WellPoint Reports Third Quarter 2011 Results

- Net income was $1.90 per share, including net investment gains of $0.13 per share

- Medical enrollment increased by 169,000 in the quarter to approximately 34.4 million members as of September 30, 2011

- Selling, general and administrative expense ratio declined by 40 basis points from the prior year quarter to 14.0 percent

- Full year 2011 net income now expected to be in the range of $7.18 to $7.28 per share, including net investment gains of $0.28 per share

- Board of Directors declares fourth quarter 2011 dividend of $0.25 per share

Oct 26, 2011, 06:00 ET from WellPoint, Inc.

INDIANAPOLIS,  Oct. 26, 2011 /PRNewswire/ --  WellPoint, Inc. (NYSE: WLP) today announced that third quarter 2011 net income was $683.2 million, or $1.90 per share, including net investment gains of $46.8 million after-tax, or $0.13 per share.  Net income in the third quarter of 2010 was $739.1 million, or $1.84 per share, including net investment gains of $37.9 million after-tax, or approximately $0.10 per share.  

Excluding the net investment gains in each period, adjusted net income was $1.77 per share in the third quarter of 2011, an increase of 1.7 percent compared with adjusted net income of $1.74 per share in the prior-year quarter (refer to GAAP Reconciliation table for a reconciliation to the most directly comparable measure calculated in accordance with U.S. generally accepted accounting principles, or "GAAP").

"We added 169,000 medical members during the third quarter and have now grown by more than one million members on a year-to-date basis, while reducing selling, general and administrative expenses by $185 million, or nearly 3 percent.  Our ability to add new customers while controlling costs demonstrates our execution and emphasis on creating a more affordable operating model for our customers," said Angela F. Braly, chair, president and chief executive officer.  "We are also investing strategically in innovative services and capabilities designed to enhance future growth and improve health care costs and quality for our members.  We expect that our focus on creating the best health care value in the industry will continue to drive success in 2012 and beyond."

"Our higher than anticipated third quarter membership and earnings results were supported by a slight increase in days in claims payable and adjusted operating cash flow of 1.2 times our net income.  Based on these results, we are raising our full year 2011 adjusted earnings per share guidance, and we anticipate that we can grow from this increased base in 2012," said Wayne S. DeVeydt, executive vice president and chief financial officer.  "Also during the third quarter, we acquired CareMore Health Group and continued to execute on our share repurchase and dividend programs."  

CONSOLIDATED HIGHLIGHTS

Membership: Medical enrollment totaled approximately 34.4 million members at September 30, 2011, an increase of 882,000 members, or 2.6 percent, from 33.5 million at September 30, 2010.  The increase was driven by growth of 522,000 members, or 4.4 percent, in the National business.  Enrollment in the Senior business increased by 186,000 members, or 14.8 percent, including 57,000 members from the acquisition of CareMore Health Group ("CareMore") in the third quarter of 2011.  The Company also grew organically in its Local Group, State Sponsored and Federal Employee Program ("FEP") businesses by 125,000, 97,000 and 64,000 members, respectively, while Individual membership declined by 112,000.

As of September 30, 2011, approximately 60 percent of the Company's medical enrollment was self-funded and 40 percent was fully insured, compared with 59 percent and 41 percent, respectively, as of September 30, 2010.

On a sequential basis, medical enrollment increased by 169,000 members in the third quarter of 2011.  This was driven by growth of 99,000 members in the Local Group business and an increase of 89,000 members in Senior, including the 57,000 members from the CareMore acquisition.  These increases were partially offset by modest in-group attrition in the National business.

Operating Revenue: Operating revenue totaled approximately $15.2 billion in the third quarter of 2011, an increase of $846.6 million, or 5.9 percent, from $14.3 billion in the third quarter of 2010.  This increase was driven by premium increases designed to cover overall cost trends and membership growth in the Senior and FEP businesses, partially offset by a decline in fully insured Commercial membership.  

Benefit Expense Ratio: The benefit expense ratio was 85.1 percent in the third quarter of 2011, an increase of 130 basis points from 83.8 percent in the third quarter of 2010.  This was driven by changes in prior period reserve development, as the Company recognized an estimated $110 million of higher than anticipated favorable prior year reserve development during the third quarter of 2010.  The benefit expense ratio also increased due to business mix changes, including growth in Senior membership, and adverse selection in certain Medicare Advantage products.  

Medical Cost Trends: Trends represent Local Group fully insured business.  

For the full year of 2011, the Company now expects that underlying medical cost trend will be in the range of 7.0 percent, plus or minus 50 basis points.  Unit cost increases, including an increase in the acuity of services, continue to be the primary driver of overall medical cost trend.

Days in Claims Payable: Days in Claims Payable ("DCP") as of September 30, 2011, was 41.6 days, an increase of 0.8 days from 40.8 days at June 30, 2011.  The increase was almost entirely related to the CareMore acquisition, which closed on August 22, 2011.  The Company recognized only 39 days of benefit expense for CareMore, while medical claims reserves established at September 30, 2011, fully reflected the CareMore membership.  Excluding the impact of CareMore, DCP was 41.0 days at September 30, 2011, an increase of 0.2 days from June 30, 2011.

SG&A Expense Ratio: The SG&A expense ratio was 14.0 percent in the third quarter of 2011, a decrease of 40 basis points from 14.4 percent in the third quarter of 2010. This reflected operating revenue growth of 5.9 percent, partially offset by an increase of $56.4 million, or 2.7 percent in SG&A expense.  The increase in SG&A expense was driven primarily by expenses designed to enhance the Company's low cost operating model and the acquisition of CareMore.

Operating Cash Flow: Operating cash flow in the third quarter of 2011 was $1.4 billion, or 2.1 times net income, and included receipt of the October 2011 monthly payment from the Centers for Medicare & Medicaid Services ("CMS"), which totaled $596.5 million.  Excluding this payment, adjusted operating cash flow was $833.3 million, or 1.2 times net income, in the third quarter of 2011, and $2.7 billion, or 1.2 times net income, for the nine months ended September 30, 2011.  

For the nine months ended September 30, 2010, operating cash flow totaled $829.7 million and included $1.2 billion of tax payments related to the 2009 sale of the NextRx pharmacy benefit management subsidiaries.  Excluding the NextRx tax payments, adjusted operating cash flow was $2.0 billion for year-to-date period of 2010 (refer to GAAP Reconciliation table for a reconciliation to the most directly comparable measure calculated in accordance with GAAP).

Share Repurchase Program: During the third quarter of 2011, the Company repurchased 13.4 million shares of its common stock for $897.9 million.  For the first nine months of 2011, the Company repurchased 34.2 million shares of common stock, or 9.0 percent of the shares outstanding at December 31, 2010, for approximately $2.4 billion. As of September 30, 2011, the Company's remaining Board-approved share repurchase authorization totaled approximately $5.0 billion.  

Cash Dividend: During the third quarter of 2011, the Company paid a quarterly dividend of $0.25 per share, representing a distribution of cash totaling $88.2 million.  On October 25, 2011, the Company's Board of Directors declared a quarterly dividend to shareholders for the fourth quarter of 2011 of $0.25 per share. The fourth quarter dividend is payable on December 23, 2011, to shareholders of record at the close of business on December 9, 2011.

Investment Portfolio & Capital Position: During the third quarter of 2011, the Company recorded net investment gains of $72.0 million pre-tax, consisting of net realized gains from the sale of securities totaling $94.9 million, partially offset by other than temporary impairments totaling $22.9 million.  In the third quarter of 2010, the Company recorded net investment gains of $58.4 million pre-tax, consisting of net realized gains from the sale of securities totaling $61.6 million, partially offset by other-than-temporary impairments totaling $3.2 million.  

As of September 30, 2011, the Company's net unrealized gain position in the investment portfolio was $748.9 million, consisting of net unrealized gains on fixed maturity and equity securities totaling $573.5 million and $175.4 million, respectively.  As of September 30, 2011, cash and investments at the parent company totaled approximately $2.4 billion.

REPORTABLE SEGMENTS

WellPoint, Inc. has the following reportable segments: Commercial Business, which includes the Local Group, National, UniCare and Specialty Products lines of business; Consumer Business, which includes the Individual, Senior and State Sponsored lines of business; and Other, which includes Comprehensive Health Solutions, FEP business, National Government Services, inter-segment sales and expense eliminations, and corporate expenses not allocated to the other reportable segments.  

Operating revenue and operating gain are the key measures used by management to evaluate performance in each segment.

WellPoint, Inc.

Reportable Segment Highlights

(Unaudited)

(In millions)

Three Months Ended September 30

Nine Months Ended September 30

2011

2010

Change

2011

2010

Change

Operating Revenue

Commercial Business

$8,657.9

$8,486.2

2.0%

$25,868.8

$26,027.4

(0.6%)

Consumer Business

4,576.4

4,039.1

13.3%

13,164.2

12,044.2

9.3%

Other

1,920.8

1,783.2

7.7%

5,656.7

5,278.6

7.2%

Total Operating Revenue

15,155.1

14,308.5

5.9%

44,689.7

43,350.2

3.1%

Operating Gain

Commercial Business

$711.5

$760.9

(6.5%)

$2,583.8

$2,485.0

4.0%

Consumer Business

245.2

261.7

(6.3%)

627.7

888.6

(29.4%)

Other

15.9

17.1

(7.0%)

58.1

10.8

438.0%

Total Operating Gain

972.6

1,039.7

(6.5%)

3,269.6

3,384.4

(3.4%)

Operating Margin

Commercial Business

8.2%

9.0%

(80) bp

10.0%

9.5%

50  bp

Consumer Business

5.4%

6.5%

(110) bp

4.8%

7.4%

(260) bp

Total Operating Margin

6.4%

7.3%

(90) bp

7.3%

7.8%

(50) bp

Commercial Business: Operating gain for the Commercial Business segment was $711.5 million in the third quarter of 2011, a decrease of $49.4 million, or 6.5 percent, from $760.9 million in the third quarter of 2010.  The decline in operating gain was driven by lower prior period reserve development in the third quarter of 2011, which offset the impact of lower than anticipated underlying medical cost trend.  An estimated $75 million of higher than anticipated favorable prior year reserve development was recognized in the Commercial segment during the third quarter of 2010.  

Consumer Business: Operating gain for the Consumer Business segment was $245.2 million in the third quarter of 2011, a decline of $16.5 million, or 6.3 percent, compared with $261.7 million in the prior year quarter.  The decline was driven by changes in prior period reserve development and higher medical costs in the Senior business.  An estimated $35 million of higher than anticipated favorable prior year reserve development was recognized in the Consumer segment during the third quarter of 2010.  These declines in operating gain were substantially offset by improved results in the California Individual business and higher risk score revenue for Senior business during the third quarter of 2011.  

OUTLOOK

Full Year 2011:

  • Net income is now expected to be in the range of $7.18 to $7.28 per share, including net investment gains of $0.28 per share recorded during the nine months ended September 30, 2011.  
  • Year-end medical enrollment is now expected to be approximately 34.2 million members.  
  • Operating revenue is now expected to total approximately $60.1 billion.
  • The benefit expense ratio is now expected to be in the range of 85.0 to 85.2 percent.  
  • The SG&A expense ratio is now expected to be approximately 14.1 percent, including an estimated $50 million of fourth quarter 2011 restructuring costs.
  • Operating cash flow is now expected to be at least $2.9 billion.

Basis of Presentation

  1. Operating gain is defined as operating revenue less benefit expense, selling expense and general and administrative expense.  Operating gain is used to analyze profit or loss on a segment basis.  Consolidated operating gain is a non-GAAP measure.  
  2. Operating margin is defined as operating gain divided by operating revenue.  Consolidated operating margin is a non-GAAP measure.  
  3. Certain prior period amounts have been reclassified to conform to the current period presentation (see Reclassified Consolidated Statement of Income tables).

Conference Call and Webcast

Management will host a conference call and webcast today at 8:30 a.m. Eastern Daylight Time ("EDT") to discuss its third quarter earnings results and updated outlook.  The conference call should be accessed at least 15 minutes prior to the start of the call with the following numbers:

888-423-3268 (Domestic)

800-475-6701 (Domestic Replay)

651-291-5254 (International)

320-365-3844 (International Replay)

An access code is not required for today's conference call.  The access code for the replay is 186084.  The replay will be available from 11 a.m. EDT today until the end of the day on November 9, 2011.  The call will also be available through a live webcast at www.wellpoint.com.  A webcast replay will be available following the call.

About WellPoint, Inc.

WellPoint works to simplify the connection between Health, Care and Value. We help to improve the health of our members and our communities, and provide greater value to our customers and shareholders. WellPoint is one of the nation's largest health benefits companies, with 34 million members in its affiliated health plans, and a total of more than 66 million individuals served through its subsidiaries.  As an independent licensee of the Blue Cross and Blue Shield Association, WellPoint serves members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin.  In a majority of these service areas, WellPoint's plans do business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia, Empire Blue Cross Blue Shield, or Empire Blue Cross (in the New York service areas).  WellPoint also serves customers throughout the country as UniCare.  Additional information about WellPoint is available at www.wellpoint.com.

WellPoint, Inc.

Membership Summary

(Unaudited and in Thousands)

Change from

September 30,

December 31,

September 30,

December 31,

September 30,

Medical Membership

2011

2010

2010

2010

2010

Customer Type

Local Group

15,296

15,216

15,171

0.5%

0.8%

National Accounts

7,435

7,029

7,091

5.8%

4.9%

BlueCard

4,961

4,711

4,783

5.3%

3.7%

Total National

12,396

11,740

11,874

5.6%

4.4%

Individual

1,855

1,905

1,967

(2.6%)

(5.7%)

Senior

1,442

1,259

1,256

14.5%

14.8%

State Sponsored

1,849

1,756

1,752

5.3%

5.5%

FEP

1,517

1,447

1,453

4.8%

4.4%

Total Medical Membership

34,355

33,323

33,473

3.1%

2.6%

Funding Arrangement

Self-Funded

20,570

19,590

19,650

5.0%

4.7%

Fully-Insured

13,785

13,733

13,823

0.4%

(0.3%)

Total Medical Membership

34,355

33,323

33,473

3.1%

2.6%

Reportable Segment

Commercial

27,692

26,959

27,050

2.7%

2.4%

Consumer

5,146

4,917

4,970

4.7%

3.5%

Other

1,517

1,447

1,453

4.8%

4.4%

Total Medical Membership

34,355

33,323

33,473

3.1%

2.6%

Other Membership

Behavioral Health Membership

25,203

23,963

23,776

5.2%

6.0%

Life and Disability Membership

5,014

5,201

5,152

(3.6%)

(2.7%)

Dental Membership

4,079

4,007

4,028

1.8%

1.3%

Managed Dental Membership

4,318

4,272

4,280

1.1%

0.9%

Vision Membership

3,765

3,508

3,475

7.3%

8.3%

Medicare Part D Membership

1,232

1,248

1,234

(1.3%)

(0.2%)

WellPoint, Inc.

Consolidated Statements of Income

(Unaudited)

Three Months Ended

(In millions, except per share data)

September 30

2011

2010

Change

Revenues

Premiums

$14,181.6

$13,366.7

6.1%

Administrative fees

963.1

937.2

2.8%

Other revenue

10.4

4.6

126.1%

Total operating revenue

15,155.1

14,308.5

5.9%

Net investment income

170.9

205.4

(16.8%)

Net realized gains on investments

94.9

61.6

54.1%

Other-than-temporary impairment losses on investments:

Total other-than-temporary impairment losses on investments

(28.8)

(10.4)

(176.9%)

Portion of other-than-temporary impairment losses recognized in

      other comprehensive income

5.9

7.2

(18.1%)

Net other-than-temporary impairment losses recognized in income

(22.9)

(3.2)

(615.6%)

Total revenues

15,398.0

14,572.3

5.7%

Expenses

Benefit expense

12,062.9

11,205.6

7.7%

Selling, general and administrative expense

Selling expense

403.0

400.7

0.6%

General and administrative expense

1,716.6

1,662.5

3.3%

Total selling, general and administrative expense

2,119.6

2,063.2

2.7%

Interest expense

108.2

106.3

1.8%

Amortization of other intangible assets

62.1

60.4

2.8%

Total expenses

14,352.8

13,435.5

6.8%

Income before income taxes

1,045.2

1,136.8

(8.1%)

Income tax expense

362.0

397.7

(9.0%)

Net income

$683.2

$739.1

(7.6%)

Net income per diluted share

$1.90

$1.84

3.3%

Diluted shares

360.4

402.2

(10.4%)

Benefit expense as a percentage of premiums

85.1%

83.8%

130  bp

Selling, general and administrative expense as a

percentage of total operating revenue

14.0%

14.4%

(40) bp

Income before income tax expense as a percentage of

total revenues

6.8%

7.8%

(100) bp

WellPoint, Inc.

Consolidated Statements of Income

(Unaudited)

Nine Months Ended

(In millions, except per share data)

September 30

2011

2010

Change

Revenues

Premiums

$41,779.3

$40,533.7

3.1%

Administrative fees

2,882.8

2,787.7

3.4%

Other revenue

27.6

28.8

(4.2%)

Total operating revenue

44,689.7

43,350.2

3.1%

Net investment income

543.5

608.8

(10.7%)

Net realized gains on investments

193.5

146.5

32.1%

Other-than-temporary impairment losses on investments:

Total other-than-temporary impairment losses on investments

(44.7)

(53.2)

16.0%

Portion of other-than-temporary impairment losses recognized in

      other comprehensive income

11.0

24.2

(54.5%)

Net other-than-temporary impairment losses recognized in income

(33.7)

(29.0)

(16.2%)

Total revenues

45,393.0

44,076.5

3.0%

Expenses

Benefit expense

35,212.9

33,573.8

4.9%

Selling, general and administrative expense

Selling expense

1,205.6

1,206.2

0.0%

General and administrative expense

5,001.6

5,185.8

(3.6%)

Total selling, general and administrative expense

6,207.2

6,392.0

(2.9%)

Interest expense

317.7

305.9

3.9%

Amortization of other intangible assets

175.5

182.0

(3.6%)

Impairment of other intangible assets

21.1

(100.0%)

Total expenses

41,913.3

40,474.8

3.6%

Income before income taxes

3,479.7

3,601.7

(3.4%)

Income tax expense

1,168.3

1,263.4

(7.5%)

Net income

$2,311.4

$2,338.3

(1.2%)

Net income per diluted share

$6.24

$5.52

13.0%

Diluted shares

370.3

423.4

(12.5%)

Benefit expense as a percentage of premiums

84.3%

82.8%

150  bp

Selling, general and administrative expense as a

percentage of total operating revenue

13.9%

14.7%

(80) bp

Income before income tax expense as a percentage of

total revenues

7.7%

8.2%

(50) bp

WellPoint, Inc.

Consolidated Balance Sheets

(In millions)

September 30,   2011

December 31, 2010

(Unaudited)

Assets

Current assets:

  Cash and cash equivalents

$2,508.4

$1,788.8

  Investments available-for-sale, at fair value:

       Fixed maturity securities

16,479.4

16,069.5

       Equity securities

1,164.8

1,236.2

  Other invested assets, current

15.8

21.1

  Accrued investment income

178.0

177.4

  Premium and self-funded receivables

3,309.8

3,041.6

  Other receivables

991.6

878.6

  Income taxes receivable

75.4

32.3

  Securities lending collateral

771.9

900.3

  Deferred tax assets, net

456.7

460.9

  Other current assets

1,600.5

1,534.1

Total current assets

27,552.3

26,140.8

Long-term investments available-for-sale, at fair value:

       Fixed maturity securities

267.1

221.8

       Equity securities

29.1

33.4

Other invested assets, long-term

1,004.3

865.4

Property and equipment, net

1,316.9

1,155.5

Goodwill

13,846.9

13,264.9

Other intangible assets

7,994.2

7,996.8

Other noncurrent assets

539.1

488.3

Total assets

$52,549.9

$50,166.9

Liabilities and shareholders’ equity

Liabilities

Current liabilities:

  Policy liabilities:

    Medical claims payable

$5,459.7

$4,852.4

    Reserves for future policy benefits

58.6

56.4

    Other policyholder liabilities

2,000.5

1,909.1

  Total policy liabilities

7,518.8

6,817.9

  Unearned income

1,638.6

891.4

  Accounts payable and accrued expenses

2,814.8

2,942.2

  Security trades pending payable

84.5

33.3

  Securities lending payable

773.1

901.5

  Short-term borrowings

100.0

100.0

  Current portion of long-term debt

1,274.1

705.9

  Other current liabilities

1,582.4

1,617.3

Total current liabilities

15,786.3

14,009.5

Long-term debt, less current portion

8,622.3

8,147.8

Reserves for future policy benefits, noncurrent

703.4

646.7

Deferred tax liability, net

2,754.7

2,586.9

Other noncurrent liabilities

965.1

963.4

Total liabilities

28,831.8

26,354.3

Shareholders’ equity

Common stock

3.5

3.8

Additional paid-in capital

12,009.6

12,862.6

Retained earnings

11,572.8

10,721.6

Accumulated other comprehensive income

132.2

224.6

Total shareholders’ equity

23,718.1

23,812.6

Total liabilities and shareholders’ equity

$52,549.9

$50,166.9

WellPoint, Inc.

Consolidated Statements of Cash Flows

(Unaudited)

Nine Months Ended September 30

(In millions)

2011

2010

Operating activities

Net income

$2,311.4

$2,338.3

Adjustments to reconcile net income to net cash

   provided by operating activities:

       Net realized gains on investments

(193.5)

(146.5)

       Net other-than-temporary impairment losses recognized in income

33.7

29.0

       Loss on disposal of assets

2.5

1.3

       Deferred income taxes

151.3

111.0

       Amortization, net of accretion

386.3

364.3

       Depreciation expense

71.1

78.2

       Impairment of other intangible assets

21.1

       Share-based compensation

98.1

96.6

       Excess tax benefits from share-based compensation

(38.4)

(25.1)

       Changes in operating assets and liabilities, net of

           effect of business combinations:

               Receivables, net

(357.2)

(22.8)

               Other invested assets

(8.6)

8.9

               Other assets

(107.1)

(89.9)

               Policy liabilities

647.9

(422.3)

               Unearned income

747.2

(60.6)

               Accounts payable and accrued expenses

(412.2)

(152.4)

               Other liabilities

(5.1)

(116.6)

               Income taxes

14.1

(1,143.9)

               Other, net

(25.0)

(38.9)

Net cash provided by operating activities

3,316.5

829.7

Investing activities

Purchases of fixed maturity securities

(10,017.2)

(8,212.6)

Proceeds from sales and maturities of fixed maturity securities

9,748.4

7,997.3

Purchases of equity securities

(219.0)

(191.9)

Proceeds from sales of equity securities

122.1

157.1

Purchases of other invested assets

(139.9)

(67.9)

Proceeds from sales of other invested assets

19.3

25.4

Changes in securities lending collateral

128.2

(498.3)

Purchases of subsidiaries, net of cash acquired

(602.3)

(0.2)

Purchases of property and equipment

(334.4)

(333.6)

Proceeds from sales of property and equipment

1.3

6.0

Other, net

(29.7)

(50.2)

Net cash used in investing activities

(1,323.2)

(1,168.9)

Financing activities

Net proceeds from (repayment of) commercial paper borrowings

658.6

(109.5)

Net proceeds from short-term borrowings

100.0

Proceeds from long-term borrowings

1,097.4

1,088.5

Repayment of long-term borrowings

(703.8)

(480.0)

Changes in securities lending payable

(128.4)

498.3

Changes in bank overdrafts

159.7

(123.0)

Repurchase and retirement of common stock

(2,354.2)

(3,345.1)

Cash dividends

(272.1)

Proceeds from issuance of common stock under employee stock plans

229.2

116.2

Excess tax benefits from share-based compensation

38.4

25.1

Net cash used in financing activities

(1,275.2)

(2,229.5)

Effects of foreign currency exchange rate changes on cash

   and cash equivalents

1.5

(1.2)

Change in cash and cash equivalents

719.6

(2,569.9)

Cash and cash equivalents at beginning of period

1,788.8

4,816.1

Cash and cash equivalents at end of period

$2,508.4

$2,246.2

WellPoint, Inc.

Reconciliation of Medical Claims Payable

Nine Months Ended September 30

Years Ended December 31

(In millions)

2011

2010

2010

2009

2008

(Unaudited)

Gross medical claims payable, beginning of period

$4,852.4

$5,450.5

$5,450.5

$6,184.7

$5,788.0

Ceded medical claims payable, beginning of period

(32.9)

(29.9)

(29.9)

(60.3)

(60.7)

Net medical claims payable, beginning of period

4,819.5

5,420.6

5,420.6

6,124.4

5,727.3

Business combinations and purchase adjustments

100.9

2.8

Net incurred medical claims:

   Current year

35,021.5

33,834.5

45,077.1

47,315.1

47,940.9

   Prior years (redundancies) (1)

(206.3)

(704.8)

(718.0)

(807.2)

(263.2)

Total net incurred medical claims

34,815.2

33,129.7

44,359.1

46,507.9

47,677.7

Net payments attributable to:

   Current year medical claims

29,881.6

29,137.6

40,387.8

42,056.9

42,020.7

   Prior years medical claims

4,417.8

4,486.9

4,572.4

5,157.6

5,259.9

Total net payments

34,299.4

33,624.5

44,960.2

47,214.5

47,280.6

Net medical claims payable, end of period

5,436.2

4,925.8

4,819.5

5,420.6

6,124.4

Ceded medical claims, end of period

23.5

30.5

32.9

29.9

60.3

Gross medical claims payable, end of period

$5,459.7

$4,956.3

$4,852.4

$5,450.5

$6,184.7

Current year medical claims paid as a percent of

   current year net incurred medical claims

85.3%

86.1%

89.6%

88.9%

87.7%

Prior year redundancies in the current period as a

percent of prior year net medical claims payables less

prior year redundancies in the current period

4.5%

14.9%

15.3%

15.2%

4.8%

Prior year redundancies in the current period as a

   percent of prior year net incurred medical claims

0.5%

1.5%

1.5%

1.7%

0.6%

(1) Negative amounts reported for net incurred medical claims related to prior years result from claims being settled for amounts less than originally estimated.

WellPoint, Inc.

GAAP Reconciliation

(Unaudited)

WellPoint, Inc. has referenced "Adjusted Net Income" and "Adjusted Net Income Per Share," non-GAAP financial measures, in this document.  These non-GAAP financial measures are not intended to be alternatives to any measure calculated in accordance with GAAP.  Rather, these non-GAAP financial measures are intended to aid investors when comparing WellPoint, Inc.'s financial results among periods.  A reconciliation of these measures to the most directly comparable measures calculated in accordance with GAAP is presented below.

(In millions, except per share data)

Three Months Ended

September 30, 2011

September 30, 2010

Change

Net income

$683.2

$739.1

(7.6%)

Subtract (net of tax):

Net investment gains, net of $25.2 and $20.5 of tax expense, respectively

(46.8)

(37.9)

Net adjustment items

(46.8)

(37.9)

Adjusted net income

$636.4

$701.2

(9.2%)

Diluted shares

360.4

402.2

(10.4%)

Net income per diluted share

$1.90

$1.84

3.3%

Adjusted net income per diluted share

$1.77

$1.74

1.7%

Nine Months Ended

September 30, 2011

September 30, 2010

Change

Net income

$2,311.4

$2,338.3

(1.2%)

Add (net of tax):

Impairment of other intangible assets, net of $7.4 tax benefit

13.7

Subtract (net of tax):

Net investment gains, net of $55.9 and $41.4 of tax expense, respectively

(103.9)

(76.1)

Net adjustment items

(103.9)

(62.4)

Adjusted net income

$2,207.5

$2,275.9

(3.0%)

Diluted shares

370.3

423.4

(12.5%)

Net income per diluted share

$6.24

$5.52

13.0%

Adjusted net income per diluted share

$5.96

$5.38

10.8%

WellPoint, Inc.

GAAP Reconciliation

(Unaudited)

WellPoint, Inc. has referenced "Adjusted Operating Cash Flow" a non-GAAP measure, in this document.  This non-GAAP measure is not intended to be an alternative to any measure calculated in accordance with GAAP.  Rather, this non-GAAP measure is intended to aid investors when comparing WellPoint, Inc.'s financial results among periods.  A reconciliation of this measure to the most directly comparable measure calculated in accordance with GAAP is presented below.

(In millions)

Three Months Ended

September 30, 2011

September 30, 2010

Operating cash flow

$1,429.8

$896.5

Subtract:

October 2011 CMS payment

(596.5)

Net adjustment items

(596.5)

Adjusted operating cash flow

$833.3

$896.5

Nine Months Ended

September 30, 2011

September 30, 2010

Operating cash flow

$3,316.5

$829.7

Add / (Subtract):

October 2011 CMS payment

(596.5)

Tax payments related to the 2009 sale of NextRx

1,208.0

Net adjustment items

(596.5)

1,208.0

Adjusted operating cash flow

$2,720.0

$2,037.7

WellPoint, Inc.

Reclassified Consolidated Statement of Income

(Unaudited)

WellPoint, Inc. has reclassified certain costs related to its BlueCard program among line items in its 2010 income statement, in order to be comparable with the 2011 financial statement presentation.  While this reclassification impacted previously reported administrative fee revenue, benefit expense and SG&A expense, there was no impact on reported net income.  The schedule below is provided for reference purposes.

(In millions, except per share data)

Three Months Ended September 30, 2010

Originally Reported

Reclassifications

As Reclassified

Revenues

Premiums

$13,366.7

$13,366.7

Administrative fees

963.1

(25.9)

937.2

Other revenue

4.6

4.6

Total operating revenue

14,334.4

(25.9)

14,308.5

Net investment income

205.4

205.4

Net realized gains on investments

61.6

61.6

Other-than-temporary impairment losses on investments:

Total other-than-temporary impairment losses on investments

(10.4)

(10.4)

Portion of other-than-temporary impairment losses recognized in other comprehensive income

7.2

7.2

Other-than-temporary impairment losses recognized in income

(3.2)

(3.2)

Total revenues

14,598.2

(25.9)

14,572.3

Expenses

Benefit expense

11,204.7

0.9

11,205.6

Selling, general and administrative expense

Selling expense

400.7

400.7

General and administrative expense

1,689.3

(26.8)

1,662.5

Total selling, general and administrative expense

2,090.0

(26.8)

2,063.2

Interest expense

106.3

106.3

Amortization of other intangible assets

60.4

60.4

Total expenses

13,461.4

(25.9)

13,435.5

Income before income taxes

1,136.8

1,136.8

Income tax expense

397.7

397.7

Net income

$739.1

$739.1

Net income per diluted share

$1.84

$1.84

Diluted shares

402.2

402.2

Benefit expense as a percentage of premiums

83.8%

83.8%

Selling, general and administrative expense as a

percentage of total operating revenue

14.6%

(20) bp

14.4%

Income before income tax expense as a percentage of

total revenues

7.8%

7.8%

WellPoint, Inc.

Reclassified Consolidated Statement of Income

(Unaudited)

WellPoint, Inc. has reclassified certain costs related to its BlueCard program among line items in its 2010 income statement, in order to be comparable with the 2011 financial statement presentation.  While this reclassification impacted previously reported administrative fee revenue, benefit expense and SG&A expense, there was no impact on reported net income.  The schedule below is provided for reference purposes.

(In millions, except per share data)

Nine Months Ended September 30, 2010

Originally Reported

Reclassifications

As Reclassified

Revenues

Premiums

$40,533.7

$40,533.7

Administrative fees

2,865.1

(77.4)

2,787.7

Other revenue

28.8

28.8

Total operating revenue

43,427.6

(77.4)

43,350.2

Net investment income

608.8

608.8

Net realized gains on investments

146.5

146.5

Other-than-temporary impairment losses on investments:

Total other-than-temporary impairment losses on investments

(53.2)

(53.2)

Portion of other-than-temporary impairment losses recognized in other comprehensive income

24.2

24.2

Other-than-temporary impairment losses recognized in income

(29.0)

(29.0)

Total revenues

44,153.9

(77.4)

44,076.5

Expenses

Benefit expense

33,571.1

2.7

33,573.8

Selling, general and administrative expense

Selling expense

1,206.2

1,206.2

General and administrative expense

5,265.9

(80.1)

5,185.8

Total selling, general and administrative expense

6,472.1

(80.1)

6,392.0

Interest expense

305.9

305.9

Amortization of other intangible assets

182.0

182.0

Impairment of other intangible assets

21.1

21.1

Total expenses

40,552.2

(77.4)

40,474.8

Income before income taxes

3,601.7

3,601.7

Income tax expense

1,263.4

1,263.4

Net income

$2,338.3

$2,338.3

Net income per diluted share

$5.52

$5.52

Diluted shares

423.4

423.4

Benefit expense as a percentage of premiums

82.8%

82.8%

Selling, general and administrative expense as a

percentage of total operating revenue

14.9%

(20) bp

14.7%

Income before income tax expense as a percentage of

total revenues

8.2%

8.2%

SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995

WellPoint and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 ("PSLRA"), including statements in this press release, in presentations, in filings with the Securities and Exchange Commission, or SEC, in reports to shareholders and in meetings with analysts and investors. The projections referenced in this press release are forward-looking and they are intended to be covered by the safe harbor for "forward-looking statements" provided by PSLRA.  Words such as "expect(s)", "feel(s)", "believe(s)", "will", "may", "anticipate(s)", "intend", "estimate", "project" and similar expressions are intended to identify forward-looking statements, which generally are not historical in nature. These statements include, but are not limited to, financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond our control, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include: those discussed and identified in our public filings with the SEC; increased government participation in, or regulation or taxation of health benefits and managed care operations, including, but not limited to, the impact of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010; trends in health care costs and utilization rates; our ability to secure sufficient premium rates including regulatory approval for and implementation of such rates; our ability to contract with providers consistent with past practice; competitor pricing below market trends of increasing costs; reduced enrollment, as well as a negative change in our health care product mix; risks and uncertainties regarding Medicare and Medicaid programs, including those related to non-compliance with the complex regulations imposed thereon and funding risks with respect to revenue received from participation therein; a downgrade in our financial strength ratings; litigation and investigations targeted at health benefits companies and our ability to resolve litigation and investigations within estimates; medical malpractice or professional liability claims or other risks related to health care services provided by our subsidiaries; our ability to repurchase shares of our common stock and pay dividends on our common stock due to the adequacy of our cash flow and earnings and other considerations; non-compliance by any party with the Express Scripts, Inc. pharmacy benefit management services agreement, which could result in financial penalties, our inability to meet customer demands, and sanctions imposed by government entities, including CMS; events that result in negative publicity for us or the health benefits industry; failure to effectively maintain and modernize our information systems and e-business organization and to maintain good relationships with third party vendors for information system resources; events that may negatively affect our license with the Blue Cross and Blue Shield Association; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; intense competition to attract and retain employees; unauthorized disclosure of member sensitive or confidential information; changes in the economic and market conditions, as well as regulations that may negatively affect our investment portfolios and liquidity; possible restrictions in the payment of dividends by our subsidiaries and increases in required minimum levels of capital and the potential negative effect from our substantial amount of outstanding indebtedness; general risks associated with mergers and acquisitions; various laws and our governing documents may prevent or discourage takeovers and business combinations; future public health epidemics and catastrophes; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. Except to the extent otherwise required by federal securities law, we do not undertake any obligation to republish revised forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Readers are also urged to carefully review and consider the various disclosures in our SEC reports.

SOURCE WellPoint, Inc.



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