Q4 2023 ProAssurance Corp Earnings Call
Participants
Frank O'Neil; Senior VP of Corporate Communications and IR; ProAssurance Corp
Edward Rand; President and CEO; ProAssurance Corp
Dana Hendricks; EVP, Treasurer and CFO; ProAssurance Corp
Rob Francis; President, Healthcare Professional Liability; ProAssurance Corp
Matt Carletti; Analyst; JMP Securities LLC
Bob Farnam; Analyst; Janney Montgomery Scott LLC
Maxwell Fritscher; Analyst; Truist Securities Inc
Adam Hirsch; Analyst; Jumana capital
Presentation
Operator
Good morning, everyone. Welcome to ProAssurance's conference call to discuss the company's fourth quarter 2023 results. I'd like to remind you that the call is being recorded and there will be a time for questions after the conclusion of the prepared remarks. Now I will turn the call over to Frank O'Neil. Please go ahead.
Frank O'Neil
Good morning, everyone. We reported on fourth quarter results in a news release issued February 27, 2024, and in our report on Form 10-K, which was also filed yesterday on February 27, 2024. Included in those documents were cautionary statements about significant risks, uncertainties and other factors that are out of the company's control and could affect ProAssurance's business and alter expected results. Please review those statements this morning, our management team will be discussing selected aspects of the quarterly results on this call, and investors should review the filing on Form 10-K and accompanying press releases for full and complete information. We expect to make statements on this call dealing with projections, estimates and expectations, and we explicitly identify these as forward-looking statements within the meaning of the US federal securities law and subject to applicable state Harbor Safe Harbor protections. That content of this call is accurate only on February 28, 2024, except as required by law or regulation. Proassurance will not undertake and expressly disclaims any obligation to update or alter information disclosed as part of these forward-looking statements.
Our management team also expects to reference non-GAAP items during today's call. The company's recent news release provides a reconciliation of these non-GAAP numbers to their GAAP counterparts. On the call with me today will be Ned Rand President and CEO, Dana Hendricks, the Chief Financial Officer. Also joining me today are Executive Leadership Team members, Rob Francis, Kevin Shook and Kieran Murphy.
Now I'm going to turn the call over to Ned.
Edward Rand
Thank you, Frank, and good morning, everyone. I want to address the headline number upfront. Our per share operating loss was $0.05 in the quarter, primarily reflecting the continuation of significant increases in losses in our workers' compensation book of business. The results are disappointing, but are a direct result of our commitment to protecting our balance sheet and our insured's. Proassurance remains committed to a long-term strategy that we believe will ultimately create sustained profitability. At the same time, we have to recognize the headwinds presented by the current difficult market conditions and a very challenging litigation climate. Our experience has shown us that responding with pricing actions and a focus on underwriting discipline while adapting to the evolution of our target markets will propel us on a positive trajectory. While we remain confident that the strategies we have implemented will return ProAssurance to acceptable levels of profitability. We have to acknowledge that it is taking longer than we anticipated. The reality on the ground today is a loss environment that continues to worsen and has presented prevented us from making as much progress as we would like our financial performance, unfortunately, masks the tremendous progress we have made within our organization to streamline operations, refocus our business and make the organization more cohesive and effective. We remain confident this progress will make a difference over time.
The competitive environment in both our specialty P&C and workers' compensation insurance segments continues to present a challenge. However, in both lines of business we saw gains in new business that we believe to be well-priced. While renewal retention remained strong, our operating decisions in light of competitive pressures resulted in an overall drop in gross premiums. A substantial amount of lost business was the result of our disciplined underwriting, our pursuit of rate adequacy and our decisions to walk away from business that could not be written profitably in the new business. We do write the policies we renew or at rates, we believe will ultimately perform better than the business. We are non-renewing when we add a retained business. At these rates, it confirms our ability to present the market with an option to select high-quality coverage and superior service, both attributes, which have been the bedrock of our profitability in the past, and we believe will be so in the future.
Now I want to make some general comments regarding our operating segments. First, Specialty P&C, where social and medical inflation continue to drive judgments and settlements higher, and we're reflecting that in our underwriting pricing and reserving given the substantial deterioration in the litigation climate in recent years, our drive for additional rate will continue for the foreseeable future.
In workers' compensation, we continue to be cautious about claims costs as the trends noted last quarter are unabated, despite the fact that we are seeing continued reductions in claim frequency. The average medical cost per claim continues to rise as we see the dual effects of wage inflation for health care workers and increasing costs tied to the introduction of new medical treatments and technologies. We believe we are ahead of the industry in recognizing these trends because of the short-tailed nature of our book.
As a reminder, we closed cases approximately 40% faster than the industry, leaving us with fewer open claims at any one time compared to other companies in this line of business. And in our industry. The longer claim is open, the more costly it becomes, which is why we focus on getting injured workers back to productivity as quickly as possible through early intervention in in-depth case management, Frank.
Frank O'Neil
Thank you. Did.
We'll next go to Dana, who will review some specific segment results and provide highlights from the balance sheet and investment returns.
Dana?
Dana Hendricks
Thanks, Frank. Our operating loss in the quarter was $2.5 million, or $0.05 per diluted share, with the difference between net income of $6 million and the operating loss primarily reflecting the exclusion of $11 million of net investment gains, $5 million resulting from the sale of our remaining ownership interest in an entity associated with our Lloyd's syndicate and $3.5 million of foreign currency exchange losses.
In terms of underwriting results, our consolidated combined ratio rose almost eight points compared to the fourth quarter of 2022, with results in the workers' compensation insurance segment being the primary driver of that increase, while our consolidated expense ratio was higher than the fourth quarter of last year, this was largely driven by current quarter adjustment to our full year estimate of ULAE. in our Specialty P&C segment, which unfavorably impacted our consolidated expense ratio by almost two points and had an equal and offsetting favorable impact to our consolidated loss ratio. The remaining increase in our consolidated expense ratio primarily reflected the pressure of lower earned premium, which we expect to continue into 2024 as we maintain our drive for higher rates.
Turning now to our operating segments. In Specialty P&C premiums were $15 million less than fourth quarter last year, with about $8 million of the reduction, driven by our focus on getting adequate rates for the risks we're underwriting and walking away, we cannot do so. And the remaining difference being due to timing differences. Even as we are focused on rate adequacy, we are able to write new business and renew policies that meet our underwriting standards. New business was $18 million, essentially double last year's fourth quarter and renewal pricing was 6% higher with premium retention at 83%. Those results tell us that insurers find value in ProAssurance and are willing to pay for the insurance promises we make and the service we deliver in our workers' compensation insurance segment, gross written premiums decreased $800,000. That decline was primarily the result of lower renewal and audit premium in our alternative market business ceded to the Segregated Portfolio Cell Reinsurance segments in our traditional book, new business writings and renewal premiums each increased approximately $1 million compared to last year. Retention was 85%, 11 points higher than the fourth quarter last year. At the same time, renewal rates declined 3% as we continue to see intense competition and face rate pressure from prescribed state loss cost adjustments. In fact, some states have approved additional lost loss cost decreases for 2024, which flies in the face of the loss cost trends we're seeing in response to the loss trends in our workers' compensation book, we increased our full year current accident year loss ratio to 81%. Underwriting expenses in our Workers' Compensation segment were essentially unchanged from last year's fourth quarter. However, the underwriting expense ratio increased four points, primarily reflecting lower net premiums earned. Our investment results continue to be a highlight as net investment income increased by almost $5 million to $34 million due to higher average book yields as we continue to reinvest at higher rates as securities within our portfolio mature new purchase yields in the quarter were 5.2% or 200 basis points higher than our average book yield. Our average investment balances are down approximately 1.7% since the end of last year as we've reduced the rate of reinvestment in order to provide more cash for operating needs, book value per share at year end was $21.82, up 7% from the end of last year, driven by after-tax unrealized holding gains of $88 million on our fixed maturity portfolio. That said, there is still approximately $4 per share of embedded unrealized holding losses in book value per share, which will accrete back to book value as the portfolio matures as we have both the intent and ability to hold until maturity.
And before I conclude, there are a couple of items I'd like to highlight. First on November 15, we refinanced our $250 million senior notes with a $125 million draw on our revolver and a $125 million term loan. Additionally, we entered into two interest rate swaps that were effective December 29, which results in a total interest rate on the revolver and term loans of 5.3% and 5.5%, respectively, going into 2024 as compared to the 5.3% interest on our retired senior notes. We're very pleased with the result of this refinance given the current lending environment.
Second, in our call last quarter, we mentioned that we would be ending our participation at Lloyd's beginning with the 2024 underwriting year that's done, and we will begin to see that impact in our financial results in the second quarter of 2024 due to the quarter lag.
As a reminder, the results from our participation in open underwriting years prior to 2024 will continue to earn out pro rata over the remaining policy periods. And as I mentioned earlier, we completed the sale of our interest in an entity associated with our Lloyd's syndicate prior to year end.
Bryan?
Frank O'Neil
Thank you, Dana. Ned, I think you wanted to make one more comment before we open it for questions.
Edward Rand
Yes.
Thanks, Frank. Before we open for questions, I want to congratulate Dr. Russ Todman, who leads our unit. Our small business unit. Ross is retiring and I want to thank him publicly publicly for the work he's done for our company and for our insurance leadership in our podiatric business and in the realignment of our small business unit has been invaluable.
Thank you, Ross.
Frank O'Neil
Thank you. And Alex, that concludes our prepared remarks. We are ready for questions if you'll open the lines.
Question and Answer Session
Operator
Thank you.
As a reminder, if you'd like to ask a question, you can press star followed by one on your telephone keypad if you'd like to remove your question. So call it by two, our first question for today comes from Matt Carletti of JMP. Your line is now open. Please go ahead.
Matt Carletti
Hey, thanks. Good morning.
Edward Rand
Good morning Matt.
Matt Carletti
And when you say that I caught your comments on workers' comp on basically stating that you guys feel you're ahead of the industry and with kind of the view you're taking on and severity specifically, is there anything else that we should think about playing into that? Is there I know you have a more kind of health care focused book there than maybe the industry at large. Are you seeing anything that would lead you to believe that might be part of it or or is that not? And it's really it's 100% kind of shorter tail and maybe seeing it first.
Edward Rand
That's it's a great question that we do. We do have a large healthcare book, but it's not the dominant piece of the work comp book. And when we look across on the different business classes that we write. We really don't find any single business class where this is kind of more predominant. We really see it spread across the entire book of business so yes, I think it is more of a general general view of the industry as opposed to anything specific to a business class.
Matt Carletti
Okay, perfect. And then on Specialty P&C, you know, as we think about some of the top-line metrics on a couple of questions. One is just I noticed kind of hospitals and facilities had a nice return to growth for you just talk a little bit about kind of what you're seeing there. I know you've worked for a couple of years. I kind of turn that back around and maybe you're seeing some good things. And then you mentioned a timing difference on a chunk of premiums. Can you just expand a little bit there? Just specifically, is it timing that it renewed in a prior quarter or that it will renew in a coming quarter?
Edward Rand
Yes.
So on the timing difference, I'll answer that one because it's a little it's a little bit of both, but some business that the renewal just isn't taking place and we expect to take place in 2024.
For the more specific question around the hospital business, I'm going to let Rob answer that question two or.
Rob Francis
Hi, this is Rob. So it's really a little bit of a mixed bag on the hospital and facility side. The the hospital business, we think is the prices are increasing some but not really enough. We were fortunate that we aren't seeing enough submissions that we were fortunate enough to hit on a couple of good wins, particularly in the fourth quarter that really met our underwriting criteria that we thought that the market wasn't recognizing appropriately.
On the other hand, we have we have missed on a far greater number of opportunities in the hospital market simply because our pricing is higher than the that even the renewal pricing, which is increasing a little bit from the incumbent carriers Additionally, in some of our high-level access business, we've come off quite a number of towers just because we believe that the high-level access pricing is not adequate either. So it's a little bit of a mixed bag.
Matt Carletti
And that's helpful. And then one last one, if I could. Just on share repurchases and kind of your appetite. Currently you've been active, we can see that in the numbers. But as we look forward to '24, if I'm doing my math right, the stock's at about 45% of ex AOCI book value on your premiums to surplus or less than one would kind of that as the backdrop. Can you just give us kind of your view on yield, how aggressive we should expect it to be there?
Edward Rand
I'm sorry, can you repeat the question?
Matt Carletti
Yes.
Just our outlook for repurchase activity, given our trading less than half starting to book value, ex-AOCI and premium surplus below one?
Edward Rand
Yes, sure. Thank you.
Sorry.
Yes, it's something we'll continue to look at subject to kind of capitalization levels and liquidity levels.
Matt Carletti
Okay.
Thanks for the answers. Appreciate it.
Operator
Thank you.
Our next question comes from Bob Farnam of John A. Your line is now open. Please go ahead.
Bob Farnam
Hey, there, good morning. I got a question for Ned and a question for Kevin, just start off with the Net one. So the equity you're kind of targeted or we are looking at what, 700 basis points above the 10-year treasury. I'm curious what could be based on your investment income profile, what type of combined ratio do you need to get down to to be able to generate that type of return?
Edward Rand
Yes, I believe it's I believe it's around 97 combined to get that.
Bob Farnam
Okay.
Okay.
And Kevin, you know, the so I'm curious about the impact of fee schedules. I think each state has different schedules. And I'm just curious if there are different, there are different states that have worse inflationary trends than others. Just trying to I know Matt was asking about different types of classes and just thinking or state geographies, are there any differences in terms of inflationary by state.
Rob Francis
There is Bob. So in our 19 core states, 16 of them have fee schedules, three of them are usual and customary and on. And I will say that fee schedules are complicated. There's exemptions for certain procedures. There's exemptions for traumatic injuries and increases are different by state, but for example, Pennsylvania in 2023 was up 6%. And I recently read a study that looked at the last three years versus the prior three years. And fee schedules in general have almost doubled on, you know, from 19 to 22 compared to that prior period. It is hard to get a specific figure to say this is what the fee schedules went up because of all the exemptions from. But that is what we're seeing.
Bob Farnam
How how frequently are the fee schedules kind of updated or revised.
Rob Francis
Most of them are updated on annually, but there are certain states where it's updated every every couple of years.
Bob Farnam
Okay.
Night in terms of.
Yes, just looking at the background in the workers' comp space. I mean, you had a like a one, 16 or so combined ratio accident year combined ratio. It got rates going down. So I'm just curious like the new business that you're putting on and what what level profitability are you expecting from the new book, the new business coming on.
Rob Francis
Interestingly, with everything that's going on and the other lines on, you know, there's not a lot of shopping of the comp. And so the stuff that we are seeing is perfect for our service model and we are able to get rate. And our new business over the last 18 months has performed at a at a much better level than our renewal book, which I think has been very interesting.
Bob Farnam
Okay.
So you would expect that the kind of the one 16 accident year combined ratio to improve going forward based on the new business that seems to be priced better is that number,
Rob Francis
If we continue to continue to see a higher proportion of new business and it performs as it historically has, I think that that is a reasonable conclusion.
Bob Farnam
Okay.
All right, guys.
Thanks.
Edward Rand
Thanks, Bob.
Operator
Thank you. Our next question comes from Maxwell Fisher of Truist Securities. Your line is now open. Please go ahead.
Maxwell Fritscher
Good morning.
I'm calling in from Mark cure.
And I have one question.
I was wondering how Good morning. I was wondering how much more are you going to push pricing in the physician's business?
Edward Rand
How much I'm sorry, just to make sure I heard the question. How much more are we going to push pricing in the physician business?
Well, is that the question?
Maxwell Fritscher
Yes, that yes.
Edward Rand
Okay. Yes.
Yes, yes, yes. As we as we I think said in our comments earlier, we will continue to drive rate and we think there is a need to drive rate across all of the medical professional liability book of business. On the physician side, it's probably more state specific than on the specialty health care book that we have. And so there are some states where we feel like we're getting adequate rater or modest increases are needed to keep up with severity trends. And there are other states where we think a lot more rate and up into the double digits is still required.
Maxwell Fritscher
That's helpful.
Thank you.
Operator
Thank you. As a reminder, if you'd like to ask a question, star followed by one on your telephone keypad.
Our next question comes from Adam Hirsch of Jumana capital. Your line is now open. Please go ahead.
Adam Hirsch
Good morning.
Al, did you address how your corporate OpEx is up 14% in the quarter, while premiums are down then also like what is your big plan to close the large GAAP value base?
Edward Rand
Yes.
So so on the OpEx expense I'm going to let Dan kind of address what's going on there that there's a number of moving parts I think associated with that.
And your second question, closing the gap on and where we're trading relative to book value. Is that one of the largest?
Adam Hirsch
Yes, sir.
Edward Rand
Okay.
Thank you.
Yes.
So the return to positive operating ROA and getting back to our target levels of operating are we are what are going to drive drives that. When you look at the insurance industry as a whole, it tends to trade on book value relative to return on equity. And so driving return on equity forward will propel that multiple forward over time. And so that's the that's really the driver within the insurance industry. And that's our focus as that return to profitability return to positive ROA, which will then impact where we trade relative to book value.
Dan, did you have an answer on the operating expense question?
Dana Hendricks
Yes, Adam, I'm looking at the numbers on. I think you quoted a much larger increase than what we're showing. Certainly in our press release, quarter over quarter were about $1 million on corporate operating expenses, and that's really largely due to on some compensation related costs, just with filling some open headcount largely apologies. So is there is there a further good question.
Adam Hirsch
And so so you so you know, I mean, I did see that it's up 14% year over year, quite.
Dana Hendricks
(multiple speakers) okay. I thought I heard that your secondary named our spend.
Adam Hirsch
Now that I was just curious if there's a reason why it expand headcount with how business is going right.
Dana Hendricks
No, that we're not expanding headcount, some of the metrics that you see in there on are just about filling open headcount that was open, we've certainly in recent years and as late as the year in 2022 had more open positions coming out of coming out of COVID, then then we've had this year.
Adam Hirsch
Okay, great. Thank you.
Operator
Yes, you at this time, we currently have no further questions. So I'll hand back to Frank O'Neil for any further remarks.
Frank O'Neil
Thank you, Alex. And that concludes our call for today. A ProAssurance management team will be back with you when we report first quarter results. Thank you.
Operator
Thank you for joining today's call. You may now disconnect your lines.
