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Document eHealth, Inc. Announces First Quarter 2022 Results

Key Takeaway: eHealth, Inc. Announces First Quarter 2022 Results SANTA CLARA, California - May 3, 2022 - eHealth, Inc. (Nasdaq EHTH), a leading private online health insurance marketplace, today announced its financial results for the first quarter ended March 31, 2022. First Quarter 2022 Ov

Full Press Release Details

eHealth, Inc. Announces First Quarter 2022 Results
SANTA CLARA, California - May 3, 2022 - eHealth, Inc. (Nasdaq EHTH), a leading private online health insurance marketplace, today announced its financial results for the first quarter ended March 31, 2022.
First Quarter 2022 Overview
$105.3M $(32.7)M $(24.8)M
TOTAL REVENUE GAAP NET LOSS ADJUSTED EBITDA (1)
$47.1M +50% YoY $831.2M
OPERATING CASH FLOW MEDICARE ADVANTAGE APPLICATIONS SUBMITTED ONLINE UNASSISTED COMMISSIONS RECEIVABLE BALANCE
First Quarter 2022 Highlights
First quarter financial results reflected the impact of our enrollment quality initiatives on telephonic conversion rates and intentional deceleration of our telephonic enrollment in 2022 as we focus on returning to profitable growth. Enrollment quality initiatives resulted in substantial improvement in retention rates and quality scores for the fourth quarter 2021 Medicare Advantage enrollments, based on preliminary data. Online business continues to scale with 50% year-over-year increase in online unassisted Medicare Advantage enrollments. Total revenue for the first quarter of 2022 was $105.3 million, a 22% decrease compared to $134.2 million for the first quarter of 2021. Cash flow from operations of $47.1 million. As of March 31, 2022, we had $232 million in cash, cash equivalents and marketable securities. Estimated Medicare Advantage membership and total Medicare membership as of March 31, 2022 grew 9% and 4%, respectively, compared to March 31, 2021.
CEO Comments
We delivered first quarter results with revenue in-line and adjusted EBITDA ahead of our expectations driven by the early impact of cost transformation initiatives. As part of our commitment to returning the company to profitable growth, we are currently on track to generate approximately $60 million in annualized cost savings this year. In line with our strategic plan, we are slowing down our conventional telephonic enrollment growth while continuing to invest for expansion and market share capture in our online business. Providing excellent service and leveraging our platform to match customers with optimal coverage based on their specific needs is at the center of our strategy. The initial traction we are seeing through the early part of fiscal 2022 in terms of retention and quality scores combined with positive carrier feedback reinforces our belief that eHealth can establish itself as a leader in Medicare distribution as this market moves away from volume at-all-costs and toward growth built on a foundation of enrollment quality, enhanced consumer experience and cash flow generation.
(1)See the Non-GAAP Financial Information section for definitions of our non-GAAP financial measures.
GAAP - First Quarter of 2022 Results
(In thousands, except per share amounts) Q1 2022 Q1 2021
Total revenue $ 105,250 $ 134,214
Total commission revenue 93,850 127,052
Segment revenue
Medicare 95,067 121,021
Individual, Family and Small Business 10,183 13,193
Segment profit (loss)
Medicare (14,817) 24,545
Individual, Family and Small Business 5,254 8,052
Loss from operations (39,714) (642)
Net loss (32,742) (800)
Net loss attributable to common stockholders (39,960) (800)
Diluted net loss attributable to common stockholders per share (1.46) (0.03)
Net cash provided by operating activities 47,112 42,809
Total commission revenue for the three months ended March 31, 2022 decreased 26% compared to the same period in 2021 due to a $27.8 million decrease in Medicare segment commission revenue and a $3.0 million decrease in commission revenue from the Individual, Family and Small Business segment.
The decrease in commission revenue from the Medicare segment was driven by a 22% decrease in Medicare plan approved members. This was caused primarily by a 23% decline in Medicare Advantage plan approved members compared to 2021 and due to lower telephonic conversion rates.
The decrease in commission revenue from the Individual, Family and Small Business segment was primarily due to a 32% decrease in short-term ancillary plan approved members, a 31% decrease in dental plan approved members, a 13% decrease in individual and family major medical plan approved members and a $2.8 million decrease in net adjustment revenue.
Other revenue increased $4.2 million, or 59%, during the three months ended March 31, 2022 compared to the same period in 2021 due to an increase in Medicare advertising revenue.
Non-GAAP(1) - First Quarter 2022 Results
(In thousands, except per share amounts) Q1 2022 Q1 2021
Non-GAAP net income (loss) $ (24,923) $ 9,383
Non-GAAP net income (loss) per diluted share (0.91) 0.36
Adjusted EBITDA (24,828) 17,311
(1)See Non-GAAP Financial Information for definitions of our non-GAAP financial measures.
Non-GAAP net loss for the first quarter of 2022 was $24.9 million, or $0.91 non-GAAP net loss per diluted share, compared to non-GAAP net income of $9.4 million, or $0.36 non-GAAP net income per diluted share, for the same period in 2021, primarily attributable to a decrease in total revenue and a 12% increase in non-GAAP operating expense primarily as a result of our enrollment quality initiatives.
Non-GAAP net loss and non-GAAP net loss per diluted share for the first quarter of 2022 were calculated by excluding $4.7 million of paid-in-kind dividends, $2.5 million change in preferred stock redemption value, $5.3 million of stock-based compensation expense, $4.8 million of restructuring and reorganization charges, and $2.3 million of the income tax effect of these non-GAAP adjustments from GAAP net loss attributable to common stockholders and GAAP net loss attributable to common stockholders per diluted share.
Non-GAAP net income and non-GAAP net income per diluted share for the first quarter of 2021 were calculated by excluding $11.4 million of stock-based compensation expense, $2.4 million restructuring charges, $0.2 million of amortization of intangible assets and $3.8 million of the income tax effect of these non-GAAP adjustments from GAAP net loss attributable to common stockholders and GAAP net loss attributable to common stockholders per diluted share.
Adjusted EBITDA for the first quarter of 2022 decreased compared to the same period in 2021 primarily due to a decrease in total revenue, an increase in non-GAAP operating expense, including an increase in customer care and enrollment costs primarily as a result of employing more internal agents in 2022. Non-GAAP operating expense was also impacted by an increase in variable marketing expense.
Selected Metrics Highlights - First Quarter of 2022 Results
Q1 2022 Q1 2021
Approved Members
Medicare 95,810 122,677
Individual and Family 9,801 11,314
New Paying Members
Medicare 152,089 180,132
Individual and Family 16,230 17,607
Estimated Membership (3) 1,287,640 1,263,507
Online Submission % (1) - Major Medicare (2) 47 % 35 %
Unassisted Online Submission % - Major Medicare (2) 12 % 6 %
(1)Online submission % represents a combination of unassisted and partially agent-assisted online applications.
(2)Major Medicare plans include Medicare Advantage and Medicare Supplement plans.
(3)As of March 31, 2022.
Medicare approved members decreased 22% in the first quarter of 2022 compared to the first quarter of 2021, due to a decrease in Medicare plan members. The decrease in Medicare plan members was driven by lower submitted applications primarily due to lower telephonic conversion rates and our decision to reduce our investment in telephonic enrollment growth in 2022. Approved members for individual and family plan major medical products decreased 13% in the first quarter of 2022 compared to the first quarter of 2021, due to a decrease in enrollments in both qualified and non-qualified individual and family plans.
Medicare new paying members decreased 16% in the first quarter of 2022 compared to the first quarter of 2021, due primarily to a decline in Medicare products approved members. Individual and family plan new paying members decreased 8% in the first quarter of 2022 compared to the first quarter of 2021, due primarily to a decline in approved members for non-qualified and qualified plans.
Estimated membership was 1,287,640 at the end of the first quarter of 2022, an increase of 2% compared to estimated membership at the end of the first quarter of 2021, primarily driven by a 4% increase in Medicare estimated membership including an 9% increase in Medicare Advantage estimated membership.
As our online business continued to scale, the number of first quarter 2022 Major Medicare applications submitted online unassisted grew 47% compared to the first quarter of 2021 primarily driven by enhanced user experience and favorable conversion rates on our ecommerce platform. Our unassisted online application submissions represented 12% of Major Medicare applications in the first quarter of 2022 compared to 6% in the same quarter in 2021.
Convertible Preferred Stock
On April 30, 2021, we issued and sold 2.25 million shares of Series A Preferred Stock, par value $0.001 per share, at an aggregate purchase price of $225.0 million to an investment vehicle of H.I.G. Capital in a private placement. This transaction resulted in net proceeds of $214.0 million.
During the first quarter of 2022, we accrued paid-in-kind dividends on the Series A Preferred Stock at 8% per annum equal to $4.7 million and recognized $2.5 million of accretion due to the redemption feature available to H.I.G. Capital at the sixth anniversary of the closing of this transaction. These charges were recorded as a reduction of our retained earnings and had no impact on GAAP net loss, which was $32.7 million, for the first quarter of 2022. However, as the Series A Preferred Stock is considered a participating security, both of these charges impacted net loss attributable to common stockholders and net loss attributable to common stockholders per share. For the first quarter of 2022, GAAP net loss attributable to common stockholders was $40.0 million, or $1.46 per share.
Based on information available as of May 3, 2022, we are reaffirming our guidance for the full year ending December 31, 2022. These expectations are forward-looking statements and we assume no obligation to update these statements. Actual results may be materially different and are affected by the risk factors and uncertainties identified in this press release and in eHealth's annual and quarterly reports filed with the Securities and Exchange Commission.
The following guidance is for the full year ending December 31, 2022
Total revenue is expected to be in the range of $448.0 million to $470.0 million.
GAAP net loss is expected to be in the range of $106.0 million to $83.0 million.
Adjusted EBITDA(1) is expected to be in the range of $(64.0) million to $(37.0) million.
Total cash outflow, excluding the impact of our $70.0 million term loan and associated costs, is expected to be in the range of $140.0 million to $120.0 million.
Webcast and Conference Call Information
A webcast and conference call will be held today, Tuesday, May 3, 2022 at 5 00 p.m. Eastern 2 00 p.m. Pacific Time. The live webcast and supporting presentation slides will be available on the Investor Relations section of eHealth's website at http ir.ehealthinsurance.com. Individuals interested in listening to the conference call may do so by dialing (877) 930-8066 for domestic callers and (253) 336-8042 for international callers. The participant passcode is 3371197. A telephone replay will be available two hours following the conclusion of the call for a period of seven days and can be accessed by dialing (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. The call ID for the replay is 3371197. The live and archived webcast of the call will also be available on eHealth's website at http www.ehealthinsurance.com under the Investor Relations section.
eHealth, Inc. (Nasdaq EHTH) operates a leading online health insurance marketplace at eHealth.com and eHealthMedicare.com with technology that provides consumers with health insurance enrollment solutions. Since 1997, we have connected more than 8 million members with quality, affordable health insurance, Medicare options, and ancillary plans. Our proprietary marketplace offers Medicare Advantage, Medicare Supplement, Medicare Part D prescription drug, individual, family, small business and other plans from approximately 200 health insurance carriers across fifty states and the District of Columbia.
Forward-Looking Statements
This press release contains statements that are forward-looking statements as defined within the Private Securities Litigation Reform Act of 1995. These include statements regarding trends in our business, trends in the Medicare distribution market, our expectations regarding cost savings and returns on investment, the market share of our online business, our estimates regarding total membership, Medicare membership, individual and family plan membership and ancillary and small business membership, our estimates regarding constrained lifetime values of commissions per approved member by product category, our estimates regarding costs per approved member, and our 2022 annual guidance on total revenue, GAAP net loss, adjusted EBITDA, and total cash outflow.
These forward-looking statements are inherently subject to various risks and uncertainties that could cause actual results to differ materially from the statements made. In particular, we are required by Accounting Standards Codification 606 - Revenue from Contracts with Customers to make numerous assumptions that are based on historical trends and our management's judgment. These assumptions may change over time and have a material impact on our revenue recognition, guidance, and results of operations. Please review the assumptions stated in this press release carefully.
The risks and uncertainties that could cause our results to differ materially from those expressed or implied by such forward-looking statements include our ability to retain existing members and enroll new members during the annual healthcare open enrollment period, the Medicare annual enrollment periods and other special enrollment periods changes in laws, regulations and guidelines, including in connection with healthcare reform or with respect to the marketing and sale of Medicare plans 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 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 the success of our carrier advertising and sponsorship program 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 in China the restrictions in our debt obligations the restrictions in our investment agreement with H.I.G our ability to raise additional capital compliance with insurance and other laws and regulations the outcome of litigation in which we are involved and the performance, reliability and availability of our information technology systems, ecommerce platform and underlying network infrastructure. Other factors that could cause operating, financial and other results to differ are described in our most recent Quarterly Report on Form 10-Q or Annual Report on Form 10-K filed with the Securities and Exchange Commission and available on the investor relations page of our website at http www.ehealthinsurance.com and on the Securities and Exchange Commission's website at www.sec.gov.
All forward-looking statements in this press release are based on information available to us as of the date hereof, and we do not assume any obligation to update the forward-looking statements provided to reflect events that occur or circumstances that exist after the date on which they were made, except as required by law.
Non-GAAP Financial Information
This press release includes financial measures that are not calculated in accordance with U.S. generally accepted accounting principles (GAAP). To supplement eHealth's condensed consolidated financial statements presented in accordance with GAAP, eHealth presents investors with non-GAAP financial measures, including non-GAAP net income (loss) non-GAAP net income (loss) per diluted share and adjusted EBITDA.
Non-GAAP net income (loss) consists of GAAP net income (loss) attributable to common stockholders excluding the following items
paid-in-kind dividends for preferred stock and change in preferred stock redemption value (together impact from preferred stock ),
the effects of expensing stock-based compensation related to stock options and restricted stock units,
restructuring and reorganization charges,
amortization of intangible assets,
other non-recurring charges (as noted below), and
the income tax impact of non-GAAP adjustments.
Non-GAAP net income (loss) per diluted share consists of GAAP net income (loss) attributable to common stockholder per diluted share excluding the following items
impact from preferred stock,
the effects of expensing stock-based compensation related to stock options and restricted stock units per diluted share,
restructuring and reorganization charges per diluted share,
amortization of intangible assets per diluted share,
other non-recurring charges (as noted below) per diluted share, and
the income tax impact of non-GAAP adjustments per diluted share.
Adjusted EBITDA is calculated by excluding the impact from preferred stock, interest income and expense, income tax expense (benefit), depreciation and amortization, stock-based compensation expense, restructuring and reorganization charges, amortization of intangible assets, other income (expense), net, and other non-recurring charges to GAAP net income (loss) attributable to common stockholders. Other non-recurring charges to GAAP net income (loss) attributable to common stockholders may include transaction expenses in connection with capital raising transactions (whether debt, equity or equity-linked) and acquisitions, whether or not consummated, purchase price adjustments and the cumulative effect of a change in accounting principles.
eHealth believes that the presentation of these non-GAAP financial measures provides important supplemental information to management and investors regarding financial and business trends relating to eHealth's financial condition and results of operations. Management believes that the use of these non-GAAP financial measures provides consistency and comparability with eHealth's past financial reports. Management also believes that the items described above provide an additional measure of eHealth's operating results and facilitates comparisons of eHealth's core operating performance against prior periods and business model objectives. This information is provided to investors in order to facilitate additional analyses of past, present and future operating performance and as a supplemental means to evaluate eHealth's ongoing operations. eHealth believes that these non-GAAP financial measures are useful to investors in their assessment of eHealth's operating performance.
Non-GAAP net income (loss), non-GAAP net income (loss) per diluted share, and adjusted EBITDA are not calculated in accordance with GAAP, and should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Non-GAAP financial measures used in this press release have limitations in that they do not reflect all of the revenue and costs associated with the operations of eHealth's business and do not reflect income tax as determined in accordance with GAAP. As a result, you should not consider these measures in isolation or as a substitute for analysis of eHealth's results as reported under GAAP. eHealth expects to continue to incur the stock-based compensation costs and depreciation and amortization described above, and exclusion of these costs, and their related income tax benefits, from non-GAAP financial measures should not be construed as an inference that these costs are unusual or infrequent. eHealth compensates for these limitations by prominently disclosing GAAP net income (loss), GAAP net income (loss) attributable to common stockholders and GAAP net income (loss) attributable to common stockholders per diluted share and providing investors with reconciliations from eHealth's GAAP operating results to the non-GAAP financial measures for the relevant periods.
The accompanying tables provide more details on the GAAP financial measures that are most directly comparable to the non-GAAP financial measures described above and the related reconciliations between these financial measures.
Investor Relations Contact
Kate Sidorovich, CFA
Senior Vice President, Investor Relations Strategy
2625 Augustine Drive, Second Floor
Santa Clara, CA, 95054
kate.sidorovich ehealth.com
http ir.ehealthinsurance.com
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, Unaudited)
March 31, 2022 December 31, 2021
Assets
Current assets
Cash and cash equivalents $ 220,563 $ 81,926
Short-term marketable securities 10,938 41,306
Accounts receivable 1,978 5,750
Contract assets - commissions receivable - current 204,237 254,821
Prepaid expenses and other current assets 11,825 23,784
Total current assets 449,541 407,587
Contract assets - commissions receivable - non-current 626,941 653,441
Property and equipment, net 11,106 12,105
Operating lease right-of-use assets 36,099 37,373
Restricted cash 3,239 3,239
Other assets 35,936 35,547
Total assets $ 1,162,862 $ 1,149,292
Liabilities, convertible preferred stock, and stockholders' equity
Current liabilities
Accounts payable $ 8,196 $ 13,750
Accrued compensation and benefits 18,501 16,458
Accrued marketing expenses 19,537 36,384
Lease liabilities - current 5,655 5,543
Other current liabilities 8,500 3,330
Total current liabilities 60,389 75,465
Long-term debt 64,989 -
Deferred income taxes - non-current 42,763 50,796
Lease liabilities - non-current 34,410 35,826
Other non-current liabilities 4,574 5,094
Total liabilities 207,125 167,181
Convertible preferred stock 239,810 232,592
Stockholders' equity
Common stock 39 39
Additional paid-in capital 762,212 755,875
Treasury stock, at cost (199,998) (199,998)
Retained earnings 153,253 193,213
Accumulated other comprehensive income 421 390
Total stockholders' equity $ 715,927 $ 749,519
Total liabilities, convertible preferred stock, and stockholders' equity $ 1,162,862 $ 1,149,292
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share amounts, unaudited)
Three Months Ended March 31,
2022 2021
Revenue
Commission $ 93,850 $ 127,052
Other 11,400 7,162
Total revenue 105,250 134,214
Operating costs and expenses (1)
Cost of revenue (127) 996
Marketing and advertising 58,454 50,874
Customer care and enrollment 42,164 34,162
Technology and content 19,663 23,163
General and administrative 19,987 23,054
Amortization of intangible assets - 176
Restructuring and reorganization charges 4,823 2,431
Total operating costs and expenses 144,964 134,856
Loss from operations (39,714) (642)
Other income (expense), net (1,021) 150
Loss before income taxes (40,735) (492)
Provision for (benefit from) income taxes (7,993) 308
Net loss (32,742) (800)
Paid-in-kind dividends for preferred stock (4,717) -
Change in preferred stock redemption value (2,501) -
Net loss attributable to common stockholders $ (39,960) $ (800)
Net loss per share attributable to common stockholders
Basic and diluted $ (1.46) $ (0.03)
Weighted-average number of shares used in per share
Basic and diluted 27,278 26,620
_____________ (1) Includes stock-based compensation expense as follows
Marketing and advertising $ 313 $ 2,485
Customer care and enrollment 454 469
Technology and content 1,850 2,743
General and administrative 2,668 5,705
Total stock-based compensation expense $ 5,285 $ 11,402
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
Three Months Ended March 31,
2022 2021
Operating activities
Net loss $ (32,742) $ (800)
Adjustments to reconcile net loss to net cash provided by operating activities
Depreciation and amortization 946 1,138
Amortization of internally developed software 3,832 2,806
Amortization of intangible assets - 176
Stock-based compensation expense 5,285 11,402
Deferred income taxes (8,032) (570)
Other non-cash items 215 420
Changes in operating assets and liabilities
Accounts receivable 3,773 (48)
Contract assets - commissions receivable 77,142 50,635
Prepaid expenses and other assets 12,418 4,225
Accounts payable (5,525) (25,826)
Accrued compensation and benefits 2,042 4,088
Accrued marketing expenses (16,848) (6,712)
Deferred revenue (223) 570
Accrued expenses and other liabilities 4,829 1,305
Net cash provided by operating activities 47,112 42,809
Investing activities
Capitalized internal-use software and website development costs (4,205) (3,242)
Purchases of property and equipment and other assets (55) (1,899)
Purchases of marketable securities (3,938) (7,771)
Proceeds from redemption and maturities of marketable securities 34,319 23,409
Net cash provided by investing activities 26,121 10,497
Financing activities
Net proceeds from debt financing 64,862 -
Net proceeds from exercise of common stock options and employee stock purchases 1,054 285
Repurchase of shares to satisfy employee tax withholding obligations (508) (5,037)
Principal payments in connection with leases (35) (38)
Net cash provided by (used in) financing activities 65,373 (4,790)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 31 (25)
Net increase in cash, cash equivalents and restricted cash 138,637 48,491
Cash, cash equivalents and restricted cash at beginning of period 85,165 47,113
Cash, cash equivalents and restricted cash at end of period $ 223,802 $ 95,604
(In thousands, unaudited)
Three Months Ended March 31, % Change
2022 2021
Revenue
Medicare (1) $ 95,067 $ 121,021 (21) %
Individual, Family and Small Business (2) 10,183 13,193 (23) %
Total revenue $ 105,250 $ 134,214 (22) %
Segment profit (loss)
Medicare segment profit (loss) (3) $ (14,817) $ 24,545 (160) %
Individual, Family and Small Business segment profit (3) 5,254 8,052 (35) %
Total segment profit (loss) (9,563) 32,597 (129) %
Corporate (4) (15,265) (15,286) *
Stock-based compensation expense (5,285) (11,402) (54) %
Depreciation and amortization (4,778) (3,944) 21 %
Amortization of intangible assets - (176) (100) %
Restructuring and reorganization charges (4,823) (2,431) 98 %
Other income (expense), net (1,021) 150 (781) %
Loss before income taxes $ (40,735) $ (492) 8,179 %
* Percentage not meaningful.
We evaluate our business performance and manage our operations as two distinct reporting segments
Individual, Family and Small Business.
(1) The Medicare segment consists primarily of amounts earned from our sale of Medicare-related health insurance plans, including Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans, fees for the performance of administrative services and to a lesser extent, amounts from our sale of ancillary products sold to our Medicare-eligible customers, including but not limited to, dental and vision plans, as well as amounts we are paid in connection with our advertising program for marketing and other services.
(2) The Individual, Family and Small Business segment consists primarily of amounts earned from our sale of individual, family and small business health insurance plans and ancillary products sold to our non-Medicare-eligible customers, including but not limited to, dental, vision, and short-term 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 plans leads generated by our ecommerce platforms and our marketing activities.
(3) Segment profit (loss) is calculated as revenue for the applicable segment less marketing and advertising, customer care and enrollment, technology and content and general and administrative operating expenses, excluding stock-based compensation expense, depreciation and amortization, restructuring and reorganization charges and amortization of intangible assets, that are directly attributable to the applicable segment and other indirect marketing and advertising, customer care and enrollment and technology and content operating expenses, excluding stock-based compensation expense, depreciation and amortization, restructuring and reorganization charges, and amortization of intangible assets, allocated to the applicable segment based on usage.
(4) Corporate consists of other indirect general and administrative operating expenses, excluding stock-based compensation expense, depreciation and amortization, which are managed in a corporate shared services environment and, because they are not the responsibility of segment operating management, are not allocated to the reportable segments.
SUMMARY OF SELECTED METRICS
COMMISSION REVENUE BY PRODUCT
(In thousands, unaudited)
Three Months Ended March 31, % Change
2022 2021
Medicare
Medicare Advantage $ 78,130 $ 103,525 (25) %
Medicare Supplement 6,120 8,222 (26) %
Medicare Part D 1,460 1,736 (16) %
Total Medicare 85,710 113,483 (24) %
Individual and Family (1)
Non-Qualified Health Plans 1,610 3,367 (52) %
Qualified Health Plans 1,516 2,100 (28) %
Total Individual and Family 3,126 5,467 (43) %
Ancillary
Short-term 1,343 1,756 (24) %
Dental 831 1,728 (52) %
Vision 243 205 19 %
Other 414 35 1,083 %
Total Ancillary 2,831 3,724 (24) %
Small Business 3,483 3,223 8 %
Commission Bonus and Other (1,300) 1,155 (213) %
Total Commission Revenue $ 93,850 $ 127,052 (26) %
SUMMARY OF SELECTED METRICS
COMMISSION REVENUE SUMMARY
(In thousands, unaudited)
Three Months Ended March 31,
2022 2021
Medicare
Commission Revenue from Members Approved During the Period $ 84,283 $ 114,678
Net Commission Revenue from Members Approved in Prior Periods (1) 51 14
Total Medicare Segment Commission Revenue 84,334 114,692
Individual, Family and Small Business
Commission Revenue from Members Approved During the Period 6,042 6,395
Commission Revenue from Renewals of Small Business Members During the Period (2) 3,037 2,687
Net Commission Revenue from Members Approved in Prior Periods (1)(2) 437 3,278
Total Individual, Family and Small Business Segment Commission Revenue 9,516 12,360
Total Commission Revenue $ 93,850 $ 127,052
(1) These amounts reflect our revised estimates of cash collections for certain members approved prior to the relevant reporting period that are recognized as net adjustment revenue within the relevant reporting period. The net adjustment revenue includes both increases in revenue for certain prior period cohorts as well as reductions in revenue for certain prior period cohorts.
(2) Commission revenue from renewals of small business members during the period was previously included in net commission revenue from members approved in prior periods. However, starting in the first quarter of 2021, we enhanced our reporting by separately disclosing commission revenue from renewals of small business members during the period in a separate line item.
SUMMARY OF SELECTED METRICS
APPROVED AND NEW PAYING MEMBERSHIP
Three Months Ended March 31, % Change
2022 2021
Approved Members
Medicare Advantage 82,431 106,884 (23)%
Medicare Supplement 6,556 7,782 (16)%
Medicare Part D 6,823 8,011 (15)%
Total Medicare 95,810 122,677 (22) %
Individual and Family 9,801 11,314 (13) %
Ancillary 18,970 26,511 (28) %
Small Business 2,514 2,948 (15) %
Total Approved Members 127,095 163,450 (22) %
New Paying Members
Medicare Advantage 117,643 140,997 (17) %
Medicare Supplement 7,062 9,996 (29) %
Medicare Part D 27,384 29,139 (6) %
Total Medicare 152,089 180,132 (16) %
Individual and Family 16,230 17,607 (8) %
Ancillary 22,917 31,591 (27) %
Small Business 3,084 4,125 (25) %
Total New Paying Members 194,320 233,455 (17) %
Last updated: May 3, 2022