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Like Anthem, Cignas Board has also unanimously declared that this
agreement is advisable and has approved the agreement and directed the
agreement to the shareholders for its adoption while recommending them
to approve the agreement.
While for Anthem to adopt the agreement all of shareholders are required
to vote, in Cignas case the vote of the majority of the shareholders of the
outstanding shares of Cigna Common Stock will be enough.
As the other party of this triangle merger, we look into Representations
and Warranties for Merger Sub.
Merger Sub is a wholly owned subsidiary of Anthem and exists validly
under the laws of Delaware. It has 1,000 shares of common stock which
are fully issued.
Merger Sub is authorized and has all power to enter this agreement. Since
Anthem is the sole shareholder if Merger Sub, its approval is required and
Anthem has approved this transaction.
There will be no conflicts with Merger Subs articles of incorporation or its
bylaws during the execution and consummation of this agreement.
(d) Regarding the Covenants provision; Cigna shall show its best efforts to
conduct its respective business to ordinary course and to preserve
business intact as well as their assets and properties. This provision
favours the buyer. While this provision consists of similar conditions and
facts for both parties, 4.1(n), 4.1(o) and 4.1(p) paragraphs add more
obligations on to Cigna. No change in bylaws or articles of incorporation
or no sale of shares or other similar rights will occur. It wont declare, set
aside, make or pay any dividend or any distribution. No acquisition of any
corporation larger than $200 million individual or $600 million in
aggregate and no sale, mortgage, lease of its assets only on the same
amounts will take place. No modification in its current investment policy
will take place. It will not adopt, propose or recommend any liquidation or
reorganization. Anthem states almost the same covenants as Cignas,
however with slightly less provisions. This provision works together with
representation and warranties to help setting forth a road map of the
events that are bound to occur between signing and closing
e) Additional Agreements
Before the date of this agreement, Anthem and Cigna shall prepare to fill
with the SEC the Joint Proxy Agreement before the date of this agreement
and following this, they will mail the Joint Proxy Agreement to their
shareholders and stockholders. All information concerning both parties
and Affiliates shall be clarified and stated. Parties are required to call for a
meeting of shareholders before form S-4 becomes effective and in that
agreement the recommendation of the adoption of the agreement should
be made. Anthem board shall recommend the approval of share issuance
to the shareholders, and use their best efforts to approve the issuance. In
case of a change of recommendation, if the agreement is not terminated
with the terms and conditions within, the Share Issuance shall be
submitted to the shareholders of Anthem for the purpose of voting on the
issuance. Both parties can postpone their shareholders meetings to
ensure that all the relevant material or amendment to Joint Proxy
Statement is provided to their shareholders. Both parties shall use their
best efforts to hold each of their Shareholders Meetings. Neither party
should enter into another contract by purchasing assets or equity with the
consequences stated at letter f.
Cigna states that it will not disclose non-public information that will lead to
any further transactions or to engage in discussions of any possible
transaction or agreement or to abandon the consummate the Mergers or
the present Agreement. Cigna agrees that it will cease and cause to
terminate any existing discussions or negotiations with Third Parties,
conducted prior to this Agreement.
Regarding financing matters, Anthem holds the right to amend the
Commitment Letter by adding lenders, arrangers, book runners, and
agents or in a manner that it would not affect the ability of Anthem to
fund the obligations stated in this Agreement. If Anthem and Cigna
becomes aware that part of the funding becomes unavailable, they should
use their reasonable best efforts to replace that funding by entering
alternative financing agreements.
(e) Conditions Precedent
The reps and warranties of both sides should be true and correct at the
date of this agreement. Both sides are responsible to perform the
obligations stated in this Agreement and both sides should avoid the
Material Adverse Exchange. To avoid harmful consequences which may be
a result of either partys action which may cause material adverse effect
on one of them, here parties promise to notify the situation to the other
party in an event of material change.
(f) Termination and Amendment
This provision defines under what terms and conditions the agreement
shall be terminated and the process should be aborted. This provision
especially works with all other provisions since them being violated by the
letter on the 18th June stated that they want the price of $180 per share
and the directors should be 8 from Anthem and instead of 6, 7 from Cigna.
Anthems increased its proposal up to $134 per share with a consideration
mix of approximately 31.4% Anthem common stock and 68.6% cash.
According to Anthem, this was going to be their final proposal. Regarding
the capital structure of the new entity, 76.3% was going to be
representing Anthem shareholders and 23.7% representing Cigna
shareholders with 10 directors from Anthem and 3 from Cigna. Cignas
response for this was to agree with the price per share however they
stated that they want the consideration 50% in cash and 50% in Anthem
stock and a combined company board split of 8 current Anthem directors
and 6 current Cigna directors. On 19th of June, Anthem sent the final
proposal to Cigna which consist a price of $184 per share with a
consideration mix of 60% cash and 40% Anthem common stock with a
combined company board split of 8 current Anthem directors and 6
current Cigna directors. This transaction was going to be financed with
Anthems available cash which is $6 billion, bank debt and unsecured
notes which are equal to $23 billion, equity issuance to Cigna
shareholders ($15 billion) and with a $5 billion equity issuance to the
market. A combination of stock-for-stock and cash involving debt
issuance, cash on hand and new equity issuance is being used by the
acquirer as a payment method. In the end, as the Anthem shareholders
ownership increased from 60% to 76.3% and premium reaching to 35.4%,
the cash component bid rose from 40% to 68.6% and price per share
increased up to $184.
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better quality health services. After the transaction, Anthem will have the
opportunity to increase its operating efficiency by spreading its operating
costs to a larger membership base3 . As a consequence of providing more
affordable products and services to its customers, acquiring Cigna will also
bring savings in administrative costs, in network and medical
management areas as well.
Shareholders will be benefiting from the merger as a result of Cignas
financial strength and strong cash flow gained from its operations. Cignas
presence in the international market and the experience of its
management team will also bring benefits to Anthems shareholders.
Since having similar corporate cultures and industry backgrounds enable
companies to create more values from the mergers they are involved in,
considering both of the companies backgrounds and mutual values as
well as their experience as well as the reputation and financial strength of
Cigna, strategic motivations for this merger becomes more visible. The
negotiation power of a big company which will be created by this merger
cannot be underestimated either, since bigger companies are able to
negotiate better prices with pharmaceutical companies and doctors, which
brings a lot of benefits for the consumers.
When financial matters are concerned, United holds the top position
regarding the Membership Scale in the industry where Anthem follows it
and Cigna come the 4th on the scale. However, after the completion of the
Merger, the new company will become the market leader with a
prospective 53,191 members. The current revenue of Anthem is $78.5 and
the estimated revenue after the merger will be more than $115 billion.
Anthems business plan includes its expectations of this transaction to be
more than 10% added to earnings per share in the first year and double
that after year two. Anthem is expecting more than $2 billion in synergies
after year two and pro forma EPS (earnings per share) in 2018 is expected
to be $17 per share.
Both companies have presences in broad geographies, as a consequence
of this merger Anthem will gain more ground regarding the key local
geographies. This will help the company to attract new customers and to
have a better reputation. Another motivation for this merger could be the
high skilled management team being acquired, this will help the combined
company to gain value from its managers. When Swedish and Cordanis
market reputation, experience and skills are taken into account, a
3 http://www.cigna.com/assets/docs/annual-reports-and-proxy-statements/2015%20special-meeting-and-proxy.pdf
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5) Explain whether Anthems final bid offers fair value for Cignas
stock. Consider also whether the Anthems final bid offers
perhaps too high a premium for Cignas shares.
One of the vital matters in a merger is the valuation of the target
company. Since seller and buyer will be having different expectations, it is
not always easy to price the target accurately. According to the two
financial advisors of Anthem who are Credit Suisse and UBS, the share
values differ. A value between $178.84 and $230.60 per share has been
stated by Credit Suisse and the UBS indication provides us a value of
$175.11 to $219.76 per share. On the other side, Cignas financial advisor
Morgan Stanley indicates the Cigna share price to be between $168 and
$211. Anthems final offer per share stands at $188. Within the five top
tier companies in the healthcare market, the merger of Aetna and
Humana will have some consequences for the market. For Anthem to be
able to both sustain the attractiveness and to prevent any negative
shareholder response in short term, it needs to complete this merger
successfully. As the industry is developing with mergers and becoming
more competitive, regardless of how high the bid may seem to be, it will
have great benefits in the long term for Anthem. For strategic purposes
and when the long term goals are considered, the Anthems final bid is a
fair value for Cignas stock.
6) Assess critically the market response (both short term and
long term) of the Anthem Cigna merger. Critically assess the
possible impact on the completed Anthem-Cigna merger on the
health insurance industry. Please supply support for your
answers.
Cigna, being one of the largest insurance companies in the U.S with a
market capitalization of $40.3 billion, it is ranked 97th in the Fortune 500
Rankings for 2014. On the other hand, with a market capitalization of $42
billion in the first half of the 2015 and a consumer base of around 69
million people, Anthem is 38th in the fortune 500 rankings of 2014. The
merger of these two giant companies will be the largest ever deal in the
insurance industry history.4 In the long run, cost efficiency will be an
important outcome. Expected per-share earnings for Anthem is nearly
4 http://www.forbes.com/sites/dandiamond/2015/07/24/since-announcingmerger-anthem-and-cigna-have-already-lost-3-billion-on-wall-street/
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%10 for the first year and will be doubled up next year. Anthem expects
the deal to generate $2 billion annually from the synergies. Covering
approximately 53 million medical members will make the combined
company a market-leading international franchise since it will have access
to new countries as well. 5We observer a raise in Anthems per-share
earnings for 2015; from $9.90, it has raised to more than$10. As for the
second quarter excluding certain items, per-share earnings of Anthem is
expected to be between $3.13- $3.10 while according to the analysts, the
expected per-share earnings in the second quarter was going to be $2.70
and $10.08 for the year. Annual cost synergy estimation for Anthem for
the first two years following the closing is around $2 billion pre-tax.
Increasing the total commercial membership up to 44.2 million is another
reason for its commercial business to go up.
According to Cigna, the merger will have a positive outcome regarding the
efficiency and reduce the costs for customers. The merger will have an
impact of creating a big tree in the health insurance industry, reshaping
its top 5 market leaders. When the merger was announced, both
companies experienced a drastic drop in their shares; Cignas share price
fell to $145.91 from $154.36 within a day, causing the company to lose
around $2.2 billion. Anthems share price decreased from $155.23 to
$150.76, adding up to a $1.1 billion loss for the market value of the
company6. The merger will have possible bad effects on health industry
regarding reducing the competition and decreasing the choice according
the American Medical Association. A dangerous consolidation in the health
insurance world is what is being afraid of since it can hurt both the
patients and health care providers.7
7) Discuss the possible regulatory hurdles or barriers that could
block or make the Anthem-Cigna merger difficult to complete by
2016.
The biggest merger in the health insurance industry raised concerns
regarding legal and ethical issues. Legal issues such as federal regulations
regarding competition and antitrust could hold the deal from completion.
5 http://betterhealthcaretogether.com/content/uploads/2015/10/BetterHealthcare-Together_Press-Release.pdf
6 http://www.forbes.com/sites/dandiamond/2015/07/24/since-announcingmerger-anthem-and-cigna-have-already-lost-3-billion-on-wall-street/
7 http://ctmirror.org/2015/08/31/aetna-humana-anthem-cigna-mergers-spark-d-clobbying-war/
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Since the new formed company will be the largest health insurer in the
US. concerns over monopolies have already arisen. It is possible for
antitrust regulators to reject the deal. American Hospital Association has
stated its concerns over a possible risk of harming tens of millions of
customers due to the new companys position which will not make them
to prevent any anticompetitive effects of the merger. On the political side,
Presidential Candidate of Democrats Hillary Clinton believes that it is vital
to be highly sceptical of the deal because of the possible risks it will have
for the customers, so it is clear that the outcome of the presidential
elections can have an influence on this merger too.
Because of the volume of the deal, DOJ and FTC will be watching it closely.
DOJ and FTC will need to be constantly informed of the transactions and
the companies will need to wait for 30 days before completing them. To
make sure competition is preserved and the mergers do not end up with
pushing higher costs for consumer, the DOJ antitrust division will need to
assess the whole of the healthcare industry.
The DOJ antitrust division will assess the healthcare industry as a whole,
to make sure competition is preserved and the mergers dont lead to
higher costs for consumers. If they encounter antitrust issues then: 1)
Parties have to submit data to the antitrust division. 2) Once the antitrust
division receives that information, it then has another 30 days to decide
whether to clear the transaction, or to file a motion in federal court for a
preliminary injunction - enter into an agreement with the parties that
would give the government more time to investigate before the deal is
consummated
However, the companies believe that the market is already highly
competitive and will remain that way therefore the customers will still
have a wide range of competitors to choose from.
Anthem should abide certain rules to be able to use the Blue Brand since
it is a licensee of the Blue Cross Blue Shield Association. It is uncertain
how the Blue Cross and Blue Shield Association membership of Anthem
will have an effect on Department of Justice Review. The antitrust matters
defined by McCarran-Ferguson Act and the waiting period stated under the
Hart-Scott-Rodino Antitrust Improvement Act must be considered by the
parties as well.