TRIPLE-S MANAGEMENT CORP (Form: 10-Q, Received: 08/02/2018 17:33:06)

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

☑	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2018

☐	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

COMMISSION FILE NUMBER: 001-33865

Triple-S Management Corporation

Puerto Rico		66-0555678
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

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

(787) 749-4949

(Registrant’s telephone number, including area code)

Not applicable

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

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

☑ Yes ☐ No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

☑ Yes ☐ No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☐	Accelerated filer ☑
Non-accelerated filer ☐	Smaller reporting company ☐
Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

☐ Yes ☑ No

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

Title of each class	Outstanding at June 30, 2018
Common Stock Class A, $1.00 par value	950,968
Common Stock Class B, $1.00 par value	22,242,836

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Triple-S Management Corporation

FORM 10-Q

For the Quarter Ended June 30, 2018

Table of Contents

Part I – Financial Information			3

	Item 1.	Financial Statements	3

	Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	34

		Cautionary Statement Regarding Forward-Looking Information	34
		Overview	34
		Recent Developments	35
		Recent Accounting Standards	36
		Managed Care Membership	36
		Consolidated Operating Results	37
		Managed Care Operating Results	39
		Life Insurance Operating Results	42
		Property and Casualty Insurance Operating Results	43
		Liquidity and Capital Resources	44

	Item 3.	Quantitative and Qualitative Disclosures about Market Risk	45

	Item 4.	Controls and Procedures	46

Part II – Other Information			46

	Item 1.	Legal Proceedings	46

	Item 1A.	Risk Factors	46

	Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	47

	Item 3.	Defaults Upon Senior Securities	47

	Item 4.	Mine Safety Disclosures	47

	Item 5.	Other Information	47

	Item 6.	Exhibits	47

SIGNATURES			48

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Part I – Financial Information

Item 1.

Financial Statements

Triple-S Management Corporation

Condensed Consolidated Balance Sheets (Unaudited)

(dollar amounts in thousands, except share data)

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

See accompanying notes to unaudited condensed consolidated financial statements.

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Triple-S Management Corporation

Condensed Consolidated Statements of Earnings (Unaudited)

(dollar amounts in thousands, except per share data)

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

See accompanying notes to unaudited condensed consolidated financial statements.

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Triple-S Management Corporation

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

(dollar amounts in thousands)

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

See accompanying notes to unaudited condensed consolidated financial statements.

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Triple-S Management Corporation

Condensed Consolidated Statements of Stockholders’ Equity (Unaudited)

(dollar amounts in thousands)

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

See accompanying notes to unaudited condensed consolidated financial statements.

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Triple-S Management Corporation

Condensed Consolidated Statements of Cash Flows (Unaudited)

(Dollar amounts in thousands)

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

(Continued)

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Triple-S Management Corporation

Condensed Consolidated Statements of Cash Flows (Unaudited)

(Dollar amounts in thousands)

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

See accompanying notes to unaudited condensed consolidated financial statements.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(1)	Basis of Presentation

The accompanying condensed consolidated interim financial statements prepared by Triple-S Management Corporation and its subsidiaries are unaudited. In this filing, the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refer to Triple-S Management Corporation and its subsidiaries. The condensed consolidated interim financial statements do not include all the information and the footnotes required by accounting principles generally accepted in the United States of America (GAAP or U.S. GAAP) for complete financial statement presentation. These condensed consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2017.

In the opinion of management, all adjustments, consisting of a normal recurring nature necessary for a fair presentation of such condensed consolidated interim financial statements, have been included. The results of operations for the three months and six months ended June 30, 2018 are not necessarily indicative of the results for the full year ending December 31, 2018.

(2)	Significant Accounting Policies

Investments

Fixed maturities and other invested assets

Investment in debt securities at June 30, 2018 and December 31, 2017 consists mainly of obligations of government‑sponsored enterprises, U.S. Treasury securities and obligations of U.S. government instrumentalities, obligations of the Commonwealth of Puerto Rico and its instrumentalities, municipal securities, corporate bonds, residential mortgage-backed securities, and collateralized mortgage obligations. The Company classifies its debt securities in one of two categories: available-for-sale or held-to-maturity. Securities classified as held-to-maturity are those securities in which the Company has the ability and intent to hold until maturity. All other securities not included in held-to-maturity are classified as available-for-sale.

Available-for-sale securities are recorded at fair value. The fair values of debt securities (both available-for-sale and held-to-maturity investments) are based on quoted market prices for those or similar investments at the reporting date. Held-to-maturity debt securities are recorded at amortized cost, adjusted for the amortization or accretion of premiums and discounts, respectively. Unrealized holding gains and losses, net of the related tax effect, on available-for-sale securities are excluded from earnings and are reported as a separate component of other comprehensive income until realized. Realized gains and losses from the sale of available-for-sale securities are included in earnings and are determined on a specific‑identification basis.

Transfers of securities between categories are recorded at fair value at the date of transfer. Unrealized holding gains or losses associated with transfers of securities from held-to-maturity to available-for-sale are recorded as a separate component of other comprehensive income. The unrealized holding gains or losses included in the separate component of other comprehensive income for securities transferred from available-for-sale to held-to-maturity, are maintained and amortized into earnings over the remaining life of the security as an adjustment to yield in a manner consistent with the amortization or accretion of premium or discount on the associated security.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

If a fixed maturity security is in an unrealized loss position and the Company has the intent to sell the fixed maturity security, or it is more likely than not that the Company will have to sell the fixed maturity security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings. For impaired fixed maturity securities that the Company does not intend to sell or it is more likely than not that such securities will not have to be sold, but the Company expects not to fully recover the amortized cost basis, the credit component of the other-than-temporary impairment is recognized in other-than-temporary impairment losses recognized in earnings in the Company’s consolidated statements of earnings and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income. Furthermore, unrealized losses entirely caused by non-credit related factors related to fixed maturity securities for which the Company expects to fully recover the amortized cost basis continue to be recognized in accumulated other comprehensive income.

The credit component of an other-than-temporary impairment is determined by comparing the net present value of projected future cash flows with the amortized cost basis of the fixed maturity security. The net present value is calculated by discounting the Company’s best estimate of projected future cash flows at the effective interest rate implicit in the fixed maturity security at the date of acquisition.

A decline in the fair value of any available-for-sale or held-to-maturity security below cost that is deemed to be other-than-temporary results in an impairment to reduce the carrying amount to fair value. The impairment is charged to earnings and a new cost basis for the security is established. To determine whether an impairment is other-than-temporary, the Company considers whether it has the ability and intent to hold the investment until a market price recovery and considers whether evidence indicating the cost of the investment is recoverable outweighs evidence to the contrary. Evidence considered in this assessment includes the reasons for the impairment, the severity and duration of the impairment, market conditions, changes in value subsequent to year-end, forecasted performance of the investee, and the general market condition in the geographic area or industry the investee operates in.

Premiums and discounts are amortized or accreted over the life of the related held-to-maturity or available-for-sale security as an adjustment to yield using the effective interest method. Dividend and interest income are recognized when earned.

The Company regularly invests in mortgaged-backed securities and other securities subject to prepayment and call risk. Significant changes in prevailing interest rates may adversely affect the timing and amount of cash flows on such securities. In addition, the amortization of market premium and accretion of market discount for mortgaged-backed securities is based on historical experience and estimates of future payment speeds on the underlying mortgage loans. Actual prepayment speeds may differ from original estimates and may result in material adjustments to amortization or accretion recorded in future periods.

Other invested assets at June 30, 2018 and December 31, 2017 consist mainly of alternative investments in partnerships which invest in several private debt and private equity funds. Portfolios are diversified by vintage year, stage, geography, business sectors and number of investments. These investments are not redeemable with the funds. Distributions from each fund are received as the underlying investments of the funds are liquidated. It is estimated that the underlying assets of the funds will be liquidated in the next 5 to 12 years. The fair values of the investments in this class have been estimated using the net asset value (NAV) of the Company’s ownership interest in the partnerships. Total unfunded capital commitments for these positions as of June 30, 2018 amounted to $108,312. The remaining average commitments period is approximately three years.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

Equity investments

Investment in equity securities at June 30, 2018 and December 31, 2017 consists of mutual funds whose underlying assets are comprised of domestic equity securities, international equity securities and higher risk fixed income instruments. Equity investments are recorded at fair value. The fair values of equity investments are based on quoted market prices. Unrealized holding gains and losses, on equity investments are included in earnings. Realized gains and losses from the sale of equity investments are included in earnings and are determined on a specific‑identification basis.

Recently Adopted Accounting Standards

On February 28, 2018, the Financial Accounting Standard Board (FASB) issued guidance for Technical Corrections and Improvement to Financial Instruments – Overall: Recognition and Measurement of Financial Assets and Financial Liabilities. Areas for correction or improvement include (1) equity securities without a readily determinable fair value—discontinuation, (2) equity securities without a readily determinable fair value—adjustments, (3) forward contracts and purchased options, (4) presentation requirements for certain fair value option liabilities, (5) fair value option liabilities denominated in a foreign currency, and (6) transition guidance for equity securities without a readily determinable fair value. For public companies, these amendments, will be applied on a prospective basis, for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. Public entities with fiscal years beginning between December 15, 2017 and June 15, 2018 are not required to adopt these amendments until the interim period beginning after June 15, 2018. The adoption of this guidance did not have a material impact on the presentation of the Company’s consolidated result of operations.

Other than the accounting pronouncement disclosed above, there were no other new accounting pronouncements issued during the three months ended June 30, 2018 that could have a material impact on the Corporation’s financial position, operating results or financials statement disclosures.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(3)	Investment in Securities

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

	June 30, 2018
	Amortized cost		Gross unrealized gains		Gross unrealized losses			Estimated fair value

Fixed maturities available for sale
Obligations of government- sponsored enterprises	$	11,450	$	2	$	(45	)	$	11,407
U.S. Treasury securities and obligations of U.S. government instrumentalities		211,872		156		(565	)		211,463
Obligations of the Commonwealth of Puerto Rico and its instrumentalities		8,175		-		(6	)		8,169
Municipal securities		713,271		18,520		(2,804	)		728,987
Corporate bonds		191,745		11,428		(1,327	)		201,846
Residential mortgage-backed securities		60,492		33		(1,094	)		59,431
Collateralized mortgage obligations		11,804		2		(420	)		11,386
Total fixed maturities available for sale	$	1,208,809	$	30,141	$	(6,261	)	$	1,232,689

	June 30, 2018
	Amortized cost		Gross unrealized gains		Gross unrealized losses		Estimated fair value
Fixed maturities held to maturity
U.S. Treasury securities and obligations of U.S. government instrumentalities	$	617	$	121	$	-	$	738
Residential mortgage-backed securities		191		2		-		193
Certificates of deposit		1,676		-		-		1,676
Total	$	2,484	$	123	$	-	$	2,607

	June 30, 2018
	Amortized cost		Gross unrealized gains		Gross unrealized losses			Estimated fair value
Equity investments - Mutual funds	$	280,168	$	34,105	$	(1,231	)	$	313,042

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

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

	December 31, 2017
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value

Securities available for sale
Fixed maturities
Obligations of government- sponsored enterprises	$	1,431	$	13	$	-		$	1,444
U.S. Treasury securities and obligations of U.S. government instrumentalities		118,858		41		(550	)		118,349
Obligations of the Commonwealth of Puerto Rico and its instrumentalities		8,059		34		-			8,093
Municipal securities		771,789		30,468		(1,467	)		800,790
Corporate bonds		217,046		17,767		(489	)		234,324
Residential mortgage-backed securities		32,465		2		(355	)		32,112
Collateralized mortgage obligations		22,003		10		(337	)		21,676
Total fixed maturities		1,171,651		48,335		(3,198	)		1,216,788
Equity securities
Mutual funds		292,460		50,072		(223	)		342,309
Alternative investments		34,669		559		(244	)		34,984
Total equity securities		327,129		50,631		(467	)		377,293
Total	$	1,498,780	$	98,966	$	(3,665	)	$	1,594,081

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

	December 31, 2017
	Amortized cost		Gross unrealized gains		Gross unrealized losses		Estimated fair value
Securities held to maturity:
U.S. Treasury securities and obligations of U.S. government instrumentalities	$	617	$	154	$	-	$	771
Residential mortgage-backed securities		191		2		-		193
Certificates of deposit		1,511		-		-		1,511
Total	$	2,319	$	156	$	-	$	2,475

Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of June 30, 2018 and December 31, 2017 were as follows:

	June 30, 2018
	Less than 12 months							12 months or longer							Total
	Estimated Fair Value		Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of Securities

Fixed maturities available for sale
Obligations of government- sponsored enterprises	$	9,955	$	(45	)		1	$	-	$	-			-	$	9,955	$	(45	)		1
U.S. Treasury securities and obligations of U.S. governmental instrumentalities		150,885		(565	)		12		-		-			-		150,885		(565	)		12
Obligations of the Commonwealth of Puerto Rico and its instrumentalities		6,691		(6	)		3		-		-			-		6,691		(6	)		3
Municipal securities		278,677		(2,796	)		41		701		(8	)		1		279,378		(2,804	)		42
Corporate bonds		96,306		(1,327	)		25		-		-			-		96,306		(1,327	)		25
Residential mortgage-backed securities		41,498		(1,094	)		22		-		-			-		41,498		(1,094	)		22
Collateralized mortgage obligations		3,289		(115	)		1		5,628		(305	)		2		8,917		(420	)		3
Total fixed maturities	$	587,301	$	(5,948	)		105	$	6,329	$	(313	)		3	$	593,630	$	(6,261	)		108
Other invested assets - Alternative investments	$	13,991	$	(121	)		3	$	7,327	$	(232	)		2	$	21,318	$	(353	)		5

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

	December 31, 2017
	Less than 12 months							12 months or longer							Total
	Estimated Fair Value		Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of Securities		Estimated Fair Value		Gross Unrealized Loss			Number of Securities

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

The Company reviews the available for sale and other invested assets portfolios under the Company’s impairment review policy. Given market conditions and the significant judgments involved, there is a continuing risk that declines in fair value may occur and material other-than-temporary impairments may be recorded in future periods. The Corporation from time to time may sell investments as part of its asset/liability management process or to reposition its investment portfolio based on current and expected market conditions.

Obligations of Government-Sponsored Enterprises, U.S. Treasury Securities and Obligations of U.S. Government Instrumentalities, and Municipal Securities: The unrealized losses of these securities were mainly caused by fluctuations in interest rates and general market conditions. The contractual terms of these investments do not permit the issuer to settle the securities at a price less than the par value of the investment. In addition, these investments have investment grade ratings. Because the decline in fair value is attributable to changes in interest rates and not credit quality; because the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.

Corporate Bonds: The unrealized losses of these bonds were principally caused by fluctuations in interest rates and general market conditions. All corporate bonds with an unrealized loss have investment grade ratings. Because the decline in estimated fair value is principally attributable to changes in interest rates; because the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered other-than-temporarily impaired.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

Residential mortgage-backed securities and Collateralized mortgage obligations : The unrealized losses on investments in residential mortgage-backed securities and collateralized mortgage obligations (“CMOs”) were mostly caused by fluctuations in interest rates and credit spreads. The contractual cash flows of these securities, other than private CMOs, are guaranteed by a U.S. government-sponsored enterprise. Any loss in these securities is determined according to the seniority level of each tranche, with the least senior (or most junior), typically the unrated residual tranche, taking any initial loss. The investment grade credit rating of our securities reflects the seniority of the securities that the Company owns. The Company does not consider these investments other-than-temporarily impaired because the decline in fair value is attributable to changes in interest rates and not credit quality; the Company does not intend to sell the investments and it is more likely than not that the Company will not be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows.

Obligations of the Commonwealth of Puerto Rico and its Instrumentalities: As of June 30, 2018, our holdings in Puerto Rico municipals consist of escrowed bonds. The Company does not intend to sell the investments and it is more likely than not that the Company will not be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows.

Alternative Investments: As of June 30, 2018, alternative investments with unrealized losses are not considered other-than-temporarily impaired based on market conditions and the length of time the funds have been in a loss position. There were no impaired positions for the six-month period ending June 30, 2018.

Maturities of investment securities classified as available for sale and held to maturity were as follows:

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

Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

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


	Three months ended June 30,						Six months ended June 30,
	2018			2017			2018			2017
Realized gains (losses)
Fixed maturity securities:
Securities available for sale:
Gross gains	$	1,340		$	384			1,512		$	401
Gross losses		(2,873	)		(517	)		(10,803	)		(636	)
Total fixed securities		(1,533	)		(133	)		(9,291	)		(235	)
Equity investments:
Gross gains		551			4,189			8,754			4,627
Gross losses		(525	)		(2	)		(1,024	)		(2	)
Total equity investments		26			4,187			7,730			4,625
Other invested assets:
Gross gains		586			-			3,793			-
Gross losses		-			-			(211	)		-
Total other invested assets		586			-			3,582			-
Net realized investment (losses) gains	$	(921	)	$	4,054		$	2,021		$	4,390

	Three months ended June 30,						Six months ended June 30,
	2018			2017			2018			2017
Changes in net unrealized (losses) gains:
Recognized in accumulated other comprehensive (loss) income:
Fixed maturities – available for sale	$	(11,035	)	$	3,252		$	(21,257	)	$	2,813
Other invested assets		464			2,768			439			13,911
	$	(10,571	)	$	6,020		$	(20,818	)	$	16,724
Not recognized in the consolidated financial statements:
Fixed maturities – held to maturity	$	(10	)	$	(10	)	$	(33	)	$	(8	)

The change in deferred tax liability on unrealized gains recognized in accumulated other comprehensive (loss) income during the six months ended June 30, 2018 and 2017 was $6,147 and $3,391, respectively.

As of June 30, 2018 and December 31, 2017, no individual investment in securities exceeded 10% of stockholders’ equity.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(4)	Premiums and Other Receivables, Net

Premiums and other receivables, net were as follows:

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

As of June 30, 2018 and December 31, 2017, the Company had premiums and other receivables of $48,626 and $81,838, respectively, from the Government of Puerto Rico, including its agencies, municipalities and public corporations. The related allowance for doubtful receivables as of June 30, 2018 and December 31, 2017 were $18,185 and $16,436, respectively.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(5)	Fair Value Measurements

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

The following tables summarize fair value measurements by level for assets measured at fair value on a recurring basis:

	June 30, 2018
	Level 1		Level 2		Level 3		Total

Fixed maturity securities available for sale
Obligations of government-sponsored enterprises	$	-	$	11,407	$	-	$	11,407
U.S. Treasury securities and obligations of U.S government instrumentalities		211,463		-		-		211,463
Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		8,169		-		8,169
Municipal securities		-		728,987		-		728,987
Corporate bonds		-		201,846		-		201,846
Residential agency mortgage-backed securities		-		59,431		-		59,431
Collateralized mortgage obligations		-		11,386		-		11,386
Total fixed maturities	$	211,463	$	1,021,226	$	-	$	1,232,689

Equity investments	$	141,123	$	171,919	$	-	$	313,042

	December 31, 2017
	Level 1		Level 2		Level 3		Total
Securities available for sale:
Fixed maturity securities
Obligations of government-sponsored enterprises	$	-	$	1,444	$	-	$	1,444
U.S. Treasury securities and obligations of U.S government instrumentalities		118,349		-		-		118,349
Obligations of the Commonwealth of Puerto Rico and its instrumentalities		-		8,093		-		8,093
Municipal securities		-		800,790		-		800,790
Corporate bonds		-		234,324		-		234,324
Residential agency mortgage-backed securities		-		32,112		-		32,112
Collateralized mortgage obligations		-		21,676		-		21,676
Total fixed maturities		118,349		1,098,439		-		1,216,788
Equity securities - Mutual funds		193,160		149,149		-		342,309
Alternative investments - measured at net asset value		-		-		-		34,984
Total equity securities		193,160		149,149		-		377,293

Total	$	311,509	$	1,247,588	$	-	$	1,594,081

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

There were no transfers between Levels 1 and 2 during the three months and six months ended June 30, 2018 and 2017.

A summary of the carrying value and fair value by level of financial instruments not recorded at fair value on our condensed consolidated balance sheets at June 30, 2018 and December 31, 2017 are as follows:

	June 30, 2018
	Carrying		Fair Value
	Value		Level 1		Level 2		Level 3		Total
Assets:
Policy loans		9,449	$	-	$	9,449	$	-	$	9,449

Liabilities:
Policyholder deposits		175,592	$	-	$	175,592	$	-	$	175,592
Long-term borrowings:
Loans payable to bank - variable		30,733		-		30,733		-		30,733
Total liabilities	$	206,325	$	-	$	206,325	$	-	$	206,325

	December 31, 2017
	Carrying		Fair Value
	Value		Level 1		Level 2		Level 3		Total
Assets:
Policy loans	$	9,077	$	-	$	9,077	$	-	$	9,077

Liabilities:
Policyholder deposits	$	176,534	$	-	$	176,534	$	-	$	176,534
Long-term borrowings:
Loans payable to bank - variable		32,350		-		32,350		-		32,350
Total liabilities	$	208,884	$	-	$	208,884	$	-	$	208,884

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(6)	Claim Liabilities

A reconciliation of the beginning and ending balances of claim liabilities is as follows:

	Three months ended June 30, 2018									Six months ended June 30, 2018
	Managed Care			Other Business Segments *			Consolidated			Managed Care			Other Business Segments *			Consolidated

Claim liabilities at beginning of period	$	402,444		$	632,317		$	1,034,761		$	367,357		$	739,519		$	1,106,876
Reinsurance recoverable on claim liabilities		-			(526,575	)		(526,575	)		-			(633,099	)		(633,099	)
Net claim liabilities at beginning of period		402,444			105,742			508,186			367,357			106,420			473,777
Claims incurred
Current period insured events		594,742			26,527			621,269			1,198,689			57,434			1,256,123
Prior period insured events		(10,900	)		74,355			63,455			(31,126	)		72,537			41,411
Total		583,842			100,882			684,724			1,167,563			129,971			1,297,534
Payments of losses and loss-adjustment expenses
Current period insured events		512,768			15,670			528,438			873,736			22,690			896,426
Prior period insured events		36,060			11,324			47,384			223,726			34,071			257,797
Total		548,828			26,994			575,822			1,097,462			56,761			1,154,223
Net claim liabilities at end of period		437,458			179,630			617,088			437,458			179,630			617,088
Reinsurance recoverable on claim liabilities		-			494,356			494,356			-			494,356			494,356
Claim liabilities at end of period	$	437,458		$	673,986		$	1,111,444		$	437,458		$	673,986		$	1,111,444

*	Other Business Segments include the Life Insurance and Property and Casualty segments,as well as intersegment eliminations.


	Three months ended June 30, 2017									Six months ended June 30, 2017
	Managed Care			Other Business Segments *			Consolidated			Managed Care			Other Business Segments *			Consolidated

Claim liabilities at beginning of period	$	393,525		$	136,779		$	530,304		$	349,047		$	138,896		$	487,943
Reinsurance recoverable on claim liabilities		-			(35,898	)		(35,898	)		-			(38,998	)		(38,998	)
Net claim liabilities at beginning of period		393,525			100,881			494,406			349,047			99,898			448,945
Claims incurred
Current period insured events		580,608			26,282			606,890			1,183,241			54,508			1,237,749
Prior period insured events		(1,355	)		(1,196	)		(2,551	)		(16,695	)		(2,529	)		(19,224	)
Total		579,253			25,086			604,339			1,166,546			51,979			1,218,525
Payments of losses and loss-adjustment expenses
Current period insured events		576,135			14,944			591,079			926,585			22,917			949,502
Prior period insured events		25,208			11,586			36,794			217,573			29,523			247,096
Total		601,343			26,530			627,873			1,144,158			52,440			1,196,598
Net claim liabilities at end of period		371,435			99,437			470,872			371,435			99,437			470,872
Reinsurance recoverable on claim liabilities		-			33,368			33,368			-			33,368			33,368
Claim liabilities at end of period	$	371,435		$	132,805		$	504,240		$	371,435		$	132,805		$	504,240

*	Other Business Segments include the Life Insurance and Property and Casualty segments,as well as intersegment eliminations.

The actual amounts of claims incurred in connection with insured events occuring in a prior period typically differ from estimates of such claims made in the prior period. Amounts included as incurred claims for prior period insured events reflect the aggregate net amount of these differences.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

The unfavorable developments in the claims incurred and loss-adjustment expenses for prior period insured events for the three months and six months ended June 30, 2018 is driven by an adverse development of approximately $76,389 in losses related to Hurricane Maria, offset by better than expected utilization trends in the managed care segment. The favorable developments in the claims incurred and loss-adjustment expenses for prior period insured events for the three months and six months ended June 30, 2017 are due primarily to better than expected utilization trends in the Managed Care segment. Reinsurance recoverable on unpaid claims is reported as premium and other receivables, net in the accompanying consolidated financial statements. Claim liabilities as of June 30, 2018 include approximately $538,200 related to the impact of Hurricane María, which made landfall in Puerto Rico in September 2017.

The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits expense, which amounted to $7,414 and $13,593 during the three months and six months ended June 30, 2018, respectively. The change in the liability for future policy benefits during the three months and six months ended June 30, 2017 amounted to $6,945 and $13,635, respectively.

The following is information about total incurred but not reported (IBNR) liabilities plus expected development on reported claims included in the liability for unpaid claims adjustment expenses for the Managed Care segment as of June 30, 2018.

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

(7)	Pension Plan

The components of net periodic benefit cost were as follows:

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

Employer Contributions: The Company disclosed in its audited consolidated financial statements for the year ended December 31, 2017 that it expected to contribute $2,000 to the pension program in 2018. As of June 30, 2018, the Company has not made contributions to the pension program.

(8)	Reinsurance

TSP uses facultative reinsurance, pro rata, and excess of loss reinsurance treaties to manage its exposure to losses, including those from catastrophe events. TSP has geographic exposure to catastrophe losses from hurricanes and earthquakes. The incidence and severity of catastrophes are inherently unpredictable. Under these treaties, TSP ceded premiums written were $12,688 and $16,580 for the three months ended June 30, 2018 and 2017, respectively, and $27,466 and $26,721 for the six months ended June 30, 2018, and 2017, respectively. During the six months ended June 30, 2018, TSP ceded claims incurred amounting to $69,594 related to losses caused by Hurricanes Irma and Maria.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

Principal reinsurance agreements are as follows:

· Casualty excess of loss treaty provides reinsurance for losses up to $12,000, subject to a retention of $225.

· Medical malpractice excess of loss treaty provides reinsurance for losses up to $3,000, subject to a retention of $150.

· Property reinsurance treaty includes proportional cessions and a per risk excess of loss contract limiting losses to $350 in $30,000 risks.

· Catastrophe protection is purchased limiting losses to $10,000 per event with losses up to approximately $915,000.

All principal reinsurance contracts are for a period of one year and are subject to modifications and negotiations in each renewal. TSP’s current property and catastrophe reinsurance program was renewed effective April 1, 2018 for a twelve months period ending March 31, 2019. Other contracts were renewed as expiring on January 1, 2018.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(9)	Comprehensive Income (Loss)

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

	Three months ended June 30,						Six months ended June 30,
	2018			2017			2018			2017

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

(10)	Stock Repurchase Program

The Company repurchases shares through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended, under repurchase programs authorized by the Board of Directors.

In August 2017, the Company’s Board of Directors authorized a $30,000 repurchase program of its Class B common stock, and in February 2018 the Company’s Board of Directors authorized a $25,000 expansion of this program. During the three months ended June 30, 2018, the Company repurchased and retired under this program 80,404 shares at an average per share price of $26.82, for an aggregate cost of $2,136. During the six months ended June 30, 2018, the Company repurchased and retired under this program 643,963 shares at an average per share price of $25.40, for an aggregate cost of $16,395.

(11)	Share-Based Compensation

Share-based compensation expense recorded during the three months ended June 30, 2018 and 2017 was $2,151 and $1,613, respectively. Share-based compensation expense recorded during the six months ended June 30, 2018 and 2017 was $2,543 and $1,228, respectively. During the three months and six months ended June 30, 2018, 8,525 and 24,796 shares, respectively, were repurchased and retired as the result of non-cash tax withholdings upon vesting of shares. There were no non-cash tax withholdings during the six months ended June 30, 2017.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(12)	Net (Loss) Income Available to Stockholders and Net (Loss) Income per Share

The following table sets forth the computation of basic and diluted earnings per share:

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

The Company excluded the effect of dilutive securities during the three months and six months ended June 30, 2018 because their effect would have been anti-dilutive given the net loss attributable to stockholders in those periods. If the Company had generated income from continuing operations during the three months and six months ended June 30, 2018, the effect of restricted stock awards on the diluted shares calculation would have been an increase in shares of 80,929 and 92,933 shares, respectively.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(13)	Contingencies

The following information supplements and amends, as applicable, the disclosures in Note 23 to the Consolidated Financial Statements of the Company’s 2017 Annual Report on Form 10-K. Our business is subject to numerous laws and regulations promulgated by Federal, Puerto Rico, U.S. Virgin Islands (USVI), Costa Rica, British Virgin Islands (BVI), and Anguilla governmental authorities. Compliance with these laws and regulations can be subject to government review and interpretation, as well as regulatory actions unknown and unasserted at this time. The Commissioner of Insurance of Puerto Rico, as well as other Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla government authorities, regularly make inquiries and conduct audits concerning the Company’s compliance with such laws and regulations. Penalties associated with violations of these laws and regulations may include significant fines and exclusion from participating in certain publicly funded programs and may require the Company to comply with corrective action plans or changes in our practices.

We are involved in various legal actions arising in the ordinary course of business. We are also defendants in various other litigations and proceedings, some of which are described below. Where the Company believes that a loss is both probable and estimable, such amounts have been recorded. Although we believe our estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution. The outcome of legal proceedings is inherently uncertain and pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any. Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material adverse effect on the consolidated financial condition, operating results and/or cash flows of the Company.

Additionally, we may face various potential litigation claims that have not been asserted to date, including claims from persons purporting to have rights to acquire shares of the Company on favorable terms pursuant to agreements previously entered by our predecessor managed care subsidiary, Seguros de Servicios de Salud de Puerto Rico, Inc. (SSS), with physicians or dentists who joined our provider network to sell such new provider shares of SSS at a future date (Share Acquisition Agreements) or to have inherited such shares notwithstanding applicable transfer and ownership restrictions.

Claims by Heirs of Former Shareholders

On August 28, 2017, local Court of First Instance entered summary judgement in Heirs of Dr. Juan Acevedo, et al., v. Triple-S Management Corporation, et al. ordering the Company to issue 63,000 stock shares in favor of Plaintiffs, plus costs and legal fees. The Company appealed said judgement and on March 15, 2018, Puerto Rico Court of Appeals revoked said judgement and ruled in favor of the Company dismissing the complaint with prejudice. The Court ’s opinion held that issuance of Dr. Blanco’s shares of stock occurred under the Puerto Rico Corporations Statute of 1956, therefore the Corporations Statute of 1995 was inapplicable to the controversy; applicable law was Puerto Rico Insurance Code and Puerto Rico Corporations Statute of 1956; the amendment approved by the stockholders on April 29, 1990 was a relaxation of the restrictions to transfer the shares of stock by inheritance, not a restriction by itself; Dr. Blanco had actual notice of the original restrictions and as such it was not necessary for the restrictions to appear clear and conspicuously on the certificates of the shares of stock he owned; Dr. Blanco’s actual notice of the restrictions was attributable to Plaintiffs as heirs; and Dr. Blanco’s shares were correctly redeemed by the Company. On June 1, 2018, the Puerto Rico Supreme Court denied Plaintiffs’ petition for a Writ of Certiorari; a request for reconsideration is pending adjudication by the Court.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

In re Blue Cross Blue Shield Antitrust Litigation

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

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

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

Claims Relating to the Provision of Health Care Services

TSS was a defendant in several claims for collection of monies in connection with the provision of health care services. Among them are individual complaints filed before ASES by six community health centers alleging TSS breached their contracts with respect to certain capitation payments and other monetary claims. In May 2018, the Company settled this case with all six community health centers and paid a settlement agreement totaling $1,200.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

ASES Audits

The Company is subject to audits in connection with the provision of services to private and governmental entities. These audits may include numerous aspects of our business, including claim payment practices, contractual obligations, service delivery, third-party obligations, and business practices, among others. Deficiencies in audits could have a material adverse effect on our reputation and business, including termination of contracts, significant increases in the cost of managing and remediating deficiencies, payment of contractual penal clauses, and others, any of which could have a material and adverse effect on our results of operations, financial position and cash flows.

On July 2, 2014, ASES notified TSS that the results of an audit conducted in connection with the government health plan contract for several periods between October 2005 and September 2013, reflected an overpayment of premiums made to TSS pursuant to prior contracts with ASES in the amount of $7,900. The alleged overpayments were related to duplicated payments or payments made for deceased members, and ASES requested the reimbursement of the alleged overpayment. On January 16, 2015, TSS filed an injunction against ASES under the case Triple-S Salud, Inc. v. Administración de Seguros de Salud de Puerto Rico. TSS contends that ASES’ request for reimbursement has no merits on several grounds, including a 2011 settlement between both parties covering the majority of the amount claimed by ASES, and that ASES, under the terms of the contracts, was responsible for certifying the membership. On May 26, 2017, the court issued a partial judgement dismissing the complaint in favor of TSS with respect to the alleged overpayments for the period between October 2005 and September 2010, which represented approximately $7,400 of the total alleged claim. On July 27, 2017, ASES appealed the court’s partial judgement and on January 31, 2018, the Puerto Rico Court of Appeals entered judgement in favor of the Company, thus validating the 2011 settlement agreement. No plea for reconsideration nor a writ of certiorari was filed by ASES before the Court of Appeals or the Puerto Rico Supreme Court. The parties reached a settlement agreement for the remaining amount in controversy subject to the final approval of ASES Board of Directors, which has been accrued as of June 30, 2018.

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

(14)	Segment Information

The operations of the Corporation are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance. The Corporation evaluates performance based primarily on the operating revenues and operating income of each segment. Operating revenues include premiums earned, net, administrative service fees, net investment income, and revenues derived from other segments. Operating costs include claims incurred and operating expenses. The Corporation calculates operating income or loss as operating revenues less operating costs.

The following tables summarize the operations by reportable segment for the three months and six months ended June 30, 2018 and 2017:

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

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

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(unaudited)

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

Depreciation and amortization expense:
Managed care	$	2,804		$	2,649		$	5,445		$	4,888
Life insurance		296			318			596			598
Property and casualty insurance		108			138			212			252
Other segments*		172			163			340			323
Total business segments		3,380			3,268			6,593			6,061
TSM depreciation expense		196			196			393			393
Consolidated depreciation and amortization expense	$	3,576		$	3,464		$	6,986		$	6,454

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

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

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

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Triple-S Management Corporation

Notes to Condensed Consolidated Financial Statements

(dollar amounts in thousands, except per share data)

(Unaudited)

(15)	Subsequent Events

The Company evaluated subsequent events through the date the financial statements were issued. No events, other than those described in these notes, have occurred that require adjustment or disclosure pursuant to current Accounting Standards Codification.

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Item 2.

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

In this Management’s Discussion and Analysis of Financial Condition and Results of Operations (MD&A), the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refers to Triple-S Management Corporation and its subsidiaries. The MD&A included in this Quarterly Report on Form 10-Q is intended to update the reader on matters affecting the financial condition and results of operations for the three months and six months ended June 30, 2018. Therefore, the following discussion should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Annual Report on Form 10-K filed with the United States Securities and Exchange Commission as of and for the year ended December 31, 2017 and the MD&A included therein, and our unaudited consolidated financial statements and accompanying notes as of and for the three months and six months ended June 30, 2018 included in this Quarterly Report on Form 10-Q.

Cautionary Statement Regarding Forward-Looking Information

This Quarterly Report on Form 10-Q and other of our publicly available documents may include statements that constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things: statements concerning our business and our financial condition and results of operations. These statements are not historical, but instead represent our belief regarding future events, any of which, by their nature, are inherently uncertain and outside of our control. These statements may address, among other things, future financial results, strategy for growth, and market position. It is possible that our actual results and financial condition may differ, possibly materially, from the anticipated results and financial condition indicated in these forward-looking statements. The factors that could cause actual results to differ from those in the forward-looking statements are discussed throughout this form. We are not under any obligation to update or alter any forward-looking statement (and expressly disclaims any such obligations), whether as a result of new information, future events or otherwise. Factors that may cause actual results to differ materially from those contemplated by such forward looking statements include, but are not limited to, rising healthcare costs, business conditions and competition in the different insurance segments, government action and other regulatory issues.

Overview

We are one of the most significant players in the managed care industry in Puerto Rico and have over 55 years of experience in this industry. We offer a broad portfolio of managed care and related products in the Commercial, Medicaid and Medicare Advantage markets. In the Commercial market, we offer products to corporate accounts, U.S. federal government employees, local government employees, individual accounts and Medicare Supplement. We also participate in the Government of Puerto Rico Health Insurance Plan (a government of Puerto Rico-funded managed care program for the medically indigent that is similar to the Medicaid program in the U.S.) (Medicaid), by administering the provision of health benefits in designated service regions in Puerto Rico. See details of the Medicaid contract in Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2017 under the sub-caption “ We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business. ”

We have the exclusive right to use the Blue Cross Blue Shield (BCBS) name and mark throughout Puerto Rico, the U.S. Virgin Islands (USVI), Costa Rica, the British Virgin Islands (BVI) and Anguilla. As of June 30, 2018, we served approximately 973,000 managed care members across all regions of Puerto Rico. For the six months ended June 30, 2018 and 2017, our managed care segment represented approximately 91% of our total consolidated premiums earned. We also have significant positions in the life insurance and property and casualty insurance markets.

We participate in the managed care market through our subsidiaries, Triple-S Salud, Inc. (TSS); Triple-S Advantage, Inc. (TSA), and Triple-S Blue, Inc. I.I. (TSB). TSS, TSA and TSB are Blue Cross Blue Shield Association (BCBSA) licensees, which provides us with exclusive use of the Blue Cross and Blue Shield name and mark throughout Puerto Rico, the USVI, Costa Rica, the BVI, and Anguilla.

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We participate in the life insurance market through our subsidiary, Triple-S Vida, Inc., and in the property and casualty insurance market through our subsidiary, Triple-S Propiedad, Inc. (TSP).

Intersegment revenues and expenses are reported on a gross basis in each of the operating segments but eliminated in the consolidated results. Except as otherwise indicated, the numbers for each segment presented in this Quarterly Report on Form 10-Q do not reflect intersegment eliminations. These intersegment revenues and expenses affect the amounts reported on the financial statement line items for each segment, but are eliminated in consolidation and do not change net income. See note 14 of the Condensed Consolidated Financial Statements included in Quarterly Report on Form 10-Q.

Our revenues primarily consist of premiums earned, net and administrative service fees. These revenues are derived from the sale of managed care products in the Commercial market to employer groups, individuals, and government-sponsored programs, principally Medicare and the Government of Puerto Rico Health Insurance Plan. Premiums are derived from insurance contracts and administrative service fees are derived from self-funded contracts, under which we provide a range of services, including claims administration, billing and membership services, among others. Revenues also include premiums earned from the sale of property and casualty and life insurance contracts, investment income, and revenues derived from other non-reportable segments. Substantially all our earnings are generated in Puerto Rico.

Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and other service providers, and policyholders. Each segment’s results of operations depend to a significant extent on their ability to accurately predict and effectively manage claims. A portion of the claims incurred for each period consists of claims reported but not paid during the period, as well as a management and actuarial estimate of claims incurred but not reported during the period. Operating expenses consist primarily of compensation, commission payments to brokers and other overhead business expenses.

We use operating income as a measure of performance of the underwriting and investment functions of our segments. We also use the loss ratio and the operating expense ratio as measures of performance. The loss ratio is claims incurred divided by premiums earned, net, multiplied by 100. The operating expense ratio is operating expenses divided by premiums earned; net and administrative service fees, multiplied by 100.

Recent Developments

Puerto Rico Economy

The Oversight Board requested and certified fiscal plans for the Commonwealth and several Commonwealth instrumentalities in 2017. However, as a result of the aftermath of Hurricane María, the Oversight Board announced a process to revise such fiscal plans. At the request of the Oversight Board, the Commonwealth and several of its instrumentalities prepared and submitted various drafts of proposed fiscal plans to the Oversight Board. On April 19, 2018, the Oversight Board certified a new fiscal plan for the Commonwealth, which it revised and re-certified on June 29, 2018. Although the plan certified by the Oversight Board borrows heavily from previous drafts of fiscal plans submitted by the government to the Oversight Board, it differs in certain significant aspects. The Governor has stated publicly that he does not intend to implement certain material elements of the Commonwealth’s certified fiscal plan and has commenced litigation against the Oversight Board challenging its ability to require the implementation of certain measures included therein. In April 2018, the Oversight Board also certified revised fiscal plans for the Puerto Rico Electric Power Authority, Puerto Rico Aqueduct and Sewer Authority (“PRASA”), the University of Puerto Rico, the Puerto Rico Highways and Transportation Authority and Government Development Bank (“GDB”).

The Commonwealth’s certified fiscal plan estimates a 13.3% contraction in real gross national product in fiscal year 2018, and projects relatively steady macroeconomic growth after fiscal year 2018, assuming the successful implementation of the fiscal and structural reforms outlined therein and substantial federal government funding to address disaster recovery and reconstruction efforts. The fiscal plans (the ones certified by the Oversight Board last year and the recently certified fiscal plans) reflect that the government and its instrumentalities will not have sufficient revenues to pay their debt service obligations in full while continuing to provide essential services, implying a need for significant debt relief.

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See Item 1A. Risk Factors – Risks Related to our Business – “ Our business is geographically concentrated in Puerto Rico and weakness in the economy and the fiscal health of the government has adversely impacted and may continue to adversely impact us, particularly following Hurricanes Irma and Maria .” included in our Annual Report on Form 10-K for the year ended December 31, 2017.

Puerto Rico Government Health Reform Program

TSS extended the term of its contract with the Puerto Rico Health Insurance Administration (“ASES,” by its Spanish acronym) for the offering of health care services for the Medicaid subscribers in the Metro North and West regions of the Government of Puerto Rico’s health insurance program, known as the Government Health Plan (the “Contract”). The amendment signed on June 30, 2018 extended the term of the Contract until July 31, 2018. On July 31, 2018 TSS signed another extension of the terms of the Contract until October 31, 2018. All other provisions of the Contract, as amended, including the per member per month payments made by ASES to TSS, will remain in full force and effect during the extension periods.

The Company has been notified by ASES that TSS is one of the five companies selected to participate as a managed care organization (MCO) in the government’s revised Medicaid Health Plan. Contract execution is expected during the month of August and the program is scheduled to begin on November 1, 2018. MCOs are mandated to participate in two separate risk pools - a general population risk pool for which a base premium applies, and a “high cost, high need” risk pool with adjusted premiums established according to target populations and medical conditions. The revised Medicaid program will be implemented for a three-year term with an additional one-year term ASES option. Premiums rates will be negotiated for each contract year.

See Item 1A. Risk Factors—Risks Related to Our Business – “ We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business .’’ included in our Annual Report on Form 10-K for the year ended December 31, 2017.

Political and Regulatory Developments

CMS announced final benchmark rates for the 2019 Medicare Advantage plans. The call letter maintains the zero claims adjustment, and allows certain Puerto Rico counties to qualify for double bonus status. The impact of these updates, result in a Puerto Rico benchmark estimated average increase of about 5.7%. See Item 1A. Risk Factors—Risks Related to the Regulation of our Industry – “The revised rate calculation system for Medicare Advantage, the payment system for the Medicare Part D and changes in the methodology and payment policies used by CMS to establish rates could reduce our profitability and the benefits we offer our beneficiaries’’ included in our Annual Report on Form 10-K for the year ended December 31, 2017.

Property and Casualty – Hurricane Maria Unfavorable Reserve Development

During the three months ended June 30, 2018, the Property and Casualty segment increased by approximately $212.7 million the gross losses related to Hurricane Maria, a strong category 4 hurricane that made landfall in Puerto Rico on September 20, 2017 causing island wide catastrophic damage not seen in Puerto Rico in over 100 years. With this significant increase in the gross losses related to this catastrophe, the segment has exceeded the 2017 catastrophe reinsurance coverage limits, resulting in the recognition of a $76.4 million unfavorable prior period reserve development during the three months ended June 30, 2018.

In previous periods, gross losses related to Hurricane Maria were estimated using as a primary source an industry-recognized post-landfall model, supplemented by management estimates of loss adjustment expense. As loss information continued to emerge, including significant new information which emerged during the three months ended June 30, 2018, gross reserves were updated reflecting a worsening of the loss expectations for Hurricane Maria. Specifically, as the second quarter progressed, we received new information related to existing claim cases, including numerous commercial property cases that indicated a worsening of loss expectations related to this event. As a consequence, the segment is now carrying specific and bulk reserves for unpaid claims based on actual data, rather than relying on model projections.

We believe the delay in the submission of information by claimants and adjusters resulted from the difficulties they have had in performing site inspections, preparing estimates and delivering claim reports, following the catastrophic damage suffered by Puerto Rico in its power, water, transportation, and communications infrastructure. In addition, because Hurricane Maria occurred within a month of Hurricane Harvey and two weeks after Hurricane Irma, both of which severely impacted the southern portion of the U.S., many independent adjusters were not available until several months after Hurricane Maria impacted the Island, contributing to the delay in inspections and preparation of estimates.

As the result of this unfavorable reserve development, TSP estimates that its Risk Based Capital (RBC) at the end of the year could be lower than the 300% minimum RBC requirement of the Commissioner of Insurance. The lower capital levels could also negatively impact the segment’s A.M. Best rating for 2018. Management is evaluating several alternatives to increase TSP’s statutory capital in order to meet minimum capital requirements, which could include reinsurance agreements, capital infusion, and/or the issuance of surplus notes.

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See Item 1A. Risk Factors − Risks Related to Our Business – “ Our failure to accurately estimate incurred but not reported claims would affect our reported financial results ”, “ Our ability to manage our exposure to underwriting risks in our life insurance and property and casualty insurance business depends on the availability and cost of reinsurance coverage ”, “ If our reinsurers do not pay our claims or do not pay them in a timely manner, we may incur losses ”, “ A downgrade in our A.M. Best rating could affect our ability to write new business or renew our existing business in our property and casualty segment ”, and “ Our insurance subsidiaries are subject to minimum capital requirements. Our failure to meet these standards could subject us to regulatory actions ” included in our Annual Report on Form 10-K for the year ended December 31, 2017. Additional information on how each reportable segment determines its claim liabilities, and the variables considered in the development of this amount, is included in our latest Annual Report on Form 10-K under Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations − Critical Accounting Estimates”.

Recent Accounting Standards

For a description of recent accounting standards, see note 2 to the unaudited condensed consolidated financial statements included in this quarterly report on Form 10-Q.

Managed Care Membership

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

(1)	Commercial membership includes corporate accounts, self-funded employers, individual accounts, Medicare Supplement, Federal government employees and local government employees.

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Consolidated Operating Results

The following table sets forth the Corporation’s consolidated operating results. Further details of the results of operations of each reportable segment are included in the analysis of operating results for the respective segments.

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

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017

Operating Revenues

Consolidated premiums earned, net increased by $18.9 million, or 2.6%, to $741.8 million, primarily reflecting higher Medicaid and Medicare premiums within the Managed Care segment. Increase in Medicaid premiums mostly reflects the higher premium rates that became effective July 1, 2017 as well as an increase in membership. In the Medicare business, premiums increased due to this year’s achievement of a four-star rated Medicare Advantage HMO contract that resulted in a 5% bonus applied to the benchmark used in premium calculation as well as an increase in the 2018 Medicare reimbursement rates. These increases were partially offset by lower Commercial and Medicare membership.

Net unrealized investment losses on equity investments

The $0.8 million in consolidated net unrealized investment losses on equity investments is the impact of a new accounting guidance implemented effective January 1, 2018, which requires the change in unrealized gain (loss) of equity investments, previously recorded through comprehensive income, to be recorded through earnings.

Claims Incurred

Consolidated claims incurred increased by $80.8 million, or 13.2%, to $692.1 million mainly driven by a $76.4 million unfavorable prior period reserve development in the Property and Casualty segment in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. The consolidated loss ratio increased by 870 basis points to 93.3%. See “Recent Developments - Property and Casualty - Hurricane Maria Unfavorable Reserve Development”.

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Operating Expenses

Consolidated operating expenses increased by $15.9 million, or 13.4%, to $134.6 million. The higher operating expenses are mostly the result of the reinstatement of the Health Insurance Providers Fee (HIP fee) of $12.2 million and higher professional services and personnel costs. For the three months ended June 30, 2018, the consolidated operating expense ratio increased 170 basis points to 18.0%.

Income Taxes

Consolidated income tax benefit for the three months ended June 30, 2018 was $27.8 million, compared to an expense of $1.5 million during the three months ended June 30, 2017. The year over year change in income taxes primarily reflects the loss before taxes in the Property and Casualty segment.

Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017

Operating Revenues

Consolidated premiums earned, net increased by $68.6 million, or 4.8%, to $1,493.8 million, reflecting higher Medicaid and Medicare premiums within the Managed Care segment. Increase in Medicaid premiums mostly reflects the higher premiums rates that became effective July 1, 2017 as well as increase in membership. In the Medicare business, premiums increased as the result of achieving a 4-star rating in our Medicare Advantage HMO contract that resulted in a 5% bonus applied to the benchmark used in premium calculation as well as an increase in the 2018 Medicare reimbursement rates. These increases were partially offset by lower Commercial and Medicare membership.

Net unrealized investment losses on equity investments

The $17.0 million in consolidated net unrealized investment losses on equity investments is the impact of a new accounting guidance implemented effective January 1, 2018, which requires the change in unrealized gain (loss) of equity investments, previously recorded through comprehensive income, to be recorded through earnings.

Claims Incurred

Consolidated claims incurred increased by $78.9 million, or 6.4%, to $1,311.1 million mainly driven by a $76.4 million unfavorable prior period reserve development in the Property and Casualty segment in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. The consolidated loss ratio increased by 130 basis points to 87.8%. See “Recent Developments - Property and Casualty - Hurricane Maria Unfavorable Reserve Development”.

Operating Expenses

Consolidated operating expenses increased by $38.1 million, or 16.6%, to $267.7 million. The higher operating expenses are mostly the result of the reinstatement of the HIP fee of $23.9 million and higher professional services and personnel costs. For the six months ended June 30, 2018, the consolidated operating expense ratio increased 180 basis points to 17.8%.

Income Taxes

Consolidated income tax benefit for the six months ended June 30, 2018 was $27.5 million, compared to a benefit of $5.2 million during the six months ended June 30, 2017. The year over year change in income taxes primarily reflects the loss before taxes in the Property and Casualty segment.

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Managed Care Operating Results


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

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

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017

Medical Operating Revenues

Medical premiums earned increased by $16.6 million, or 2.5%, to $678.3 million. This increase is principally the result of the following:

•

Medical premiums generated by the Medicare business amounted to $279.8 million, $13.2 million, or 5.0% higher, primarily reflecting an increase in the Medicare reimbursement rates for the first time since 2012, the increase related to the 4-star rating achievement in our 2018 HMO product, increase in the risk score adjustment and higher average membership risk score. These increases were offset in part by a decrease in member months enrollment by approximately 28,000.

•

Medical premiums generated by the Medicaid business increased $12.0 million, or 6.3% to $203.8 million. Increase primarily reflects higher premiums rates effective July 1, 2017, an increase in membership of approximately 33,000 lives, and $3.6 million related to the reinstatement of the HIP fee pass-through in 2018. These increases were partially offset by a $7.7 million decrease in the collection of premiums related to the achievement of the contract’s quality incentive metrics, reflecting the collection of one quarter in 2018 versus three quarters in 2017.

•

Medical premiums generated by the Commercial business decreased by $8.6 million, or 4.2%, to $194.7 million. This fluctuation primarily reflects lower member enrollment during the year by approximately 61,000 member months and $3.0 million related to the reinstatement of the HIP fee pass-through in 2018.

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Medical Claims Incurred

Medical claims incurred increased by $4.6 million, or 0.8%, to $583.8 million when compared to the three months ended June 30, 2017. The medical loss ratio (MLR) of the segment decreased 140 basis points during the 2018 period, to 86.1%. This fluctuation is primarily attributed to the net effect of the following:

•

The medical claims incurred of the Medicare business increased by $5.1 million, or 2.1%, during the 2018 period and its MLR decreased by 250 basis points, to 88.4%. Adjusting for the effect of prior period reserve developments in 2018 and 2017 and moving the risk score revenue adjustments to their corresponding period, the Medicare MLR would have been approximately 89.4% this quarter, about 130 basis points lower than last year, primarily reflecting the higher premium rates in the 2018 period partially offset by higher trends in pharmacy and inpatient services, as well as to higher costs, offset in part by increased utilization of services as the result of the waiver of pre-authorization requirements mandated by CMS following the impact of Hurricanes Irma and Maria. The waiver was in place until June 15, 2018.

•

The medical claims incurred in the Medicaid business increased by $7.3 million, or 4.2%, during the 2018 period. The MLR, at 88.5%, was 180 basis point lower than the same period last year. Adjusting for the effect of prior period reserve developments and the collection of quality incentive premiums, the Medicaid MLR would have been approximately 89.4%, for the quarter, 520 basis points lower than the adjusted MLR for last year. The improved MLR primarily reflects the higher premium rates in the 2018 period, and cost containment initiatives.

•

The medical claims incurred of the Commercial business decreased by $7.8 million, or 4.8%, during the 2018 period mostly driven by lower enrollment. The MLR, at 80.2%, was 40 basis point lower than the same period last year. Adjusting for the effect of prior period reserve developments, the Commercial MLR would have been 84.7%, 370 basis points higher than the adjusted MLR for last year, mostly reflecting higher utilization in the 2018 quarter mostly reflecting the impact of an earlier Easter holiday this year, shifting some first quarter utilization to the second quarter, and the normal increase in claim trends.

Medical Operating Expenses

Medical operating expenses increased by $14.6 million, or 16.3%, to $104.1 million. The operating expense ratio increased by 180 basis points to 15.2% in 2018. The higher operating expenses and expense ratio are mostly driven by the reinstatement of the HIP fee in 2018, resulting in an increase of $12.2 million, and higher professional services and personnel costs.

Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017

Medical Operating Revenues

Medical premiums earned increased by $63.1 million, or 4.8%, to $1,365.3 million. This increase is principally the result of the following:

•

Medical premiums generated by the Medicare business increased by $43.4 million, or 8.3%, to $567.7 million, primarily reflecting an increase in the Medicare reimbursement rates for the first time since 2012, the increase related to the 4-star rating achievement in our 2018 HMO product, increase in the risk score adjustment, and to higher average membership risk score.

•

Medical premiums generated by the Medicaid business amounted to $404.1 million, $34.6 million, or 9.4% higher when compared to the prior period. Increase primarily reflects higher premiums rates effective July 1, 2017, $7.3 million related to the reinstatement of the HIP fee pass-through in 2018, and an increase in member months enrollment of approximately 31,000. These increases were offset in part by a $3.9 million decrease in the collection of premiums related to the achievement of contract’s quality incentive metrics, reflecting the collection of two quarter in 2018 versus three quarters in 2017.

•

Medical premiums generated by the Commercial business decreased by $14.9 million, or 3.6%, to $393.5 million. This fluctuation primarily reflects lower member enrollment during the year by approximately 113,000 member months and $6.0 million related to the reinstatement of the HIP fee pass-through in 2018.

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Medical Claims Incurred

Medical claims incurred increased by $1.1 million, or 0.1%, to $1,167.6 million and the MLR of the segment decreased 410 basis points during the 2018 period, to 85.6%. This fluctuation is primarily attributed to the net effect of the following:

•

The medical claims incurred of the Medicare business increased by $6.3 million, or 1.3%, during the 2018 period and its MLR decreased by 600 basis points, to 86.4%. Adjusting for the effect of prior period reserve developments in 2018 and 2017 and moving the risk score revenue adjustments to their corresponding period, the Medicare MLR would have been approximately 88.0% this year, about 460 basis points lower than last year, primarily reflecting the higher premium rates in the 2018 period offset in part by increased utilization of services as the result of after the waiver of pre-authorization requirements mandated by CMS following the impact of Hurricanes Irma and Maria.

•

The medical claims incurred in the Medicaid business increased by $12.2 million, or 3.5%, during the 2018 period. The MLR, at 88.9%, was 500 basis point lower than the same period last year. Adjusting for the effect of prior period reserve developments and the collection of quality incentive premiums, the Medicaid MLR would have been approximately 89.8% this quarter, 390 basis points lower than the adjusted MLR for last year. The improved MLR primarily reflects the higher premium rates in the 2018 period, and cost containment initiatives.

•

The medical claims incurred of the Commercial business decreased by $17.4 million, or 5.2%, during the 2018 period mostly driven by lower enrollment. The MLR, at 80.8%, was 130 basis point lower than the same period last year. Adjusting for the effect of prior period reserve developments, the Commercial MLR would have been 83.1%, 130 basis points higher than the adjusted MLR for last year, primarily reflecting the normal increase in claim trends.

Medical Operating Expenses

Medical operating expenses increased by $35.1 million, or 20.6%, to $205.9 million. The operating expense ratio increased by 200 basis points to 15.0% in 2018. The higher operating expenses and expense ratio are mostly driven by the reinstatement of the HIP fee in 2018, resulting in an increase of $23.9 million, and higher professional services, personnel costs, and business promotion.

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Life Insurance Operating Results

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

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017

Operating Revenues

Premiums earned, net increased by $1.4 million, or 3.5% to $41.4 million mainly as the result of higher sales in the Individual Life, Cancer and Major Medical lines of business.

Policy Benefits and Claims Incurred

Policy benefits and claims incurred increased by $1.6 million, or 7.3%, to $23.5 million, mostly as the result of the above-mentioned increase in premiums and to a higher average cost per claim in the Cancer line of business. As a result, the segment’s loss ratio increased 200 basis point to 56.8%.

Underwriting and Other Expenses

Underwriting and other expenses were in line with previous year, decreasing $0.2 million, or 1.0%, to $19.2 million. The segment’s operating expense ratio improved 210 basis points to 46.4%.

Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017

Operating Revenues

Premiums earned, net increased by $2.4 million, or 3.0% to $82.9 million mainly as the result of higher sales in the Individual Life and Cancer lines of business.

Policy Benefits and Claims Incurred

Policy benefits and claims incurred increased by $2.9 million, or 6.4%, to $48.5 million, mostly as the result of higher number of death benefits paid in the Individual Life and Group lines of business as well as increased claims in the Cancer line of business. As a result, the segment’s loss ratio increased 190 basis point to 58.5%.

Underwriting and Other Expenses

Underwriting and other expenses were in line with previous year, decreasing $0.3 million, or 0.8%, to $38.1 million. The segment’s operating expense ratio improved 170 basis points to 46.0%.

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Property and Casualty Insurance Operating Results

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

Three Months Ended June 30, 2018 Compared to Three Months Ended June 30, 2017

Operating Revenues

Total premiums written decreased by $13.6 million, or 29.3%, to $32.8 million, driven by lower sales of Commercial Property, Commercial Package, Commercial Liability and Commercial Auto products, mostly resulting from selective and disciplined underwriting of Commercial risks.

The premiums ceded to reinsurers decreased by $3.8 million, or 22.9%, mostly reflecting lower premiums written in Commercial insurance products during 2018 and lower facultative cessions. These decreases were offset in part by an increase in the cost of catastrophe reinsurance of $1.0 million, or 18.0% in 2018 and an increase in cessions in the Commercial quota share agreement from 30% in 2017 to 35% 2018.

Claims Incurred

Claims incurred increased by $75.0 million, or 688.1%, to $85.9 million driven by a $76.4 million adverse development in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. Gross losses related to Hurricane Maria increased by approximately $212.7 million, causing the segment to exceed the 2017 catastrophe reinsurance coverage limits and resulting in the adverse reserve development recorded in 2018. As loss information has emerged, reserves have been updated to reflect a worsening in the loss expectations for Hurricane Maria. As a result, the loss ratio increased to 376.8% during this period. Excluding the impact of this adverse development, the loss ratio would have been 41.7%, 100 basis points lower than last year.

Underwriting and Other Expenses

Underwriting and other operating expenses increased by $1.4 million, or 15.1%, to $10.7 million mostly due to a higher amortization of deferred acquisition costs. The operating expense ratio was 46.9%, 420 basis points higher than prior year.

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Six Months Ended June 30, 2018 Compared to Six Months Ended June 30, 2017

Operating Revenues

Total premiums written decreased by $7.4 million, or 10.0%, to $66.4 million, driven by lower volume of Commercial Property, Commercial Package, and Commercial Liability products, mostly resulting from the selective and disciplined underwriting of Commercial risks.

The premiums ceded to reinsurers increased by $0.8 million, or 3.0%, mostly reflecting increased catastrophe costs and an increase in cessions in the Commercial quota share agreement from 30% in 2017 to 35% 2018.

Claims Incurred

Claims incurred increased by $75.4 million, or 350.7%, to $96.9 million driven by a $76.4 million adverse development in claims related to Hurricane Maria, a category 4 hurricane that impacted Puerto Rico in September 2017. Gross losses related to Hurricane Maria increased by approximately $212.7 million, causing the segment to exceed the 2017 catastrophe reinsurance coverage limits and resulting in the adverse reserve development recorded in 2018. As loss information has emerged, reserves have been updated to reflect a worsening in the loss expectations for Hurricane Maria. As a result, the loss ratio increased to 206.2% during this period. Excluding the impact of this adverse development, the loss ratio would have been 43.6%, 310 basis points lower than last year.

Underwriting and Other Expenses

Underwriting and other operating expenses increased by $2.9 million, or 14.3%, to $23.2 million mostly due to higher amortization of deferred acquisition costs and personnel costs. The operating expense ratio was 49.4%, 270 basis points higher than prior year.

Liquidity and Capital Resources

Cash Flows

A summary of our major sources and uses of cash for the periods indicated is presented in the following table:

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

During the six months ended June 30, 2017, we received $24.3 million from a loan with a commercial bank related with a credit agreement entered into in December 2016. These proceeds were used during the 2017 period to prepay the outstanding principal amount of $24.0 million of the 6.6% senior unsecured notes.

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In August 2017, the Company’s Board of Directors authorized a $30.0 million repurchase program of its Class B common stock and in February 2018 the Company’s Board of Directors authorized a $25.0 million expansion of this program. Repurchases were conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended. During the six months ended June 30, 2018, the Company repurchased and retired under this program 643,963 of our Class B Common Stock shares at an average per share price of $25.40, for an aggregate cost of $16.4 million.

The fluctuation in the Other uses of cash is attributed to changes in the amount of outstanding checks over bank balances.

Financing and Financing Capacity

We have several short-term facilities available to address timing differences between cash receipts and disbursements. These short-term facilities are mostly in the form of arrangements to sell securities under repurchase agreements. As of June 30, 2018, we had $60.0 million of available credit under these facilities. There are no outstanding short-term borrowings under these facilities as of June 30, 2018.

On December 28, 2016, TSM entered into a $35.5 million credit agreement with a commercial bank in Puerto Rico. The agreement consists of three term loans: (i) Term Loan A in the principal amount of $11.2 million, (ii) Term Loan B in the principal amount of $20.2 million and (iii) Term Loan C in the principal amount of $4.1 million. Term Loan A matures in October 2023 while the Term Loans B and C mature in January 2024. Term Loan A was used to refinance a previous $41.0 million secured loan payable with the same commercial bank. Pursuant to the credit agreement, interest is payable on the outstanding balance of the Loan at the following annual rate: (i) 1% over LIBOR for Term Loan A, (ii) 2.75% over LIBOR for Term Loan B, and (iii) 3.25% over LIBOR for Term Loan C. The loan includes certain financial and non-financial covenants, which are customary for this type of facility, including but not limited to, restrictions on the granting of certain liens, limitations on acquisitions and limitations on changes in control and dividends. Failure to meet these covenants may trigger the accelerated payment of the outstanding balance. As of June 30, 2018, we are in compliance with these covenants.

On April 18, 2017, TSA entered into a $10.0 million revolving loan agreement with a commercial bank in Puerto Rico. This line of credit has an interest rate of 30-day LIBOR plus 25 basis points contains certain financial and non-financial covenants that are customary for this type of facility. This line of credit had an original maturity date of April 17, 2018 and was extended to July 31, 2018. The Company intends to renew this facility for an additional year.

We anticipate that we will have sufficient liquidity to support our currently expected needs.

Further details regarding the senior unsecured notes and the credit agreements are incorporated by reference to “Item 7.—Management Discussion and Analysis of Financial Condition and Results of Operations” included in our Annual Report on Form 10-K for the year ended December 31, 2017.

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

We are exposed to certain market risks that are inherent in our financial instruments, which arise from transactions entered into in the normal course of business. We have exposure to market risk mostly in our investment activities. For purposes of this disclosure, “market risk” is defined as the risk of loss resulting from changes in interest rates and equity prices. No material changes have occurred in our exposure to financial market risks since December 31, 2017. A discussion of our market risk is incorporated by reference to “Item 7A. Quantitative and Qualitative Disclosures about Market Risk” included in our Annual Report on Form 10-K for the year ended December 31, 2017.

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Item 4.

Controls and Procedures

Evaluation of Disclosure Controls and Procedures

In connection with the preparation of this Quarterly Report on Form 10-Q, management, under the supervision and with the participation of the chief executive officer and chief financial officer, conducted an evaluation of the effectiveness of the “disclosure controls and procedures” (as such term is defined under Exchange Act Rule 13a-15(e)) of the Corporation and its subsidiaries. Disclosure controls and procedures are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms and that such information is accumulated and communicated to management, including the chief executive officer and chief financial officer, to allow timely decisions regarding required disclosures. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. There are inherent limitations to the effectiveness of any system of disclosure controls and procedures, including the possibility that judgments in decision-making can be faulty, and breakdowns as a result of simple errors or mistake. Accordingly, even effective disclosure controls and procedures can only provide reasonable assurance of achieving their control objectives. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.

Based on this evaluation, our chief executive officer and chief financial officer have concluded that as of June 30, 2018, which is the end of the period covered by this Quarterly Report on Form 10-Q, our disclosure controls and procedures are effective to a reasonable level of assurance.

There were no significant changes in our disclosure controls and procedures, or in factors that could significantly affect internal controls, subsequent to the date the chief executive officer and chief financial officer completed the evaluation referred to above.

Changes in Internal Controls Over Financial Reporting

No changes in our internal control over financial reporting (as such term is defined in Exchange Act Rule 13a-15(f)) occurred during the fiscal quarter ended June 30, 2018 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Part II – Other Information

Item 1.

Legal Proceedings

For a description of legal proceedings that have experienced significant developments during this quarter, see note 12 to the unaudited condensed consolidated financial statements included in this quarterly report on Form 10-Q.

Item 1A.

Risk Factors

For a description of our risk factors, see Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2017.

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Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

Purchases of Equity Securities by the Issuer

The following table presents information related to our repurchases of common stock for the period indicated:

(Dollar amounts in millions, except per share data)	Total Number of Shares Purchased		Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Programs ¹		Approximate Dollar Value of Shares that May Yet Be Purchased Under the Programs

April 1, 2018 to April 30, 2018		80,404	$	26.82		80,404	$	18.5
May 1, 2018 to May 31, 2018		-		-		-		18.5
June 1, 2018 to June 30, 2018		-		-		-		18.5

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

Item 3.

Defaults Upon Senior Securities

Not applicable.

Item 4.

Mine Safety Disclosures

Not applicable.

Item 5.

Other Information

Not applicable.

Item 6.

Exhibits

Exhibits	Description
10.1*	Amendment to Extend and Modify Contract for the Provision of Physical & Behavioral Health Services under the Government Health Plan Program dated as June 30, 2018, by and between the Administracion de Seguros de Salud de Puerto Rico and Triple-S Salud, Inc.
10.2*	Amendment to Extend and Modify Contract for the Provision of Physical & Behavioral Health Services under the Government Health Plan Program dated as of July 31, 2018, by and between the Administracion de Seguros de Salud de Puerto Rico and Triple-S Salud, Inc.
11	Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three and six months ended June 30, 2018 and 2017 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q.
31.1*	Certification of the President and Chief Executive Officer required by Rule 13a-14(a)/15d-14(a).
31.2*	Certification of the Executive Vice President and Chief Financial Officer required by Rule 13a-14(a)/15d-14(a).
32.1*	Certification of the President and Chief Executive Officer required pursuant to 18 U.S.C Section 1350.
32.2*	Certification of the Executive Vice President and Chief Financial Officer required pursuant to 18 U.S.C Section 1350.

All other exhibits for which provision is made in the applicable accounting regulation of the United States Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted.

*	Filed herein.

Table of Contents

SIGNATURES

Pursuant to the requirements of the United States Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

			Triple-S Management Corporation

			Registrant

Date:	August 2, 2018	By:	/s/ Roberto García-Rodríguez
			Roberto García-Rodríguez
			President and Chief Executive Officer

Date:	August 2, 2018	By:	/s/ Juan J. Román-Jiménez
			Juan J. Román-Jiménez
			Executive Vice President and Chief Financial Officer

Exhibit 10.1

2015-000087J

AMENDMENT TO EXTEND AND MODIFY CONTRACT FOR THE PROVISION OF PHYSICAL & BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN PROGRAM

WHEREAS , the Administración de Seguros de Salud de Puerto Rico (“ASES”) and TRIPLE-S SALUD, INC. (the “Contractor”) have executed a Contract for the Provision of Physical Health and Behavioral Health Services Under the Government Health Plan within the Government of Puerto Rico for the Metro North and West Service Regions, (hereinafter referred to as the “Contract”);

WHEREAS , ASES and the Contractor (together, “the Parties”) had agreed to extend, through subsequent amendments, the term of the Contract to expire on December 31, 2017;

WHEREAS, ASES has further exercised its option to amend and renew the Contract, pursuant to Article 55 and Section 21.6 of the Contract, for an additional term of one (1) fiscal year, ending on June 30, 2018 (hereinafter referred to as the “Renewed Contract”);

WHEREAS , the Parties have agreed, in this Amendment (the “Amendment”) and in a modification to the Renewed Contract, to extend the term of the Renewed Contract until July 31, 2018, and to further extend the term as described herein; and

WHEREAS , all provisions of the Renewed Contract will remain in full force and effect until such time it is amended by mutual written consent.

NOW, THEREFORE , and in consideration of the mutual promises herein contained and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties agree to extend and modify the Renewed Contract as follows:

AGREED EXTENSION AND MODIFICATION

1.	The Parties hereby agree to Amend Article 21 of the Agreement in the following manner:

“21.7 The Parties hereby agree to further extend the Renewed Contract for the Provision of Physical Health and Behavioral Services Under the Government Health Plan from July 1, 2018 until July 31, 2018. The Renewed Contract shall be further extended by subsequent amendment, subject to the approval of the Financial Oversight and Management Board for Puerto Rico, until such time that the revised health care model for the Government Health Plan has been implemented”.

Until the Renewed Contract is further amended by mutual written consent of the Parties, all provisions of the Renewed Contract will remain in full force and effect, including the terms of the physical and behavioral health services provided under the Renewed Contract and current Per Member Per Month (“PMPM”) Payments set forth in Section 22.1.1 of the Renewed Contract.

ACKNOWLEDGED BY THE PARTIES by their duly authorized representatives on this 30 day of June, 2018.

ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES)

/s/ Angela M. Avila Marrero		6/30/2018
Ms. Angela M. Avila Marrero, Executive Director		Date
EIN: 66-05000678

TRIPLE-S SALUD, INC.

/s/ Madeline Hernández Urquiza		6/30/2018
Ms. Madeline Hernández Urquiza, President		Date
EIN: 66-0555677

Account No. 256-5036-160, 256-5036-160

Exhibit 10.2

2015-000087K

AMENDMENT TO EXTEND AND MODIFY CONTRACT FOR THE PROVISION OF PHYSICAL & BEHAVIORAL HEALTH SERVICES UNDER THE GOVERNMENT HEALTH PLAN PROGRAM

WHEREAS , WHEREAS , ASES and the Contractor (together, “the Parties”) have agreed to extend and renew, through subsequent amendments, pursuant to Article 55, Section 21.6, and Section 21.7 of the Contract respectively, the term of the Contract until July 31, 2018 (hereinafter referred to as the “Renewed Contract”);

WHEREAS , the Parties have agreed, in this Amendment (the “Amendment”) and in a modification to the Renewed Contract, to extend the term of the Renewed Contract from August 1, 2018 until October 31, 2018; and

WHEREAS , all provisions of the Renewed Contract will remain in full force and effect until such time it is amended by mutual written consent.

AGREED EXTENSION AND MODIFICATION

1.	The Parties hereby agree to amend Article 21 of the Renewed Contract in the following manner:

“21.7 The Parties hereby agree to further extend the Contract for the Provision of Physical and Behavioral Health Services under the Government Health Plan from July 1, 2018 until October 31, 2018.”

ACKNOWLEDGED BY THE PARTIES by their duly authorized representatives on this 31 day of July, 2018.

ADMINISTRACIÓN DE SEGUROS DE SALUD DE PUERTO RICO (ASES)

/s/ Angela M. Avila Marrero		7/31/2018
Ms. Angela M. Avila Marrero, Executive Director		Date
EIN: 66-05000678

TRIPLE-S SALUD, INC.

/s/ Madeline Hernández Urquiza		7/31/2018
Ms. Madeline Hernández Urquiza, President		Date
EIN: 66-0555677

Account No. 256-5036-160, 256-5010-160

Exhibit 31.1

CERTIFICATION

I, Roberto García-Rodríguez, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Triple-S Management 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;

The registrant’s other certifying officers 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:

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;

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;

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

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 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 officers 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 the registrant’s board of directors (or persons performing the equivalent functions):

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

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:	August 2, 2018	By:	/s/ Roberto García-Rodríguez
			Roberto García-Rodríguez
			President and Chief Executive Officer

Exhibit 31.2

CERTIFICATION

I, Juan J. Román-Jiménez, certify that:

1.	I have reviewed this quarterly report on Form 10-Q of Triple-S Management 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;

5.	The registrant’s other certifying officers 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 the registrant’s board of directors (or persons performing the equivalent functions):

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:	August 2, 2018	By:	/s/ Juan J. Román-Jiménez
			Juan J. Román-Jiménez
			Executive Vice President and Chief Financial Officer

Exhibit 32.1

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 Triple-S Management Corporation (the Company) on Form 10-Q for the period ended June 30, 2018 as filed with the Securities and Exchange Commission on the date hereof (the Report), I, Roberto García-Rodríguez, President and Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:	August 2, 2018	By:	/s/ Roberto García-Rodríguez
			Roberto García-Rodríguez
			President and Chief Executive Officer

A signed original of this written statement required by Section 906 has been provided to the Corporation and will be retained by the Corporation and furnished to the Securities and Exchange Commission or its staff upon request.

Exhibit 32.2

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 Triple-S Management Corporation (the Company) on Form 10-Q for the period ended June 30, 2018 as filed with the Securities and Exchange Commission on the date hereof (the Report), I, Juan J. Román-Jiménez, Executive Vice President and Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:	August 2, 2018	By:	/s/ Juan J. Román-Jiménez
			Juan J. Román-Jiménez
			Executive Vice President and Chief Financial Officer