EHEALTH, INC. – 10-Q – MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
In addition to historical information, this Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. The words "expect," "anticipate," "believe," "estimate," "target," "goal," "project," "hope," "intend," "plan," "seek," "continue," "may," "could," "should," "might," "forecast," and variations of such words and similar expressions are intended to identify such forward-looking statements. These statements include, among other things, statements regarding our expectations relating to approved members, new paying members and estimated membership; our estimates regarding the constrained lifetime value of commissions; our expectations relating to revenue, operating costs, cash flows and profitability; our expectations regarding our strategy and investments, including investments in our e-commerce and call center capabilities, technology, agent training and quality assurance efforts; our expectations regarding our Medicare business, including market opportunity, consumer demand and our competitive advantage; our expectations regarding our individual and family business, including anticipated trends and our ability to enroll individuals and families into qualified health plans; the impact of future and existing laws and regulations on our business; the expected impact of the COVID-19 pandemic on our business; our expectations regarding commission rates, payment rates, conversion rates, plan termination rates and duration, membership retention rates and membership acquisition costs; our expectations regarding health insurance agents licensing and productivity; our expectations regarding beneficiary complaints, customer experience and enrollment quality; our expectations relating to the seasonality of our business; expected competition from government-run health insurance exchanges and other sources; our expectations relating to marketing and advertising expense and expected contributions from our marketing and strategic partnership channels; the timing of our receipt of commission and other payments; our critical accounting policies and related estimates; liquidity and capital needs; political, legislative, regulatory and legal challenges; the merits or potential impact of any lawsuits filed against us; as well as other statements regarding our future operations, financial condition, prospects and business strategies. We have based these forward-looking statements on our current expectations about future events. These statements are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict. Our actual results may differ materially from those suggested by these forward-looking statements for various reasons, including our ability to retain existing members and enroll new members during the annual healthcare open enrollment period, the Medicare annual enrollment period and other special enrollment period; changes in laws, regulations and guidelines, including in connection with healthcare reform or with respect to the marketing and sale of Medicare plans; competition, including competition from government-run health insurance exchanges and other sources; the seasonality of our business and the fluctuation of our operating results; our ability to accurately estimate membership, lifetime value of commissions and commissions receivable; changes in product offerings among carriers on our ecommerce platform and the resulting impact on our commission revenue; our ability to execute on our growth strategy in the Medicare market; the continued impact of the COVID-19 pandemic on our operations, business, financial condition and growth prospects, as well as on the general economy; changes in our management and key employees; exposure to security risks and our ability to safeguard the security and privacy of confidential data; our relationships with health insurance carriers; customer concentration and consolidation of the health insurance industry; our success in marketing and selling health insurance plans and our unit cost of acquisition; our ability to hire, train, retain and ensure the productivity of licensed health insurance agents and other employees; the need for health insurance carrier and regulatory approvals in connection with the marketing of Medicare-related insurance products; changes in the market for private health insurance; consumer satisfaction of our service and actions we take to improve the quality of enrollments; changes in member conversion rates; changes in commission rates; our ability to sell qualified health insurance plans to subsidy-eligible individuals and to enroll subsidy-eligible individuals through government-run health insurance exchanges; our ability to maintain and enhance our brand identity; our ability to derive desired benefits from investments in our business, including membership growth and retention initiatives; reliance on marketing partners; the impact of our direct-to-consumer email, telephone and television marketing efforts; timing of receipt and accuracy of commission reports; payment practices of health insurance carriers; dependence on our operations inChina ; the restrictions in our debt obligations; the restrictions in our investment agreement with H.I.G; compliance with insurance and other laws and regulations; the outcome of litigation in which we are involved; the performance, reliability and availability of our information technology systems, ecommerce platform and underlying network infrastructure; and those identified under the heading "Risk Factors" in Part II, Item 1A. of this report and those discussed in our otherSecurities and Exchange Commission filings. Given these risks and uncertainties, you are cautioned not to place undue reliance on such forward-looking statements. The forward-looking statements included in this report are made only as of the date hereof. Except as required by applicable law, we do not undertake, and specifically decline, any obligation to update any of these statements or to publicly announce the results of any revisions to any forward-looking statements, whether as a result of new information, future events, changes in assumptions or otherwise. The following discussion should be read in conjunction with our Annual Report on Form 10-K as filed with the 28 --------------------------------------------------------------------------------Securities and Exchange Commission inFebruary 2021 and amended inApril 2021 , and the audited consolidated financial statements and related notes contained therein. Overview We are a leading private health insurance marketplace with a technology and service platform that provides consumer engagement, education and health insurance enrollment solutions. Our mission is to connect every person with the highest quality, most affordable health insurance and Medicare plans for their life circumstances. Our platform integrates proprietary and third-party developed educational content regarding health insurance plans with decision support tools to aid consumers in what has traditionally been a confusing and opaque health insurance purchasing process, and to help them obtain the health insurance products that meet their individual health and economic needs. Our omnichannel consumer engagement platform enables consumers to use our services online, through interactive chat, or by telephone with a licensed insurance agent. We have created a marketplace that offers consumers a broad choice of insurance products that includes thousands of Medicare Advantage, Medicare Supplement, Medicare Part D prescription drug, individual and family, small business and other ancillary health insurance products from over 200 health insurance carriers across all fifty states and theDistrict of Columbia .
Updates on Business Initiatives
During the third quarter of 2021, we made a number of changes to our telesales and online capabilities with a focus on driving performance and improving enrollment quality in preparation for the annual enrollment period in the fourth quarter. In 2021, we shifted the mix of our telesales capacity towards full-time internal agents and away from third party vendor agents. InOctober 2021 , we entered the Medicare annual enrollment period with internal agents comprising over 95% of our total agents, the largest number of full-time employed agents in our history and compared to approximately 50% at the same time in 2020. We also made other important changes across our call centers to improve the effectiveness of our agents and further enhance consumer experience. These changes include the migration of our call center technology to a cloud-based contact center and upgraded lead scoring and routing tools. We believe these improvements and new tools provide better support to our agents in their interactions with consumers as we enter into the most critical selling season of the year. Enrollment quality has been our focus since the launch of our retention program over a year ago, which is ensuring that eHealth presents Medicare beneficiaries with choices that best align with their eligibility status, lifestyle, health conditions and economic means with the goal of minimal disruption in existing provider relationships. We have been seeking additional ways to improve our customer experience, enhance accuracy of plan recommendations and reduce disenrollment. In the third quarter of 2021, we introduced additional mandatory training for our agents, added a new customer care function to verify certain Medicare enrollments prior to submission to the carrier, and expanded other quality assurance efforts. We restructured agent compensation incentives to place more focus on addressing the longer-term coverage needs of customers. As part of the recent migration of our call center technology to a cloud-based contact center, we also implemented a new cloud-based agent monitoring system, which is expected to provide new robust capabilities to train agents and monitor their performance in real time. While we expect these initiatives will enhance the quality of our enrollments generally, the introduction of these efforts to date has resulted in lower conversion rates and longer average talk times for telephonic enrollments. We continuously look for ways to improve the user experience of our online tools. Ahead of the annual enrollment period, we enhanced our online capabilities by launching an updated recommendation engine. This engine is designed to improve the accuracy of personalized plan-matching. It has machine-learning capabilities and leverages data from online customer interactions to provide recommendations, which we believe improves the online shopping experience and helps Medicare eligible consumers navigate increasingly broad and complex plan choices. Our online Customer Center continues to strengthen and support our relationships with consumers and to help retain their business when it's time to review their plan coverage choices. The Customer Center enables members to create a secure personal profile that stores their prescription drug regimen, preferred doctors and pharmacies, current coverage, and other relevant data, and makes this data available to the member and our licensed agents that they contact. The accessibility of the information facilities plan selection for our agents and members with accounts and also incentivizes members to return to us when their needs change. 29 -------------------------------------------------------------------------------- Although the investments in our telesales operations, technology and enrollment quality assurance have negatively impacted our third quarter financial results, we believe that they will create long-term competitive advantages for us as carriers place an increasing value on enrollment quality and reduction in beneficiary complaints. Changes in Senior Management InSeptember 2021 , we announced the appointment ofChristine Janofsky as our senior vice president, chief financial officer, effectiveSeptember 2021 . We also announced the resignation ofScott Flanders from his positions as a member of our board of directors and chief executive officer, effectiveOctober 31, 2021 , and the appointment ofFran Soistman as a member of our board of directors and our chief executive officer, effectiveNovember 1, 2021 .Mr. Flanders has agreed to provide consulting services to us throughDecember 31, 2021 to assist with the transition of his duties and responsibilities. These executive changes resulted in lower general and administrative expenses in the third quarter of 2021, primarily due to the reversal of stock-based compensation expense related toMr. Flanders' forfeited equity awards. Severance and other personnel costs related toMr. Flanders' separation are included in restructuring and reorganization charges on our Condensed Consolidated Statement of Comprehensive Loss in the third quarter of 2021. Part of these severance and other personnel costs will be recognized during his remaining service period in the fourth quarter. COVID-19 Impact Updates As ofSeptember 30, 2021 , all of our offices remained open at reduced capacity and with additional safety and social distancing measures as a result of the COVID-19 pandemic. eHealth currently plans to operate with a combination of remote and in-office work inthe United States at least through the end of 2021. We plan to increase the number of in-office employees next year depending upon the COVID-19 vaccination status of our employees as we intend to have only vaccinated employees in the office to promote the health and safety of our employees. The extent of the impact of the COVID-19 pandemic on our operational and financial performance will depend on future developments, including the duration, spread and severity of the pandemic, the availability, effectiveness and uptake of vaccines for COVID-19, the emergence of new variants of COVID-19 and whether existing vaccines are effective with respect to such variants, the actions to contain the disease or mitigate its impact, and the duration, timing and severity of the impact on consumer behavior, including any recession resulting from the pandemic, all of which are unpredictable. Due to the surge of COVID-19 cases caused by theCOVID-19 Delta variant, employees in ourCalifornia offices are still required by county order to wear masks while in our offices regardless of vaccination status. The emergence of Delta and other variants could cause us to alter our operations and plans for in-office and remote work. See Risk Factors in Part II, Item 1A of this Quarterly Report on Form 10-Q for a discussion of risks related to the COVID-19 pandemic.
Summary of Selected Metrics
We rely upon certain metrics to estimate and recognize commission revenue,
evaluate our business performance and facilitate strategic planning. Our
commission revenue is influenced by a number of factors including but not
limited to:
•the number of individuals on applications for Medicare-related, individual and family, small business and ancillary health insurance plans that are approved by the relevant health insurance carriers; •the number of approved members for Medicare-related, individual and family, small business and ancillary health insurance plans from whom we have received an initial commission payment; and •the constrained lifetime value ("LTV"), of approved members for Medicare-related, individual and family and ancillary health insurance plans we sell, as well as the estimated annual value of approved members for small business plans we sell. 30
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Approved Members
Approved members represent the number of individuals on submitted applications that were approved by the relevant insurance carrier for the identified product during the current period. The applications may be submitted in either the current period or prior periods. Not all approved members ultimately become paying members. The following table shows approved members by product for the period presented: Three Months Ended September 30, Nine Months Ended September 30, 2021 2020 % Change 2021 2020 % Change Medicare Medicare Advantage 36,836 44,999 (18) % 222,289 170,374 30 % Medicare Supplement 4,258 7,456 (43) % 18,170 27,088 (33) % Medicare Part D 5,690 7,485 (24) % 20,677 24,054 (14) % Total Medicare 46,784 59,940 (22) % 261,136 221,516 18 % Individual and Family Non-Qualified Health Plans 3,241 2,665 22 % 12,970 10,283 26 % Qualified Health Plans 4,991 1,707 192 % 16,049 8,764 83 % Total Individual and Family 8,232 4,372 88 % 29,019 19,047 52 % Ancillary Short-term 7,313 9,784 (25) % 21,651 31,368 (31) % Dental 9,043 10,136 (11) % 30,619 27,568 11 % Vision 4,332 3,806 14 % 13,960 12,071 16 % Other 2,396 2,991 (20) % 7,413 11,262 (34) % Total Ancillary 23,084 26,717 (14) % 73,643 82,269 (10) % Small Business 2,320 3,473 (33) % 7,856 10,194 (23) % Total Approved Members 80,420 94,502 (15) % 371,654 333,026 12 % Three Months EndedSeptember 30, 2021 and 2020 - Medicare approved members decreased 22% in the three months endedSeptember 30, 2021 compared to the same period in 2020. The decrease in total Medicare approved members was primarily attributable to a decline in telesales conversion rate which was primarily driven by additional quality initiatives we introduced during the third quarter of 2021, partially offset by the growth of our online applications. Individual and family plan approved members grew 88% in the three months endedSeptember 30, 2021 compared to the same period in 2020 due to the favorable market environment. The individual and family health insurance market is benefiting from the passage of the American Rescue Plan Act inMarch 2021 . This legislation expanded access to premium credits making individual and family major medical plans more affordable, which allows a larger population to get the coverage that our major medical plans offer. Ancillary plan approved members decreased 14% in the three months endedSeptember 30, 2021 compared to the same period in 2020 primarily due to decreases in approved members for short-term health insurance plans, dental and other ancillary insurance, partially offset by an increase in approved members for vision insurance. Small business group health insurance approved members declined 33% in the three months endedSeptember 30, 2021 compared to the same period in 2020 mainly due to the shift of our focus away from the sale of small business products. 31
-------------------------------------------------------------------------------- Nine Months EndedSeptember 30, 2021 and 2020 - Medicare approved members increased 18% in the nine months endedSeptember 30, 2021 compared to the same period in 2020. The increase in total Medicare approved members was primarily attributable to an increase in Medicare Advantage plan members, partially offset by decreases in Medicare Supplement plan members and Medicare Part D prescription drug plan members during the nine months endedSeptember 30, 2021 compared to the same period in 2020. The increase in approved Medicare Advantage members was primarily driven by strong consumer demand, online enrollment growth, and an increase in our internal agent productivity during the Medicare Advantage open enrollment period in the first quarter of 2021, partially offset by a decline in telesales conversion rate during the third quarter of 2021, as described above. Individual and family plan approved members grew 52% in the nine months endedSeptember 30, 2021 compared to the same period in 2020 partially due to the favorable market environment resulting from the passage of the American Rescue Plan Act mentioned above. Ancillary plan approved members declined 10% in the nine months endedSeptember 30, 2021 compared to the same period in 2020 primarily due to declines in approved members for short-term health insurance plans and other ancillary plans, partially offset by an increase in approved members for dental and vision insurance. Small business group health insurance approved members declined 23% in the nine months endedSeptember 30, 2021 compared to the same period in 2020 mainly due to the shift of our focus away from the sale of small business products. New Paying Members New Paying Members consist of approved members from the period presented and any periods prior to the period presented from whom we have received an initial commission payment during the period presented. The following table shows our new paying members by product for the periods presented below: Three Months Ended September 30, Nine Months Ended September 30, 2021 2020 % Change 2021 2020 % Change Medicare Medicare Advantage 38,193 44,528 (14) % 256,900 188,059 37 % Medicare Supplement 3,832 6,912 (45) % 19,145 26,386 (27) % Medicare Part D 5,601 7,378 (24) % 41,620 78,588 (47) % Total Medicare 47,626 58,818 (19) % 317,665 293,033 8 % Individual and Family Non-Qualified Health Plans 3,206 2,550 26 % 18,781 15,920 18 % Qualified Health Plans 4,937 1,548 219 % 16,180 10,600 53 % Total Individual and Family 8,143 4,098 99 % 34,961 26,520 32 % Ancillary Short-term 8,703 10,461 (17) % 26,909 32,293 (17) % Dental 8,862 9,500 (7) % 29,765 26,848 11 % Vision 4,563 3,953 15 % 14,972 13,170 14 % Other 2,534 3,502 (28) % 7,710 11,289 (32) % Total Ancillary 24,662 27,416 (10) % 79,356 83,600 (5) % Small Business 2,230 3,518 (37) % 8,746 11,812 (26) % Total New Paying Members 82,661 93,850 (12) % 440,728 414,965 6 % 32
-------------------------------------------------------------------------------- Three Months EndedSeptember 30, 2021 and 2020 - Medicare total new paying members declined 19% in the three months endedSeptember 30, 2021 compared to the same period in 2020, attributable to a decline in telesales conversion rate, partially offset by the growth of our online applications. Individual and family plan new paying members grew 99% in the three months endedSeptember 30, 2021 compared to the same period in 2020 primarily driven by an increase in approved members for qualified health plans. Ancillary new paying members declined 10% in the three months endedSeptember 30, 2021 compared to the same period in 2020 primarily due to a decline in approved members for short-term, dental and other ancillary insurance plans, partially offset by an increase in approved members for vision insurance plans. Small business new paying members declined 37% in the three months endedSeptember 30, 2021 compared to the same period in 2020 primarily due to a decrease in approved members for small business plans. Nine Months EndedSeptember 30, 2021 and 2020 - Medicare total new paying members grew 8% in the nine months endedSeptember 30, 2021 compared to the same period in 2020, primarily driven by an increase in Medicare Advantage plan approved members, partially offset by decreases in Medicare Part D prescription drug plan and Medicare Supplement plan approved members. Individual and family plan new paying members grew 32% in the nine months endedSeptember 30, 2021 compared to the same period in 2020 primarily driven by increases in approved members for non-qualified and qualified plans. Ancillary new paying members declined 5% in the nine months endedSeptember 30, 2021 compared to the same period in 2020 primarily due to a decrease in approved members for short-term and other ancillary plans. Small business new paying members declined 26% in the nine months endedSeptember 30, 2021 compared to the same period in 2020 primarily due to a decrease in approved members for small business plans.
Estimated Constrained Lifetime Value of Commissions Per Approved Member
The following table shows our estimated constrained LTV of commissions per
approved member by product for the periods presented below:
Three Months Ended September 30, 2021 2020 % Change Medicare Medicare Advantage (1) $ 975$ 898 9 % Medicare Supplement (1) 955 1,071 (11) % Medicare Part D (1) 227 245 (7) % Individual and Family Non-Qualified Health Plans (1) 254 188 35 % Qualified Health Plans (1) 296 244 21 % Ancillary Short-term (1) 157 149 5 % Dental (1) 98 84 17 % Vision (1) 60 54 11 % Small Business (2) 186 142 31 % __________ (1)Constrained LTV of commissions per approved member represents commissions estimated to be collected over the estimated life of an approved member's plan after applying constraints in accordance with our revenue recognition policy. The estimate is driven by multiple factors, including but not limited to, contracted commission rates, carrier mix, estimated average plan duration, the regulatory environment, and cancellations of insurance plans offered by health insurance carriers with which we have a relationship. These factors may result in varying values from period to period. For additional information on constrained LTV, see Critical Accounting Policies and Estimates in our Annual Report on Form 10-K for the year endedDecember 31, 2020 . (2)For small business, the amount represents the estimated commissions we expect to collect from the plan over the following twelve months. The estimate is driven by multiple factors, including but not limited to, contracted commission rates, carrier mix, estimated average plan duration, the regulatory environment, and cancellations of insurance plans offered by health insurance carriers with which we have a relationship and applied constraints. These factors may result in varying values from period to period. 33 --------------------------------------------------------------------------------
Medicare
The constrained LTV of commissions per approved member for Medicare Advantage plans grew by 9%, and declined by 11% and 7%, respectively, for Medicare Supplement and Medicare Part D prescription drug plans during the three months endedSeptember 30, 2021 compared to the same period in 2020. The increase in constrained LTV of Medicare Advantage plans was due to higher commission rates. The decline in constrained LTV of commissions per approved member for Medicare Supplement and Medicare Part D prescription drug plans was due to shorter average plan durations for both products.
Individual and Family and Ancillary
The constrained LTV of commissions per non-qualified health plan approved member and qualified health plan approved member increased 35% and 21%, respectively, during the three months endedSeptember 30, 2021 compared with the same period in 2020 mostly due to increased estimates of average plan duration and a lower constraint for non-qualified health insurance plans. The constrained LTV of commissions per approved member for short-term health insurance, dental, vision, and small business insurance plans increased by 5%, 17%, 11%, and 31%, respectively, during the three months endedSeptember 30, 2021 compared with the same period in 2020 primarily due to an increase in estimated average plan duration. The constraints applied to the total estimated lifetime commissions we expect to receive for selling the plan after the carrier approves an application in order to derive the constrained LTV of commissions for approved members recognized for the periods presented below are summarized as follows: Three Months Ended September 30, 2021 2020 Medicare Medicare Advantage 7 % 7 % Medicare Supplement 9 % 5 % Medicare Part D 7 % 5 % Individual and Family Non-Qualified Health Plans 7 % 15 % Qualified Health Plans 4 % 4 % Ancillary Short-term 20 % 20 % Dental 5 % 7 % Vision 5 % 5 % Other 10 % 10 % Small Business 5 % - % The constraints for Medicare Supplement and Medicare Part D prescription drug plans increased during the three months endedSeptember 30, 2021 , as compared to the same period in the prior year, due to declining LTV trends for these products. The constraints for non-qualified health plans decreased during the three months endedSeptember 30, 2021 , as compared to the same period in the prior year, due to stabilization of market conditions and increases in LTV values. The constraints for dental plans decreased during the three months endedSeptember 30, 2021 , as compared to the same period in the prior year, due to improved LTV trends. 34
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Estimated Membership
Estimated membership represents the estimated number of members active as of the date indicated based on the estimation methodology below. The following table shows estimated membership by product for the periods presented below: As of September 30, 2021 2020 % Change Medicare (1) Medicare Advantage 559,235 421,237 33 % Medicare Supplement 99,622 96,525 3 % Medicare Part D 216,582 216,641 - % Total Medicare 875,439 734,403 19 % Individual and Family (2) Non-Qualified Health Plans 84,260 92,054 (8) % Qualified Health Plans 23,866 20,780 15 % Total Individual and Family 108,126 112,834 (4) % Ancillary (3) Short-term 17,073 24,105 (29) % Dental 122,126 116,846 5 % Vision 69,210 67,944 2 % Other 32,957 36,158 (9) % Total Ancillary 241,366 245,053 (2) % Small Business (4) 45,697 44,424 3 % Total Estimated Membership 1,270,628 1,136,714 12 % __________________ (1)To estimate the number of members on Medicare-related health insurance plans, we take the sum of (i) the number of members for whom we have received or applied a commission payment for a month that may be up to three months prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations over the period being estimated); and (ii) the number of approved members over that period (after reducing that number using historical experience for an assumed number of members who do not accept their approved policy and for estimated member cancellations through the date of the estimate). To the extent we determine through confirmations from a health insurance carrier that a commission payment is delayed or is inaccurate as of the date of estimation, we adjust the estimated membership to also reflect the number of members for whom we expect to receive or to refund a commission payment. Further, to the extent we have received substantially all of the commission payments related to a given month during the period being estimated, we will take the number of members for whom we have received or applied a commission payment during the month of estimation. (2)To estimate the number of members on Individual and Family health insurance plans ("IFP"), we take the sum of (i) the number of IFP members for whom we have received or applied a commission payment for a month that may be up to three months prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations over the period being estimated); and (ii) the number of approved members over that period (after reducing that number using historical experience for an assumed number of members who do not accept their approved policy and for estimated member cancellations through the date of the estimate). To the extent we determine we have received substantially all of the commission payments related to a given month during the period being estimated, we will take the number of members for whom we have received or applied a commission payment during the month of estimation. (3)To estimate the number of members on ancillary health insurance plans (such as short-term, dental and vision insurance), we take the sum of (i) the number of members for whom we have received or applied a commission payment for a month that may be up to three months prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations over the period being estimated); and (ii) the number of approved members over that period (after reducing that number using historical experience for an assumed number of members who do not accept their approved policy and for estimated member cancellations through the date of the estimate). To the extent we determine we have received substantially all of the commission payments related to a given month during the period being estimated, we will take the number of members for whom we have received or applied a commission payment during the month of estimation. The one to three-month period varies by insurance product and is largely dependent upon the timeliness of commission payment and related reporting from the related carriers. (4)To estimate the number of members on small business health insurance plans, we use the number of initial members at the time the group was approved, and we update this number for changes in membership if such changes are reported to us by the group or carrier. However, groups generally notify the carrier directly of policy cancellations and increases or decreases in group size without informing us. Health insurance carriers often do not communicate policy cancellation information or group size changes to us. We often are made aware of policy cancellations and group size changes at the time of annual renewal and update our membership statistics accordingly in the period they are reported. 35 -------------------------------------------------------------------------------- A member who purchases and is active on multiple standalone insurance plans will be counted as a member more than once. For example, a member who is active on both an individual and family health insurance plan and a standalone dental plan will be counted as two continuing members. Health insurance carriers bill and collect insurance premiums paid by our members. The carriers do not report to us the number of members that we have as of a given date. The majority of our members who terminate their plans do so by discontinuing their premium payments to the carrier or notifying the carrier directly and do not inform us of the cancellation. Also, some of our members pay their premiums less frequently than monthly. Given the number of months required to observe non-payment of commissions in order to confirm cancellations, we estimate the number of members who are active on insurance policies as of a specified date. After we have estimated membership for a period, we may receive information from health insurance carriers that would have impacted the estimate if we had received the information prior to the date of estimation. We may receive commission payments or other information that indicates that a member who was not included in our estimates for a prior period was in fact an active member at that time, or that a member who was included in our estimates was in fact not an active member of ours. For instance, we reconcile information carriers provide to us and may determine that we were not historically paid commissions owed to us, which would cause us to have underestimated membership. Conversely, carriers may require us to return commission payments paid in a prior period due to policy cancellations for members we previously estimated as being active. We do not update our estimated membership numbers reported in previous periods. Instead, we reflect updated information regarding our historical membership in the membership estimate for the current period. If we experience a significant variance in historical membership as compared to our initial estimates, we keep the prior period data consistent with previously reported amounts, while we may provide the updated information in other communications or disclosures. As a result of the delay in our receipt of information from insurance carriers, actual trends in our membership are most discernible over periods longer than from one quarter to the next. As a result of the delay we experience in receiving information about our membership, it is difficult for us to determine with any certainty the impact of current conditions on our membership retention. Various circumstances could cause the assumptions and estimates that we make in connection with estimating our membership to be inaccurate, which would cause our membership estimates to be inaccurate. Historically, our membership estimates in a particular quarter have not been significantly different when compared to membership data received from carriers in a subsequent quarter. However, we experienced a larger deviation in the actual Medicare Advantage membership, which was lower than our initial estimate, for the first quarter of 2020. This deviation was primarily due to the time delay in our receiving information from carriers and a higher level of plan cancellations than expected. The difference between our estimates and carrier data have returned to our historical ranges since that time. Medicare-related plan estimated membership as ofSeptember 30, 2021 grew 19% compared to estimated membership as ofSeptember 30, 2020 due to a 33% growth in Medicare Advantage estimated membership and a 3% growth in Medicare Supplement plan estimated membership. The overall growth in Medicare estimated membership was due to increased sales of Medicare Advantage plans. Individual and family plan estimated membership as ofSeptember 30, 2021 declined 4% compared to estimated membership as ofSeptember 30, 2020 due to overall market conditions in the individual and family plan market, despite the recent stabilization and improvement, and the shift of our investment towards Medicare. Ancillary plan estimated membership as ofSeptember 30, 2021 declined 2% compared to estimated membership as ofSeptember 30, 2020 primarily as a result of the decline in short-term health plans estimated membership.
Member Acquisition
Marketing initiatives are an important component of our strategy to increase revenue and are primarily designed to encourage consumers to complete an application for health insurance. Variable marketing cost represents direct costs incurred in member acquisition from our direct, marketing partners and online advertising channels. In addition, we incur customer care and enrollment ("CC&E") expenses in assisting applicants during the enrollment process. Variable marketing costs exclude fixed overhead costs, such as personnel related costs, consulting expenses, facilities and other operating costs allocated to the marketing and advertising department. 36 -------------------------------------------------------------------------------- The following table shows the estimated variable marketing cost per approved member and the estimated customer care and enrollment expense per approved member metrics for the periods presented below. The numerator used to calculate each metric is the portion of the respective operating expenses for marketing and advertising and customer care and enrollment that is directly related to member acquisition for our sale of Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans (collectively, "Medicare Plans") and for all individual and family major medical plans and short-term health insurance (collectively, "IFP Plans"), respectively. The denominator used to calculate each metric is based on a derived metric that represents the relative value of the new members acquired. For Medicare Plans, we call this derived metric Medicare Advantage ("MA")-equivalent members, and for IFP Plans, we call this derived metric IFP-equivalent members. The calculations for MA-equivalent members and for IFP-equivalent members are based on the weighted number of approved members for Medicare Plans and IFP Plans during the period, with the number of approved members adjusted based on the relative LTV of the product they are purchasing. Since the LTV for any product fluctuates from period to period, the weight given to each product was determined based on their relative LTVs at the time of our adoption of Accounting Standards Codification 606 - Revenue from Contracts with Customers ("ASC 606"). Three Months Ended September 30, 2021 2020 % Change Medicare
Estimated CC&E cost per approved MA-equivalent approved
member (1)
$ 1,099 $ 759 45 %
Estimated variable marketing cost per MA-equivalent
approved member (1)
775 422 84 %
Total Medicare estimated cost per approved member
$ 1,181 59 %
Individual and Family Plan
Estimated CC&E cost per IFP-equivalent approved member
(2)
$ 119 $ 137 (13) %
Estimated variable marketing cost per IFP-equivalent
approved member (2)
65 79 (18) % Total IFP estimated cost per approved member$ 184 $ 216 (15) %
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(1)MA-equivalent approved members is a derived metric with a Medicare Part D approved member being weighted at 25% of a Medicare Advantage member and a Medicare Supplement member based on their relative LTVs at the time of our adoption of ASC 606. We calculate the number of approved MA-equivalent members by adding the total number of approved Medicare Advantage and Medicare Supplement members and 25% of the total number of approved Medicare Part D members during the period presented. (2)IFP-equivalent approved members is a derived metric with a short-term approved member being weighted at 33% of a major medical individual and family health insurance plan member based on their relative LTVs at the time of our adoption of ASC 606. We calculate the number of approved IFP-equivalent members by adding the total number of approved qualified and non-qualified health plan members and 33% of the total number of short-term approved members during the period presented. Estimated CC&E cost per approved MA-equivalent member increased 45% in the three months endedSeptember 30, 2021 compared to the same period in 2020 due to lower enrollment volume resulting from enrollment quality initiatives, a decline in our telesales conversion rate and an earlier start to our staffing increase for the Medicare annual enrollment period this year. InOctober 2021 , we entered this annual enrollment period with over 95% of our sales force consisting of internal agents. We believe that this investment in internal telesales capacity will strengthen our telesales organization and improve enrollment quality going forward. Estimated variable marketing cost per MA-equivalent member increased 84% primarily due to lower enrollment volume as a result of lower conversion rates from our telephonic leads. In addition, a greater focus on our online advertising channel also contributed to the increase as it carries higher per enrollment marketing costs but lower customer care and enrollment costs. Estimated CC&E cost per approved IFP-equivalent member decreased 13% in the three months endedSeptember 30, 2021 compared to the same period in 2020 due primarily to an increase in agent productivity. Estimated variable marketing cost per IFP-equivalent member decreased 18% in the three months endedSeptember 30, 2021 compared to the same period in 2020 due to an extended special open enrollment period. 37
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Critical Accounting Policies and Estimates
The preparation of financial statements and related disclosures in conformity withU.S. generally accepted accounting principles requires us to make judgments, assumptions, and estimates that affect the amounts reported in the consolidated financial statements and the accompanying notes. These estimates and assumptions are based on current facts, historical experience, and various other factors that we believe are reasonable under the circumstances to determine reported amounts of assets, liabilities, revenue and expenses that are not readily apparent from other sources. To the extent there are material differences between our estimates and the actual results, our future consolidated results of comprehensive income may be affected. An accounting policy is considered to be critical if the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change, and the effect of the estimates and assumptions on financial condition or operating performance. The accounting policies we believe to reflect our more significant estimates, judgments and assumptions and are most critical to understanding and evaluating our reported financial results are as follows:
•Revenue Recognition and contract assets - commission receivable;
•Stock-Based Compensation; and
•Accounting for Income Taxes.
There have been no changes to our critical accounting policies and estimates described in our Annual Report on Form 10-K for the year endedDecember 31, 2020 , filed with theSEC onFebruary 26, 2021 and amended onApril 29, 2021 , that have had a significant impact on our condensed consolidated financial statements and related notes. Please refer to Management's Discussion and Analysis of Financial Condition and Results of Operations contained in Part II, Item 7 of our Annual Report on Form 10-K for the year endedDecember 31, 2020 , for a complete discussion of our other critical accounting policies and estimates. 38
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Results of Operations
Our operating results and related percentage of total revenue are summarized
below for the periods presented (dollars in thousands):
Three Months Ended September 30, Nine Months Ended September 30, 2021 2020 2021 2020 Revenue Commission$ 59,191 93 %$ 73,544 78 %$ 276,066 94 %$ 253,986 88 % Other 4,723 7 % 20,740 22 % 18,619 6 % 35,472 12 % Total revenue 63,914 100 % 94,284 100 % 294,685 100 % 289,458 100 % Operating costs and expenses (1) Cost of revenue (25) - % 482 1 % 1,217 - % 2,160 1 % Marketing and advertising 43,317 68 % 33,405 35 % 138,772 47 % 104,042 36 % Customer care and enrollment 48,956 77 % 43,342 46 % 121,480 41 % 101,025 35 % Technology and content 20,369 31 % 17,673 19 % 63,996 22 % 46,786 16 % General and administrative 16,640 26 % 19,942 21 % 57,812 20 % 60,308 21 % Amortization of intangible assets 121 - % 287 - % 416 - % 1,207 - % Restructuring and reorganization charges 573 1 % - - % 3,004 1 % - - % Total operating costs and expenses 129,951 203 % 115,131 122 % 386,697 131 % 315,528 109 % Loss from operations (66,037) (103) % (20,847) (22) % (92,012) (31) % (26,070) (9) % Other income (expense), net 189 - % (101) - % 511 - % 724 - % Loss before benefit from income taxes (65,848) (103) % (20,948) (22) % (91,501) (31) % (25,346) (9) % Benefit from income taxes (12,834) (20) % (6,443) (7) % (19,278) (7) % (10,923) (4) % Net loss$ (53,014) (83) %$ (14,505) (15) %$ (72,223) (24) %$ (14,423) (5) % ____________
(1)Operating costs and expenses include the following amounts of stock-based
compensation expense (in thousands):
Three Months Ended September 30, Nine Months Ended September 30, 2021 2020 2021 2020 Marketing and advertising $ 2,297 $
1,869 $ 6,922
Customer care and enrollment
740 527 1,901 1,762 Technology and content 2,380 1,430 7,483 2,965 General and administrative (183) 2,506 8,575 11,857 Total stock-based compensation expense $ 5,234$ 6,332 $ 24,881$ 21,722 39
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Revenue
Our commission revenue, other revenue and total revenue are summarized as
(dollars in thousands):
Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Commission$ 59,191 $ 73,544 $ (14,353) (20) %$ 276,066 $ 253,986 $ 22,080 9 % % of total revenue 93 % 78 % 94 % 88 % Other 4,723 20,740 (16,017) (77) % 18,619 35,472 (16,853) (48) % % of total revenue 7 % 22 % 6 % 12 % Total revenue$ 63,914 $ 94,284 $ (30,370) (32) %$ 294,685 $ 289,458 $ 5,227 2 % Three Months EndedSeptember 30, 2021 and 2020 - Commission revenue decreased$14.4 million , or 20%, during the three months endedSeptember 30, 2021 compared to the same period in 2020 due to an$8.8 million decrease in commission revenue from the Medicare segment and a$5.5 million decrease in commission revenue from the Individual, Family and Small Business segment. The decrease in commission revenue from the Medicare segment during the three months endedSeptember 30, 2021 compared to the same period in 2020 was due to a 22% decline in approved members primarily attributable to an 18% decline of approved members for Medicare Advantage plans, partially offset by a 9% increase in Medicare Advantage LTVs. The decrease in commission revenue from the Individual, Family and Small Business segment was due primarily to a$7.0 million decrease in net adjustment revenue from members enrolled in prior periods, partially offset by an 88% increase in approved individual and family plan members due to a favorable market environment, and higher lifetime values for individual and family plan and certain ancillary products.
Other revenue declined
decrease in Medicare sponsorship and advertising revenue driven by reduced
sponsorship activity, a decline in Medicare enrollment volumes year-over-year,
and timing, with certain advertising arrangements commencing in the fourth
quarter as compared to the third quarter in 2020.
Nine Months EndedSeptember 30, 2021 and 2020 - Commission revenue increased$22.1 million , or 9%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020 due to a$12.1 million increase in commission revenue from the Individual, Family and Small Business segment and a$10.0 million increase in commission revenue from the Medicare segment. The increase in commission revenue from the Medicare segment was driven by an 18% increase in Medicare plan approved members, driven primarily by a 30% growth in Medicare Advantage plan approved members compared to 2020, partially offset by a decrease in net commission revenue from Medicare members approved in prior periods which was primarily attributable to Medicare Supplement and Medicare Part D prescription drug plans. The increase in commission revenue from the Individual, Family and Small Business segment was primarily driven by a$8.6 million increase in net adjustment revenue, 52% increase in individual and family major medical plan approved members, 11% increase in dental plan approved members, and 16% increase in vision plan approved members. See Segment Information below for further discussion.
Other revenue decreased
Medicare sponsorship and advertising revenue also related to timing as mentioned
above.
We believe that the nature of our sponsorship arrangements with carriers will evolve and be driven by the quality of broker enrollments to a greater extent compared to the prior arrangements which were more focused on volume. 40 --------------------------------------------------------------------------------
Cost of Revenue
Cost of revenue consists of payments related to health insurance plans sold to members who were referred to our website by marketing partners with whom we have revenue-sharing arrangements. In order to enter into a revenue-sharing arrangement, marketing partners must be licensed to sell health insurance in the state where the policy is sold. Costs related to revenue-sharing arrangements are expensed as the related revenue is recognized. Additionally, cost of revenue includes the amortization of consideration we paid to certain broker partners in connection with the transfer of their health insurance members to us as the new broker of record on the underlying plans. These transfers include primarily Medicare plan members. Consideration for all book-of-business transfers is being amortized to cost of revenue as we recognize commission revenue related to the transferred members.
Our cost of revenue is summarized as follows (dollars in thousands):
Three Months Ended September Nine Months Ended September 30, Change 30, Change 2021 2020 $ % 2021 2020 $ % Cost of revenue$ (25) $ 482 $ (507) (105) %$ 1,217 $ 2,160 $ (943) (44) % % of total revenue - % 1 % - % 1 % Three Months EndedSeptember 30, 2021 and 2020 - Cost of revenue decreased by$0.5 million during the three months endedSeptember 30, 2021 , compared to the same period in 2020, primarily due to decreased activity from our revenue sharing arrangements. Nine Months EndedSeptember 30, 2021 and 2020 - Cost of revenue decreased by$0.9 million during the three months endedSeptember 30, 2021 , compared to the same period in 2020, primarily due to decreased activity from our revenue sharing arrangements. Marketing and Advertising Marketing and advertising expenses consist primarily of member acquisition expenses associated with our direct, marketing partner and online advertising member acquisition channels, in addition to compensation and other expenses related to marketing, business development, partner management, public relations and carrier relations personnel who support our offerings. Our marketing and advertising expenses are summarized as follows (dollars in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Marketing and advertising$ 43,317 $ 33,405 $ 9,912 30 %$ 138,772 $ 104,042 $ 34,730 33 % % of total revenue 68 % 35 % 47 % 36 % Three Months EndedSeptember 30, 2021 and 2020 - Marketing and advertising expenses increased$9.9 million , or 30%, during the three months endedSeptember 30, 2021 compared to the same period in 2020, primarily driven by a$10.2 million increase in Medicare plan related variable advertising,$0.4 million in stock-based compensation expenses and$0.4 million in facilities and other costs, partially offset by decreases of$0.6 million in consulting expenses and$0.6 million in personnel and compensation costs. The increase in variable advertising expense was due to an increase in our advertising expense per approved Medicare member, partially offset by a decline in the number of approved members during the quarter. Nine Months EndedSeptember 30, 2021 and 2020 - Marketing and advertising expenses increased$34.7 million , or 33%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020, primarily driven by a$36.1 million increase in Medicare plan related variable advertising and$1.8 million in stock-based compensation expenses, partially offset by decreases of$2.2 million in consulting expenses and$1.8 million in personnel and compensation costs. The increase in variable advertising expenses was due to an increase in our advertising expense through our partner and online channels. 41 --------------------------------------------------------------------------------
Customer Care and Enrollment
Customer care and enrollment expenses primarily consist of compensation,
benefits, and licensing costs for personnel engaged in assistance to applicants
who call our customer care center and for enrollment personnel who assist
applicants during the enrollment process. Our customer care and enrollment
expenses also include third-party call center costs.
Our customer care and enrollment expenses are summarized as follows (dollars in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Customer care and enrollment$ 48,956 $ 43,342 $ 5,614 13 %$ 121,480 $ 101,025 $ 20,455 20 % % of total revenue 77 % 46 % 41 % 35 % Three Months EndedSeptember 30, 2021 and 2020 - Customer care and enrollment expenses increased$5.6 million , or 13%, during the three months endedSeptember 30, 2021 compared to the same period in 2020, primarily due to increases of$15.1 million in personnel costs reflecting our investment in earlier onboarding of our internal telesales team and strengthening our resources in advance of the Medicare annual enrollment period as noted below and$1.9 million in facilities and other costs as well as a decline in telephonic conversion rates, partially offset by decreases of$8.4 million in external agents and consulting expenses, and$3.2 million in licensing costs. Nine Months EndedSeptember 30, 2021 and 2020 - Customer care and enrollment expenses increased$20.5 million , or 20%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020, primarily due to increases of$28.7 million in personnel costs reflecting our investment in earlier onboarding of our internal telesales team and strengthening our resources in advance of the Medicare annual enrollment period as noted below and$2.4 million in facilities and other costs, partially offset by decreases of$7.0 million in consulting expenses and$4.4 million in licensing costs. The decrease in licensing costs was primarily due to previously over-recognized licensing costs that were adjusted during the first quarter of 2021. We have shifted to a predominantly internal agent model and intend to employ and maintain the majority of our health insurance agent force year-round. In 2021, we started internal agent hiring and training earlier in the year compared to 2020, with the largest headcount increase in the second and third quarters. During the three months endedSeptember 30, 2021 , we made progress expanding and enhancing our telesales organization and continued to scale our digital business. InOctober 2021 , we entered the annual enrollment period with over 95% of our sales force consisting of internal agents, the largest number of full-time agents in our company's history. We also incurred more spending on agent training and the expansion of our customer service team in the third and fourth quarters, including the addition of a new customer care role to verify Medicare enrollments prior to submission and expanding our quality assurance efforts. Over time, we expect for these initiatives to result in improved enrollment quality, higher LTVs, as well as stronger consumer awareness of our choice platform. Technology and Content Technology and content expenses consist primarily of compensation and benefits costs for personnel associated with developing and enhancing our website technology as well as maintaining our website. A portion of our technology and content group is located at our wholly-owned subsidiary inChina , where technology development costs are generally lower than inthe United States . Our technology and content expenses are summarized as follows (dollars in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Technology and content$ 20,369 $ 17,673 $ 2,696 15 %$ 63,996 $ 46,786 $ 17,210 37 % % of total revenue 31 % 19 % 22 % 16 % 42
-------------------------------------------------------------------------------- Three Months EndedSeptember 30, 2021 and 2020 - Technology and content expenses increased$2.7 million , or 15%, during the three months endedSeptember 30, 2021 compared to the same period in 2020 primarily driven by increases of$1.7 million in depreciation and amortization expenses,$1.0 million in stock-based compensation expense and$0.9 million in personnel and compensation costs due to higher headcount, partially offset by$0.6 million decrease in facilities and other operating costs and$0.3 million in consulting expenses. Nine Months EndedSeptember 30, 2021 and 2020 - Technology and content expenses increased$17.2 million , or 37%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020 primarily driven by increases of$6.8 million in personnel and compensation costs due to higher headcount,$4.5 million in stock-based compensation expense,$4.3 million in depreciation and amortization expenses, and$1.2 million in facilities and other operating costs. General and Administrative General and administrative expenses include compensation and benefits costs for personnel working in our executive, finance, investor relations, government affairs, legal, human resources, internal audit, facilities and internal information technology departments. These expenses also include fees paid for outside professional services, including audit, tax, legal, government affairs and information technology fees. Our general and administrative expenses are summarized as follows (dollars in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % General and administrative$ 16,640 $ 19,942 $ (3,302) (17) %$ 57,812 $ 60,308 $ (2,496) (4) % % of total revenue 26 % 21 % 20 % 21 % Three Months EndedSeptember 30, 2021 and 2020 - General and administrative expenses decreased$3.3 million , or 17%, during the three months endedSeptember 30, 2021 compared to the same period in 2020, primarily driven by decreases of$2.7 million in stock-based compensation expenses,$1.8 million in personnel and compensation costs, and$0.5 million in consulting expenses, partially offset by an increase of$1.3 million in other professional fees. Nine Months EndedSeptember 30, 2021 and 2020 - General and administrative expenses decreased$2.5 million , or 4%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020, primarily driven by decreases of$3.3 million in stock-based compensation expenses,$2.4 million in personnel and compensation costs and$1.1 million in consulting expenses, partially offset by an increase of$2.7 million in other professional fees,$0.8 million in facilities and other operating costs and$0.5 million in depreciation and amortization expenses.
The decrease in stock-based compensation expenses for both three and nine months
ended
primarily attributable to a
awards due to our chief executive officer's separation.
43 --------------------------------------------------------------------------------
Amortization of Intangible Assets
Our intangible asset amortization expense is summarized as follows (dollars in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Amortization of intangible assets$ 121 $ 287 $ (166) (58) %$ 416 $ 1,207 $ (791) (66) % % of total revenue - % - % - % - % Amortization expense was primarily related to intangible assets purchased through our acquisitions. Amortization expense decreased during the three and nine months endedSeptember 30, 2021 compared to the same periods in 2020 due to certain intangible assets being fully amortized during the three and nine months endedSeptember 30, 2021 .
Restructuring and Reorganization Charges
Our restructuring and reorganization charges consist primarily of severance, transition and other related costs. Our restructuring and reorganization charges are summarized as follows (dollars in thousands): Three Months Ended September Nine Months Ended September 30, Change 30, Change 2021 2020 $ % 2021 2020 $ % Restructuring and reorganization charges$ 573 $ -$ 573 *$ 3,004 $ -$ 3,004 * % of total revenue 1 % - % 1 % - % _______
* Percentage calculated is not meaningful.
Three Months Ended
reorganization charges for the three months ended
of the severance and other personnel related cost related to the separation
arrangement with our chief executive officer in
Nine Months EndedSeptember 30, 2021 and 2020 - Restructuring and reorganization costs for the nine months endedSeptember 30, 2021 primarily consisted of the severance and other personnel related cost related to the restructuring that took place in the first quarter of 2021. InFebruary 2021 , our board of directors approved a plan to terminate the employment of certain employees in certain locations. As part of this plan, we eliminated approximately 89 full-time positions, representing approximately 5% of our workforce, primarily inthe United States within the customer care and enrollment groups, and to a lesser extent, in our marketing and advertising and general and administrative groups. In addition, we recognized severance and other personnel related costs related to our chief executive officer's separation as described above. 44 --------------------------------------------------------------------------------
Other Income (Expense), Net
Other income (expense), net, primarily consisted of interest income, sublease income and margin earned on commissions received from Medicare plan members transferred to us in 2010 through 2012 by a broker partner, partially offset by interest expense on finance leases and debt and other bank fees. Our other income (expense), net is summarized as follows (dollars in thousands): Nine Months Ended September Three Months Ended September 30, Change 30, Change 2021 2020 $ % 2021 2020 $ % Other income (expense), net $ 189$ (101) $ 290 (287) %$ 511 $ 724 $ (213) (29) % % of total revenue - % - % - % - % Three Months EndedSeptember 30, 2021 and 2020 - Other income (expense), net increased$0.3 million during the three months endedSeptember 30, 2021 compared to the same period in 2020 due to multiple individually immaterial items.
Nine Months Ended
decreased
to the same period in 2020 due primarily to a decrease in interest income.
Benefit from Income Taxes
Our benefit from income taxes are summarized as follows (dollars in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Benefit from income taxes$ (12,834) $ (6,443) $ (6,391) 99 %$ (19,278) $ (10,923) $ (8,355) 76 % Effective tax rate 19.5 % 30.8 % 21.1 % 43.1 % Three Months EndedSeptember 30, 2021 and 2020 - Our effective tax rate of 19.5% for the three months endedSeptember 30, 2021 was lower compared to 30.8% for the three months endedSeptember 30, 2020 primarily due to a decrease in excess tax benefits associated with stock-based compensation. Our effective tax rate for the three months endedSeptember 30, 2021 and 2020 were higher than the statutory federal tax rate due primarily to stock-based compensation adjustments, and non-deductible lobbying expenses and state taxes, partially offset by research and development credits. Nine Months EndedSeptember 30, 2021 and 2020 - Our effective tax rate of 21.1% for the nine months endedSeptember 30, 2021 was lower compared to 43.1% for the nine months endedSeptember 30, 2020 primarily due to a decrease in excess tax benefits associated with stock-based compensation. Our effective tax rate for the nine months endedSeptember 30, 2021 and 2020 were higher than the statutory federal tax rate due primarily to stock-based compensation adjustments, and non-deductible lobbying expenses and state taxes, partially offset by research and development credits. 45
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Segment Information
We report segment information based on how our chief executive officer, who is our CODM, regularly reviews our operating results, allocates resources and makes decisions regarding our business operations. The performance measures of our segments include total revenue and profit (loss). Our business structure is comprised of two operating segments: •Medicare; and •Individual, Family and Small Business.
Our CODM does not separately evaluate assets by segment, with the exception of
commissions receivable, and therefore assets by segment are not presented.
The Medicare segment consists primarily of commissions earned from our sale of Medicare-related health insurance plans, including Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans, and to a lesser extent, ancillary products sold to our Medicare-eligible applicants, including but not limited to, dental and vision plans, as well as our advertising program that allows Medicare-related carriers to purchase advertising on a separate website developed, hosted and maintained by us and to purchase other marketing and advertising services, as well as our delivery and sale to third parties of Medicare-related health insurance leads generated by our ecommerce platforms and our marketing activities. The Individual, Family and Small Business segment consists primarily of commissions earned from our sale of individual, family and small business health insurance plans and ancillary products sold to our non-Medicare-eligible applicants, including but not limited to, dental, vision, and short-term health insurance. To a lesser extent, the Individual, Family and Small Business segment consists of amounts earned from our online sponsorship program that allows carriers to purchase advertising space in specific markets in a sponsorship area on our website, our licensing to third parties the use of our health insurance ecommerce technology, and our delivery and sale to third parties of individual and family health insurance leads generated by our ecommerce platforms and our marketing activities. Marketing and advertising, customer care and enrollment, technology and content, and general and administrative operating expenses that are directly attributable to a segment are reported within the applicable segment. Indirect marketing and advertising, customer care and enrollment, and technology and content operating expenses are allocated to each segment based on usage. Other indirect general and administrative operating expenses are managed in a corporate shared services environment and, since they are not the responsibility of segment operating management, are not allocated to the operating segments and instead reported within Corporate. Segment profit (loss) is calculated as total revenue for the applicable segment less direct and allocated marketing and advertising, customer care and enrollment, technology and content, and general and administrative operating expenses, excluding stock-based compensation expense, depreciation and amortization expense, amortization of intangible assets, and restructuring and reorganization charges. During the first quarter of 2021, we modified the calculation of segment profit to exclude the amortization of capitalized software development cost to enhance comparability of our financial metrics with peer companies. 46
-------------------------------------------------------------------------------- Our operating segment revenue and profit (loss) are summarized as follows (in thousands): Three Months Ended September 30, Change Nine Months Ended September 30, Change 2021 2020 $ % 2021 2020 $ % Revenue: Medicare$ 46,381 $ 70,361 $ (23,980) (34) %$ 240,633 $ 246,891 $ (6,258) (3) % Individual, Family and Small Business 17,533 23,923 (6,390) (27) % 54,052 42,567 11,485 27 % Total revenue$ 63,914 $ 94,284 $ (30,370) (32) %$ 294,685 $ 289,458 $ 5,227 2 % Segment profit (loss): Medicare segment profit (loss) (1)$ (52,882) $ (14,139) $ (38,743) 274 %$ (46,141) $ 23,993 $ (70,134) (292) % Individual, Family and Small Business segment profit (1) 12,499 18,487 (5,988) (32) % 38,476 24,153 14,323 59 % Total segment profit (loss) (40,383) 4,348 (44,731) (1,029) % (7,665) 48,146 (55,811) (116) % Corporate (14,827) (15,581) 754 (5) % (43,206) (43,376) 170 - % Stock-based compensation expense (5,234) (6,332) 1,098 (17) % (24,881) (21,722) (3,159) 15 % Depreciation and amortization (2) (4,899) (2,995) (1,904) 64 % (12,840) (7,911) (4,929) 62 % Amortization of intangible assets (121) (287) 166 (58) % (416) (1,207) 791 (66) % Restructuring and reorganization charges (573) - (573) * (3,004) - (3,004) * Other income (expense), net 189 (101) 290 (287) % 511 724 (213) (29) % Loss before benefit from income taxes$ (65,848) $ (20,948) $ (44,900) 214 %$ (91,501) $ (25,346) $ (66,155) 261 % _______ * Percentage calculated is not meaningful. (1)During the first quarter of 2021, we revised the calculation of segment profit by excluding amortization of capitalized software development costs to enhance comparability of our financial metrics with peer companies. The amortization of capitalized software development costs were$3.4 million and$2.1 million for the three months endedSeptember 30, 2021 and 2020, respectively, and were$9.1 million and$5.3 million for the nine months endedSeptember 30, 2021 and 2020, respectively. (2)Depreciation and amortization has been adjusted to include amortization of software development costs. Revenue Three Months EndedSeptember 30, 2021 and 2020 - Revenue from our Medicare segment declined$24.0 million , or 34%, during the three months endedSeptember 30, 2021 compared to the same period in 2020, primary attributable to a$15.2 million decrease in sponsorship and advertising revenue and an$8.8 million decrease in commission revenue. Revenue from our Individual, Family and Small Business segment declined$6.4 million , or 27%, during the three months endedSeptember 30, 2021 compared to the same period in 2020, primarily attributable to a$7.0 million decrease in net adjustment revenue. Despite the extension of the COVID-related special enrollment period throughAugust 15, 2021 and an increase in subsidies to certain individuals who purchase qualified health plans, we continued to observe stronger member retention rates in our LTV assessments for the majority of the earlier period cohorts of certain products in our Individual, Family and Small Business segment. Based on our evaluation of the updated LTV models and retention trends, we recognized$10.0 million in net adjustment revenue during the three months endedSeptember 30, 2021 , compared to$17.1 million recognized in the same period in 2020. 47
-------------------------------------------------------------------------------- Nine Months EndedSeptember 30, 2021 and 2020 - Revenue from our Medicare segment declined$6.3 million , or 3%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020, primary attributable to a$16.2 million decrease in sponsorship and advertising revenue, partially offset by a$10.0 million increase in commission revenue. The increase in Medicare segment commission revenue is primarily driven by an increase in Medicare Advantage plan related commission revenue of$40.4 million , partially offset by a$20.7 million decrease in net adjustment revenue which was largely attributable to our Medicare Part D prescription drug plans and a decline in the LTV of Medicare Supplement and Medicare Part D prescription drug plans. The increase in Medicare Advantage commission revenue was driven by 30% growth in Medicare Advantage plan approved members. Revenue from our Individual, Family and Small Business segment grew$11.5 million , or 27%, during the nine months endedSeptember 30, 2021 compared to the same period in 2020, primarily attributable to a$12.1 million increase in commission revenue. Despite the extension of the COVID-related special enrollment period throughAugust 15, 2021 and an increase in subsidies to certain individuals who purchase qualified health plans, we continued to observe stronger member retention rates in our LTV assessments for the majority of the earlier period cohorts of certain products in our Individual, Family and Small Business segment. Based on our evaluation of the updated LTV models and retention trends, we recognized$29.1 million in net adjustment revenue, an increase of$8.6 million during the nine months endedSeptember 30, 2021 compared to the same period in 2020. Our Individual, Family and Small Business segment is benefiting from the passage of the American Rescue Plan Act inMarch 2021 . This legislation expanded access to premium credits making individual and family health plans more affordable, which allows a larger population to get quality coverage that our major medical plans offer.
Segment Profit (Loss)
Three Months EndedSeptember 30, 2021 and 2020 - Our Medicare segment loss was$52.9 million during the three months endedSeptember 30, 2021 , an increase of$38.7 million , or 274%, compared to segment loss of$14.1 million for the same period in 2020. This was primarily due to a$24.0 million decrease in revenue and a$14.8 million increase in operating expenses, excluding stock-based compensation expense, depreciation and amortization expenses, amortization of intangible assets, and restructuring and reorganization charges. The increase in operating expenses was mostly attributable to increases in marketing costs and customer care and enrollment costs as we continued to invest in telesales capacity, internal agent counts, agent productivity tools and incentives, customer engagement and retention, enrollment quality initiatives, and enhancements to our technology platform. These investments were made in preparation for the annual enrollment period in the fourth quarter. Our Individual, Family and Small Business segment profit was$12.5 million during the three months endedSeptember 30, 2021 , a decrease of$6.0 million , or 32% compared to the same period in 2020. The decrease was primarily driven by a$6.4 million decrease in revenue and a$0.4 million decrease in operating expenses, excluding stock-based compensation expense, depreciation and amortization expenses, amortization of intangible assets, and restructuring and reorganization charges. Nine Months EndedSeptember 30, 2021 and 2020 - Our Medicare segment loss was$46.1 million during the nine months endedSeptember 30, 2021 , a decrease of$70.1 million , or 292%, compared to segment profit of$24.0 million for the same period in 2020. This was primarily due to a$63.9 million increase in operating expenses, excluding stock-based compensation expense, depreciation and amortization expenses, amortization of intangible assets, and restructuring and reorganization charges, as well as a$6.3 million decrease in revenue. The increase in operating expenses was mostly attributable to our enrollment quality initiatives and our investments in preparation for the annual enrollment period in the fourth quarter. Our Individual, Family and Small Business segment profit was$38.5 million during the nine months endedSeptember 30, 2021 , an increase of$14.3 million , or 59% compared to the same period in 2020. The increase was primarily driven by a$11.5 million increase in revenue and a$2.8 million decrease in operating expenses, excluding stock-based compensation expense, depreciation and amortization expenses, amortization of intangible assets, and restructuring and reorganization charges. 48
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Liquidity and Capital Resources
Our cash, cash equivalents, and short-term marketable securities are summarized
as follows (in thousands):
September 30, 2021 December 31, 2020 Cash and cash equivalents $ 157,530 $ 43,759 Short-term marketable securities 70,212 49,620 Total cash, cash equivalents, and short-term marketable securities $ 227,742 $ 93,379 We believe our current cash and cash equivalents, credit facility and expected cash collections will be sufficient to fund our operations for at least twelve months after the filing date of this Quarterly Report on Form 10-Q. Our future capital requirements will depend on many factors, including our enrollment volume, membership, retention rates, telesales conversion rates and our level of investment in technology, marketing and advertising, customer care and other initiatives. In addition, our cash position could be impacted by further acquisitions and the level of investments we make to pursue our strategy. While we recognize constrained LTV as revenue at the time applications are approved, our collection of the cash commissions resulting from approved applications generally occurs over a number of years. The expense associated with approved applications, however, is generally incurred at the time of enrollment. As a result, the net cash flow resulting from approved applications is generally negative in the period of revenue recognition and generally becomes positive over the lifetime of the member. In periods of membership growth, cash receipts associated with new and continuing members may be less than the cash outlays to acquire new members. We expect a reduction in cash and cash equivalents in the future resulting from our continued investments to grow our business. To the extent that available funds are insufficient to fund our future activities or to execute our financial strategy, we may raise additional capital through bank debt, or public or private equity or debt financing to the extent such funding sources are available. Alternatively, we may decide to reduce marketing and advertising, customer care and enrollment, technology and content, or other expenses in order to manage liquidity. These reductions could adversely impact our rate of membership and revenue growth. As ofSeptember 30, 2021 , our cash and cash equivalents totaled$157.5 million . Cash equivalents, which are comprised of financial instruments with an original maturity of 90 days or less from the date of purchase, primarily consist of money market funds and commercial paper. The increase in cash and cash equivalents reflects$210.9 million of net cash provided by financing activities, partially offset by$60.3 million of net cash used in operating activities and$36.8 million of net cash used in investing activities. We also maintained$3.4 million in restricted cash as ofSeptember 30, 2021 andDecember 31, 2020 .
The following table presents a summary of our cash flows for the nine months
ended
Nine Months Ended
2021
2020
Net cash used in operating activities$ (60,321) $ (10,959) Net cash used in investing activities (36,822)
(128,291)
Net cash provided by financing activities 210,914 203,555 Operating Activities Net cash used in operating activities primarily consists of net loss, adjusted for certain non-cash items, including, deferred income taxes, stock-based compensation expense, depreciation and amortization, amortization of intangible assets and internally developed software, other non-cash items, and the effect of changes in working capital and other activities. Collection of commissions receivable depends upon the timing of our receipt of commission payments and associated commission reports from health insurance carriers. If we were to experience a delay in receiving a commission payment from a health insurance carrier within a quarter, our operating cash flows for that quarter could be adversely impacted. 49 -------------------------------------------------------------------------------- A significant portion of our marketing and advertising expense is driven by the number of health insurance applications submitted on our ecommerce platforms. Since our marketing and advertising costs are expensed and generally paid as incurred, and since commission revenue is recognized upon approval of a member but commission payments are paid to us over time, our operating cash flows could be adversely impacted by a substantial increase in the volume of applications submitted during a quarter or positively impacted by a substantial decline in the volume of applications submitted during a quarter. During the Medicare annual enrollment period that takes place during the last quarter of each year and the reintroduced Medicare Advantage open enrollment period in the first quarter of the year, we experience an increase in the number of submitted Medicare-related health insurance applications and marketing and advertising expenses compared to outside of these enrollment periods. Similarly, during the open enrollment period for individual and family health insurance plans which typically takes place during the fourth quarter of each year, we experience an increase in the number of submitted individual and family plan health insurance applications and marketing and advertising expenses compared to outside of open enrollment periods. The timing of enrollment periods for individual and family health insurance plans, the Medicare annual enrollment period and the open enrollment period for Medicare-related health insurance can positively or negatively affect our cash flows during each quarter. Nine Months EndedSeptember 30, 2021 - Net cash used in operating activities was$60.3 million during the nine months endedSeptember 30, 2021 , primarily driven by net loss of$72.2 million and changes in net operating assets and liabilities of$7.0 million , partially offset by adjustments for non-cash items of$18.9 million . Adjustments for non-cash items primarily consisted of$24.9 million of stock-based compensation expense,$9.6 million of amortization of intangible assets and internally-developed software, and$3.7 million of depreciation and amortization, partially offset by a$20.1 million decrease due to the change in deferred income taxes. Cash used from changes in net operating assets and liabilities during the nine months endedSeptember 30, 2021 primarily consisted of decreases of$26.9 million in accounts payable,$6.5 million in accrued marketing expense, increases of$20.8 million in prepaid expenses and other current asset, and decreases in$0.1 million in accrued compensation and benefits, partially offset by decreases of$35.2 million in contract assets - commissions receivable, increases of$10.2 million in deferred revenue and$1.4 million in accrued expenses and other liabilities. Nine Months EndedSeptember 30, 2020 - Net cash used in operating activities was$11.0 million during the nine months endedSeptember 30, 2020 , primarily driven by changes in net operating assets and liabilities of$16.8 million and a net loss of$14.4 million , partially offset by adjustments for non-cash items totaling$20.3 million . Adjustments for non-cash items primarily consisted of$21.7 million of stock-based compensation expense,$6.5 million of amortization of intangible assets and internally developed software, and$2.6 million of depreciation and amortization, partially offset by an$11.0 million change in deferred income taxes. Cash used from changes in net operating assets and liabilities during the nine months endedSeptember 30, 2020 primarily consisted of increases of$16.8 million in contract assets - commissions receivable,$9.4 million in prepaid expenses and other current assets and$1.5 million in accounts receivable, decreases of$7.4 million in accrued compensation and benefits,$5.4 million in accrued marketing expenses, and$3.2 million in accounts payable, partially offset by increases of$23.9 million in deferred revenue and$3.1 million in accrued expenses and other liabilities.
Investing Activities
Our investing activities primarily consist of purchases, maturities, and redemptions of marketable securities as well as purchases of computer hardware and software to enhance our website and customer care operations, leasehold improvements related to facilities expansion, capitalized internal-use software and website development costs and security deposit payments. Nine Months EndedSeptember 30, 2021 - Net cash used in investing activities of$36.8 million for the nine months endedSeptember 30, 2021 mainly consisted of$89.0 million used to purchase marketable securities,$12.6 million in capitalized internal-use software and website development costs and$3.6 million used to purchase property and equipment and other assets, partially offset by$68.3 million proceeds from the maturities and redemptions of marketable securities. Nine Months EndedSeptember 30, 2020 - Net cash used in investing activities of$128.3 million for the nine months endedSeptember 30, 2020 was due to$180.5 million in purchases of marketable securities,$12.1 million in capitalized internal-use software and website development costs and$6.5 million used to purchase property and equipment and other assets, partially offset by$70.8 million proceeds from the maturities and redemptions of marketable securities. 50
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Financing Activities
Nine Months EndedSeptember 30, 2021 - Net cash provided by financing activities of$210.9 million for the nine months endedSeptember 30, 2021 was primarily due to$214.0 million net proceeds from issuance of convertible preferred stock and$5.0 million net proceeds from exercise of common stock options, partially offset by$8.0 million in repurchases of shares to satisfy employee tax withholding obligations. Nine Months EndedSeptember 30, 2020 - Net cash provided by financing activities of$203.6 million for the nine months endedSeptember 30, 2020 was primarily due to$228.0 million net proceeds from the issuance of common stock in a public equity offering and$1.6 million of net proceeds from the exercise of common stock options, partially offset by$17.2 million in repurchases of shares to satisfy employee tax withholding obligations and$8.8 million of acquisition-related contingent payments.
Convertible Preferred Stock
OnApril 30, 2021 (the "Closing Date"), we issued and sold 2,250,000 shares of our newly designated Series A convertible preferred stock ("Series A preferred stock") at an aggregate purchase price of$225.0 million , at a price of$100 (the "Stated Value" per share of Series A preferred stock) per share. We received$214.0 million net proceeds from the private placement withEchelon Health SPV, LP ("H.I.G."), net of sales commissions and certain transaction fees. Dividends on our outstanding shares of Series A preferred stock accrue daily at 8% per annum on the Stated Value per share and compound semiannually, payable in kind untilApril 30, 2023 , which is the second anniversary of the Closing Date, onJune 30 andDecember 31 of each year, beginning onJune 30, 2021 , and will thereafter become 6% payable in kind and 2% payable in cash in arrears onJune 30 andDecember 31 of each year, beginning onJune 30, 2023 (each, a "Cash Dividend Payment Date"). Dividends payable in kind will be cumulative. The Series A preferred stock also participates, on an as-converted basis (without regard to conversion limitations) in all dividends paid to the holders of our common stock. If we fail to declare and pay full cash dividend payments as required by the certificate of designations for the Series A preferred stock for two consecutive Cash Dividend Payment Dates, the cash dividend rate then in effect shall increase one time by 2%, retroactive to the first day of the semiannual period immediately preceding the first Cash Dividend Payment Date at which we failed to pay such accrued cash dividends, until such failure to pay full cash dividends is cured (at which time the dividend rate shall return to the rate prior to such increase). The dividend rights of the Series A preferred stock are senior to all of our other equity securities. Beginning onApril 30, 2027 , which is the sixth anniversary of the Closing Date, each holder of Series A preferred stock will have the right to require us to redeem all or any portion of the Series A preferred stock for cash at a price calculated as set forth in the certificate of designations. In addition, upon certain change of control events, holders of Series A preferred stock can require us, subject to certain exceptions, to repurchase any or all of their Series A preferred stock. As ofSeptember 30, 2021 , no shares of the Series A preferred stock have been converted and the balance of our Series A preferred stock was$225.4 million , including a change in the redemption value of$3.8 million and the accrued paid-in-kind dividends of$7.6 million , which was equivalent to 2.9 million shares of common stock on an as-converted basis. See Note 6 - Convertible Preferred Stock in our Notes to Condensed Consolidated Financial Statements included in this Quarterly Report on Form 10-Q for additional information.
Credit Agreement
We entered into a credit agreement with Royal Bank of Canada ("RBC") as administrative agent and collateral agent, (the "Credit Agreement") inSeptember 2018 . The Credit Agreement provides for a$40.0 million secured asset-backed revolving credit facility with a$5.0 million letter of credit sub-facility. OnDecember 20, 2019 , we amended our revolving credit facility agreement with RBC (the "Amendment") and increased the maximum borrowing amount to$75.0 million and extended the expiration toDecember 20, 2022 . The borrowing base under the Credit Agreement is comprised of an amount equal to (a) the lesser of (i) eighty percent (80%) of Eligible Commissions Receivables (as defined in the Credit Agreement) we actually collected during the immediately 51 -------------------------------------------------------------------------------- preceding period of three months or (ii) eighty percent (80%) of our Eligible Commission Receivables for the immediately succeeding period of three months, plus (b) fifty percent (50%) of our Eligible Commission Receivables for the immediately succeeding period of six months (excluding the immediately succeeding period of three months), in each case subject to reserves established by RBC (the "Borrowing Base"). The proceeds of the loans under the Credit Agreement may be used for working capital and general corporate purposes. We have the right to prepay the loans under the Credit Agreement in whole or in part at any time without penalty. Subject to availability under the Borrowing Base, amounts repaid may be reborrowed. Amounts not borrowed under the Credit Agreement are subject to a commitment fee of 0.5% per annum on the daily unused portion of the credit facility, to be paid in arrears on the first business day of each calendar quarter. At closing of the Credit Agreement, we paid a one-time facility fee of 1.75% of the total commitments of$40 million . We also paid a one-time closing fee of 0.5% of the new commitment of$75.0 million in connection with the Amendment. We are also obligated to pay other customary administration fees for a credit facility of this size and type.
As of
revolving credit facility. See Note 12 - Debt of Notes to Condensed Consolidated
Financial Statements included in this Quarterly Report on Form 10-Q for
additional information regarding this credit agreement and subsequent amendment.
Common Stock Issuance Pursuant to an effective registration statement that was filed onDecember 17, 2018 , and amended onJanuary 22, 2019 andMarch 2, 2020 , we entered into an underwriting agreement inMarch 2020 to issue a total of 2,070,000 shares of common stock, which included the exercise in full of the underwriters' option to purchase 270,000 additional shares of common stock, at a price to the public of$115.00 per share. Net proceeds from the offering were approximately$228.0 million after deducting underwriting discounts, commissions and expenses of the offering.
Contractual Obligations and Commitments
Our material contractual obligation generally include operating lease liabilities and non-cancellable contractual service and licensing obligations. See Note 10 - Leases in the Notes to Condensed Consolidated Financial Statements for information about our operating lease obligations. See Note 8 - Commitments and Contingencies in the Notes to Condensed Consolidated Financial Statements for the information about our non-cancellable contractual service and licensing obligations.
Off-Balance Sheet Arrangements
As ofSeptember 30, 2021 , we did not have any off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in our financial condition, revenues, or expenses, results of operations, liquidity, capital expenditures, or capital resources that is material to investors.
Recent Accounting Pronouncements
See Note 1 - Summary of Business and Significant Accounting Policies in the Notes to Condensed Consolidated Financial Statements of this Quarterly Report on Form 10-Q for recently issued accounting standards that could have an effect on us. 52
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BGC PARTNERS, INC. – 10-Q – MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
ProAssurance: Q3 Earnings Snapshot
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