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PRM Health Trust FY 11-12 -KAREN FONTEN{)T ('ertirktI public Accountant 1 105 Black 'frail Altannnitc'Springs, H It Phone- (40-) I(iI :ri-I i ma i 1: Ica r('u-l:)!)w)li l Isom Ii.ut't May 25, 2012 Board of Directors Public Risk Management of Florida Group Health Trust I have audited the financial statements of Public Risk Management of Florida Group Health Trust for the year ended September 30, 2011. Professional standards require that I provide you with information about my responsibilities under generally accepted auditing standards, as well as certain information related to the planned scope and timing of my audit. I have communicated such information in my letter to you dated January 3, 2012. Professional standards also require that I communicate to you the following information related to my audit. Significant Audit Findings Qualitative Aspects of Accounting Practices Management is responsible for the selection and use of appropriate accounting policies. The significant accounting policies used by Public Risk Management of Florida Group Health Trust are described in Note 1 to the financial statements. No new accounting policies were adopted and the application of existing policies was not changed during 2011. I noted no transactions entered into by the governmental unit during the year for which there is a lack of authoritative guidance or consensus. All significant transactions have been recognized in the financial statements in the proper period. Accounting estimates are an integral part of the financial statements prepared by management and are based on management's knowledge and experience about past and current events and assumptions about future events. Certain accounting estimates are particularly sensitive because of their significance to the financial statements and because of the possibility that future events affecting them may differ significantly from those expected. The most sensitive estimate affecting Public Risk Management of Florida Group Health Trust's financial statements was: Management's estimate of claims payable is based on the actuarial report prepared by Merlinos & Associates, Inc I evaluated the key factors and assumptions used to develop claims payable in determining that it is reasonable in relation to the financial statements taken as a whole. Difficulties Encountered in Performing the Audit I encountered no significant difficulties in dealing with management in performing and completing my audit. Member of American Institute of Certified Public Accountants Florida Institute of Certified Public Accountants • Board of Directors Public Risk Management of Florida Group Health Trust May 25, 2012 Page Two Corrected Misstatements Professional standards require me to accumulate all known and likely misstatements identified during the audit, other than those that are trivial, and communicate them to the appropriate level of management. Management has corrected all such misstatements. The following material misstatements detected as a result of audit procedures were corrected by management: 1. Adjust Reinsurance Receivable: Reinsurance Receivable 486,045.11 Claims Expense 486,045.11 2. Adjust Claims Payable to Actuary's Report: Claims Expense 293,814.00 Claims Payable 293,814.00 3. Record Additional Payable for Claims Due to Blue Cross Blue Shield: Claims Expense 552,607.00 Reinsurance Receivable 552,607.00 Disagreements with Management For purposes of this letter, professional standards define a disagreement with management as a financial accounting, reporting, or auditing matter, whether or not resolved to my satisfaction, that could be significant to the financial statements or the auditor's report. I am pleased to report that no such disagreements arose during the course of my audit. Management Representations I have requested certain representations from management that are included in the management representation letter dated May 25, 2012. Management Consultations with Other Independent Accountants In some cases, management may decide to consult with other accountants about auditing and accounting matters, similar to obtaining a "second opinion" on certain situations. If a consultation involves application of an accounting principle to the governmental unit's financial statements or a determination of the type of auditor's opinion that may be expressed on those statements, our professional standards require the consulting accountant to check with me to determine that the consultant has all the relevant facts. To my knowledge, there were no such consultations with other accountants. • Board of Directors Public Risk Management of Florida Group Health Trust May 25, 2012 Page Three Other Audit Findings or Issues I generally discuss a variety of matters, including the application of accounting principles and auditing standards, with management each year prior to retention as the governmental unit's auditors. However, these discussions occurred in the normal course of our professional relationship and my responses were not a condition to my retention. Fraud and Illegal Acts I am not aware of any matters that require communication involving fraud and illegal acts. Significant Deficiencies and Material Weaknesses in Internal Control I am required to communicate all significant deficiencies and weaknesses in internal control that were identified during the course of my audit. No such significant deficiencies or weaknesses were identified. AICPA Ethics Ruling Regarding Third-Party Service Providers From time to time and depending on the circumstances, third-party service providers, independent contractors, and consultants to me may participate in providing professional services. AICPA Ethics ruling No. 112 under Rule 102, Integrity and Objectivity, requires that I inform clients whenever I use a third-party service provider in providing professional services to a client. The rule broadly defined "third-party service provider" to include an individual who is not employed by my firm. Albert E. Sampey, Certified Public Accountant, participates in the audit as a technical reviewer to meet my obligations under the quality control standards of my firm. This information is intended solely for the use of the Board of Directors and management of Public Risk Management of Florida Group Health Trust and is not intended to be and should not be used by anyone other than these specified parties. Sincerely, k=a�-t-�.�,✓ �. -� Wit A Karen Fontenot Certified Public Accountant PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST FINANCIAL STATEMENTS, SUPPLEMENTAL INFORMATION AND REPORT OF INDEPENDENT ACCOUNTANT Years Ended September 30, 2011 and 2010 PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST TABLE OF CONTENTS Years Ended September 30,2011 and 2010 Page REPORT OF INDEPENDENT ACCOUNTANT 1 MANAGEMENT DISCUSSION AND ANALYSIS 3 FINANCIAL STATEMENTS Balance Sheets 7 Statements of Revenues, Expenses and Changes In Accumulated Members'Equity 8 Statements of Cash Flows 9 Notes to Financial Statements 10 REQUIRED SUPPLEMENTARY INFORMATION: Claims Development Information 17 KAREN FONTENOT certified 1'11)1 it Accountant 1405 Black \Villa\t 'frail Altamonte Springs, Fl 3•2,i 14 Phone - (40;) I-r,;-li 1E:m aiI: Iv►ren-l.;Sl(n)1►el Isom Ii.ime REPORT OF INDEPENDENT ACCOUNTANT The Board of Directors Public Risk Management of Florida Group Health Trust I have audited the accompanying financial statements of Public Risk Management of Florida Group Health Trust as of September 30, 2011 and 2010 and for the years then ended. These financial statements are the responsibility of Public Risk Management of Florida Group Health Trust's management. My responsibility is to express an opinion on these financial statements based on my audits. I conducted my audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that I plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. I believe that my audits provide a reasonable basis for my opinion. In my opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Public Risk Management of Florida Group Health Trust, as of September 30, 2011 and 2010 and the results of its operations and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America. As discussed in Note 1 to the financial statements, management of Public Risk Management of Florida Group Health Trust and their independent actuarial firm have estimated the reserves for claims payable at amounts which they believe are adequate to satisfy the ultimate obligations. While management and their independent actuarial firm believe that the amounts are adequate, assumptions and projections as to future events are necessary and the ultimate liabilities may be in excess of or less than the amounts provided. - 1 - Member of American Institute of Certified Public Accountants' Florida Institute of Certified Public Accountants The management's discussion and analysis and required supplementary information on pages 3 through 6 and 17, respectively, are not a required part of the basic financial statements but are supplementary information required by accounting principles generally accepted in the United States of America. I have applied certain limited procedures, which consisted principally of inquiries of management regarding the methods of measurement and presentation of the required supplementary information. However, I did not audit the information and express no opinion on them. Certified Public Accountant Altamonte Springs, Florida May 25, 2012 -2- PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST MANAGEMENT'S DISCUSSION AND ANALYSIS (UNAUDITED) Years Ended September 30, 2011 and 2010 As management of Public Risk Management of Florida Group Health Trust (the "Trust"), we offer readers of the Trust's financial statements this narrative overview and analysis of the financial activities of the Trust for the fiscal years ended September 30, 2011 and 2010 with selected comparative information for the fiscal year ended September 30, 2009. Financial Highlights • Total assets decreased by$947,364 in 2011 to$15,494,736. • For the year ended September 30, 2011, the Trust had an operating loss of $1,849,349 compared to an operating loss in 2010 of$1,904,077. Overview of the Financial Statements This discussion and analysis are intended to serve as an introduction to the Trust's basic financial statements. The Trust's basic financial statements are comprised of the financial statements, notes to the financial statements and required supplementary information. The financial statements are designed to provide readers with a broad overview of the Trust's finances, in a manner similar to a private-sector business. The balance sheets present information on all of the Trust's assets and liabilities, with the difference reported as accumulated members' equity. The statements of revenues, expenses and changes in accumulated members' equity present information on all of the Trust's revenues and expenses. Any excess or deficiency of revenues over expenses is reported as an increase or decrease to members' accumulated equity. The statements of cash flows present information on cash flows provided by and used in activities. The activities are classified into one of three categories: operating activities, capital and related financing activities,and investing activities, as appropriate. Notes to the financial statement provide additional information that is essential to full understanding of the data provided in the financial statements. In addition to the financial statements and accompanying notes, this report also presents certain required supplementary information concerning claim development. - 3 - PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST MANAGEMENT'S DISCUSSION AND ANALYSIS (UNAUDITED) Years Ended September 30, 2011 and 2010 Financial Analysis The balance sheet presents the financial position of the Trust at the end of the fiscal year. The statement includes all assets and liabilities of the Trust. Accumulated members' equity (net assets) is the difference between total assets and total liabilities and is an indicator of the current fiscal health of the Trust. The following is a summarized comparison of the Trust's assets, liabilities and accumulated members' equity at September 30. 2011 2010 2009 Assets Current assets $15,494,736 $16,442,100 $18,216,296 Total Assets 15,494,736 16,442,100 18,216,296 Liabilities Current Liabilities 3,405,351 2,551,089 2,489,353 Total Liabilities 3,405,351 2,551,089 2,489,353 Accumulated Members' Equity Unrestricted 12,089,385 13,891,011 15,726,943 Total Accumulated Members' Equity $12,089,385 $13.891,011 $15.726,943 By far, the largest portion of the Trust's assets is its cash and cash equivalents (73.8%, 88.1%, and 63.8% at September 30, 2011, 2010 and 2009, respectively). In addition, in 2009 the Trust invested in a certificate of deposit and the portion of the Trust's assets in cash and investments for that year is 91.3%. The Trust uses these assets to pay claim liabilities, reinsurance fees and service and administrative costs. Cash and cash equivalents decreased by $3,039,044 during fiscal year 2011 due to increased claims payments. Claims payments per member increased 11%. Current assets at September 30, 2011 also include a receivable of$2,269,664 due from the claims service provider for duplicate payments of pharmacy claims, which has been collected in 2011. Reinsurance receivable decreased $251,598 due to an increase in the specific retention. Subsequent to September 30, 2011, 99% of reinsurance receivables were collected. At September 30, 2010, there was a decrease in reinsurance receivables of $236,222 due to an increase in the specific retention and collection of prior year reinsurance receivables. Large claims over retention decreased 8% from $1,340,890 in 2009 to $1,229,427 in 2010. Cash and investments decreased $2,147,398 in 2010. There were no aggregate reinsurance reimbursements projected. At September 30, 2009, there was a decrease in reinsurance receivables of$1,791,988 due to an increase in the specific retention and collection of prior year reinsurance receivables. Large claims over retention decreased 68% from $4,195,995 in 2008 to $1,340,890 in 2009. Cash and investments increased $1,858,994 in 2009. There were no aggregate reinsurance reimbursements projected. -4- PUBLIC RISK MANAGEMENT OF FLORIDA ' GROUP HEALTH TRUST MANAGEMENT'S DISCUSSION AND ANALYSIS (UNAUDITED) Years Ended September 30, 2011 and 2010 Financial Analysis—Continued Claims payable increased $846,421 in 2011. The increase is a result of loss development of $293,914 and claims payable to the claims service provider of $552,607. Claims payable increased $50,185 in 2010. Claims payable decreased $429 at September 30, 2009. Membership in the Trust increased to 41 members from 36 members in 2010 and 30 members in 2009. Enrollment increased approximately 15.9% in 2011 and 10% in 2010, mainly due to new members. Average claim cost per employee per month increased .2% in 2011, 5% in 2010, and 4.9% in 2009. In addition, the specific deductible was increased to $300,000 in 2011, $200,000 in 2010, and $175,000 in 2009. Member contributions fully fund all costs of the pool, inclusive of reinsurance fees, service fees, and administrative fees. The statement of operations presents the operating results of the Trust for the fiscal year. The statement includes all revenues and expenses of the Trust. The following is a summarized comparison of the Trust's revenues and expenses: 2011 2010 2009 Operating Revenues $46,939,268 $39,044,162 $35,682,865 Operating Expenses 48,788,617 40,948,239 35,189,695 Operating Income(Loss) (1,849,349) (1,904,077) 493,170 Non-Operating Revenues 47,723 68,145 92,711 Net Income(Loss) $ (1.801.626) $(1.835.932) $ 585.881 As a result of increased membership and enrollment there was a corresponding increase in member contributions/premiums, claims expense, and service fees in 2011 and 2010. Claims expense increased 22% in 2011 and 17% in 2010 as a result of an increase in average claim cost per employee and an increase in enrollmment. The average premium per enrollment increased 4% in 2011, remained approximately the same in 2010, and increased 6% in 2009. Average claim cost per employee increased .2% in 2011 and 5% increase in medical costs in 2011. Economic Factors The primary reasons for the decrease in operating income is an upward trending enrollment, loss experience, and coverage options. Nationwide, medical cost growth is projected to increase 10% to 15% per year. The primary factors in the escalating cost growth are increased utilization and the rising costs of prescription drugs. As a result of these escalating costs, the Trust has experienced increased premiums. The Trust will continue to focus on operational enhancements that will improve efficiency and reduce costs without sacrificing the quality of member services. Administrative expenses and contract service fees should see about the same percentage increase as in 2011. -5 - PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST MANAGEMENT'S DISCUSSION AND ANALYSIS (UNAUDITED) Years Ended September 30, 2011 and 2010 Request for Information This financial report is designed to provide a general overview of The Trust's finances for all those with an interest. Questions concerning any of the information in this report or requests for additional information should be addressed to Ross Furry, Executive Director. - 6- PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST BALANCE SHEETS September 30, 2011 and 2010 2011 2010 ASSETS Current Assets Cash And Cash Equivalents $11,439,182 $14,478,226 Premiums Receivable 804,434 730,820 Other Receivables 2,269,664 -- Reinsurance Receivable 981,456 1,233,054 Total Assets $15,494,736 $16,442,100 LIABILITIES AND ACCUMULATED MEMBERS' EQUITY • Liabilities Current Liabilities Accounts Payable $ 27,516 $ 19,675 Claims Payable 3,377,835 2,531,414 Total Current Liabilities 3,405,351 2,551,089 Accumulated Members' Equity Unrestricted 12,089,385 13,891,011 Total Liabilities and Accumulated Members' Equity $15,494,736 $16,442.100 The accompanying notes are an integral part of the financial statements. -7 - PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN ACCUMULATED MEMBERS' EQUITY Years Ended September 30, 2011 and 2010 2011 2010 OPERATING REVENUES Member Premiums $46,939,268 $39,044,162 OPERATING EXPENSES Claims Expense 43,234,641 35,507,948 Reinsurance Fees 1,767,400 2,074,435 Service Fees 3,172,452 3,062,465 General And Administrative 614,124 303,391 Total Operating Expenses 48,788,617 40,948,239 OPERATING LOSS (1,849,349) (1,904,077) NON-OPERATING REVENUES Interest Income 47,723 68,145 NET LOSS (1,801,626) (1,835,932) Accumulated Members' Equity at Beginning of Year 13,891,011 15,726,943 Accumulated Members' Equity at End of Year $12,089,385 $13,891,011 The accompanying notes are an integral part of the financial statements. - 8 - PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST STATEMENTS OF CASH FLOWS Years Ended September 30, 2011 and 2010 2011 2010 CASH FLOWS FROM OPERATING ACTIVITIES Cash Received From Members $46,865,654 $ 38,434,738 Cash Paid To Related Party (206,499) (198,918) Cash Paid For Claims,Net Of Recoveries (44,406,286) (35,221,541) Cash Paid For Suppliers For Goods And Services (5,339,636) (5,229,822) Net Cash Used By Operating Activities (3,086,767) (2,215,543) CASH FLOWS FROM INVESTING ACTIVITES Investments Matured -- 5,000,000 Interest Received On Investments 47,723 68,145 Net Cash Provided By Investing Activities 47,723 5,068,145 Net Increase (Decrease) In Cash And Cash Equivalents (3,039,044) 2,852,602 Cash And Cash Equivalents At Beginning Of Year 14,478,226 - 11,625,624 Cash And Cash Equivalents At End Of Year $11,439.182 $14,478.226 RECONCILIATION OF OPERATING INCOME TO NET CASH FROM OPERATING ACTIVITIES Operating Loss $(1,849,349) $(1,904,077) Adjustments To Reconcile Operating Income To Net Cash From Operating Activities: Changes In Assets And Liabilities: (Increase) Decrease In— Premium Receivable (73,614) (609,424) Other Receivables (2,269,664) -- Reinsurance Receivable 251,598 236,222 Increase In— Accounts Payable 7,841 11,551 Claims Payable 846,421 50,185 Total Adjustments (1,237,418) (311,466) Net Cash Provided (Used) By Operating Activities $(3 086,767) $(2,215,543) The accompanying notes are an integral part of the financial statements. -9 - PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS Years Ended September 30, 2011 and 2010 NOTE 1 —SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Public Risk Management of Florida Group Health Trust (the "Trust") is a cooperative agency voluntarily established by contracting political subdivisions to act as a local government risk management pool as defined by Florida Statute 163.01(3)(h). The Trust was organized in October 1989, to provide a program of medical and dental coverage for its member organizations, which include cities and counties. The program's general objectives are to formulate, develop and administer, on behalf of the member political subdivisions, a program of insurance; to obtain lower costs for that coverage; and to develop a comprehensive loss control program. Political subdivisions joining the Trust must remain members for a minimum of 2 years from the date coverage begins; a member may withdraw from the Trust at the end of the fiscal year upon serving on the Trust at least sixty days prior written notice. The Trust does not create between members any relationship of surety, indemnification or responsibility for the debts of or claims against any other member. Should losses in any one fiscal year extinguish all available funds provided by the Trust, each individual member shall be responsible for all valid claims of its employees. However, should the Trust discontinue operations in a deficit position, the participating members at termination will be assessed an amount equal to the group's percentage of total enrollment. As of September 30, 2011 and 2010, the Trust has 41 and 36 members, respectively. The Trust conforms all significant accounting policies to generally accepted accounting principles applicable to governmental units. The following is a summary of the more significant principles and practices used in the preparation of these financial statements. A. The Reporting Entity The accompanying financial statements present the financial position, results of operations and cash flows of the Trust governed by the Board of Directors. Each member has a representative on the Board of Directors. The reporting entity of the Trust includes all functions for which the Board of Directors is considered to be financially accountable. Based upon the application of the criteria set forth in Governmental Accounting Standards Board Statement Number 14, The Financial Reporting Entity, there are no potential component units or related organizations of the Trust. B. Basis of Accounting Basis of accounting refers to when revenues and expenses are recognized in the accounts and reported in the financial statements. Basis of accounting relates to the timing of the measurements made, regardless of the measurement focus applied. The Trust records are accounted for using the accrual basis of accounting. Revenues are recognized when they are earned and expenses are recognized when they are incurred. - 10- • PUBLIC RISK MANAGEMENT OF FLORIDA • GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS - CONTINUED Years Ended September 30, 2011 and 2010 NOTE 1 -SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - CONTINUED Pursuant to the election option made available by Governmental Accounting Standards Board (GASB) Statement Number 20, Accounting and Financial Reporting for Proprietary Funds and Other Governmental Entities That Use Proprietary Fund Accounting, pronouncements issued by the Financial Accounting Standards Board (FASB) subsequent to November 30, 1989 have not been applied. C. Cash Equivalents For purposes of the statement of cash flows, the Trust considers all highly liquid investments with a maturity of three months or less when purchased to be cash equivalents. D. Premium Revenue Premiums are billed and recognized monthly based upon the number of participants reported monthly to the Trust by each member. E. Claims Payable The liability for unpaid claims includes amounts determined from loss reports of individual cases and amounts based upon industry statistics for claims incurred but not reported. Claims payable is an estimate based upon an actuarial evaluation by the Trust's independent actuary and is based on the ultimate cost of settling claims, including the effects of inflation and other societal economic factors. While management of the Trust and the Trust's independent consulting actuarial firm believe the amount is adequate, assumptions and projections as to future events are necessary and the ultimate liabilities may be in excess of or less than the amounts provided. The methods for making such estimates and for establishing the resulting liabilities are continually reviewed, and any adjustments are reflected in earnings continually. F.Reinsurance The Trust uses reinsurance policies to reduce its exposure to large losses on all types of insured events. Reinsurance permits recovery of a portion of losses from reinsurers, although it does not discharge the primary liability of the Trust as direct insurer of the risks reinsured. In accordance with Governmental Accounting Standards Board Statement Number 10, Accounting and Financial Reporting for Risk Financing and Related Insurance Issues, estimated amounts recoverable from reinsurers that relate to paid claims are reported as assets. Estimated amounts recoverable from reinsurers that relate to liabilities for unpaid claims are deducted from those liabilities rather than reported as assets. - 11 - • PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS - CONTINUED Years Ended September 30, 2011 and 2010 NOTE 1 -SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES—CONTINUED G. Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results may differ from those estimates. NOTE 2 -DEPOSITS AND INVESTMENTS Included in the Trust's cash balances are amounts deposited with the Florida State Board of Administration's Local Government Investment Pool (SBA) as well as amounts deposited with commercial banks in interest bearing demand accounts. The deposits of the Trust are fully insured by either federal depository insurance or by the multiple financial institution collateral pool pursuant to the Florida Security for Public Deposits Act of the State of Florida. The Florida Security for Public Deposits Act (the Act) establishes guidelines for qualification and participation by banks and savings associations, procedures for the administration of the collateral requirements and characteristics of eligible collateral. Under the Act, the Trust's deposits in qualified public depositories are considered totally insured. The qualified public depository must pledge at least 50% of the average daily balances for each month of all public deposits in excess of any applicable deposit insurance. Additional collateral, up to a maximum of 125%, may be required, if deemed necessary under the conditions set forth in the Act. Obligations pledged to secure deposits must be delivered to the State Treasurer or, with the approval of the State Treasurer, to a bank, savings association, or trust company provided a power of attorney is delivered to the State Treasurer. As prescribed by the Trust's investment policy, the Trust's investment portfolio at September 30, 2011 and 2010 includes investments with the SBA. Investments with the SBA are available by wire, on a same-day basis, and based on the SBA's availability (as an investment option) to all local governmental units. The Trust's investments at year end were held by a third party agent for and in the name of PRM or invested with the SBA. The types of deposits and investments and their level of risk exposure as of September 30, 2011 and 2010 were typical of these items during the fiscal years then ended. The investments with the SBA are $447 and $446 as of September 30, 2011 and 2010, respectively. In addition to demand accounts, the Trust classifies the SBA investment as cash and cash equivalents on the balance sheet. - 12 PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS -CONTINUED Years Ended September 30, 2011 and 2010 NOTE 2 -DEPOSITS AND INVESTMENTS—CONTINUED The investments as of September 30, 2011 and 2010 are as follows: The securities are held in the following accounts: 2011 2010 Current Assets Cash and Cash Equivalents $11,439,182 $14,478,226 Less Cash on Deposit 11,438,735 14,477,780 Total Securities at Fair Value $ 447 $ 446 Interest Rate Risk: As a means of limiting its exposure to fair value losses rising from rising interest rates, investments are generally held in short-term certificates of deposit and cash- bearing checking accounts with a commercial bank qualified as a public depository with the State of Florida . The Trust's investment policy requires the investment portfolio to be structured to protect safety of principal, liquidity, maximum rate of return, diversification and public confidence. Credit Risk: The Trust's greatest investment priority is safety of principal, avoiding capital losses whether they are from security defaults or erosion of market values. Investments may be made as allowed by the Florida Statutes including the SBA, interest-bearing deposits or savings accounts in banks provided such deposits are secured by collateral as prescribed by Florida statute, obligations of the U.S. government and its agencies and other securities in management type investment companies, provided such investments are collateralized by U.S. government obligations. Custodial Credit Risk: Custodial risk is the risk that, in the event of the failure of the counterparty, the Trust will not be able to recover the value of its investments or collateral securities that are in the possession of an outside party. All of the Trust's investments are either held in the name of the Trust or held in trust under the Trust's name. Concentration of Credit Risk: In order to reduce the risk of default, the Trust will use every possible effort whereby no single financial institution may hold more than 50% of the investment portfolio at the current time of investment placement, exclusive of banks qualified as public depositories with the State of Florida, U.S. Treasury securities or Federal National Mortgage or Government National Mortgage securities held in safekeeping except on a short term basis. - 13 - PUBLIC RISK MANAGEMENT OF FLORIDA • GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS -CONTINUED Years Ended September 30, 2011 and 2010 NOTE 3 - CLAIMS PAYABLE The Trust establishes a liability for both reported and unreported insured events, which includes estimates of both future payments of losses and related claims adjustment expenses. The following represents changes in those aggregate liabilities for the Trust during the past year: 2011 2010 Unpaid Claims And Claim Adjustment Expenses At The Beginning Of The Year $ 2,531,414 $ 2,481,229 Incurred Claims And Claim Adjustment Expenses: Provision For Insured Events Of The Current Year 40,947,759 37,283,124 Increase (Decrease) In Provision For Insured Events Of Prior Years 2,286,882 (1,775,176) Total Incurred Claims And Claim Adjustment Expenses 43,234,641 35,507,948 Payments: Claims And Claim Adjustment Expenses Attributable To Insured Events Of The Current Year 37,569,924 34,751,710 Claims And Claim Adjustment Expenses Attributable To Insured Events Of Prior Years 4,818,296 706,053 Total Payments 42,388,220 35,457,763 Total Unpaid Claims And Claim Adjustment Expenses At The End Of The Year $ 3,377,835 $ 2,531,414 NOTE 4- REINSURANCE COVERAGE The Trust has purchased specific excess and aggregate excess reinsurance for protection against losses in excess of the applicable retention. In the event all or any of the reinsuring companies might be unable to meet their obligations under existing agreements, the Trust would be liable for such defaulted amounts. - 14- PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS -CONTINUED Years Ended September 30, 2011 and 2010 NOTE 4—REINSURANCE COVERAGE—CONTINUED The Trust carries the following aggregate excess reinsurance coverage: Fund Years Attachment Point Maximum Coverage 2000/2001 Various $1,000,000 2001/2002 Various 1,000,000 2002/2003 Various 1,000,000 2003/2004 Various 1,000,000 2004/2005 Various 1,000,000 2005/2006 Various 1,000,000 2006/2007 Various 1,000,000 2007/2008 Various 1,000,000 2008/2009 Various 2,000,000 2009/2010 Various 2,000,000 2010/2011 Various 2,000,000 The Trust carries the following specific excess reinsurance coverage: Fund Years Attachment Point Maximum Coverage 2000/2001 $ 60,000 $ 940,000 2001/2002 60,000 940,000 2002/2003 80,000 1,920,000 2003/2004 90,000 1,910,000 2004/2005 100,000 1,900,000 2005/2006 100,000 1,875,000 2006/2007 135,000 4,865,000 2007/2008 150,000 4,850,000 2008/2009 175,000 4,825,000 2009/2010 200,000 4,825,000 2010/2011 300,000 Unlimited The amount deducted from claims expense for reinsurance recoverable was $486,045 and $1,229,427 for the years ended September 30, 2011 and 2010, respectively. NOTE 5 -RELATED PARTY TRANSACTIONS The Trust receives administrative services and shares its facilities with the Public Risk Management of Florida property and casualty risk pool. Expenses for services provided to the Trust during the fiscal years ended September 30, 2011 and 2010 were $206,499 and $198,918, respectively. - 15 - PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST NOTES TO FINANCIAL STATEMENTS - CONTINUED Years Ended September 30, 2011 and 2010 NOTE 6 - CONTINGENCY - TERMINATION OF SERVICE CONTRACT In the event of cancellation or non-renewal of the Trust's service contract, the service company will continue to manage all pending claims and claims occurring in the service term but not reported prior to the date of termination. The amount of fees will be based upon the service company's prevailing rate on the date of termination. No provision has been made in the financial statements for such service fees since the amount cannot be determined. 16- REQUIRED SUPPLEMENTARY INFORMATION PUBLIC RISK MANAGEMENT OF FLORIDA GROUP HEALTH TRUST CLAIMS DEVELOPMENT INFORMATION SINCE INCEPTION • For the Period October 1,2001 through September 30,2011 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 Required conribution and investment revenue: Earned $11,203,773 $14,170,524 $19,817,011 $23,595,216 $26,669,538 $31,777,240 $32,753,459 $35,775,576 $39,112,307 $46,986,990 Ceded (1,167,514) (1,163,049) (1,590,948) (1,852,674) (1,999,074) (2,299,830) (2,388,743) (1,965,696) (2,074,435) (1,767,400) Net 10,036,259 13,007,475 18,226,063 21,742,542 24.670,464 29,477,410 30,364,716 33,809,880 37,037.872 45,219.591 Unallocated expenses 1,114,776 1,384,860 1,943,112 2,298.226 2,489.467 2,652,161 2,832,971 3.001,832 3.365,856 3.786,576 Estimated claims and expenses,end of policy year: Incurred 8,259,761 10,262,022 13,514,258 19,419,516 21,879,744 23,745,823 28,432,755 31,736,179 38,512,551 41,399.271 Ceded (362,855) (670,469) (367,843) (2,214,785) (1,303.424) (1,152,796) (4,195,995) (1,340,890) (1,229,427) (451,512) Net incurred 7,896,906 9,591,553 13,146,415 17,204,731 20.576,320 22,593,027 24,236,760 30,395,289 37,283,124 40,947,759 Net paid(cumulative)as of: End of policy year 7,253,622 8,563,883 12,001,349 15,190,218 18,345,003 20,354,701 27,147,631 27,914,060 34,751.710 37,569.924 One year later 8,056,167 9,482.164 14,169,080 17,208,429 20,310,567 22,742,848 26,579,768 28,457,453 39,557,577 - Two years later 8,056,167 9,494,476 14,127,291 17,185,053 20.321,724 22,849,251 26,730,246 28,469,682 - - Three years later 8,056,167 9,488,863 14.062,244 17,185,053 20,610.062 22,849,250 26,730,246 - - - Four years later 8,056,167 9,487,152 14,062,244 17,185,053 20,610,063 22,849,250 - - - - Five years later 8,056,167 9,487,152 14,062,244 17,185,054 20,610,063 - - - - - Six years later 8,056,167 9,487,152 14,070,184 17,185,054 - - - - - - Seven years later 8,056,167 9,487,152 14,070.184 - - - - - - - Eight years later 8,056,167 9,487,152 - - - - - - - - Nine years later 8,056,167 - - - - - - - - - Reestimated ceded claims and expenses 362,855 670,469 359,903 2,214,784 1,303,423 1,152,797 4,045,517 1,340,872 1,263,961 - Reestimated net incurred claims and expenses: End of policy year 7,896,906 9,591,553 13,146,415 17,204,731 20,576,320 22,593,027 24,236,760 30,395,289 37,283.124 40,947,759 One year later 8,056,167 9,482,163 14,169,080 17,208,429 20,310,567 22,742,848 26,579,768 28,457,453 39,557,577 - Two years later 8.056,167 9,494,476 14,127,291 17,185,053 20,321,724 22,849,251 26,730,246 28,469,882 - - Three years later 8,056,167 9,488,863 14,062,244 17,185,053 20,610,062 22,849,250 26,730,246 - - - Four years later 8,056,167 9,487,152 14,062,244 17,185,053 20,610,063 22,849,250 - - - - Five years later 8,056,167 9,487,152 14,062,244 17,185,054 20,610,063 - - - - - Six years later 8,056,167 9,487,152 14,070,184 17,185,054 - - - - - - Seven years later 8,056,167 9,487,152 14,070,184 - - - - - - - Eight years later 8,056.167 9,487,152 - - - - - - - - Nine years later 8,056,167 - - - - - - - - - Increase in estimated net incurred claims and expenses from end of policy year $ 159,261 $ (104,401) $ 923,769 $ (19,677) $ 33,743 $ 256,223 $ 2,493,486 $(1,925,407) $ 2,274,453 $ - -17-