2014 premera and subsidiaries gaap - v13 doc1242864 · affiliates, as an agent for contracting with...

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PREMERA Consolidated Financial Statements as of and for the Years Ended December 31, 2014 and 2013, and Independent Auditors’ Report

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Page 1: 2014 PREMERA and Subsidiaries GAAP - v13 DOC1242864 · affiliates, as an agent for contracting with physicians and providers. Academe is a dormant Washington for-profit corporation

PREMERA Consolidated Financial Statements as of and for the Years Ended December 31, 2014 and 2013, and Independent Auditors’ Report

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PREMERA

TABLE OF CONTENTS

Page

INDEPENDENT AUDITORS’ REPORT 1–2

CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013: Balance Sheets 3–4 Statements of Income 5 Statements of Comprehensive Income 6 Statements of Net Worth 7 Statements of Cash Flows 8 Notes to Consolidated Financial Statements 9–40

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INDEPENDENT AUDITORS’ REPORT

To the Board of Directors of PREMERA:

We have audited the accompanying consolidated financial statements of PREMERA and its subsidiaries (the “Company”), which comprise the consolidated balance sheets as of December 31, 2014 and 2013, and the related consolidated statements of income, comprehensive income, net worth, and cash flows for the years then ended, and the related notes to the consolidated financial statements.

Management’s Responsibility for the Consolidated Financial Statements

Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error.

Auditors’ Responsibility

Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the Company’s preparation and fair presentation of the consolidated financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

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Opinion

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of PREMERA and its subsidiaries as of December 31, 2014 and 2013, and the results of their operations and their cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America.

March 23, 2015

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PREMERA

CONSOLIDATED BALANCE SHEETSAS OF DECEMBER 31, 2014 AND 2013(In thousands)

2014 2013ASSETS

Cash and cash equivalents 269,025$ 166,054$

Investments: Available-for-sale investments, at fair value: Short-term investments (amortized cost — $1,503 and $10,317 in 2014 and 2013, respectively) 1,526 11,508 Fixed-income securities (amortized cost — $971,885 and $913,914 in 2014 and 2013, respectively) 1,000,501 930,357 Marketable equity securities (cost — $398,317 and $364,283 in 2014 and 2013, respectively) 665,030 600,423 Other investments: Private equity funds (includes $26,157 and $23,723 in 2014 and 2013, respectively, measured at fair value) 177,476 164,355 Other long-term investments 16,859 19,845

Total investments 1,861,392 1,726,488

Receivables: Accounts receivable, net of allowance for doubtful accounts of $6,586 and $7,414 in 2014 and 2013, respectively 186,705 218,553 ASC and ASO receivables, net of allowance for doubtful accounts of $287 and $156 in 2014 and 2013, respectively 454,279 409,238 Reinsurance receivables, net of allowance for doubtful accounts of $0 in 2014 and 2013 175,995 77,450 Investment income receivable 7,377 7,217 Federal income tax receivable 1,451 1,021

Total receivables 825,807 713,479

Property and equipment, net 88,721 78,805

Other: Prepaid expenses and deferred charges 97,814 112,074 Physicians’ deferred compensation plan assets 5,197 5,508

Total other 103,011 117,582

Total assets 3,147,956$ 2,802,408$

(Continued)

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PREMERA

CONSOLIDATED BALANCE SHEETSAS OF DECEMBER 31, 2014 AND 2013(In thousands)

2014 2013LIABILITIES AND NET WORTH

Liabilities: Benefit liability 455,444$ 337,834$ ASC and ASO benefit liability 414,953 400,804 Outstanding checks in excess of bank balances 85,981 79,117 Unearned revenue 48,811 70,286 Accounts payable and accrued liabilities 143,652 74,649 Pension and postretirement benefits 88,501 70,880 Physicians’ deferred compensation plan payable 5,197 5,508 Deferred federal income taxes, net 49,199 46,153 Policy reserves 143,670 86,355 Other liabilities 100,595 85,980

Total liabilities 1,536,003 1,257,566

Commitments and contingencies (Note 11)

Net worth: General reserves 1,424,630 1,358,353 Accumulated other comprehensive income 187,323 186,489

Total net worth 1,611,953 1,544,842

Total liabilities and net worth 3,147,956$ 2,802,408$

See accompanying notes to consolidated financial statements. (Concluded)

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PREMERA

CONSOLIDATED STATEMENTS OF INCOMEFOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013(In thousands)

2014 2013

Revenues: Premiums 3,608,875$ 3,139,628$ Medical loss ratio rebates (9,569) (1,928) Administrative fees 215,348 203,986 Other revenue 20,589 20,147

Total revenues 3,835,243 3,361,833

Expenses: Benefit expense 3,033,798 2,651,918 General and administrative 561,954 526,601 Premium taxes and ACA fees 138,122 45,778 Commissions and brokerage 75,610 65,774

Total expenses 3,809,484 3,290,071

Investment income (loss): Net investment income 27,242 25,934 Other-than-temporary impairment losses on investments (a) (1,047) (143) Net realized gains on investments 45,884 73,886

Total investment income 72,079 99,677

Other expense (619) (6,685)

Income from continuing operations before income taxes 97,219 164,754

Income tax expense (30,942) (34,289)

Net income 66,277$ 130,465$

(a) Other-than-temporary impairment losses of $1,047 and $143 were recognized in earnings for the years ended December 31, 2014 and 2013, respectively. No other-than-temporary impairment losses were recognized in other comprehensive income in 2014 and 2013.

See accompanying notes to consolidated financial statements.

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PREMERA

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOMEFOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013(In thousands)

2014 2013

General reserves: Net income 66,277$ 130,465$

Other comprehensive income, net of tax: Defined benefit plans and other postretirement benefits: Amortization of actuarial gains included in net periodic benefit cost (net of tax: 2014 — $1,134) 4,535 Amortization of prior service credit included in net periodic benefit cost (net of tax: 2014 — $14) 56 Net actuarial (losses) gains arising during the period

(net of tax: 2014 — $(9,237)) (36,946)

Total change in unrecognized retirement benefit costs

(net of tax: 2013 — $15,197) (32,355) 60,785 Unrealized net appreciation on available-for-sale investments (net of tax: 2014 — $13,750; 2013 — $22,549) 54,725 88,873 Reclassification adjustment for net realized gains included in net income (net of tax: 2014 — $(5,738); 2013 — $(11,087)) (22,949) (44,346) Change in noncredit component of other-than-temporary impairment losses on investments (net of tax: 2014 — $353; 2013 — $396) 1,413 1,582

Total other comprehensive income 834 106,894

Comprehensive income 67,111$ 237,359$

See accompanying notes to consolidated financial statements.

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PREMERA

CONSOLIDATED STATEMENTS OF NET WORTHFOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013(In thousands)

2014 2013

General reserves: Balance at beginning of year 1,358,353$ 1,227,888$ Net income 66,277 130,465

Balance at end of year 1,424,630 1,358,353

Accumulated other comprehensive income: Available-for-sale adjustments, net of tax: Balance at beginning of year 202,536 156,427 Noncredit gains of other-than-temporary impairment losses on investments 1,413 1,582 Unrealized net appreciation on available-for-sale investments 54,725 88,873 Reclassification adjustment for net realized gains included in net income (22,949) (44,346)

Balance at end of year 235,725 202,536

Unrecognized retirement benefit costs: Balance at beginning of year (16,047) (76,832) Change in unrecognized retirement benefit costs, net of tax (32,355) 60,785

Balance at end of year (48,402) (16,047)

Accumulated other comprehensive income at end of year 187,323 186,489

Total net worth 1,611,953$ 1,544,842$

See accompanying notes to consolidated financial statements.

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PREMERACONSOLIDATED STATEMENTS OF CASH FLOWSFOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013(In thousands)

2014 2013

Operating activities: Net income 66,277$ 130,465$ Adjustments to reconcile net income to net cash provided by operating activities: Net realized gains on available-for-sale investments (31,355) (53,110) Net realized gains on other investments (9,538) (16,568) Charitable donation of available-for-sale investments 990 - Net realized losses on disposals of property and equipment 1,168 1,076 Depreciation of property and equipment 16,377 12,464 Net accretion of discounts and amortization of premiums on investment securities 12,821 11,534 Deferred income taxes 2,770 1,630 Changes in certain assets and liabilities: Trade receivables, net 36,400 (15,926) ASC and ASO receivables, net (45,041) (93,008) Reinsurance receivables, net (98,545) (5,247) Investment income receivable (160) (358) Federal income tax recoverable (430) 17,542 Prepaid expenses and deferred charges (12,925) (7,971) Benefit liability 117,610 (34,924) ASC and ASO benefit liability 14,149 93,863 Outstanding checks in excess of bank balances 6,864 (24,204) Unearned revenue (21,475) (3,185) Accounts payable 66,188 13,315 Retirement benefits 4,212 5,553 Policy reserves 57,315 (1,130) Other liabilities 14,615 6,859

Net cash provided by operating activities 198,287 38,670

Investing activities: Proceeds from sales of investments 748,010 800,055 Proceeds from maturities of investments 82,047 105,934 Purchase of notes receivable (403) - Purchases of investments (885,665) (905,911) Purchases of other long-term investments (11,821) (65,188) Purchases of property and equipment (27,461) (21,688)

Net cash used in investing activities (95,293) (86,798)

Change in fair value of cash equivalents (23) -

Net increase (decrease) in cash and cash equivalents 102,971 (48,128) Cash and cash equivalents at beginning of year 166,054 214,182

Cash and cash equivalents at end of year 269,025$ 166,054$

Noncash investing activities: Fair value of available-for-sale securities disposed of in charitable contribution 990$ -

See accompanying notes to consolidated financial statements.

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PREMERA

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013 (Dollars in thousands, except where otherwise noted)

1. NATURE OF OPERATIONS AND SIGNIFICANT ACCOUNTING POLICIES

Nature of Operations — PREMERA is a Washington nonprofit and miscellaneous corporation that is the sole voting member of Premera Blue Cross (PBC). PBC is a Washington nonprofit corporation that is registered as a health care service contractor in the state of Washington and a hospital and medical service corporation in the state of Alaska. PBC is primarily engaged in the business of providing basic medical, hospital, major medical, comprehensive, and other prepaid health care benefits for its subscribers in the states of Washington and Alaska. Beginning in 2014, PBC also participates in the public health insurance exchanges for Washington and Alaska. PREMERA and subsidiaries (collectively, the “Company”) and its affiliates are subject to the federal income tax.

PBC owns 100% of the voting stock of PremeraFirst, Inc., Academe, Inc. (“Academe”), and Connexion Insurance Solutions, Inc. (“Connexion”), 21% of EveryMove, Inc. (“EveryMove”), a Delaware corporation, and 27% of Sentinel Assurance Risk Retention Group, Inc. (“Sentinel”), a Hawaiian corporation. PremeraFirst, Inc. is a Washington corporation that primarily serves, on behalf of certain affiliates, as an agent for contracting with physicians and providers. Academe is a dormant Washington for-profit corporation licensed as a life and disability carrier. EveryMove is a wellness company that rewards people for engaging in physical activities. Sentinel is a professional liability insurance company founded by The Everett Clinic.

Connexion is a Washington for-profit corporation and insurance agency that, in turn, owns 100% of the voting interests of LifeWise Assurance Company (LWAC), LifeWise Health Plan of Oregon, Inc. (LWO), LifeWise Health Plan of Washington (LWW), NorthStar Administrators, Inc. (“NorthStar”), Calypso Healthcare Solutions (“Calypso”), LifeWise Administrators, Inc. (LWA), and Vivacity, Inc. (“Vivacity”).

LWAC, LWO, NorthStar, LWA, and Vivacity are for-profit corporations. LWAC is domiciled in the state of Washington and primarily offers stop-loss and student health insurance in a number of states where it is licensed to do so. LWO is domiciled in the state of Oregon and primarily offers individual and group health insurance policies to Oregon residents. Beginning in 2014, LWO also participates in Oregon’s public health insurance exchange. NorthStar is a dormant Washington corporation that in turn owns 20% of WPMI, LLC (WPMI), which is a dormant Delaware limited liability company that previously provided third-party administrative services in the People’s Republic of China. LWA provides services under the Consolidated Omnibus Budget Reconciliation Act to employer groups. LWA owns 17% of WorldDoc, Inc. (“WorldDoc”), a Nevada for-profit corporation, providing a Web-based portal with health and wellness applications. Vivacity is a Washington corporation that provides wellness services and products to employers. LWW is a Washington nonprofit miscellaneous corporation and health care service contractor registered in the state of Washington that primarily provides individual and group health benefits coverage to Washington state residents. Beginning in 2014, LWW also participates in Washington state’s public health insurance exchange. Calypso is a dormant Washington nonprofit and miscellaneous corporation.

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Principles of Consolidation — The consolidated financial statements have been prepared using accounting principles generally accepted in the United States of America (GAAP) and include the accounts of the Company. All intercompany balances and transactions have been eliminated in the consolidated financial statements.

Use of Estimates — Preparation of these consolidated financial statements in accordance with GAAP requires management to make estimates and assumptions that affect amounts reported in the consolidated financial statements and the accompanying notes. We consider some of our most important accounting policies that require estimates and management judgment to be those policies with respect to benefit liabilities, income taxes, investments, premium stabilization programs, and retirement benefits. Actual results could differ from those estimates.

Cash and Cash Equivalents — Cash and cash equivalents consist primarily of cash balances on hand and deposited in financial institutions and are all highly liquid investments with a maturity of three months or less when purchased.

Short-Term Investments — Short-term investments are carried at fair value based on quoted market prices for identical or similar securities. The Company considers securities with maturities greater than three months and less than one year at the date of purchase to be short-term investments.

Investments — The Company classifies all securities, except other investments, as available-for-sale. All available-for-sale securities are recorded at fair value with unrealized gains and losses, net of tax, recognized as a component of other comprehensive income, with the exception of embedded derivatives for which the change in fair value is recorded within net realized gains on investments in the consolidated statements of income. The fair value of all securities, except other investments, is based on quoted market prices for identical or similar securities.

The fixed-income portfolio is invested primarily in U.S. Treasury and government agency securities, corporate bonds, asset-backed bonds, and mortgage-related securities. The Company also maintains a diverse portfolio of domestic and foreign equity securities. There were no non-U.S. dollar-denominated investments held as of December 31, 2014 and 2013.

Premiums and discounts on fixed-income securities are recognized as adjustments to investment income, using the scientific method.

Interest on fixed-income securities is recognized in income on an accrual basis. The retrospective-adjustment method is used to amortize all asset-backed securities. Gain or loss on the sale of fixed-income securities and marketable equity securities is determined using the maximum loss convention cost of all shares of that type of security held at the time of sale.

Private equity funds are organized as limited liability-type entities or corporations that hold diversified portfolios of high-yield bank loans, high-yield bonds, real estate, and health care service and product companies. Readily determinable fair values are not available for the underlying investments and these financial instruments involve varying degrees of risk. Private equity funds are less liquid than the Company’s available-for-sale investments. The Company holds a minor influence and each fund maintains specific ownership accounts on the Company’s behalf. The Company accounts for private equity limited liability-type funds using the equity method and recognizes its share of each fund’s earnings or losses in the periods they are reported. The Company accounts for private equity funds organized as corporations using the fair value option, measuring each fund at fair value and recognizing changes in fair value in earnings in the periods they are reported.

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Other long-term investments include investments held for the deferred benefit of PBC’s defined contribution supplemental retirement program, as well as investments in our noncontrolling interests in EveryMove, Sentinel, WPMI, and WorldDoc. The deferred benefit program investments are stated at fair value, which is determined based upon quoted market prices for identical or similar securities. The Company’s investments in EveryMove and Sentinel are accounted for under the cost method. Noncontrolling interests in the remaining other long-term investments are accounted for under the equity method.

Other-than-Temporary Impairment — The Company evaluates its marketable equity securities for other-than-temporary impairment based on current economic conditions, duration and severity of declines in fair value, declining credit quality, and financial condition of the issuers. Private equity funds and other long-term investments are evaluated based on qualitative and quantitative factors, including history of operating losses and the Company’s knowledge of the investee, its activities, and financial condition. Fixed-income securities are evaluated by estimating the future discounted cash flows of the security compared to the Company’s amortized cost basis. Cash flows are estimated using the remaining contractual cash flows of the underlying collateral, adjusted for future expected credit losses (which consider current delinquencies, expected future default rates, vintage, and collateral value by geographic region) and prepayments, as applicable. The estimated cash flows are discounted using the effective yield at the time of acquisition.

Any fixed-income securities with declines in fair value considered to be other than temporary, and that we do not intend to sell and will not be required to sell prior to recovery of amortized cost, are separated into the amount that is credit related and the amount related to all other factors. The credit loss component is recognized as a realized loss in the consolidated statements of income and is calculated as the difference between the security’s amortized cost basis and the present value of its expected future cash flows. The noncredit component, calculated as the difference between the security’s fair value and the present value of future expected cash flows, is recognized as a component of other comprehensive income. Any fixed-income security that the Company intends to sell or will be required to sell prior to recovery of amortized cost is written down to its fair market value with the realized loss recognized in the consolidated statements of income.

Marketable equity securities with declines in fair value considered to be other than temporary are written down to estimated fair value and the impairment charge is recorded within other-than-temporary impairment losses on investments in the consolidated statements of income.

The Company continues to review its investment portfolios under its impairment review policy. Given past market conditions and the significant judgments involved, there is a continuing risk that further declines in fair value may occur and additional material other-than-temporary impairment losses on investments may be recorded in future periods.

Derivatives — The Company’s investment guidelines provide that a portion of the Company’s investment portfolio may comprise convertible bonds. Convertible bonds diversify the portfolio and these investments have the potential to provide the opportunity of gains similar to equity securities while preserving capital investment similar to a bond. The conversion feature of the bond into an equity security is considered an embedded derivative under the accounting guidance for derivative instruments, Accounting Standards Codification Topic 815, Derivatives and Hedging. The Company bifurcates this embedded derivative from the related bond and reports it at fair value in marketable equity securities. Changes in the fair value of the embedded derivative are recorded in the consolidated statements of income as realized gains on investments.

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Subprime Risk — The investment guidelines of the Company allow its core fixed-income manager to invest in mortgage-backed securities (MBS) that are rated investment grade or higher. This would include an MBS that is collateralized with subprime mortgage loans if the security has an adequate credit rating at the time of purchase. The general categories of information considered related to the purchase and subsequent evaluation of subprime securities for other-than-temporary impairment include:

• The credit rating of the security.

• Whether the underlying loans have fixed or variable interest rates.

• The payment priority of the tranche (senior versus subordinate).

• The expected life of the tranche.

• Whether there is overcollateralization of the underlying loans to the current face value of the security.

• Whether the principal and interest of the security is insured by a third-party bond insurer. The Company has exposure to unrealized loss due to changes in the fair value.

Fair Values of Financial Instruments — The following methods and assumptions were used by the Company in estimating the fair value disclosures for financial instruments in the accompanying consolidated financial statements and notes thereto:

Cash and Cash Equivalents, Short-Term Investments, and Outstanding Checks in Excess of Bank Balances — The carrying amounts reported in the accompanying consolidated balance sheets for these financial instruments approximate their fair values due to the short nature of their duration.

Available-for-Sale Securities — The fair values of fixed-income and marketable equity securities are based on quoted market prices. These fair values are obtained primarily from third-party pricing services, which generally use Level I or Level II inputs for the determination of fair value in accordance with Accounting Standards Codification Topic 820, Fair Value Measurements and Disclosures. Third-party pricing services normally derive the security prices through recently reported trades for identical or similar securities making adjustments through the reporting date based upon available market observable information. For securities not actively traded, the third-party pricing services may use quoted market prices of comparable instruments or discounted cash flow analyses, incorporating inputs that are currently observable in the markets for similar securities. Inputs that are often used in the valuation methodologies include, but are not limited to, broker quotes, benchmark yields, credit spreads, default rates, and prepayment speeds. Fair values of investment securities are disclosed in Note 3.

Private Equity Funds — The fair values of private equity funds accounted for under the fair value option are based on the Company’s proportionate ownership interest in the underlying fund’s net asset value (NAV). Funds accounted for under the fair value option are commercial real estate funds. The NAV is based on the underlying fair value of the commercial property held by the fund. The income capitalization, sales comparison, and cost approach are used to value the underlying property in the fund, depending on the type of asset or business being valued. Inputs include, but are not limited to, comparable sales in each asset’s market, replacement cost, revenue and expense growth rates, terminal capitalization rates, and discount rates.

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Premium Stabilization Programs — Beginning in 2014, a number of federal premium stabilization programs have been implemented in accordance with the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (“the Affordable Care Act” or ACA).

Risk Corridor — The ACA’s temporary risk corridor program is intended to promote accurate premiums in the early years of the exchanges (2014 through 2016) by discouraging insurers from setting artificially high premiums in response to uncertainty about who will enroll and what level of costs will be incurred in individual and small group qualified health plans (QHPs). The program will work by protecting insurers participating in exchanges and marketplaces from extreme gains and losses. The risk corridor program sets a target cost amount for each participating insurer; gains or losses incurred by the insurer are then shared with the government to the extent that actual costs differ from target costs. If actual costs end up being within 3% of the target (i.e., actual costs are 97% to 103% of target), the insurer retains all gains or losses. If actual costs are outside of that range, a portion of the resulting gains or losses will be shared by the federal government. The risk corridor program did not have a material impact on the consolidated financial statements in 2014.

Risk Adjustment — The ACA’s risk adjustment program is intended to reinforce market rules that prohibit risk selection by insurers. Risk adjustment accomplishes this by transferring funds from QHPs with lower-risk enrollees to plans with higher-risk enrollees. The goal of the risk adjustment program is to encourage insurers to compete based on the value and efficiency of their plans rather than by attracting healthier enrollees. To the extent that risk-selecting behavior by insurers – or decisions made by enrollees – drive up costs in the health insurance marketplaces (for example, if insurers selling outside the exchange try to keep premiums low by steering sick applicants to exchange coverage), risk adjustment also works to stabilize premiums and the cost of tax credit subsidies to the federal government. As of December 31, 2014, $44,477 of risk adjustment liabilities and $8,290 of receivables were estimated under the risk adjustment program and included in policy reserves and accounts receivable, respectively. The net effect of risk adjustment program amounts are included in premium revenues on the consolidated statements of income.

Transitional Reinsurance Program — Effective January 1, 2014, the Company entered the ACA’s Transitional Reinsurance Program administered by the Department of Health and Human Services. This program is in place from 2014 to 2016 and is funded on a per capita basis from all commercial lines of business (including both insured and self-funded arrangements). The goal of the Transitional Reinsurance Program is to stabilize individual market premiums during the early years of new market reforms (e.g., guaranteed issue). The program transfers funds to individual market insurance plans with higher-cost enrollees in order to reduce the incentive for insurers to charge higher premiums due to new market reforms that guarantee the availability of coverage regardless of health status. As of and for the year ended December 31, 2014, $97,324 in estimated recoveries from the transitional reinsurance program were recorded as a reinsurance receivable and reduction in benefit expense, $7,760 of reinsurance contributions were recorded as reinsurance payables and a reduction of premiums, and $36,014 of transitional reinsurance program fees were recorded as accounts payable and premium taxes and ACA fees.

Insurer Fee — Health insurance issuers are assessed an annual, nondeductible fee to fund some of the provisions of the ACA. For instance, this fee will help fund premium subsidies of cost-sharing reductions for some individuals who purchase health insurance on the exchanges. The annual fee of $8 billion in 2014 was allocated to individual health insurers based upon the ratio of the amount of the insurer’s net premiums written compared to the amount of health insurance written by all U.S. carriers during the preceding calendar year. It was payable once the entity provided health insurance for any U.S. health risk in 2014 and was due on September 30, 2014. The Company’s share of the insurer fee was $43,125 in 2014 and is estimated to be $60,915 in 2015.

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Receivables:

Accounts Receivable — Accounts receivable include the uncollected premium amounts from insured groups, receivables from the Federal Employee Health Benefit Program (FEHBP), receivables relating to the risk corridor and risk adjustment premium stabilization programs, and other miscellaneous receivables. FEHBP is a health benefit program providing coverage to federal employees and dependents administered by the U.S. government. Accounts receivable are shown net of an allowance based on historical collection trends and management’s judgment on the collectability of these accounts. The Company writes off accounts receivable balances when there is no reasonable expectation of collecting the balances due. This balance is routinely monitored by management and any adjustments required are reflected in current operations.

Administrative Service Contract (ASC) and Administrative Services Only (ASO) Receivables — ASC and ASO receivables are uncollected amounts due from self-funded groups for administrative services provided and for claims paid or estimated claims incurred but not paid on behalf of the group.

Reinsurance Receivables — Reinsurance receivables are uncollected amounts due from other companies and government agencies, related to reinsured portions of the long-term care, accident, life, and health risks on certain policies the Company underwrites and services. Reinsurance receivables are shown net of an allowance based on historical collection trends and management’s judgment on the collectability of these accounts. This balance is routinely monitored by management and any adjustments required are reflected in current operations.

Prepaid Expenses and Deferred Charges — Costs incurred that provide economic benefit to the Company are deferred and amortized on the straight-line method over the estimated useful life of the asset.

Reinsurance — Reinsurance premiums, claims, and claims processing expenses are accounted for on a basis consistent with those used in accounting for the original policies issued and the terms of the reinsurance contracts or transitional reinsurance program. The Company remains obligated for amounts ceded in the event the reinsurers do not meet their obligations.

Property and Equipment — Property and equipment are stated at cost, less accumulated depreciation and amortization. Included in property and equipment are capitalized software costs, which consist of certain costs incurred in the development of internal-use software, including external direct costs of materials and services and payroll costs of employees devoted to specific software development. Depreciation and amortization are computed on the straight-line basis over the estimated useful lives of the assets, which are ten years for land improvements and furniture; ten to thirty years for buildings and improvements; and three to seven years for office equipment, computer hardware, and software.

Expenditures for maintenance and repairs are expensed as incurred. Major improvements that increase the estimated useful life of an asset are capitalized. Upon the sale or retirement of assets, the recorded cost and the related accumulated depreciation are eliminated and any gain or loss on disposal is reflected in operations.

Impairment of Long-Lived Assets — Assets, such as property and equipment and capitalized software, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable or the fair value is deemed to be lower. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the fair value of the asset.

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Benefit Liability — The benefit liability represents the Company’s best estimated cost of settling claims relating to insured events that have occurred on or before the consolidated balance sheet date and are unpaid at year-end. The estimated liability includes the amount that will be required for future payments of claims that have been reported, claims related to insured events that have occurred, but that have not been reported, and unpaid claims processing expense. Unpaid claims processing expense is an estimate of the costs to record, process, and adjudicate unpaid claims.

Liabilities for both incurred but not reported and reported but not yet paid claims are determined employing actuarial methods that are commonly used by health insurance actuaries, meet Actuarial Standards of Practice (ASOP), and are appropriate under GAAP. These ASOPs require that the benefit liabilities be adequate under moderately adverse circumstances. The amount of the liability for incurred, but not reported claims is determined by following a detailed actuarial process that entails using both historical claim payment patterns, as well as emerging medical cost trends to project the best estimate of claim liabilities. These estimates are subject to the effects of trends in claims severity and frequency. Although considerable variability is inherent in such estimates, management believes that the benefit liability is adequate. The estimates are continually reviewed and adjusted as necessary, as experience develops or new information becomes known; such adjustments are included in current operations.

ASC and ASO benefit liability is the estimate of unreported claims from certain group contracts in which the Company is not at risk for any of the claims experience, unless a group defaults. The Company is reimbursed by the groups for amounts of actual claims paid.

Policy Reserves — Policy reserves consist mainly of active life reserves, which are established to pay future policy benefits on insurance policies for which some of the premiums received in earlier years are intended to pay anticipated benefits to be incurred in future years. Policy reserves also include groups with experience-rated refunding provisions, premium deficiency reserves, medical loss ratio (MLR) rebate reserves, and reserves relating to the risk adjustment premium stabilization program. Experience-rated refunding groups are monitored monthly and their provisions are adjusted based on their current experience levels. Premium deficiency reserves are established when future premiums and current reserves are deemed to be insufficient to cover future claim payments for the remainder of a contract period. Anticipated investment income is considered when determining whether a premium deficiency relating to short-duration contracts exists. This calculation is performed annually or as needed and the reserve is adjusted accordingly. Premium deficiency reserves of $10,498 and $0 were included in policy reserves as of December 31, 2014 and 2013, respectively, due to an anticipated shortfall in risk sharing under the ACA’s temporary risk corridor program. MLR rebate reserves represent the Company’s best estimate of premium rebates that will be owed to subscribers and/or groups for lines of business that experience an actual MLR below the minimum prescribed by law. MLR reserves are monitored monthly and the provision is recorded as a reduction of revenue in the consolidated statements of income.

Retirement Benefits — The funded status, accumulated other comprehensive income (cost), and annual expense of the Company’s retirement benefit plans are determined using methodologies that involve several actuarial assumptions, the most significant of which are the discount rate and long-term rate of asset return. Accumulated other comprehensive income (cost) consists primarily of accumulated net after-tax actuarial losses. Net actuarial gains or losses are redetermined annually and principally arise from gains or losses on plan assets due to variations in the market-related value of the underlying assets and changes in the benefit obligation due to changes in actuarial assumptions. Net actuarial gains or losses are amortized to expense in future periods when they exceed 10% of the greater of the plan assets or projected benefit obligations by benefit plan. The excess of gains or losses over the 10% threshold is subject to amortization over the average future service period of employees of approximately 10 years. The Company uses a total portfolio return analysis to determine the expected long-term rate of return on

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plan assets. Factors, such as past market performance, the long-term relationship between asset classes, interest rates, and inflation, are considered in the assumption. Peer data and an average of historical returns are also reviewed for appropriateness of the selected assumption.

Other Liabilities — Other liabilities include amounts for accrued compensation, vacation, taxes, and unclaimed property.

Revenue Recognition — Premiums are earned at contractual rates and are recorded as earned during the month subscriber coverage is provided. If applicable, premiums are reported net of MLR rebates; experience-rated refunding provisions; and other adjustments resulting from the risk adjustment, reinsurance, and risk corridor premium stabilization programs of the ACA. Premiums applicable to the unexpired contractual coverage periods are reflected in the accompanying consolidated balance sheets as unearned revenue. Premium revenues include health insurance products and are net of any performance guarantee expenses on these products.

Premiums on retrospectively rated policies are set in the same manner as other fully insured policies, with the exception of an explicit margin added to the premium to cover the uncertainty of estimated claims experience. An annual accounting is performed at the end of the contract period in order to establish if gains or losses have occurred. A rate stabilization reserve is set up for groups in gain positions and those gains are used to offset potential losses in future years. The percent of premiums subject to this provision was 25% and 32% as of December 31, 2014 and 2013, respectively.

Administrative fees include revenues from administrative services group contracts that provide for the group to be at risk for all or, with supplemental insurance arrangements, a portion of their claims experience. The Company charges self-funded groups an administrative fee, which is based on the number of members in a group or the group’s claim experience. Administrative fees are recognized in accordance with the terms of the contractual relationship between the Company and the customer. All claims payments under these programs are excluded from benefit expense. Administrative fees are net of any performance guarantees on self-funded group products.

Washington Education Association accounted for 17% and 20% of total Company revenue in 2014 and 2013, respectively. The Federal Employees Program accounted for 15% and 16% of total Company revenue in 2014 and 2013, respectively.

Federal Income Taxes — The Company files as the common parent of an affiliated group. The liability method is used in accounting for income taxes. Accordingly, deferred tax assets and liabilities are recognized based on differences between the financial reporting and tax basis of assets and liabilities and are measured using the enacted tax rates and laws expected to be in effect when the differences are anticipated to reverse, net of any applicable valuation allowances. The effect on the deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that the change is enacted.

Judgment is required in determining the Company’s effective tax rate and in evaluating its tax position. The Company establishes accruals for uncertain tax positions when, despite the belief that the Company’s tax return positions are fully supportable, the Company believes that its positions may not be fully sustained, primarily given the risks associated with tax litigation or disputes. The uncertain tax position accruals are adjusted in light of changing facts and circumstances, such as the progress of tax audits, case law, and emerging legislation. The Company’s effective tax rate includes the impact of changes to the accruals for uncertain tax positions.

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Comprehensive Income — Comprehensive income includes net income, the change in unrealized gains (losses) on investments, and changes in the retirement plans due to Accounting Standards Codification Topic 715, Compensation — Retirement Benefits.

Contingent Liabilities — The Company has a number of regulatory and legal matters outstanding, as discussed further in Note 11 — Commitments and Contingencies. Periodically, the Company reviews the status of all significant outstanding matters to assess the potential financial exposure. When (i) it is probable that an asset has been impaired or a liability has been incurred and (ii) the amount of the loss can be reasonably estimated, the estimated loss is recorded in the consolidated statements of income. The Company provides disclosure in the notes to the consolidated financial statements for loss contingencies that do not meet both of these conditions if there is a reasonable possibility that a loss may have been incurred that would be material to the consolidated financial statements. Significant judgment is required to determine the probability that a liability has been incurred and whether such liability is reasonably estimable. Accruals made are based on the best information available at the time, which can be highly subjective. The final outcome of these matters could vary significantly from the amounts included in the accompanying consolidated financial statements.

New Accounting Pronouncements — In 2014, Accounting Standards Update No. 2013-02, Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income, was effective, requiring companies to disclose the significant net income line items reclassified out of accumulated other comprehensive income if the item is reclassified in its entirety. For other amounts not required to be reclassified in their entirety to net income, cross-references to other disclosures that provide additional details are required. The adoption of this guidance did not have a material impact on the Company’s consolidated financial statements or disclosures.

There were no other new accounting pronouncements issued or adopted during 2014 that had or are expected to have a material effect on our consolidated financial position, operating results, or disclosures.

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2. INVESTMENTS

The cost or amortized cost, gross unrealized gains and gross unrealized losses, and estimated fair values of available-for-sale investment securities as of December 31, 2014 and 2013, are as follows:

Cost or Gross GrossAmortized Unrealized Unrealized Estimated

Cost Gains Losses Fair Values

December 31, 2014: U.S. Treasury securities and obligations of U.S. government corporations and agencies 174,410$ 7,399$ (1,598)$ 180,211$ Municipal debt securities 12,636 192 - 12,828 Foreign government debt securities 4,786 261 (11) 5,036 Corporate debt securities 351,281 17,237 (2,875) 365,643 Residential mortgage-backed securities 258,654 7,100 (1,347) 264,407 Commercial mortgage-backed securities 140,223 2,504 (419) 142,308 Other asset-backed securities 31,398 220 (24) 31,594

973,388 34,913 (6,274) 1,002,027

Marketable equity securities 398,317 269,011 (2,298) 665,030

Total 1,371,705$ 303,924$ (8,572)$ 1,667,057$

Cost or Gross GrossAmortized Unrealized Unrealized Estimated

Cost Gains Losses Fair Values

December 31, 2013: U.S. Treasury securities and obligations of U.S. government corporations and agencies 203,341$ 5,818$ (4,385)$ 204,774$ Municipal debt securities 3,543 4 (43) 3,504 Foreign government debt securities 2,883 182 - 3,065 Corporate debt securities 326,458 20,126 (2,866) 343,718 Residential mortgage-backed securities 238,470 4,386 (6,591) 236,265 Commercial mortgage-backed securities 119,442 2,435 (1,595) 120,282 Other asset-backed securities 30,094 184 (21) 30,257

924,231 33,135 (15,501) 941,865

Marketable equity securities 364,283 237,119 (979) 600,423

Total 1,288,514$ 270,254$ (16,480)$ 1,542,288$

Accumulated derivative gain as of December 31, 2014 and 2013, was $20,481 and $12,858, respectively. The fair value of the Company’s embedded derivatives included in marketable equity securities was $47,727 and $40,277 as of December 31, 2014 and 2013, respectively.

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As of December 31, 2014, the Company had pledged $42,560 in fixed-income securities at fair value and $4,801 in cash and cash equivalents to meet indemnity requirements of the State of Washington Office of the Insurance Commissioner (OIC). The Company also had pledged $19,622 in fixed-income securities at fair value and $706 in cash and cash equivalents with various other regulatory authorities.

As of December 31, 2013, the Company had pledged $40,010 in fixed-income securities at fair value and $5,260 in cash and cash equivalents to meet indemnity requirements of the State of Washington OIC. The Company also had pledged $18,541 in fixed-income securities at fair value and $641 in cash and cash equivalents with various other regulatory authorities.

The Company did not have any securities on loan or related collateral as of December 31, 2014 and 2013.

The cost or amortized cost and estimated fair values of available-for-sale fixed-income securities as of December 31, 2014, by contractual maturity, are shown below. Expected maturities may differ from contractual maturities because certain borrowers have the right to call or prepay obligations with or without call or prepayment penalties.

Cost or EstimatedAmortized Cost Fair Value

Due in one year or less 17,921$ 19,736$ Due after one year and through five years 251,135 254,081 Due after five years and through ten years 191,237 195,677 Due after ten years 82,820 94,224 Asset-backed securities 430,275 438,309

973,388$ 1,002,027$

The major categories of net investment income for the years ended December 31, 2014 and 2013, were as follows:

2014 2013

Fixed-income securities 21,380$ 21,238$Marketable equity securities 11,283 9,335 Cash, cash equivalents, and other investments (164) (62)

Investment revenue 32,499 30,511

Investment expenses 5,257 4,577

Net investment income 27,242$ 25,934$

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Provided below is a summary of available-for-sale securities, which were in an unrealized loss position as of December 31, 2014 and 2013. There were 194 lots, or 3%, with $3,277 in unrealized losses that had been in a continuous loss position for 12 months or more as of December 31, 2014. There were 116 lots, or 2%, with $3,063 in unrealized losses that had been in a continuous loss position for 12 months or more as of December 31, 2013. In determining whether the unrealized losses of marketable equity securities are temporary or other than temporary, the Company considers (1) the length of time and extent to which the fair value has been less than cost or carrying value and (2) the financial strength of the issuer. In determining whether the losses of fixed-income securities are other than temporary, the Company considers (1) the present value of estimated future cash flows relative to the amortized cost of each lot and (2) whether it is more likely than not that the Company will be required to sell the security prior to a recovery of its amortized cost basis. Management does not believe that any individual unrealized loss as of December 31, 2014, represents an other-than-temporary impairment.

Less than 12 Months 12 Months or More TotalFair Unrealized Fair Unrealized Fair Unrealized

Value Losses Value Losses Value Losses

December 31, 2014: U.S. Treasury securities and obligations of U.S. government corporations and agencies 38,879$ (529)$ 26,320$ (1,069)$ 65,199$ (1,598)$ Foreign government securities 1,859 (11) - - 1,859 (11) Corporate debt securities 89,728 (2,627) 16,338 (248) 106,066 (2,875) Residential mortgage-backed securities 2,943 (9) 50,489 (1,338) 53,432 (1,347) Commercial mortgage-backed securities 10,880 (40) 13,692 (379) 24,572 (419) Other asset-backed securities 10,881 (24) - - 10,881 (24) Marketable equity securities 59,059 (2,055) 810 (243) 59,869 (2,298)

214,229$ (5,295)$ 107,649$ (3,277)$ 321,878$ (8,572)$

Less than 12 Months 12 Months or More TotalFair Unrealized Fair Unrealized Fair Unrealized

Value Losses Value Losses Value Losses

December 31, 2013: U.S. Treasury securities and obligations of U.S. government corporations and agencies 116,878$ (3,417)$ 6,868$ (968)$ 123,746$ (4,385)$ Municipal debt securities 1,243 (5) 1,257 (38) 2,500 (43) Corporate debt securities 106,274 (2,840) 9,123 (26) 115,397 (2,866) Residential mortgage-backed securities 125,826 (4,805) 23,736 (1,786) 149,562 (6,591) Commercial mortgage-backed securities 45,800 (1,397) 2,254 (198) 48,054 (1,595) Other asset-backed securities 10,091 (21) - - 10,091 (21) Marketable equity securities 36,328 (932) 1,051 (47) 37,379 (979)

442,440$ (13,417)$ 44,289$ (3,063)$ 486,729$ (16,480)$

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Proceeds from disposals of available-for-sale short-term investments, fixed-income securities, marketable equity securities, and related gross realized gains and losses on those disposals for the years ended December 31, 2014 and 2013, were as follows:

2014 2013

Proceeds from sales of short-term investments 15,086$ 9,351$ Proceeds from sales of fixed-income securities 669,604 724,748 Proceeds from sales of marketable equity securities 56,095 67,105 Proceeds from maturities, redemptions, calls, and pay downs 82,047 95,768

Total 822,832$ 896,972$

2014 2013

Disposals of short-term investments: Gross realized gains 632$ 171$ Gross realized losses (65) -

567 171

Disposals of fixed-income securities: Gross realized gains 16,643 24,798 Gross realized losses (3,298) (5,628)

13,345 19,170

Disposals of marketable equity securities: Gross realized gains 11,324 22,311 Gross realized losses (458) (706)

10,866 21,605

Changes in fair value of embedded derivatives 7,624 12,307

Other-than-temporary decline in fair value of available-for-sale securities (a) (1,047) (143)

Net realized gain on available-for-sale investments 31,355$ 53,110$

(a) Total other-than-temporary impairment losses on available-for-sale investments amounted to $1,047 and $143 for the years ended December 31, 2014 and 2013, respectively. Of these amounts, $1,047 and $143 were recognized in earnings and $0 was recognized in other comprehensive income in 2014 and 2013.

For the year ended December 31, 2014, the Company recognized in earnings other-than-temporary declines in fair value associated with fixed-income securities of $24 and equity securities of $1,023. For the year ended December 31, 2013, the Company recognized in earnings other-than-temporary declines in fair value associated with fixed-income securities of $142 and equity securities of $1.

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Activity related to the credit component recognized in earnings on fixed-income securities held by the Company for which a portion of the other-than-temporary impairment loss remains in other comprehensive income as of December 31, 2014 and 2013, is as follows:

2014 2013

Beginning balance at January 1 7,319$ 7,295$

Additions for the credit component on debt securities in which other-than-temporary impairment was previously recognized (subsequent credit impairments) - 142 Reductions for securities sold during the period (219) (118)

Ending balance at December 31 7,100$ 7,319$

The Company held two foreign equity funds as of December 31, 2014 and 2013. Both funds were accounted for at fair value, included within marketable equity securities. The fair value and unrealized gain of the two funds was $94,904 and $46,764 as of December 31, 2014. The fair value and unrealized gain of the two funds was $95,273 and $46,596 as of December 31, 2013. Both fund agreements contain a clause restricting all contributions and withdrawals to the first business day of each month. There were no unfunded capital commitments related to these funds as of December 31, 2014 and 2013.

Private Equity Funds — The Company held seven and six private equity funds as of December 31, 2014 and 2013, respectively, each with an ownership interest of under 5%. Six funds held as of December 31, 2014, were accounted for under the equity method and one was accounted for under the fair value option. The book value of the equity method funds was $151,319 and $140,632 as of December 31, 2014 and 2013, respectively. The related equity earnings recorded in net realized gain on investments was $4,442 and $9,972 for the years ended December 31, 2014 and 2013, respectively. The fair value of the fair value option fund was $26,157 and $23,723 as of December 31, 2014 and 2013, respectively. The related change in fair value recorded in net realized gain on investments for the fund was $1,273 and $1,323, respectively, and the related dividend income was $1,067 and $1,097, respectively, for the years ended December 31, 2014 and 2013.

The Company held unfunded capital commitments of $17,361 for two private equity funds owned as of December 31, 2014, and an unfunded capital commitment of $5,000 for one private equity fund not owned as of December 31, 2014. No other unfunded capital commitments existed as of December 31, 2014.

Other Long-Term Investments — Other long-term investments include the Company’s nonqualified supplemental defined benefit plan covering officers, as well as investments in business ventures where the Company has more than a minor influence. See Note 8 for a discussion on the nonqualified defined contribution retirement program, which had assets of $12,941 and $11,634 as of December 31, 2014 and 2013, respectively.

Investments in joint ventures are accounted for under the equity method, as the Company has more than a minor influence over their operations through a combination of its voting, governance, and other rights. As of December 31, 2014 and 2013, the book values of joint ventures was $1,945 and $6,238, respectively. The Company recognized $6,707 and $7,640 for its share of equity earnings during 2014 and 2013, respectively, in net realized gain on investments.

The Company’s investment in EveryMove, a convertible preferred stock, is accounted for under the cost method, as the Company has a noncontrolling interest in the preferred stock of EveryMove. The book

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value of this investment was $1,100 as of December 31, 2014 and 2013. The Company held a 21% ownership interest as of December 31, 2014. In addition, the Company held notes receivable of $403 and $0 as of December 31, 2014 and 2013, which, upon maturity, and at the election of the Company and/or the majority of EveryMove’s investors, are convertible into an equivalent amount of EveryMove preferred stock.

The remaining other long-term assets consist of other noncontrolled entities and limited partnerships, which are carried at cost of $873 as of December 31, 2014 and 2013.

3. FAIR VALUE

Assets and liabilities recorded at fair value in the consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure their fair value. Level inputs, as defined by the fair value guidance, are as follows:

Level I — Quoted prices for identical assets or liabilities in active markets at the measurement date.

Level II — Other observable inputs that reflect quoted market prices for assets either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets, quoted prices in markets with insufficient volume or infrequent transactions (less active markets), inputs other than quoted prices that are observable, and inputs derived principally from or corroborated by other observable market data for substantially the full term of the asset or liability.

Level III — Unobservable inputs that cannot be corroborated by other observable market data at the measurement date.

The following methods and assumptions were used to determine the fair value of each class of assets and liabilities recorded at fair value in the consolidated balance sheets:

Short-Term Investments, Fixed-Income Securities, and Marketable Equity Securities — at Fair Value — Fair values are based on quoted market prices, where available. These fair values are obtained primarily from third-party pricing services, which generally use Level I or Level II inputs for the determination of fair value in accordance with the fair value guidance. Third-party pricing services normally derive the security prices through recently reported trades for identical or similar securities making adjustments through the reporting date based upon available market observable information. For securities not actively traded, the third-party pricing services may use quoted market prices of comparable instruments or discounted cash flow analyses, incorporating inputs that are currently observable in the markets for similar securities. Inputs that are often used in the valuation methodologies include, but are not limited to, broker quotes, benchmark yields, credit spreads, default rates, and prepayment speeds.

Private Equity Funds — at Fair Value — As of December 31, 2014, the Company was invested in one private equity fund accounted for under the fair value option — a commercial real estate fund that was a Level III investment. As a practical expedient to value the investment in the fund, which has attributes of an investment company and does not have a readily determinable fair value, the Company relies on its proportionate ownership interest in the underlying fund’s NAV. The NAV was based on the underlying fair value of the commercial property held by the fund. The income capitalization, sales comparison, and cost approach were used to value the underlying property in the fund, depending on the type of asset or business being valued. Inputs for valuation include, but are not limited to, comparable sales in each asset’s market, replacement cost, revenue and expense growth rates, terminal capitalization rates, and discount rates.

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The following tables summarize fair value measurements by level as of December 31, 2014 and 2013, for assets measured at fair value on a recurring basis:

Level I Level II Level III Total

December 31, 2014: U.S. Treasury securities and obligations of US government 179,929$ 282$ - $ 180,211$ Municipal debt securities - 12,828 - 12,828 Foreign government securities - 5,036 - 5,036 Corporate debt securities - 365,643 - 365,643 Residential mortgage-backed securities - 264,407 - 264,407 Commercial mortgage-backed securities - 142,308 - 142,308 Other asset-backed securities - 31,594 - 31,594

Total 179,929 822,098 - 1,002,027

Marketable equity securities 522,398 142,632 - 665,030 Private equity fund — fair value option - - 26,157 26,157

Total 702,327$ 964,730$ 26,157$ 1,693,214$

Level I Level II Level III Total

December 31, 2013: U.S. Treasury securities and obligations of US government 203,262$ 1,512$ - $ 204,774$ Municipal debt securities - 3,504 - 3,504 Foreign government securities - 3,065 - 3,065 Corporate debt securities - 343,718 - 343,718 Residential mortgage-backed securities - 236,265 - 236,265 Commercial mortgage-backed securities - 120,282 - 120,282 Other asset-backed securities - 30,257 - 30,257

Total 203,262 738,603 - 941,865

Marketable equity securities 464,872 135,551 - 600,423 Private equity fund — fair value option - - 23,723 23,723

Total 668,134$ 874,154$ 23,723$ 1,566,011$

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A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using Level III inputs for the years ended December 31, 2014 and 2013, is as follows:

Level III FairValue

MeasurementsPrivate

Equity Funds

Beginning balance at January 1, 2014 23,723$

Total gains and losses: Realized in net income 1,273 Unrealized in accumulated other comprehensive income - Purchases, sales, issuances, and settlements — gross: Purchases 1,161 Sales - Transfers into Level III - Transfers out of Level III -

Ending balance at December 31, 2014 26,157$

Change in unrealized gains included in net income related to assets still held - $

Level III FairValue

MeasurementsPrivate

Equity Funds

Beginning balance at January 1, 2013 21,415$

Total gains and losses: Realized in net income 1,323 Unrealized in accumulated other comprehensive income - Purchases, sales, issuances, and settlements — gross: Purchases 985 Sales - Transfers into Level III - Transfers out of Level III -

Ending balance at December 31, 2013 23,723$

Change in unrealized gains included in net income related to assets still held - $

There were no transfers between Levels I and II during 2014 or 2013, and there were no transfers in or out of Level III during 2014 or 2013. There were no nonfinancial instruments remeasured at fair value during 2014 or 2013.

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4. PROPERTY AND EQUIPMENT

A summary of the cost and accumulated depreciation and amortization of property and equipment as of December 31, 2014 and 2013, is set forth below:

2014 2013

Land and land improvements 14,975$ 14,831$ Buildings and improvements 72,571 68,911 Office and computer equipment 25,039 27,931 Software 118,364 113,312

230,949 224,985

Less accumulated depreciation and amortization (142,228) (146,180)

Total property and equipment 88,721$ 78,805$

5. BENEFIT LIABILITY

Activity in the benefit liability as of December 31, 2014 and 2013, is summarized as follows:

2014 2013

Claims liability at beginning of year 324,511$ 352,797$ Less ceded claims, beginning of year (10,605)

Net claims liability, beginning of year 313,906

Add incurred claims related to: Current year 3,069,044 2,704,267 Prior years (21,962) (42,338)

Total incurred claims 3,047,082 2,661,929

Deduct paid claims related to: Current year (2,658,863) (2,400,175) Prior years (286,522) (290,040)

Total paid claims (2,945,385) (2,690,215)

Net claims liability, end of year 415,603

Ceded claims, end of year 23,321

Claims liability at end of year 438,924 324,511

Life reserves 1,663 2,347 Unpaid claims processing liability 14,857 10,976

Benefit liability at end of year 455,444$ 337,834$

As the benefit liability includes various actuarially developed estimates, the Company’s actual claims experience may be more or less than the Company’s previously developed estimates. As indicated in the foregoing reconciliation, the Company’s benefit liability as of December 31, 2013 and 2012, was

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decreased by $21,962 and $42,338, respectively, in the following year for claims that had occurred on or prior to those consolidated balance sheet dates. These adjustments resulted from the Company’s actual benefit expense related to prior years totaling less than the estimates previously made by the Company. These changes in reserves are primarily driven by lower-than-expected health system utilization levels and more efficient claims handling and processing, which results in higher completion factors. Adjustments of prior-year estimates may result in additional benefit expenses or, as the Company experienced during each of the last two years, a reduction in benefit expenses may be offset as the Company establishes its accrual for current-year benefit expenses. No return premiums were due as a result of the adjustments in the benefit liability. Adjustments made to the benefit liability for unpaid claims processing expense during 2014 and 2013 were immaterial. The unpaid benefit liability has been reduced by subrogation of $29,183 and $25,845 as of December 31, 2014 and 2013, respectively.

6. REINSURANCE

The Company reinsures with other companies and the government portions of the accident and health risks on certain policies it underwrites and services. Premiums and claims ceded under reinsurance contracts for the years ended December 31, 2014 and 2013, were as follows:

2014 2013

Premiums 20,717$ 16,895$ Claims (110,174) (14,556)

For the years ended December 31, 2014 and 2013, $97,324 and $0 in claims were ceded under the ACA transitional reinsurance program, respectively.

As of December 31, 2014 and 2013, the Company had reinsurance receivables from an unaffiliated reinsurer related to its ceded long-term care insurance products of $69,360 and $64,384, respectively.

Effective January 1, 2014, the Company entered into the Oregon Transitional Reinsurance Pool administered by the Oregon Medical Insurance Pool Board. This program will be in place from 2014 to 2016, is funded on a per capita basis from all commercial lines of business (including both insured and self-funded arrangements), and transfers funds to individual market insurance plans with higher-cost enrollees.

7. FEDERAL AND STATE INCOME TAXES

The provision for federal and state income tax expense relating to continuing operations for the years ended December 31, 2014 and 2013, consists of the following:

2014 2013

Federal income tax: Current 28,070$ 32,426$ Deferred 2,770 1,630

30,840 34,056

State income tax — current 102 233

Total 30,942$ 34,289$

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For the years ended December 31, 2014 and 2013, the rate at which the Company provides for income taxes differs from the statutory federal rate primarily due to the following:

Amount Rate Amount Rate

Provision computed at statutory rates 33,992$ 35.0 % 57,582$ 35.0 % Effect of Section 833(b) and other permanent differences (49,494) (50.9) (49,214) (29.9) Increase in federal valuation allowance 30,292 31.2 24,826 15.1 State income tax — net of federal benefit 82 0.1 186 0.1 Nondeductible insurer fee 15,094 15.5 - - Other 976 1.0 909 0.5

Total 30,942$ 31.9 % 34,289$ 20.8 %

2014 2013

The Company had alternative minimum tax credit (MTC) carryforwards of $280,525 available indefinitely to reduce regular federal income taxes as of December 31, 2014. Income taxes of $28,500 and $18,500 were paid in 2014 and 2013, respectively.

Deferred federal income taxes for the years ended December 31, 2014 and 2013, consist of the following:

2014 2013

Deferred tax assets: MTC 280,525$ 256,474$ Deferred compensation and accrued incentive 15,900 16,570 Postretirement benefits 12,640 12,225 Benefit liability 8,323 9,902 Impairment loss on available-for-sale investments 5,172 5,694 Unrecognized retirement benefit cost 21,176 7,021 Step-up in basis of land 738 738 Other assets 18,678 13,038

Total deferred federal income tax assets 363,152 321,662

Less valuation allowance 243,626 221,859

Deferred federal income tax assets — net 119,526 99,803

Deferred tax liabilities: Unrealized gain on investments (104,303) (89,665) Fixed assets (3,404) (3,941) Prepaid pension asset (46,480) (41,291) Other (14,538) (11,059)

Total deferred federal income tax liabilities (168,725) (145,956)

Net deferred federal income tax liabilities (49,199)$ (46,153)$

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The Company establishes a valuation allowance for deferred tax assets when uncertainty exists with respect to future realization of the assets. The assets to which a valuation allowance applies are the MTC carryforward and deferred tax assets that primarily relate to the future deductibility of deferred compensation and benefit liabilities. In 2014, the valuation allowance increased by $21,767 primarily due to increases in the valuation allowance for MTC. In 2013, the valuation allowance decreased by $187 due to an increase in the valuation allowance for MTC offset by decreases in valuation allowances required for compensation and investment-based deferred tax items. The Company establishes a valuation allowance against the MTC because the benefits of the MTC are not more likely than not to be realized in the foreseeable future.

Judgment is required in determining the Company’s effective tax rate and evaluating its tax positions. The Company establishes accruals for certain tax reserves when, despite the belief that the Company’s tax return positions are fully supportable, the Company believes that its tax position may not be fully sustained, primarily given the risks associated with tax litigation or disputes. The tax reserve accruals are adjusted in light of changing facts and circumstances, such as the progress of tax audits, case law, and emerging legislation. The Company’s effective tax rate includes the impact of tax reserve accrual and changes to accruals.

There were no penalties or interest accrued as of December 31, 2014 or 2013. Uncertain tax positions are not material as of December 31, 2014 and 2013.

Tax years ended December 31, 2014, 2013, 2012, and 2011, remain subject to Internal Revenue Service examination.

8. EMPLOYEE BENEFITS

Defined Benefit Retirement Plans: Pension Equity Plan and Nonqualified Supplemental Plans —

Retirement Benefits — The Company provides a pension equity plan covering substantially all of its employees and employees of its subsidiaries.

The Company has a PREMERA-wide nonqualified defined benefit supplemental retirement program covering certain officers approved by PBC’s CEO and the board of directors as having a significant corporate-wide impact on accomplishing the Company’s strategic goals and objectives. The Company provides a nonqualified supplemental retirement benefit for its former chief executive officer. Contributions to nonqualified supplemental retirement plans are maintained in a rabbi trust and are, therefore, not considered plan assets of the supplemental defined benefit retirement plans. In the event of the Company’s insolvency, trust assets can be used to satisfy the claims of general creditors.

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The funded status of the Company’s defined benefit plans and amounts recognized as of December 31, 2014 and 2013, are as follows:

2014 2013

Change in benefit obligation: Benefit obligation at beginning of year 257,226$ 257,803$ Service cost 13,673 14,046 Interest cost 12,523 10,302 Actuarial loss (gain) 42,350 (13,999) Benefits paid (13,490) (10,189) Administrative expenses paid (1,057) (737)

Benefit obligation at end of year 311,225 257,226

Change in plan assets: Fair value of plan assets at beginning of year 333,993 269,160 Actual return on plan assets 28,515 55,587 Employer contributions 21,865 20,172 Benefits paid (13,490) (10,189) Administrative expenses paid (1,057) (737)

Fair value of plan assets at end of year 369,826 333,993

Overfunded status of the plans 58,601$ 76,767$

Net amount included in the consolidated balance sheets: Prepaid expenses and deferred charges 88,488$ 103,265$ Retirement benefits (29,887) (26,498)

Net amount at end of year 58,601$ 76,767$

Net defined benefit plan costs for the years ended December 31, 2014 and 2013, include the following:

2014 2013

Service cost 13,673$ 14,046$ Interest cost 12,523 10,302 Return on assets (20,859) (17,898) Net loss amortization 5,669 7,440 Prior service cost amortization 320 320

Net defined benefit cost 11,326$ 14,210$

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Weighted-average assumptions used to determine net defined benefit cost as of December 31, 2014 and 2013, were as follows:

2014 2013

Discount rate 5.0 % 4.1 %Expected return on plan assets 7.0 7.0 Rate of compensation increase 3.0–6.0 3.0–6.0

Weighted-average assumptions used to determine benefit obligations for the years ended December 31, 2014 and 2013, were as follows:

2014 2013

Discount rate 4.1 % 5.0 %Rate of compensation increase 2.5-8.5 3.0–6.0

The Company’s defined benefit plan asset allocation as of December 31, 2014 and 2013, and target allocation for 2015, are as follows:

Target Percentage of Plan AssetsAllocation at December 31

Asset Category 2015 2014 2013

Fixed income 30 % 23 % 24 % Equity securities 70 77 76 Total 100 % 100 % 100 %

In managing the plan assets, our objective is to maintain adequate liquidity and asset value to ensure the payment of current benefits while growing plan assets over time to maintain or improve long-term funded status. The Company attempts to mitigate risk to the plan assets through our investment policy, which places limits on the overall mix, quality of investments, and concentrations in individual investments. In addition to producing a reasonable return, the investment strategy seeks to minimize the volatility in employer expense and cash flow.

The expected return on plan assets assumption for our defined benefit plans is based on many factors, including forecasted market returns, projected inflation rates, and historical asset returns.

Plan assets include a diversified mix of fixed maturity securities and equity securities across a range of sectors and levels of capitalization to maximize the long-term return for a prudent level of risk.

The target allocation for plan assets is 30% fixed maturity securities and 70% equity securities. Fixed maturity securities primarily include U.S. Treasury and agency securities, corporate bonds, and asset-backed investments issued by the U.S. government and corporations. Equity securities primarily include a mix of mutual funds and collective trusts invested in domestic and foreign equities. As of December 31, 2014, there were no significant concentrations of investments in the plan assets.

Fair values of our plan assets are based on quoted market prices, where available. These fair values are obtained from third-party pricing services, which obtain each fund’s NAV directly from the fund sponsor. Fund sponsors use Level I or Level II inputs, based upon available market observable information, to price each fund’s underlying investments and calculate the NAV of the fund as of the

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reporting date. All investments held in the portfolio as of December 31, 2014, are traded on retail or institutional markets.

Plan assets recorded at fair value are categorized based upon the level of judgment associated with the inputs used to measure their fair value. The fair values of our pension benefit assets and other benefit assets as of December 31, 2014 and 2013, by asset category and level inputs, as defined by Accounting Standards Codification Topic 820 regarding fair value measurements and disclosures (see Note 3 for additional information regarding the definition of level inputs) are as follows:

Level I Level II Level III Total

December 31, 2014: Common/collective trust funds: Fixed-income funds - $ 55,600$ - $ 55,600$ Domestic equity funds - 199,422 - 199,422 International equity funds - 42,730 - 42,730 Mutual funds: Fixed-income funds 28,862 - - 28,862 Domestic equity funds 27,698 - - 27,698 International equity funds 15,514 - - 15,514

72,074$ 297,752$ - $ 369,826$

Level I Level II Level III Total

December 31, 2013: Common/collective trust funds: Fixed-income funds - $ 49,781$ - $ 49,781$ Domestic equity funds - 178,316 - 178,316 International equity funds - 33,950 - 33,950 Mutual funds: Fixed-income funds 28,177 - - 28,177 Domestic equity funds 26,623 - - 26,623 International equity funds 15,878 - - 15,878 Money market funds 1,268 - - 1,268

71,946$ 262,047$ - $ 333,993$

There were no transfers between Levels I, II, or III during 2014 or 2013.

The fair value of the assets in the rabbi trust as of December 31, 2014 and 2013, was $24,702 and $22,902, respectively, and is composed of fixed-income, marketable equity securities, and cash equivalents.

The accumulated benefit obligation for the defined benefit plans was $297,571 and $249,153 as of December 31, 2014 and 2013, respectively. The Company expects to make $18,799 in cash contributions to its defined benefit plans during 2015.

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Expected benefit payments during the years ending December 31 are as follows:

2015 33,154$2016 15,132 2017 16,024 2018 16,049 2019 16,283 2020–2024 89,509

Other Supplemental Retirement Programs — The Company has a nonqualified defined contribution retirement program covering officers. The expense related to this program was approximately $3,163 and $2,693 in 2014 and 2013, respectively.

The Company funds the deferred benefits of the defined contribution program through the establishment of a separate deferred benefit trust. The fair value of the trust assets, which are included in other long-term investments, was $12,941 and $11,634 as of December 31, 2014 and 2013, respectively. Realized and unrealized gains and losses from the assets included in the trust accrue to the participants. However, participants only have an unsecured interest in trust assets. In the event of the Company’s insolvency, trust assets can be used to satisfy the claims of general creditors. Deferred benefits relating to these programs were $12,941 and $11,634 as of December 31, 2014 and 2013, respectively, recorded within retirement benefits in the consolidated balance sheets.

Deferred Compensation Retirement Savings Plan — The Company has a deferred contribution retirement savings plan pursuant to Section 401(k) of the Internal Revenue Code, in which its employees are automatically enrolled within 30 days following the date of hire, unless they have affirmatively elected not to participate. The Company made total contributions of $6,391 and $5,833 to the plan in 2014 and 2013, respectively.

Other Postretirement Benefits — The Company maintains a postretirement benefit plan, which provides certain health care benefits for eligible retired employees.

The funded status of the postretirement benefit plan and the amounts recognized in the Company’s consolidated financial statements as of December 31, 2014 and 2013, are as follows:

2014 2013

Change in benefit obligation: Benefit obligation at beginning of year 32,748$ 46,706$ Service cost 881 1,353 Interest cost 1,652 1,697 Actuarial loss (gain) 11,488 (16,300) Benefits paid (1,096) (708)

Benefit obligation at end of year 45,673 32,748

Fair value of plan assets - -

Underfunded status of the plan (45,673)$ (32,748)$

Net amount included in the consolidated balance sheets — pension and postretirement benefits at end of year (45,673)$ (32,748)$

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The net periodic benefit cost for the years ended December 31, 2014 and 2013, includes the following:

2014 2013

Service cost 881$ 1,353$ Interest cost 1,652 1,697 Net loss amortization - 484 Prior service cost amortization — net of plan amendments (250) (250)

Net periodic benefit cost 2,283$ 3,284$

Weighted-average assumptions used to determine net periodic benefit cost for the years ended December 31, 2014 and 2013, were as follows:

2014 2013

Discount rate 5.2 % 4.2 % Health care cost trend rates 7.0 7.0

Weighted-average assumptions used to determine benefit obligations for the years ended December 31, 2014 and 2013, were as follows:

2014 2013

Discount rate 4.2 % 5.2 % Health care cost trend rates 7.0 7.0

Health care cost trend rates are assumed to decrease over future years, ending at 5.50% in 2019. Assumed health care cost trend rates have a significant effect on the amounts reported for the nonpension postretirement benefit plans.

The Company does not hold plan assets for the postretirement benefit plan and expects to contribute $1,129 to this plan in 2015.

Expected benefit payments during the years ended December 31 are as follows:

2015 1,129$ 2016 1,174 2017 1,207 2018 1,244 2019 1,280 2020–2024 7,145

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Amounts Recognized in Accumulated Other Comprehensive Income — The amounts included in accumulated other comprehensive income that have not been recognized as components of net periodic benefit costs as of December 31, 2014 and 2013, are as follows:

Defined Benefit Other PostretirementRetirement Plans Benefits

2014 2013 2014 2013

Balance at beginning of year 22,241$ 81,690$ (2,181)$ 14,353$ Amounts amortized during the year: Net gain (5,669) (7,440) - (484) Net prior service (credit) cost (320) (320) 250 250 Occurring during year — net loss (gain) 34,694 (51,689) 11,489 (16,300)

Accumulated other comprehensive income recognized at December 31 50,946$ 22,241$ 9,558$ (2,181)$

Defined Benefit Other PostretirementRetirement Plans Benefits

2014 2013 2014 2013

Net prior service cost (credit) 330$ 649$ (1,320)$ (1,571)$ Net loss (gain) 50,616 21,592 10,878 (610)

Accumulated other comprehensive income recognized at December 31 50,946$ 22,241$ 9,558$ (2,181)$

The estimated net actuarial loss and prior service cost for the defined benefit pension plans that will be amortized from accumulated other comprehensive income into net periodic benefit costs over the next year are as follows:

Amortization of net prior service cost (credit) 132$ (250)$ Amortization of net loss 4,864 413

Defined Benefit PostretirementOther

Retirement Plans Benefits

9. PHYSICIANS’ DEFERRED COMPENSATION PLAN

The Company maintained a nonqualified deferred compensation plan for participating physicians. The plan allowed for reductions of the physicians’ earnings prior to 1994 and included an unsecured contractual promise to pay specified amounts at the occurrence of specific events. The Company recorded an asset for funds invested in a group flexible premium insurance contract, insurance annuity contracts with Mutual Benefit Life Insurance Company, and a corresponding liability for payment of estimated amounts to both retired and active physicians participating in the plan.

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10. LEASES

The Company has contractual obligations in the form of operating leases for office space and related office equipment for which the related expense is recorded on a monthly basis. Certain leases contain various provisions for periodic rent escalation adjustments, renewal options, sublease agreements, and lease cancellations with nominal penalties. Operating lease obligations expire at various dates with the latest maturity in 2018. The Company’s rental expense for 2014 and 2013 was $4,859 and $5,448, respectively.

Future minimum lease payments under noncancelable operating leases as of December 31, 2014, are as follows:

Years Ending TotalDecember 31 Leases

2015 3,343$ 2016 2,812 2017 2,603 2018 2,170 2019 1,115 Thereafter 195

Total 12,238$

11. COMMITMENTS AND CONTINGENCIES

Legal Proceedings — The Company is involved from time to time in claims, proceedings, and litigation, including the following:

PREMERA and its subsidiary, LWW (collectively, “PREMERA”), are named as defendants in McCarthy Finance, Inc. et al. v. Premera, et al., filed in January 2012 in Superior Court for the State of Washington in King County. The suit also names as defendants the Washington Alliance for Healthcare Insurance (WAHIT), an association that contracts with PREMERA companies for health benefits for the association’s members, and WAHIT’s Trustee. The lawsuit seeks certification of a class that would include all of PREMERA’s insured members and groups in Washington for the past four years. While plaintiffs’ lawsuit was dismissed by the trial court in January 2013, plaintiffs filed an appeal of that dismissal with the Washington Court of Appeals in 2013. In June 2014, the Court of Appeals overturned the trial court’s dismissal of plaintiffs’ case and remanded the case back to the trial court.

PREMERA and WAHIT have filed an appeal with the Washington Supreme Court seeking to have the trial court’s dismissal reinstated. That appeal is set to be heard by the state Supreme Court in February 2015 and a ruling will likely be issued later that same year.

PREMERA is named as a defendant in Burns, et al. v. Premera, which was filed in October 2013 in Superior Court for the State of Washington in King County. Plaintiffs bring multiple claims against PREMERA relating to an investigation, audit and overpayment demand issued by PREMERA’s Special Investigation Unit concerning plaintiff’s medical practice. PREMERA has retained defense counsel and is actively defending this litigation.

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PREMERA is named as a defendant in Strauss, et al. v. Premera Blue Cross, filed in August 2013 in Superior Court for the State of Washington in King County. The complaint alleges claims for retaliation and wrongful termination in violation of public policy. PREMERA has engaged defense counsel and is defending this suit.

PREMERA is named as a defendant in Alaska Native Tribal Health Consortium, d/b/a Alaska Native Medical Center v. Premera and a companion case, Southcentral Foundation v. Premera. Both cases were filed in federal court in Alaska and concern the reimbursement rate paid for medical care received by PREMERA members at the Alaska Native Medical Center (ANMC) that is co-owned and operated by plaintiffs Alaska Native Tribal Health Consortium and Southcentral Foundation. The complaint alleges that PREMERA has failed to reimburse ANMC pursuant to the requirements of the Indian Health Care Improvement Act (IHCIA) over the entire 11-year period of time that ANMC was a contracted facility and now that it is an out of network provider. The changes to the IHCIA upon which plaintiffs rely as the basis for their underpayment claim did not go into effect until March 2010, a year before they terminated their contract with PREMERA. PREMERA continues to actively defend itself in this litigation and the parties are currently engaged in discovery.

PREMERA, along with the Blue Cross Blue Shield Association (BCBSA) and the majority of all of the other BCBSA plans (Blue Plans), has been named as a defendant in multiple suits that make up the In re Blue Cross Blue Shield Antitrust Litigation matter that is being handled by a federal district court judge in Birmingham, Alabama. This matter is part of a process called Multi-District Litigation, where there are multiple cases filed by plaintiffs in different jurisdictions across the country all alleging the same basic set of operative facts and causes of action. For purposes of judicial economy and convenience, the various lawsuits are all transferred and consolidated with one court. Here, plaintiffs across the country have filed multiple lawsuits alleging violation of antitrust law based on an alleged conspiracy among the Blue Plans and the BCBSA to restrain trade via the service area restrictions in the parties’ license agreements. Those cases have all been transferred and consolidated in federal district court in Alabama.

PREMERA has retained its own independent counsel to defend it in these suits. PREMERA’s counsel has been coordinating and cooperating in the joint defense with the BCBSA and the other defendant Blue Plans’ counsel. The parties are currently engaged in discovery, a process that is expected to take the next two to three years to complete.

PREMERA, along with multiple other Blue Plans, is named as a defendant in Innova Hospital San Antonio & Victory Medical Center Houston v. Premera Blue Cross, et al., filed in April 2012 in state court in Texas. The plaintiffs are two out of network hospitals in Texas in contesting the adequacy of the compensation they have received for medical care provided to members of the defendant Blue Plans. Plaintiffs seek recovery from PREMERA for alleged underpayments related to medical claims for two PREMERA members. PREMERA has retained defense counsel in Texas, who is jointly representing multiple Blue Plans that have a similarly small number of claims at issue in the lawsuit. In November 2014, the Court dismissed plaintiffs’ claims against the defendant Blue Plans, including PREMERA. Plaintiffs have filed an appeal with the 5th Circuit Court of Appeals, which is not expected to be ruled upon until late 2015 or early 2016.

PREMERA, along with 33 other Blue Plans, is named as a defendant in Cedars-Sinai Medical Center v. Premera Blue Cross, et al., filed October 2011 in federal court in Los Angeles, California. Plaintiff is a network provider with Blue Shield of California alleging that the defendant Blue Plans have both underpaid and improperly denied claims from plaintiff in violation of plaintiff’s alleged agreements with the defendants. Plaintiffs allege they are owed approximately $175,000 by PREMERA for claims that were underpaid or wrongly denied payment. The case is ongoing and PREMERA is defending this suit.

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PREMERA, along with 28 other Blue Plans, is named as a defendant in Center for Restorative Breast Surgery, et al. v. Premera Blue Cross, et al., filed in April 2011 in federal court in Louisiana. The plaintiffs are a group of providers in New Orleans, Louisiana, contesting the adequacy of the compensation they have received for medical care provided to members of the defendant Blue Plans. Plaintiffs seek recovery from PREMERA for alleged underpayments related to claims for four of PREMERA’s members. PREMERA has retained defense counsel in Louisiana who has represented the Company in previous litigation involving some of the same plaintiffs. This matter is ongoing and PREMERA is actively defending the lawsuit.

PREMERA is named as a defendant in Rickman v. Premera Blue Cross, filed in December 2010 in Superior Court for the State of Washington in Snohomish County. The complaint alleges claims for retaliation and wrongful termination in violation of public policy. PREMERA has engaged defense counsel and is defending this suit. In June 2013, the trial court granted PREMERA’s motion for summary judgment and dismissed plaintiff’s lawsuit. The Washington Court of Appeals rejected plaintiff’s appeal in October 2014. Plaintiff has filed an appeal with the Washington Supreme Court that will be heard in June 2015 with a ruling from the court expected later in the year.

PREMERA is named as a defendant in Shasta Medical Center v. Premera, filed in July 2011 in California state court. The complaint alleges that PREMERA pays inappropriately low reimbursement to defendant hospital for emergency medical services provided to PREMERA’s members. PREMERA has engaged defense counsel for this lawsuit and is actively defending this suit.

The Company disputes the allegations of the foregoing claims and intends to vigorously defend against them; however, litigation is subject to inherent uncertainties and the ultimate outcome of these matters cannot presently be determined and the Company cannot estimate the range of possible losses. An unfavorable outcome in any of these matters could have a material adverse effect on the Company’s consolidated financial position and the results of operations.

The Company is subject to other claims and legal actions that arise in the ordinary course of business. Although the ultimate outcome of these additional proceedings cannot be ascertained at this time, it is reasonably possible that some of them could be resolved unfavorably to the Company. Management believes that any liabilities that may arise from such proceedings would not be material in relation to the Company’s consolidated financial position and results of operations as of December 31, 2014. Potential contingent liabilities arising from litigation, income taxes, and other matters are not considered material in relation to the consolidated financial position, results of operations, or cash flows of the Company.

12. STATE HEALTH POOL ASSESSMENT

The Company makes payments to the Washington, Oregon, and Alaska state health insurance pools, which were created to provide health insurance coverage to all state residents who are denied individual health insurance. Effective December 31, 2013, the Oregon state health insurance pool discontinued operations. No payments of assessments were made to the Oregon state health insurance pool in 2014. Payments for assessments recorded as part of benefit expense were $9,884 and $23,639 in 2014 and 2013, respectively.

13. STATUTORY RESERVES AND NET INCOME

PBC, Academe, LWO, LWAC, and LWW (the “Companies”) file regulatory reports and financial statements with various state insurance commissioners in accordance with statutory accounting practices prescribed or permitted by the respective domiciliary state insurance department. Prescribed statutory accounting practices include a variety of publications of the National Association of Insurance

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Commissioners, as well as state laws, regulations, and general administrative rules. Permitted statutory accounting practices encompass all accounting practices not so prescribed. PBC has a permitted statutory accounting practice as of December 31, 2014 and 2013, to admit the statutory capital and surplus of Connexion’s audited insurance subsidiaries. Differences between statutory reserves/unassigned surplus and statutory net income and net worth and net income as determined on a GAAP basis primarily relate to differences in accounting for net income of subsidiaries; unrealized gain or loss on available-for-sale fixed-income securities; postretirement benefits; and nonadmitted assets, such as prepaid expenses and certain furniture, equipment, and software. Assets nonadmitted by the Companies under prescribed and permitted practices were $18,791 and $13,951 for the years ended December 31, 2014 and 2013, respectively.

The Companies met the surplus regulatory requirements as of December 31, 2014 and 2013.

14. SUBSEQUENT EVENTS

On January 5, 2015, the Company became a member of the Federal Home Loan Bank (FHLB) of Seattle. As a member, the Company has the ability to obtain short-term cash advances subject to certain minimum collateral requirements in the form of a line of credit. On January 12, 2015, the Company pledged $69,283 in fixed-income securities at fair value to secure amounts borrowed under a line of credit from the FHLB of Seattle. As of January 12, 2015, the borrowing limit on this line of credit was $56,119 and it was subject to a fixed annual interest rate of 0.34%.

On March 17, 2015, the Company reported that it was the target of a sophisticated external cyber-attack. The attackers gained unauthorized access to certain of the Company’s information technology systems and potentially could obtain personal information related to many of our current and former members and associates as well as other business partners. That information could include name, date of birth, address, email address, telephone number, Social Security number, member identification number, bank account information, and possibly wellness and claims information, including clinical information. The Company’s investigation did not determine that any such data was removed from its systems. The Company also has no evidence to date that such data has been used inappropriately.

Currently, the Company is in the process of determining the extent of the cyber-attack and coordinating with federal law enforcement which is investigating the attack. Upon discovery of the cyber-attack, the Company took action to remediate the security vulnerability and retained a cybersecurity firm to evaluate its systems and identify solutions based on the evolving landscape. The Company will provide credit monitoring and identity protection services to those who have been affected by this cyber-attack. While the cyber-attack did not have an impact on the Company’s business, cash flows, financial condition and results of operations for the year ended December 31, 2014, it has incurred expenses subsequent to the cyber-attack to investigate and remediate this matter and expect to continue to incur expenses of this nature in the foreseeable future. Although the Company is unable to quantify the ultimate magnitude of such expenses at this time, they may be significant. The Company will recognize these expenses in the periods in which they are incurred.

As of March 23, 2015, four claims, in the form of class action lawsuits, have been brought against the Company. The Company anticipates that additional lawsuits will be brought against the Company on behalf of current or former members, current or former associates, or others seeking damages or other related relief, allegedly arising out of the cyber-attack. The Company expects state and federal agencies, including state insurance regulators, state attorneys general, and the Federal Bureau of Investigations, to investigate events related to the cyber-attack, including how it occurred, its consequences and our responses. The Company has been and will cooperate in these investigations, but may be subject to fines or other obligations, which may impact business operations and financial results.

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The Company has contingency plans and insurance coverage for potential liabilities of this nature, however, the coverage may not be sufficient to cover all claims and liabilities. While a loss from these matters is reasonably possible, the Company cannot reasonably estimate a range of possible losses because its investigation into the matter is ongoing, alleged damages have not been specified, and there are significant factual and legal issues to be resolved.

The Company has evaluated subsequent events through the date the consolidated financial statements were available to be issued on March 23, 2015, and no events, other than those described in these notes, have occurred that require disclosure pursuant to such guidance.

* * * * * *

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031109 (05-2015)