furnish efficient business
administration and superintendence and to use its best efforts to complete the
Building in the best and soundest way and in the most expeditious and economical
manner consistent with the interest of the Owner. Kirco acknowledges that the
Owner is relying on Kirco's skills and integrity to produce a completed
operational office building suitable for the Owner's intended purposes. Towards
that end, Kirco agrees that it is responsible for the total design and
construction of the Project, including all professional design and engineering
services and all labor, materials and equipment used or incorporated in such
design and construction. The foregoing notwithstanding, the relationship between
Kirco and Owner is contractual, only, and Kirco does not hereby assume or accept
any trustee or other fiduciary responsibilities or obligations to Owner.
(b) Nothing contained in the Development Agreement shall create a
contractual relationship between the Owner and any third party. It is understood
and agreed that the Owner is an intended third party beneficiary of all
contracts with design professionals, all subcontracts, purchase orders and other
agreements between Kirco and third parties. Kirco shall incorporate the
obligations of this Agreement with the Owner in its contracts with design
professionals, as well as all of its general contractor, subcontracts, supply
agreements, purchase orders and other agreements. Where appropriate Kirco shall
cause it's general contractor to comply with the terms hereof.
2. PLANS.
(a) Kirco shall be responsible for apprising itself of all codes,
ordinances and regulations of any kind affecting the Building in any way. The
Plans and Specifications shall accurately reflect all applicable codes,
ordinances and regulations. Kirco shall investigate the availability of all
necessary utility services and shall meet with and discuss the availability of
such services with appropriate authorities. Kirco shall obtain, in cooperation
with the Owner, all necessary approvals and permits from authorities having
jurisdiction over the Building and Kirco shall, with the cooperation of Owner,
provide such certificates of costs, completion, and Building information as may
be required by Owner.
(b) Should the Plans or the Specifications conflict in themselves or with
each other, Kirco shall provide the better quality or greater quantity of work
and/or materials unless otherwise directed by a written addendum to the
Agreement.
(c) Kirco and all Subcontractors shall refer to all of the Plans,
including those showing primarily the work of the mechanical, electrical and
other specialized trades, and to all of the Sections of the Specifications, and
shall perform all work reasonably inferable therefrom as being necessary to
produce the indicated results.
1
(d) All indications or notations which apply to one of a number of similar
situations, materials or processes shall be deemed to apply to all such
situations, materials or processes wherever they appear in the Work, except
where a contrary result is clearly indicated by the Plans or the Specifications.
(e) Where codes, standards, requirements and publications of public and
private bodies are referred to in the Specifications, references shall be
understood to be to the latest revision prior to the date of the Agreement,
except where otherwise indicated.
(f) Where no explicit quality or standards for materials or workmanship
are established for work, such work is to be of good quality for office building
use and consistent with the quality of the surrounding work (including the
existing components of construction) and of the construction of the Building
generally.
(g) All manufactured articles, materials, and equipment shall be applied,
installed, connected, erected, used, cleaned, and conditioned in accordance with
the manufacturer's written or printed directions and instructions unless
otherwise indicated herein or in the Plans and Specifications.
(h) Unless otherwise specifically provided in the Plans and
Specifications, all equipment, material, and articles incorporated in the Work
shall be new and of the most suitable grades for office building use. Materials
shall conform to manufacturer's standards in effect at the date of execution of
the Development Agreement and shall be installed in strict accordance with
manufacturer's latest directions. Kirco shall, if required by Owner, furnish
satisfactory evidence as to the kind and quality of any materials. All packaged
materials shall be shipped to the site in the original containers clearly
labeled, and delivery slips shall be submitted with bulk materials, identifying
thereon the source and warranting quality and compliance with the Plans and
Specifications.
(i) It shall be the obligation of Kirco to review the Plans and
Specifications to determine whether they are in accordance with building codes
and regulations.
3. BUILDING SCHEDULE.
(a) Kirco has delivered to the Owner a preliminary schedule, which it will
update from time to time as appropriate to reflect changes in work, updated
information or excusable delays. Upon receipt of the final Plans and
Specifications, Kirco shall prepare in accordance with Kirco's standard
practices, and deliver to Owner for review, a schedule of the anticipated
construction (the "Master Building Schedule").
(b) The Master Building Schedule shall:
(i) Identify the approximate start and completion dates for each
major activity shown on the Master Building Schedule.
(ii) Include any construction activities to be preformed by Owner
and known to Kirco, if any.
(iii) Reflect the Owner's requirements with respect to occupancy
dates, as adjusted from time to time.
(c) Upon submission of the Master Building Schedule by Kirco, Kirco and
Owner (and any separate contractors or consultants designated by the Owner)
shall meet to discuss the Master Building Schedule and resolve any conflicts
with respect thereto. After approval by the Owner, Kirco shall make best efforts
to comply with the Master Building Schedule, subject to the provisions of this
Agreement governing delays and change orders.
2
(d) At the end of the first month following issuance of the Master
Building Schedule and every month thereafter (or at such lesser intervals if
deemed necessary by the Owner), and as part of the documents submitted with the
Application for Payment, Kirco shall prepare an updated Master Building Schedule
showing the actual status of the Building as of the date of the updated Master
Building Schedule. The updated Master Building Schedule shall show any variances
from the original Master Building. Kirco shall prepare and deliver to Owner, a
detailed updated bar chart schedule to facilitate review by the Owner of the
progress of the Work.
(e) Kirco shall make its best efforts to remain on schedule with the
Master Building Schedule, as revised from time to time pursuant to this
Agreement.
4. BIDS. Kirco shall keep Owner advised concerning the bids and
bidders. Subcontractors shall be selected by Kirco subject to Owner's approval,
which shall not be unreasonably withheld, conditioned or delayed. Kirco shall
comply with all applicable laws and regulations in obtaining the bids. Kirco
shall prepare the necessary bidding information, bidding forms, bid packages,
the form of the subcontract and the conditions of this Agreement for the various
subcontracts. Kirco shall review the recommended subcontract awards and advise
the Owner whether the bids are responsive and acceptable in the context of the
total Building requirements. Kirco shall advise the Owner of the acceptability
of sub−subcontractors and material suppliers proposed by subcontractors. Kirco
shall award subcontracts only when approved by Owner. The Owner shall be
reasonably expedient in approving or objecting to subcontract awards.
5. OWNERSHIP. All ownership rights in the Plans, Specifications,
reports and other data (including without limitation, written, printed, graphic,
video and audio material contained in any computer data base or computer
readable form) (hereinafter "Works of Authorship") developed during the term of
this Agreement, shall be the property of the Architect or other professionals
preparing such Works of Authorship as instruments of service. Owner may retain
copies of the as built Plans and Specifications and shall be entitled to the use
of the same in connection with the Building, but Owner shall not use the same
nor permit them to be used in connection with the design or construction of
another building without the Architect's prior written consent. If Owner uses or
permits the use of the same for such purposes Owner shall indemnify the
Architect for any loss, costs or damages suffered or incurred by the Architect
as a result of such use. Upon Final Payment Kirco shall execute an assignment
and/or other appropriate documents, and otherwise take such actions as may be
reasonably requested by Owner to assign to Owner whatever rights or interests
Kirco may have with respect to such Works of Authorship, but Kirco does not now
warrant, and will not hereafter warrant, that it now owns or will hereafter own
or hold any such rights. Kirco expressly disclaims any ownership rights in Works
of Authorship related to the performance of services under this Agreement. Kirco
shall obtain the Owner's written permission to use photographs, models,
renderings, narrative descriptions, and the like in regards to this Building in
connection with publications, awards, competitions, press releases, and
brochures, which permission shall not be unreasonably withheld, delayed or
conditioned, Owner recognizing that it is customary for developers to display
and utilize photographs of completed projects.
6. PERMITS. Kirco shall file the documents required to obtain necessary
approvals of governmental authorities having jurisdiction over the Project.
Kirco shall procure all certificates of inspection, use, occupancy, permits and
licenses, pay all charges and fees and give all notices necessary and incidental
to the due and lawful prosecution of the Work. Certificates of inspection, use
and occupancy shall be delivered to the Owner upon completion of the Work in
sufficient time for occupation of the Building in accordance with the approved
schedule for the Work.
7. COST OF THE WORK. The term "Cost of the Work" shall mean costs
necessarily incurred by Kirco (which shall also be deemed to include such costs
incurred by Kirco Construction) in the proper performance of the Work. Such
costs shall be at rates not higher
3
than those customarily paid at the place of the Project except with prior
consent of the Owner. The Cost of the Work shall include only the actual cost of
the items set forth in this Paragraph 7.
(a) Labor Costs.
(i) Wages of construction workers directly employed by Kirco to
perform the construction of the Work at the site or, with the Owner's
agreement, at off−site workshops.
(ii) Wages or salaries of Kirco's Project Management and supervisory
and administrative personnel.
(iii) Wages and salaries of Kirco's supervisory or administrative
personnel engaged, al factories, workshops or on the road, in expediting
the production or transportation of materials or equipment required for
the Work, but only for that portion of their time required for the Work.
(iv) Costs paid or incurred by Kirco for taxes, insurance,
contributions, assessments and benefits required by law or collective
bargaining agreements, and, for personnel not covered by such agreements,
customary benefits such as sick leave, medical and health benefits,
holidays, vacations and pensions, provided that such costs are based on
wages and salaries included in the Cost of the Work under Subparagraphs
7(a)(i) to 7(a)(iii).
(b) Subcontract Costs. Payments made by Kirco to Subcontractors in
accordance with the requirements of the subcontracts, including fees of
architects, designers and engineers retained by Kirco to design and engineer the
Project.
(c) Costs Of Materials And Equipment Incorporated In The Completed
Construction.
(i) Costs, including transportation, of materials and equipment
incorporated or to be incorporated in the completed construction.
(ii) Costs of materials described in the preceding Subparagraph
7(C)(i) in excess of those actually installed but required to provide
reasonable allowance for waste and for spoilage. Unused excess materials,
if any, shall be handed over to the Owner at the completion of the Work
or, at the Owner's option, shall be sold by Kirco; amounts realized, if
any, from such sales shall be credited to the Owner as a deduction from
the Cost of the Work.
(d) Costs Of Other Materials And Equipment, Temporary Facilities And
Related Items.
(i) Costs, including transportation, installation, maintenance,
dismantling and removal of materials, supplies, temporary facilities,
machinery, equipment, and hand tools not customarily owned by the
construction workers, which are provided by Kirco at the site and fully
consumed in the performance of the Work; and cost less salvage value on
such items if not fully consumed, whether sold to others or retained by
Kirco. Cost for items previously used by Kirco shall mean fair market
value.
(ii) Rental charges for temporary facilities, machinery, equipment,
and hand tools not customarily owned by the construction workers, which
are provided by Kirco at the site, whether rented from Kirco or others,
and costs of transportation, installation, minor repairs and replacements,
dismantling and removal thereof. Rates and quantities of equipment rented
shall be subject to the Owner's prior approval.
4
(iii) Costs of removal of debris from the site.
(iv) Reasonable reproduction costs, facsimile transmissions and
long−distance telephone calls, postage and express delivery charges,
telephone service at the site and reasonable petty cash expenses of the
site office.
(v) That portion of the reasonable travel and subsistence expenses
of Kirco's personnel incurred while traveling in the Wayne, Oakland and
Macomb county area in discharge of duties connected with the Work.
(e) Miscellaneous Costs.
(i) That portion directly attributable to this Contract of premiums
for insurance and bonds.
(ii) Sales, use or similar taxes imposed by a governmental authority
which are related to the Work and for which Kirco is liable.
(iii) Fees and assessments for the building permit and for other
permits, licenses and inspections for which Kirco is required by the
Contract Documents to pay.
(iv) Fees of testing laboratories for tests required by the Contract
Documents, except those related to nonconforming Work other than that for
which payment is permitted by Subparagraph 7(g)(ii).
(v) Royalties and license fees paid for the use of a particular
design, process or product required by the Contract Documents; payments
made in accordance with legal judgments against Kirco resulting from such
suits or claims and payments of settlements made with the Owner's consent;
provided, however, that such costs of legal defenses, judgments and
settlements shall not be included in the calculation of Kirco's Fee or the
Contract Price and provided that such royalties, fees and costs are not
excluded by the other provisions of this Agreement.
(vi) Data processing costs related to the Work.
(vii) Deposits lost for causes other than Kirco's negligence or
failure to fulfill a specific responsibility to the Owner set forth in
this Agreement.
(viii) Legal, mediation and arbitration costs, other than those
arising from dispute between the Owner and Kirco, reasonably incurred by
Kirco in the performance of the Work and with the Owner's written
permission, which permission shall not be unreasonably withheld.
(f) Other Costs. Other costs incurred in the performance of the Work if
and to the extent contained in the budget as approved by the Owner, as the same
may be adjusted and updated from time−to−time, or as otherwise approved in
writing by the Owner pursuant to this Agreement.
(g) Emergencies And Repairs To Damaged Or Nonconforming Work. The Cost of
the Work shall also include costs described in Subparagraph 7(a)(i) which are
incurred by Kirco:
(i) In taking action to prevent threatened damage, injury or loss in
case of an emergency affecting the safety of persons and property.
(ii) In repairing or correcting damaged or nonconforming Work
executed by Kirco or Kirco's Subcontractors or suppliers, provided that
such damaged or
5
nonconforming Work was not caused by the acts or omissions of Kirco to the
Owner set forth in this Agreement or the failure of Kirco's personnel to
supervise adequately the Work of the Subcontractors or suppliers, and only
to the extent that the cost of repair or correction is not recoverable by
Kirco from insurance, Subcontractors or suppliers.
(h) Cost Inclusion. The costs described in Subparagraphs 7(a) through 7(g)
shall be included in the Cost of the Work notwithstanding any provision of the
Agreement which may require Kirco to pay such costs, unless such costs are
excluded by the provisions of Subparagraph 7(i).
(i) Costs Not To Be Reimbursed. The Cost of the Work shall not include:
(i) Salaries and other compensation of Kirco's personnel stationed
at Kirco's principal office or offices other than the site office, except
as specifically provided in Subparagraphs 7(a)(ii) and 7(a)(iii).
(ii) Expenses of Kirco's principal office and offices other than the
site office except as specifically provided in this Paragraph 7.
(iii) Overhead and general expenses, except as may be expressly
included in this Paragraph 7.
(iv) Kirco's capital expenses, including interest on Kirco's capital
employed for the Work.
(v) Rental costs of machinery and equipment, except as specifically
provided in Subparagraph 7(d)(ii).
(vi) Except as provided in Subparagraph 7(g)(ii), costs due to the
fault or negligence of Kirco, Subcontactors, anyone directly or indirectly
employed by any of them, or for whose acts any of them may be liable or to
the failure of Kirco to fulfill a specific responsibility to the Owner set
forth in this Agreement, including, but not limited to the costs for the
correction of damaged, defective or nonconforming Work, disposal and
replacement of materials and equipment incorrectly ordered or supplied and
making good any damage to property not forming part of the Work.
(vii) Except as provided in Subparagraph 7(f), any cost not
specifically and expressly described in this Paragraph 7.
(viii) Costs which would cause the Contract Price to be exceeded.
(ix) Notwithstanding any other provision hereof, salary or other
compensation or costs of Kirco's development personnel or development
overhead.
(j) Notwithstanding anything contained herein to the contrary, with
respect to each component of the Cost of the Work, the Owner shall be credited
with (i) such time/payment discounts of invoices as may be obtainable (provided
that Owner must advance funds to Kirco to obtain prepayment discounts); (ii) the
fair market value of materials charged to the Owner and taken over by Kirco for
its use or sale when no longer needed by it in its performance of this
Agreement; and (iii) any rebates, refunds, returned deposits or other allowances
received by Kirco.
(k) Kirco shall maintain accurate books and records relating to the costs
incurred in connection with the Project at the offices of Kirco. Owner, or it's
agents or representatives shall be entitled, at any time, upon reasonable notice
to audit the books and records of Kirco relating to the Project.
6
8. CONSTRUCTION.
(a) The Development Agreement is intended to produce an office building of
a consistent character and quality of design. All components of the Work
including visible items of mechanical and electrical equipment shall have a
coordinated design in relation to the overall appearance of the building.
(b) Kirco shall employ a competent superintendent and such assistant
superintendents as may be necessary, all reasonably acceptable to the Owner, so
that at least one of them will be in attendance at the Building site during
performance of the Work. If the Owner has a reasonable objection to the
superintendent (or any assistant of the superintendent) employed by Kirco, the
Owner shall have the right to request that such person(s) be replaced promptly
with person(s) of Kirco's selection reasonably acceptable to the Owner.
(c) Kirco shall retain a competent Registered Professional Engineer or
Registered Land Surveyor, who shall establish the exterior lines and required
elevations of all improvements to be erected on the site and shall establish
sufficient lines and grades for the construction of associated work such as, but
not limited to, roads, utilities and site grading. The Engineer or Land Surveyor
shall certify as to the actual location of the constructed facilities in
relation to property lines, building lines, easements, and other restrictive
boundaries as well as to proper compaction of all soils properly located on the
site after completion of site grading.
(d) Kirco shall establish the building grades, lines, levels, column, wall
and partition lines required by the various subcontractors in laying out their
work.
(e) Kirco shall coordinate and supervise the work performed by
Subcontractors to the end that the Work, to the extent possible, is carried out
without conflict between trades and so that no trade, at any time, causes delay
to the general progress of the Work. Kirco and all Subcontractors shall at all
times afford each trade, any separate subcontractor, or the Owner, every
reasonable opportunity for the installation of its properly scheduled portion of
the work.
(f) During the progress of the Work and at all times prior to the date of
occupancy of the Building by the Owner, Kirco shall provide temporary heat,
ventilation, and enclosure, adequate to prevent damage to completed work, work
in progress, the Building or to materials stored on the premises. The permanent
heating and ventilation systems may be used for these purposes when available
unless otherwise provided in the Plans and Specifications.
(g) Kirco shall be present at the initial start−up, testing, adjusting and
balancing of major equipment or systems utilized in the Project. Kirco shall
provide assistance in the utilization of any major equipment, systems, or
materials which do not function in a manner consistent with the Plans and
Specifications, product data, or industry standards for a period of twelve (12)
months after occupancy at no cost to the Owner.
(h) Kirco shall also be responsible to the Owner for the acts and
omissions of the subcontractors, trade contractors, suppliers, agents and
employees of those in privity with Kirco.
9. COMPLETION.
(a) The scheduled Completion Date and Liquidated Damage Date may only be
extended if Kirco delivers to the Owner within ten (10) days after the beginning
of any delay, obstruction or hindrance, a notice of the delay and, if the delay
is not such a delay as will constitute an excusable delay pursuant to paragraph
6 of the Agreement, a Request for a Change Order, accompanied by a good faith
estimate of the length or duration of the anticipated delay. If the delay is an
excusable delay for the purposes of paragraph 6 of the Agreement, or if it
results from the acts or omissions of the Owner which are not required to
correct design problems or work discrepancies, the Completion Date and
Liquidated Damages Date shall be
7
extended for the number of days that the work is delayed by such cause. If the
cause of the delay is not such that would give rise to an excusable delay
pursuant to paragraph 6 of the Agreement, the Owner, in the exercise of its sole
discretion, may grant or deny the Request for a Change Order. A Request for
Change Order shall only be considered if Kirco is delayed, obstructed and/or
hindered in the performance of the Work by any other cause which Kirco could not
reasonably control or circumvent, and such delay is not caused by or resulting
from, in whole or in part, the default or collusion of Kirco. In any event, the
extension shall only be considered for a time period equal to the delay,
obstruction or hindrance. Any disputes between Owner and Kirco concerning
Kirco's entitlement to an extension of time shall be resolved in the same manner
as other disputes as provided in the Agreement.
(b) Extension of time shall be Kirco's sole remedy for any such delay
unless the same shall have been caused by the acts constituting intentional
interference by the Owner with Kirco's performance of the work where such acts
continue after Kirco's written notice to the Owner of such interference. The
Owner's exercise of any of its rights under the Agreement document regarding
changes in the Work, regardless of the extent or number of such changes, or the
Owner's exercise of any of its remedies of suspension of the Work or requirement
of correction or re−execution of any defective Work shall not under any
circumstances be construed as intentional interference with Kirco's performance
of the Work.
10. INTENTIONALLY OMITTED.
11. PROTECTION.
(a) Kirco shall provide and maintain in good operating condition suitable
and adequate fire protection equipment and services, and shall comply with all
reasonable recommendations regarding fire protection made by the representatives
of the fire insurance company carrying insurance on the Work or by the local
fire chief or fire marshall. The area within the site limits shall be kept
orderly and clean, and all combustible rubbish shall be promptly removed from
the site.
(b) Kirco shall utilize good construction practices at all times during
the performance of the Work.
(c) Kirco shall take all precautions necessary to prevent loss or damage
caused by vandalism, theft, burglary, pilferage, or unexplained disappearance of
Owner installed property, whether or not forming part of the Building.
12. INSURANCE.
(a) Kirco's insurance shall be written for not less than any limits of
liability required by law or those set forth as follows, whichever is greater,
on an occurrence coverage basis, and Owner, Kirco and such parties as may be
designated by Owner shall be named insureds under the above coverages, to the
extent possible.
(i) Worker's Compensation − Statutory.
(ii) Employer's Liability − $500,000.
(iii) Comprehensive General Liability (including premises −
operations; independent contractors' protective; products and completed
operations; broad form property damage; automobile coverage and
contractual liability) Public Liability − Per Person/Per Occurrence.
Bodily & Personal Injury − $1,000,000/occurrence;
$2,000,000 aggregate.
8
Property Damage (including water damage, sprinkler
leakage and coverage for explosion or collapse) −
$1,000,000/occurrence; $2,000,000 aggregate.
Contractual Liability (hold harmless coverage):
(iv) Automobile Liability − Per Person/Per Occurrence.
Bodily Injury $1,000,000/occurrence; $2,000,000
aggregate.
Property Damage $1,000,000/occurrence: $2,000,000
aggregate.
(v) Products and Completed Operations − Same limits as above for 3
years, commencing with issuance of final Certificate of Payment.
(vi) Umbrella $5,000,000 − occurrence: $5,000,000 aggregate
(b) If any of Kirco's employees perform any architectural or design
services, Kirco shall obtain and maintain a Building policy (vis−a−vis a claims
made policy) which provides professional errors and omissions coverage with
respect to Kirco's employees performing design services in the amount of
$1,000,000. Kirco shall require the Architect to obtain and maintain
professional errors and omissions coverage in connection with its work, all in
forms acceptable to the Owner. Professional errors and omissions insurance shall
be endorsed to provide contractual liability coverage. Certificates of such
coverage shall be furnished to Owner along with other certificates of insurance
and such coverage shall be for Kirco, and each professional architect, engineer,
contractor or subcontractors in an amount no less than $2,000,000. Kirco agrees,
and shall require each professional architect or engineer to agree, to maintain
such coverage in effect for a period of three (3) years following completion of
the Project.
(c) All insurance policies required under this Section shall: (i) be
issued by companies with an A. M. Best rating or not less than A, (ii) be issued
by companies licensed to do business in Michigan; (iii) not be subject to
cancellation or material change or non−renewal without at least thirty (30)
days' prior written notice to Owner. Certified copies of all insurance policies
required pursuant to this Section (or certificates thereof, in form and
substance acceptable to Owner), shall be delivered to Owner not less than ten
(10) days after execution hereof.
13. PAYMENT. At a minimum, each Application for Payment shall (i) be
submitted on AIA forms G702 and G703; (ii) be accompanied by the Contractor's
sworn statements and waivers of lien, which sworn statement and waiver shall
cover all work, labor and materials, including equipment and fixtures of all
kinds done, performed or furnished as of the date of the request for payment;
(iii) be accompanied by properly completed sworn statements and waivers of lien
from each Subcontractor, Sub−subcontractor, laborer and materialman, which sworn
statements shall cover all work, labor and materials, including equipment and
fixtures of all kinds done, performed or furnished as of the date of the
previous request for payment, and which waivers shall cover all work, labor and
materials, including equipment and fixtures of all kinds, done, performed or
furnished as of the previous request for which payment has been received;
approved and signed by the Architect and (v) such other evidence necessary to
satisfy the Owner and any other applicable authorities designated by Owner that
the Work for which payment is requested has been completed in conformance with
this Agreement, and that all amounts which have previously been paid for Work
have been properly distributed to the various Subcontractors,
Sub−subcontractors, laborers and materialmen. No payment, of any nature
whatsoever, will be made to Kirco, for additional work or services, without
prior written approval by the Owner.
9
WITNESSES: OWNER:
MEEMIC Insurance Company,
a Michigan corporation
/s/Carolyn Shaw By: /s/Lynn Kalinowski
−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−−−−
Carolyn Shaw
/s/Christine C. Schmitt Printed Name: Lynn Kalinowski
−−−−−−−−−−−−−−−−−−−−−−−
Christine C. Schmitt Title: President & CEO
[signatures continued on next page]
10
KIRCO:
KIRCO DEVELOPMENT LLC, a
Michigan limited liability company
/s/John R. Boyd By: /s/Cliff Aiken
−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
John R. Boyd
/s/Michael D. Piette Printed Name: Cliff Aiken
−−−−−−−−−−−−−−−−−−−−−−−
Michael D. Piette Title: Vice President
11
EXHIBIT 21.1
SUBSIDIARIES OF PROASSURANCE CORPORATION
Medical Assurance, Inc.
The Medical Assurance Company, Inc. (Alabama)
Mutual Assurance Agency of Ohio, Inc. (Ohio)
Mutual Assurance Agency, Inc. (Alabama)
Medical Assurance of West Virginia, Inc. (West Virginia)
Specialty Underwriters Reinsurance Facility (Bermuda)
Medical Assurance of Indiana Agency, Inc. (Indiana)
ProAssurance Group Services Corporation
Professionals Group Inc.
American Insurance Management Corporation (Indiana)
ProNational Insurance Agency, Inc. (Michigan)
Professionals Group Services Corporation (Michigan)
Professionals National Insurance Company, Ltd. (Bermuda)
PRA Services Corporation (Michigan)
Physicians Protective Plan Inc. (Florida)
ProNational Insurance Company (Michigan)
Red Mountain Casualty Insurance Company (Alabama)
MEEMIC Holdings, Inc. (Michigan)
MEEMIC Insurance Company (Michigan)
MEEMIC Insurance Services Corporation (Michigan)
EXHIBIT 23.1
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
We consent to the incorporation by reference in the following Registration
Statements of our reports dated March 14, 2005, with respect to the consolidated
financial statements and schedules of ProAssurance Corporation and subsidiaries,
ProAssurance Corporation management's assessment of the effectiveness of
internal control over financial reporting, and the effectiveness of internal
control over financial reporting of ProAssurance Corporation, included in this
Annual Report (Form 10−K) for the year ended December 31, 2004:
Form S−3 No. 333−112613 pertaining to the ProAssurance Corporation Shelf
Registration Statement;
Form S−3 No. 333−109972 pertaining to the registration of $107,600,000
convertible senior debentures and ProAssurance Corporation shares of
common stock under this shelf registration;
Form S−8 No. 333−111136 pertaining to the Amended and Restated
ProAssurance Corporation Stock Ownership Plan;
Form S−8 No. 333−81444 pertaining to the ProAssurance Corporation
Incentive Compensation Stock Plan;
Form S−8 No. 333−119917 pertaining to the ProAssurance Corporation 2004
Equity Incentive Plan;
Form S−8 pertaining to the Medical Assurance, Inc. Incentive Compensation
Stock Plan and Professionals Group, Inc. 1996 Long Term Stock Incentive
Plan assumed by ProAssurance Corporation.
Ernst & Young LLP
Birmingham, Alabama
March 14, 2005
Exhibit 31.1
CERTIFICATION
I, A. Derrill Crowe, certify that:
1. I have reviewed this report on Form 10−K of ProAssurance Corporation;
2. Based on my knowledge, this report does not contain any untrue statement of a
material fact or omit to state a material fact necessary to make the statements
made, in light of the circumstances under which such statements were made, not
misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial
information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as
of, and for, the periods presented in this report;
4. The registrant's other certifying officer and I are responsible for
establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a−15(e) and 15d−15 (e)) and internal control over financial
reporting (as defined in Exchange Act Rules 13a−15(f) and 15d−15(f)) for the
registrant and have:
a) Designed such disclosure controls and procedures, or caused such
disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its
consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being
prepared;
b) Designed such internal control over financial reporting, or caused such
internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of
financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting
principles;
c) Evaluated the effectiveness of the registrant's disclosure controls and
procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of
the period covered by this report based on such evaluation; and
d) Disclosed in this report any change in the registrant's internal control
over financial reporting that occurred during the registrant's most recent
fiscal quarter (the registrant's fourth fiscal quarter in the case of an
annual report) that has materially affected, or is reasonably likely to
materially affect, the registrant's internal control over financial
reporting; and
5. The registrant's other certifying officer and I have disclosed, based on our
most recent evaluation of internal control over financial reporting, to the
registrant's auditors and the audit committee of registrant's board of directors
(or persons performing the equivalent functions):
a) All significant deficiencies and material weaknesses in the design or
operation of internal control over financial reporting which are reasonably
likely to adversely affect the registrant's ability to record, process,
summarize and report financial information; and
b) Any fraud, whether or not material, that involves management or other
employees who have a significant role in the registrant's internal control
over financial reporting.
Date: March 14, 2005
/s/ A. Derrill Crowe, M.D.
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
A. Derrill Crowe, M.D.
Chief Executive Officer
Exhibit 31.2
CERTIFICATIONS
I, Howard H. Friedman, certify that:
1. I have reviewed this report on Form 10−K of ProAssurance Corporation;
2. Based on my knowledge, this report does not contain any untrue statement of a
material fact or omit to state a material fact necessary to make the statements
made, in light of the circumstances under which such statements were made, not
misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial
information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as
of, and for, the periods presented in this report;
4. The registrant's other certifying officer and I are responsible for
establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a−15(e) and 15d−15 (e)) and internal control over financial
reporting (as defined in Exchange Act Rules 13a−15(f) and 15d−15(f)) for the
registrant and have:
a) Designed such disclosure controls and procedures, or caused such
disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its
consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being
prepared;
b) Designed such internal control over financial reporting, or caused such
internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of
financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting
principles;
c) Evaluated the effectiveness of the registrant's disclosure controls and
procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as of the end of
the period covered by this report based on such evaluation; and
d) Disclosed in this report any change in the registrant's internal control
over financial reporting that occurred during the registrant's most recent
fiscal quarter (the registrant's fourth fiscal quarter in the case of an
annual report) that has materially affected, or is reasonably likely to
materially affect, the registrant's internal control over financial
reporting; and
5. The registrant's other certifying officer and I have disclosed, based on our
most recent evaluation of internal control over financial reporting, to the
registrant's auditors and the audit committee of registrant's board of directors
(or persons performing the equivalent functions):
a) All significant deficiencies and material weaknesses in the design or
operation of internal control over financial reporting which are reasonably
likely to adversely affect the registrant's ability to record, process,
summarize and report financial information; and
b) Any fraud, whether or not material, that involves management or other
employees who have a significant role in the registrant's internal control
over financial reporting.
Date: March 14, 2005
/s/ Howard H. Friedman
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Howard H. Friedman
Chief Financial Officer
Exhibit 32.1
A signed original of this written statement required by Section 906 has been
provided to ProAssurance Corporation and will be retained by ProAssurance
Corporation and furnished to the Securities and Exchange Commission or its staff
upon request.
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES−OXLEY ACT OF 2002
In connection with the Quarterly Report of ProAssurance Corporation (the
"Company") on Form 10−K for the year ending December 31, 2004 as filed with the
Securities and Exchange Commission on the date hereof (the "Report"), I, A.
Derrill Crowe, M.D., Chief Executive Officer of the Company, certify, pursuant
to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the
Sarbanes−Oxley Act of 2002, that:
(1) The Report fully complies with the requirements of Section 13(a) of the
Securities Exchange Act of 1934; and
(2) The information contained in the Report fairly presents, in all
material respects, the financial condition and result of operations of the
Company.
/s/ A. Derrill Crowe, M.D
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
A. Derrill Crowe, M.D.
Chief Executive Officer
March 14, 2005
Exhibit 32.2
A signed original of this written statement required by Section 906 has been
provided to ProAssurance Corporation and will be retained by ProAssurance
Corporation and furnished to the Securities and Exchange Commission or its staff
upon request.
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES−OXLEY ACT OF 2002
In connection with the Quarterly Report of ProAssurance Corporation (the
"Company") on Form 10−K for the year ending December 31, 2004 as filed with the
Securities and Exchange Commission on the date hereof (the "Report"), I, Howard
H. Friedman, Chief Financial Officer of the Company, certify, pursuant to 18
U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes−Oxley
Act of 2002, that:
(1) The Report fully complies with the requirements of Section 13(a) of the
Securities Exchange Act of 1934; and
(2) The information contained in the Report fairly presents, in all
material respects, the financial condition and result of operations of the
Company.
/s/ Howard H. Friedman
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−
Howard H. Friedman
Chief Financial Officer
March 14, 2005
_______________________________________________
Created by 10KWizard Technology www.10KWizard.com
corporate and shareholder information
There were 29,201,365 shares of ProAssurance Corporation
common stock outstanding at March 31, 2005. On that date,
we had 3,565 shareholders of record. Our common stock
trades on The New York Stock Exchange under the symbol
PRA. Our stock is listed as ProAsr in the stock section of USA
Today and many major newspapers, and as ProAssurance in
the Wall Street Journal. We also post the price of our stock
on our website, www.ProAssurance.com.
Our Board of Directors has adopted charters for our Audit,
Compensation and Nominating/Corporate Governance
Committees as well as Corporate Governance Principles and
our Code of Ethics and Conduct. We make these documents,
and other information such as committee composition and
leadership and director independence, available in the
Governance section of our website,
www.ProAssurance.com/investor_relations_gov.html.
Our Transfer Agent is Mellon Investor Services, LLC. You may
phone them at 800.851.4218, and you may access their website
at www.melloninvestor.com. If you hold shares in certificate form,
you may learn more about your shareholdings by using Mellon
Investor’s dedicated website, https://vault.melloninvestor.com/isd/.
This website will allow you to verify your shareholdings and
report address changes.
Our Chairman and Chief Executive Officer, A. Derrill Crowe,
M.D., submitted the required Section 12(a) CEO Certification
to the New York Stock Exchange in a timely manner on June
14, 2004. Additionally, we have been timely in the filing of
CEO/CFO certifications as required in Section 302 of the
Sarbanes-Oxley Act. These certifications are published as
exhibits in our Form 10K filed with the SEC on March 16, 2005.
You also may report address changes by mail by writing to:
Mellon Investor Services, LLC
P.O. Box 3338
South Hackensack, NJ 07606-1916
If you have a certificate to transfer, you should obtain forms
and instructions from Mellon Investor Services by phone or
through their website. Send the certificate(s) and required
form by insured, registered mail to:
Mellon Investor Services, LLC
Stock Transfer Department
P. O. Box 3312
South Hackensack, NJ 07606-1912
If you need to report lost or stolen stock certificates, please
phone 800.851.4218 or send a registered letter to:
Mellon Investor Services, LLC
Estoppel Department
P. O. Box 3317
South Hackensack, NJ 07606-1917
Corporate Governance and Compliance with Regulatory
and New York Stock Exchange Requirements
We post detailed information in the Corporate Governance
and Investor Relations sections of our website, which you
may access from our home page, www.ProAssurance.com.
Our Board of Directors has adopted a policy regarding
determination of director independence, including categorical
standards to assist in determining independence. These
are published in our proxy statement which is mailed to
stockholders and filed with the Securities and Exchange
Commission (the “SEC”). Our filings with the SEC are
available in the Investor Relations section of our website,
www.ProAssurance.com/investor_relations.html, and
from the EDGAR section of the SEC’s website,
www.sec.gov/edgar.shtml.
Investor Relations
The Investor Relations section of our website contains detailed
financial information, the latest news releases about the
Company and our latest presentation materials. We also main-
tain an archive of this material, although you should realize
that archived information, by its very nature, may no longer
be accurate.
Obtaining Information Directly from ProAssurance
Any of the documents mentioned above may be obtained
from the Company’s Communications and Investor Relations
Department using one of the contact methods below:
By e-mail:
Investor@ProAssurance.com
By U.S. Postal Service:
ProAssurance Corporation
Investor Relations & Communications
P. O. Box 590009
Birmingham, AL 35259-0009
By phone or fax:
Phone: 205.877.4400 or 800.282.6242
Fax: 205.802.4799
Annual Meeting
The 2005 Annual Meeting is scheduled for 10:30 am CDT on
Wednesday, May 18, 2005 at the Harbert Center, 2019 4th
Avenue North, Birmingham, Alabama.
PROASSURANCE’S PROFESSIONAL LIABILITY ADVERTISING EMPHASIZES OUR LEADERSHIP IN A CHANGING MARKET.
100 Brookwood Place, Birmingham, Alabama 35209
205.877.4400 800.282.6242 www.ProAssurance.com