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Ehealth, Inc. (EHTH) SEC Filing 8-K Material Event for the period ending Thursday, February 21, 2019

Ehealth, Inc.

CIK: 1333493 Ticker: EHTH


ehealthlogoa01a02a01a01a27.jpg
eHealth, Inc. Announces Fourth Quarter and Fiscal 2018 Results


Fourth quarter 2018 Overview

Revenue for the fourth quarter of 2018 was $134.9 million, an increase of 62% compared to $83.1 million for the fourth quarter of 2017.
Net income for the fourth quarter of 2018 was $26.1 million compared to $28.0 million for the fourth quarter of 2017.
Adjusted EBITDA for the fourth quarter of 2018 was $51.9 million, an increase of 107% compared to $25.1 million for the fourth quarter of 2017.
Net cash used in operations for the fourth quarter of 2018 was $8.7 million compared to $10.1 million net cash used in operations for the fourth quarter of 2017.

SANTA CLARA, California — February 21, 2019 — eHealth, Inc. (NASDAQ: EHTH), a leading private online health insurance exchange, announced today its financial results for the fourth quarter and fiscal year ended December 31, 2018.

Scott Flanders, chief executive officer of eHealth stated, “2018 was a defining year for eHealth in validating our vision and growth strategy for the Medicare market. We delivered the strongest Medicare Annual Enrollment Period in the company’s history, achieved a number of important executional milestones and reported financial results which significantly exceeded our expectations. I am proud of these accomplishments.”

GAAP — Fourth Quarter of 2018 Results

Revenue — Revenue for the fourth quarter of 2018 totaled $134.9 million, a 62% increase compared to $83.1 million for the fourth quarter of 2017. Commission revenue for the fourth quarter of 2018 totaled $122.2 million, a 61% increase compared to $76.1 million for the fourth quarter of 2017. Other revenue for the fourth quarter of 2018 was $12.7 million, a 79% increase compared to $7.1 million for the fourth quarter of 2017.

Revenue from our Medicare segment was $121.6 million for the fourth quarter of 2018, a 74% increase compared to $69.9 million for the fourth quarter of 2017. Revenue from our Individual, Family and Small Business segment was $13.3 million for the fourth quarter of 2018, a 1% increase compared to $13.2 million for the fourth quarter of 2017.

Income from Operations — Income from operations for the fourth quarter of 2018 was $41.6 million compared to income from operations of $20.8 million for the fourth quarter of 2017. Operating margin was 31% for the fourth quarter of 2018 compared to 25% for the fourth quarter of 2017.

Pre-tax Income — Pre-tax income for the fourth quarter of 2018 was $41.6 million compared to pre-tax income of $21.1 million for the fourth quarter of 2017.

Provision (Benefit) for Income Taxes — Provision for income taxes for the fourth quarter of 2018 was $15.6 million compared to benefit for income taxes of $6.9 million for the fourth quarter of 2017.

Net Income — Net income for the fourth quarter of 2018 was $26.1 million, or $1.25 net income per diluted share, compared to net income of $28.0 million, or $1.47 net income per diluted share, for the fourth quarter of 2017. Net income for the fourth quarter of 2018 includes a non-cash charge of $6 million related to an increase in fair value of the earnout liability assumed in connection with eHealth’s acquisition of GoMedigap. The increase is driven primarily by eHealth’s share price appreciation since the transaction closed in January of 2018. The share price appreciation has increased the value of the equity-based portion of the earnout consideration owed to the former holders of GoMedigap equity interests.

Segment Profit Profit from our Medicare segment was $58.7 million for the fourth quarter of 2018, a 90% improvement compared to profit of $30.9 million for the fourth quarter of 2017. Profit from our Individual, Family and Small Business segment was $3.5 million for the fourth quarter of 2018, a 208% increase compared to $1.1 million for the fourth quarter of 2017.






Non-GAAP — Fourth Quarter of 2018 Results

Non-GAAP Operating Income & Non-GAAP Net Income — Non-GAAP operating income for the fourth quarter of 2018 was $51.3 million compared to non-GAAP operating income of $24.4 million for the fourth quarter of 2017. Non-GAAP operating margin for the fourth quarter of 2018 was 38% compared to 29% for the fourth quarter of 2017. Non-GAAP net income for the fourth quarter of 2018 was $33.6 million, or $1.61 non-GAAP net income per diluted share, compared to non-GAAP net income of $30.2 million, or $1.57 non-GAAP net income per diluted share, for the fourth quarter of 2017.

Non-GAAP operating income, non-GAAP net income and non-GAAP net income per diluted share for the fourth quarter of 2018 exclude $3.1 million of stock-based compensation expense, a $6.0 million charge related to an increase in the fair value of our earnout liability, and $0.5 million of amortization of intangible assets. Non-GAAP operating net income, non-GAAP net income and non-GAAP net income per diluted share for the fourth quarter of 2017 exclude $2.7 million of stock-based compensation expense, $0.6 million of acquisition costs related to our acquisition of GoMedigap, and $0.3 million of amortization of intangible assets.

Adjusted EBITDA — Adjusted EBITDA for the fourth quarter of 2018 was $51.9 million compared to $25.1 million for the fourth quarter of 2017. Adjusted EBITDA is calculated by adding stock-based compensation, depreciation and amortization expense, acquisition costs related to our acquisition of GoMedigap, restructuring charge, amortization of intangible assets, change in fair value of earnout liability, other income (expense), net, and provision (benefit) for income taxes to GAAP net income.

Membership, Submitted Applications & Approved Members

Membership — Total estimated membership as of December 31, 2018 was 952,926 members, a 2% increase compared to 936,900 members we reported as of December 31, 2017. Estimated Medicare membership as of December 31, 2018 was 486,690, a 26% increase compared to 384,854 we reported as of December 31, 2017. Estimated individual and family plan membership as of December 31, 2018 was 151,904 members, a 32% decrease compared to 224,396 we reported as of December 31, 2017.

Submitted Applications — Submitted applications for all Medicare products, which includes Medicare Advantage, Medicare Supplement and Prescription Drug Plans were 162,216 applications in the fourth quarter of 2018, a 64% increase compared to 98,826 applications in the fourth quarter of 2017. Submitted applications for individual and family plan products decreased 45% in the fourth quarter of 2018 to 19,120 applications compared to 34,865 applications in the fourth quarter of 2017.

Approved Members — Approved members for all Medicare products, which includes Medicare Advantage, Medicare Supplement and Prescription Drug Plans were 145,689 members in the fourth quarter of 2018, a 63% increase compared to 89,247 members in the fourth quarter of 2017. Approved members for individual and family plan products decreased 41% in the fourth quarter of 2018 to 14,452 members compared to 24,384 members in the year ended December 31, 2017.

Cash — Fourth Quarter of 2018

Cash Flows — Net cash used in operating activities was $8.7 million for the fourth quarter of 2018 compared to net cash used in operating activities of $10.1 million for the fourth quarter of 2017.

GAAP — Full Year Results

Revenue — Revenue for the year ended December 31, 2018 totaled $251.4 million, a 32% increase compared to $190.7 million for the year ended December 31, 2017. Commission revenue for the year ended December 31, 2018 totaled $227.2 million, a 28% increase compared to $176.9 million for the year ended December 31, 2017. Other revenue for the year ended December 31, 2018 was $24.2 million, a 75% increase compared to $13.8 million for the year ended December 31, 2017.

Revenue from our Medicare segment was $210.6 million for the year ended December 31, 2018, a 48% increase compared to $142.4 million for the year ended December 31, 2017. Revenue from our Individual, Family and Small Business segment was $40.8 million for the year ended December 31, 2018, a 15% decrease compared to $48.3 million for the year ended December 31, 2017.

Income from Operations — Income from operations for the year ended December 31, 2018 was $2.6 million compared to loss from operations of $9.5 million for the year ended December 31, 2017. Operating margin was 1% for the year ended December 31, 2018 compared to (5)% for the year ended December 31, 2017.






Pre-tax Income — Pre-tax income for the year ended December 31, 2018 was $3.3 million compared to pre-tax loss of $8.3 million for the year ended December 31, 2017.

Provision for Income Taxes — Provision for income taxes for the year ended December 31, 2018 was $3.1 million compared to $33.7 million benefit from income taxes for the year ended December 31, 2017. The change in tax provision year over year is due to the introduction of federal tax reform, the impact of ASC 606, and the expiration of net operating loss carryforwards.

Net Income — Net income for the year ended December 31, 2018 was $0.2 million, or $0.01 earnings per diluted share, compared to net income of $25.4 million, or $1.33 earnings per diluted share, for the year ended December 31, 2017. Net income for the year ended December 31, 2018 includes a non-cash charge of $12.3 million related to an increase in fair value of the earnout liability assumed in connection with eHealth’s acquisition of GoMedigap. The increase is driven primarily by eHealth’s share price appreciation since the transaction closed in January of 2018. The share price appreciation has increased the value of the equity-based portion of the earnout consideration owed to the former holders of GoMedigap equity interests.

Segment Profit — Profit from our Medicare segment was $60.8 million for the year ended December 31, 2018, a 175% improvement compared to $22.1 million profit from Medicare segment for the year ended December 31, 2017. Profit from our Individual, Family and Small Business segment was $5.8 million for the year ended December 31, 2018, a 39% decrease compared to $9.6 million for the year ended December 31, 2017.

Non-GAAP — Full Year Results

Non-GAAP Operating Income & Non-GAAP Net Income — Non-GAAP operating income for the year ended December 31, 2018 was $31.2 million compared to $1.9 million non-GAAP operating income for the year ended December 31, 2017. Non-GAAP operating margin for the year ended December 31, 2018 was 12% compared to 1% for the year ended December 31, 2017. Non-GAAP net income for the year ended December 31, 2018 was $22.6 million, or $1.11 net income per diluted share, compared to $32.2 million non-GAAP net income, or $1.69 non-GAAP net income per diluted share, for the year ended December 31, 2017.    

Non-GAAP operating income, non-GAAP net income and non-GAAP net income per diluted share for the year ended December 31, 2018 exclude $12.3 million of stock-based compensation expense, a $1.9 million restructuring charge, $2.0 million of amortization of intangible assets, and a $12.3 million charge from the change in the fair value of the earnout liability related to the acquisition of GoMedigap, which was completed in January 2018. Non-GAAP operating income, non-GAAP net income and non-GAAP net income per diluted share for the year ended December 31, 2017 exclude $9.7 million of stock-based compensation expense, $0.6 million of acquisition costs related to our acquisition of GoMedigap, and $1.0 million of amortization of intangible assets.

Adjusted EBITDA — Adjusted EBITDA for the year ended December 31, 2018 was $33.7 million compared to $4.7 million for the year ended December 31, 2017. Adjusted EBITDA is calculated by adding stock-based compensation, depreciation and amortization expense, acquisition costs related to our acquisition of GoMedigap, restructuring charge, amortization of intangible assets, change in the fair value of the earnout liability related to the acquisition of GoMedigap, other income, net and provision (benefit) for income taxes to GAAP net income.

Submitted Applications and Approved Members

Submitted Applications — Submitted applications for all Medicare products, which includes Medicare Advantage, Medicare Supplement and Prescription Drug Plans were 264,903 applications in the year ended December 31, 2018, a 39% increase compared to 190,195 applications in the year ended December 31, 2017. Submitted applications for individual and family plan products decreased 56% in the year ended December 31, 2018 to 29,698 applications compared to 67,428 applications in the year ended December 31, 2017.

Approved Members — Approved members for all Medicare products, which includes Medicare Advantage, Medicare Supplement and Prescription Drug Plans were 239,688 members in the year ended December 31, 2018, a 36% increase compared to 175,665 members in the year ended December 31, 2017. Approved members for individual and family plan products decreased 46% in the year ended December 31, 2018 to 42,650 members compared to 78,553 members in the year ended December 31, 2017.






2019 Guidance

eHealth's guidance for the full year ending December 31, 2019 is based on information available as of February 21, 2019. These expectations are forward-looking statements, and eHealth assumes no obligation to update these statements. Actual results may be materially different and are affected by the risk factors and uncertainties identified in this release and in eHealth’s annual and quarterly filings with the Securities and Exchange Commission.

The following guidance is for the full year ending December 31, 2019.

Total revenue is expected to be in the range of $290 million to $310 million. Revenue from the Medicare segment is expected to be in the range of $256 million to $272 million. Revenue from the Individual, Family and Small Business segment is expected to be in the range of $34 million to $38 million.

GAAP net income per diluted share for 2019 is expected to be in the range of $0.60 to $0.79 per share.

Non-GAAP net income per diluted share(a) is expected to be in the range of $1.22 to $1.33 per share.

GAAP net income is expected to be in the range of $16.3 million to $21.3 million.

Adjusted EBITDA(b) is expected to be in the range of $45 million to $50 million.

2019 Medicare segment profit(c) is expected to be in the range of $80 million to $84 million and Individual, Family and Small Business segment profit is expected to be breakeven to $1 million.

Corporate(d) shared service expenses, excluding stock-based compensation and depreciation and amortization expense, is expected to be approximately $35 million.

Cash used in operations is expected to be in the range of $17 million to $20 million and cash used for capital expenditures is expected to be $13 million to $14 million.
 
(a) Non-GAAP net income per diluted share is calculated by adding stock-based compensation expense, change in fair value of earnout liability, acquisition costs, restructuring charges, intangible asset amortization expense and the income tax effect of these adjustments to GAAP net income.

 
(b) Adjusted EBITDA is calculated by adding stock-based compensation, depreciation and amortization expense, restructuring charges, acquisition costs, amortization of intangible assets, other income (expense), net and provision for income taxes to GAAP net income.

 
(c) Segment profit 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, depreciation and amortization expense 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, depreciation and amortization expense and amortization of intangible assets, allocated to the applicable segment based on usage.

 
(d) Corporate consists of other indirect General and Administrative operating expenses, excluding stock-based compensation and depreciation and amortization expense, which are managed in a corporate shared services environment and, since they are not the responsibility of segment operating management, are not allocated to the reportable segments.









Webcast and Conference Call Information

A Webcast and conference call will be held today, Thursday, February 21, 2019 at 5:00 p.m. Eastern / 2:00 p.m. Pacific Time.  The Webcast will be available live on the Investor Relations section on 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 9573983. 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 1988118. 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.

About eHealth, Inc.

eHealth, Inc. (NASDAQ: EHTH) operates eHealth.com, a leading private online health insurance exchange where individuals, families and small businesses can compare health insurance products from leading insurers side by side and purchase and enroll in coverage online. eHealth offers thousands of individual, family and small business health plans underwritten by many of the nation's leading health insurance companies. eHealth (through its subsidiaries) is licensed to sell health insurance in all 50 states and the District of Columbia. eHealth also offers educational resources and powerful online and pharmacy-based tools to help Medicare beneficiaries navigate Medicare health insurance options, choose the right plan and enroll in select plans online through PlanPrescriber.com (www.PlanPrescriber.com), eHealthMedicare.com (www.eHealthMedicare.com) and Medicare.com (www.Medicare.com) and GoMedigap.com (www.GoMedigap.com).

For more health insurance news and information, visit the eHealth consumer blog: Get Smart - Get Covered or visit eHealth's Consumer Resource Center.

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 statement regarding our vision and growth strategy for the Medicare market, our estimates regarding total membership, Medicare membership, Individual and Family plan membership, ancillary and small business membership, our estimates regarding constrained lifetime values of commissions per member and constraints on lifetime value by product category, and our guidance for the full year ending December 31, 2019, including our guidance for total revenue, revenue from the Medicare segment, revenue from the Individual, Family and Small Business segment, GAAP net income, Adjusted EBITDA, profit from the Medicare segment, profit from the Individual, Family and Small Business segment, Corporate shared service expense, GAAP net income per share, Non-GAAP net income per share, cash used in operations and cash used for capital expenditures.

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 the revenue recognition standard to make numerous assumptions that are based upon historical trends and management 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 section carefully as well as the disclosures about our implementation of the revenue recognition standard in our Form 10-Q for the fiscal quarters ended March 31, 2018, June 30, 2018 and September 30, 2018, as well as the recast consolidated financial statements for each of the three years in the period ended December 31, 2017 reflecting the adoption of the new revenue recognition standard in our Form 8-K filed on December 17, 2018.

The risks and uncertainties that could cause our results to differ materially from those expressed or implied by such forward-looking statements include risks associated with the impact of healthcare reform; our ability to retain existing members and enroll a large number of new members during the annual healthcare reform open enrollment period and Medicare annual enrollment period; the impact of annual enrollment period for the purchase of individual and family health insurance and its timing on our recognition of revenue; our ability to sell qualified health insurance plans to subsidy-eligible individuals and to enroll subsidy eligible individuals through government-run health insurance exchanges; changes in laws and regulations, including in connection with healthcare reform; our ability to successfully make and integrate acquisitions; our health insurance benefits and packages’ ability to meet individual customer’s specific health insurance and price needs; the success of our sale of short-term health insurance and benefit packages; our ability to comply with CMS guidance and impact on conversion rates as a result of the federal exchange changes to enrollment; competition, including competition from government-run health insurance exchanges; seasonality of our business and the fluctuation of our operating results; our ability to retain existing members and limit member turnover; changes in consumer behaviors and their selection of individual and family health insurance products, including the selection of products for which we receive lower commissions; a reduction of product





offerings among carriers and the resulting impact on our commission revenue; carriers exiting the market of selling individual and family health insurance and the resulting impact on our supply and commission revenue; our ability to execute on our growth strategy in the Medicare and small business health insurance markets; the impact of increased health insurance costs on demand; our ability to timely receive and accurately predict the amount of commission payments from health insurance carriers; timing of commission payments from health insurance carriers; medical loss ratio requirements; delays in our receipt of items required to recognize Medicare revenue; changes in member conversion rates; our ability to accurately estimate membership and lifetime value of commissions; 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 and retain 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; costs of acquiring new members; scalability of the Medicare business; lack of membership growth and retention rates; consumer satisfaction of our service; changes in competitive landscape; our ability to attract and to convert online visitors into paying members; changes in products offered on our ecommerce platform; changes and reductions in commission rates; our ability to maintain and enhance our brand identity; our ability to derive desired benefits from investments in our business, including membership growth initiatives; dependence on acceptance of the Internet as a marketplace for the purchase and sale of health insurance; 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; compliance with insurance and other laws and regulations; exposure to security risks and our ability to safeguard sensitive data; and the performance, reliability and availability of our ecommerce platform and underlying network infrastructure.  Other factors that could cause operating, financial and other results to differ are described in eHealth’s 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 eHealth’s 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 eHealth as of the date hereof, and eHealth does 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 in accordance with generally accepted accounting principles in the United States (GAAP), including Adjusted EBITDA. Adjusted EBITDA is calculated by adding stock-based compensation expense, depreciation and amortization expense, acquisition costs, amortization/impairment of intangible assets, other income (expense), net and provision (benefit) for income taxes to GAAP net income (loss).

eHealth believes that the presentation of these non-GAAP financial measures provide 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 provides 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.

Adjusted EBITDA is 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 purchased intangible asset amortization costs 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. Finance to confirm this sentence. eHealth compensates for these limitations by prominently disclosing GAAP net income (loss) and providing investors with reconciliations from eHealth’s GAAP operating results to the related non-GAAP financial measures for the relevant periods.






Investor Relations Contact:
Kate Sidorovich, CFA
Vice President Investor Relations
2625 Augustine Drive, Second Floor
Santa Clara, CA, 95054
(650) 584-2700
kate.sidorovich@ehealth.com
http://ir.ehealthinsurance.com

(Tables to Follow)









EHEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, unaudited)

 
December 31, 2018
 
December 31, 2017
Assets
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
13,089

 
$
40,293

Accounts receivable
3,601

 
1,475

Commissions receivable - current
134,190

 
109,666

Prepaid expenses and other current assets
5,288

 
4,305

Total current assets
156,168

 
155,739

Commissions receivable - non-current
211,668

 
169,751

Property and equipment, net
7,684

 
4,705

Other assets
11,276

 
7,287

Intangible assets, net
12,249

 
7,540

Goodwill
40,233

 
14,096

Total assets
$
439,278

 
$
359,118

Liabilities and stockholders’ equity
 
 
 
Current liabilities:
 
 
 
Accounts payable
$
5,688

 
$
3,246

Accrued compensation and benefits
20,763

 
15,498

Accrued marketing expenses
11,013

 
4,693

Earnout liability - current
20,730

 

Other current liabilities
2,425

 
2,008

Total current liabilities
60,619

 
25,445

Debt - non-current
5,000

 

Earnout liability - non-current
19,270

 

Deferred income taxes - non-current
47,901

 
45,089

Other non-current liabilities
3,339

 
1,920

Stockholders’ equity:
 
 
 
Common stock
31

 
30

Additional paid-in capital
298,024

 
281,706

Treasury stock, at cost
(199,998
)
 
(199,998
)
Retained earnings
204,965

 
204,724

Accumulated other comprehensive income
127

 
202

Total stockholders’ equity
303,149

 
286,664

Total liabilities and stockholders’ equity
$
439,278

 
$
359,118







EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share amounts, unaudited)


 
Three Months Ended December 31,
 
Year Ended
December 31,
 
2018
 
2017
 
2018
 
2017
Revenue:
 
 
 
 
 
 
 
Commission
$
122,244

 
$
76,056

 
$
227,211

 
$
176,883

Other
12,673

 
7,062

 
24,184

 
13,823

Total revenue
134,917

 
83,118

 
251,395

 
190,706

Operating costs and expenses:
 
 
 
 
 
 
 
Cost of revenue
755

 
354

 
1,228

 
582

Marketing and advertising
37,184

 
23,196

 
82,939

 
65,874

Customer care and enrollment
26,818

 
19,264

 
70,547

 
59,183

Technology and content
8,600

 
8,531

 
31,970

 
32,889

General and administrative
13,367

 
10,090

 
45,828

 
39,969

Acquisition costs

 
621

 
76

 
621

Change in fair value of earnout liability
6,000

 

 
12,300

 

Restructuring charge

 

 
1,865

 

Amortization of intangible assets
547

 
260

 
2,091

 
1,040

Total operating costs and expenses
93,271

 
62,316

 
248,844

 
200,158

Income (loss) from operations
41,646

 
20,802

 
2,551

 
(9,452
)
Other income (expense), net
(21
)
 
307

 
755

 
1,182

Income (loss) before provision (benefit) for income taxes
41,625

 
21,109

 
3,306

 
(8,270
)
Provision (benefit) for income taxes
15,554

 
(6,919
)
 
3,065

 
(33,696
)
Net income
$
26,071

 
$
28,028

 
$
241

 
$
25,426

 
 
 
 
 
 
 
 
Net income per share:
 
 
 

 
 
 
 

Basic
$
1.32

 
$
1.50

 
$
0.01

 
$
1.37

Diluted
$
1.25

 
$
1.47

 
$
0.01

 
$
1.33

 
 
 
 
 
 
 
 
Weighted-average number of shares used in per share amounts:
 
 
 
 
 
 
 
Basic
19,680

 
18,632

 
19,294

 
18,512

Diluted
20,897

 
19,025

 
20,409

 
19,047

 
 
 
 
 
 
 
 
(1) Includes stock-based compensation as follows:
 
 
 
 
 
 
 
Marketing and advertising
$
496

 
$
314

 
$
1,974

 
$
1,033

Customer care and enrollment
251

 
151

 
816

 
418

Technology and content
560

 
432

 
1,675

 
1,410

General and administrative
1,757

 
1,849

 
7,824

 
6,833

Restructuring

 

 
251

 

Total stock-based compensation expense
$
3,064

 
$
2,746

 
$
12,540

 
$
9,694






EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)

    
 
Three Months Ended December 31,
 
Year Ended
December 31,
 
2018
 
2017
 
2018
 
2017
Operating activities
 

 
 

 
 
 
 

Net income
$
26,071

 
$
28,028

 
$
241

 
$
25,426

Adjustments to reconcile net income to net cash used in operating activities:
 
 
 
 
 
 
 
Depreciation and amortization
609

 
625

 
2,479

 
2,837

Amortization of internally developed software
618

 
409

 
2,201

 
1,464

Amortization of intangible assets
547

 
260

 
2,091

 
1,040

Stock-based compensation expense
3,064

 
2,746

 
12,540

 
9,694

Deferred income taxes
15,491

 
(5,004
)
 
2,812

 
(30,341
)
Change in fair value of earnout liability
6,000

 

 
12,300

 

Other non-cash items
289

 
(12
)
 
675

 
(101
)
Changes in operating assets and liabilities:
 
 
 
 
 
 
 
Accounts receivable
(1,462
)
 
2,015

 
(2,127
)
 
473

Commissions receivable
(80,123
)
 
(44,224
)
 
(50,967
)
 
(21,640
)
Prepaid expenses and other assets
8,441

 
1,071

 
232

 
(1,933
)
Accounts payable
(99
)
 
(314
)
 
1,414

 
(1,866
)
Accrued compensation and benefits
7,214

 
4,619

 
5,133

 
4,578

Accrued marketing expenses
7,955

 
1,886

 
6,320

 
(3,365
)
Deferred revenue
(4,863
)
 
(2,686
)
 
491

 
(466
)
Other current liabilities
1,530

 
453

 
935

 
(1,341
)
Net cash used in operating activities
(8,718
)
 
(10,128
)
 
(3,230
)
 
(15,541
)
Investing activities
 
 
 
 
 
 
 
Capitalized internal-use software and website development costs
(1,950
)
 
(705
)
 
(6,294
)
 
(3,210
)
Purchases of property and equipment and other assets
(1,063
)
 
(385
)
 
(4,534
)
 
(1,868
)
Acquisition of business, net of cash acquired

 

 
(14,929
)
 

Net cash used in investing activities
(3,013
)
 
(1,090
)
 
(25,757
)
 
(5,078
)
Financing activities
 
 
 
 
 
 
 
Net proceeds from exercise of common stock options
658

 
858

 
2,688

 
1,037

Cash used to net-share settle equity awards
(1,106
)
 
(701
)
 
(4,504
)
 
(1,802
)
Proceeds from line of credit
5,000

 

 
5,000

 

Debt issuance costs
(49
)
 

 
(1,221
)
 

Principal payments in connection with capital leases
(25
)
 
(25
)
 
(103
)
 
(105
)
Net cash provided by (used in) financing activities
4,478

 
132

 
1,860

 
(870
)
Effect of exchange rate changes on cash and cash equivalents
(6
)
 
2

 
(77
)
 
1

Net decrease in cash and cash equivalents
(7,259
)
 
(11,084
)
 
(27,204
)
 
(21,488
)
Cash and cash equivalents at beginning of period
20,348

 
51,377

 
40,293

 
61,781

Cash and cash equivalents at end of period
$
13,089

 
$
40,293

 
$
13,089

 
$
40,293







EHEALTH, INC.
SEGMENT INFORMATION
(In thousands, unaudited)

 
Three Months Ended December 31,
 
Year Ended
December 31, 2018
 
2018
 
2017
 
2018
 
2017
Revenue
 
 
 
 
 
 
 
Medicare (1)
$
121,606

 
$
69,877

 
$
210,570

 
$
142,448

Individual, Family and Small Business (2)
13,311

 
13,241

 
40,825

 
48,258

Total revenue
$
134,917

 
$
83,118

 
$
251,395

 
$
190,706

 
 
 
 
 
 
 
 
Segment profit
 
 
 
 
 
 
 
Medicare segment profit (3)
$
58,671

 
$
30,875

 
$
60,844

 
$
22,137

Individual, Family and Small Business segment profit (3)
3,512

 
1,141

 
5,803

 
9,573

Total segment profit
62,183

 
32,016

 
66,647

 
31,710

Corporate (4)
(10,317
)
 
(6,962
)
 
(32,996
)
 
(26,970
)
Stock-based compensation expense
(3,064
)
 
(2,746
)
 
(12,289
)
 
(9,694
)
Depreciation and amortization
(609
)
 
(625
)
 
(2,479
)
 
(2,837
)
Change in fair value of earnout liability
(6,000
)
 
 
 
(12,300
)
 
 
Restructuring charges

 

 
(1,865
)
 

Acquisition costs

 
(621
)
 
(76
)
 
(621
)
Amortization of intangible assets
(547
)
 
(260
)
 
(2,091
)
 
(1,040
)
Other income (expense), net
(21
)
 
307

 
755

 
1,182

Income (loss) before provision (benefit) for income taxes
$
41,625

 
$
21,109

 
$
3,306

 
$
(8,270
)

Note:
We evaluate our business performance and manage our operations as two distinct reporting segments:
Medicare and
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, and to a lesser extent, ancillary products sold to our Medicare-eligible customers, including but not limited to, dental, vision, life, short term disability and long term disability insurance, our advertising program that allows Medicare-related carriers to purchase advertising on a separate website developed, hosted and maintained by us and our delivery and sale to third parties of Medicare-related health insurance leads generated by our ecommerce platforms and our marketing activities.
(2)
The Individual, Family and Small Business segment consists primarily of amounts earned from our sale of individual and family and small business health insurance plans and ancillary products sold to our non-Medicare-eligible customers, including but not limited to, dental, vision, life, short term disability and long term disability 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.
(3)
Segment profit 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, depreciation and amortization expense, restructuring charges, change in fair value of earnout liability, acquisition costs, 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, depreciation and amortization expense 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, depreciation and amortization expense, 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.






EHEALTH, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
(In thousands, except per share amounts, unaudited)

 
Three Months Ended December 31,
 
2018
 
2017
 
Amount
 
Percent of Total Revenue
 
Amount
 
Percent of Total Revenue
GAAP marketing and advertising expense
$
37,184

 
28%
 
$
23,196

 
28%
Stock-based compensation expense (1)
(496
)
 
—%
 
(314
)
 
—%
Non-GAAP marketing and advertising expense
$
36,688

 
27%
 
$
22,882

 
28%
 
 
 
 
 
 
 
 
GAAP customer care and enrollment expense
$
26,818

 
20%
 
$
19,264

 
23%
Stock-based compensation expense (1)
(251
)
 
—%
 
(151
)
 
—%
Non-GAAP customer care and enrollment expense
$
26,567

 
20%
 
$
19,113

 
23%
 
 
 
 
 
 
 
 
GAAP technology and content expense
$
8,600

 
6%
 
$
8,531

 
10%
Stock-based compensation expense (1)
(560
)
 
—%
 
(432
)
 
(1)%
Non-GAAP technology and content expense
$
8,040

 
6%
 
$
8,099

 
10%
 
 
 
 
 
 
 
 
GAAP general and administrative expense
$
13,367

 
10%
 
$
10,090

 
12%
Stock-based compensation expense (1)
(1,757
)
 
(1)%
 
(1,849
)
 
(2)%
Non-GAAP general and administrative expense
$
11,610

 
9%
 
$
8,241

 
10%
 
 
 
 
 
 
 
 
GAAP income from operations
$
41,646

 
31%
 
$
20,802

 
25%
Stock-based compensation expense (1)
3,064

 
2%
 
2,746

 
3%
Acquisition costs (2)

 
—%
 
621

 
1%
Amortization of intangible assets (3)
547

 
—%
 
260

 
—%
     Change in fair value of earnout liability (4)
6,000

 
4%
 

 
—%
Non-GAAP income from operations
$
51,257

 
38%
 
$
24,429

 
29%

Explanation of adjustments
(1)
Non-GAAP income from operations and non-GAAP expenses exclude the effect of expensing stock-based compensation related to stock options and restricted stock units.
(2)
Non-GAAP income from operations excludes costs related to the acquisition of GoMedigap, which was completed in January 2018.
(3)
Non-GAAP income from operations excludes amortization of intangible assets.
(4)
Non-GAAP income from operations excludes the change in fair value of earnout liability related to the acquisition of GoMedigap, which was completed in January 2018.








EHEALTH, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
(In thousands, except per share amounts, unaudited)

 
Year Ended December 31,
 
2018
 
2017
 
Amount
 
Percent of Total Revenue
 
Amount
 
Percent of Total Revenue
GAAP marketing and advertising expense
$
82,939

 
33%
 
$
65,874

 
35%
Stock-based compensation expense (1)
(1,974
)
 
(1)%
 
(1,033
)
 
(1)%
Non-GAAP marketing and advertising expense
$
80,965

 
32%
 
$
64,841

 
34%
 
 
 
 
 
 
 
 
GAAP customer care and enrollment expense
$
70,547

 
28%
 
$
59,183

 
31%
Stock-based compensation expense (1)
(816
)
 
—%
 
(418
)
 
—%
Non-GAAP customer care and enrollment expense
$
69,731

 
28%
 
$
58,765

 
31%
 
 
 
 
 
 
 
 
GAAP technology and content expense
$
31,970

 
13%
 
$
32,889

 
17%
Stock-based compensation expense (1)
(1,675
)
 
(1)%
 
(1,410
)
 
(1)%
Non-GAAP technology and content expense
$
30,295

 
12%
 
$
31,479

 
17%
 
 
 
 
 
 
 
 
GAAP general and administrative expense
$
45,828

 
18%
 
$
39,969

 
21%
Stock-based compensation expense (1)
(7,824
)
 
(3)%
 
(6,833
)
 
(4)%
Non-GAAP general and administrative expense
$
38,004

 
15%
 
$
33,136

 
17%
 
 
 
 
 
 
 
 
GAAP income (loss) from operations
$
2,551

 
1%
 
$
(9,452
)
 
(5)%
Stock-based compensation expense (1)
12,289

 
5%
 
9,694

 
5%
Acquisition costs (2)
76

 
—%
 
621

 
—%
Restructuring charge (3)
1,865

 
1%
 

 
—%
Amortization of intangible assets (4)
2,091

 
1%
 
1,040

 
1%
Change in fair value of earnout liability (5)
12,300

 
5%
 

 
—%
Non-GAAP income from operations
$
31,172

 
12%
 
$
1,903

 
1%

Explanation of adjustments
(1)
Non-GAAP income from operations and non-GAAP expenses exclude the effect of expensing stock-based compensation related to stock options and restricted stock units.
(2)
Non-GAAP income from operations excludes costs related to the acquisition of GoMedigap, which was completed in January 2018.
(3)
Non-GAAP income from operations excludes restructuring charge.
(4)
Non-GAAP income from operations excludes amortization of intangible assets.
(5)
Non-GAAP income from operations excludes the change in fair value of earnout liability related to the acquisition of GoMedigap, which was completed in January 2018.








EHEALTH, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
(In thousands, except per share amounts, unaudited)


 
Three Months Ended
December 31,
 
2018
 
2017
GAAP net income
$
26,071

 
$
28,028

Stock-based compensation expense (1)
3,064

 
2,746

Acquisition costs (2)

 
621

Restructuring charge (3)

 

Amortization of intangible assets (4)
547

 
260

     Change in fair value of earnout liability (5)
6,000

 

     Provision (benefit) for income taxes (6)
(2,089
)
 
(1,478
)
Non-GAAP net income
$
33,593

 
$
30,177

 
 
 
 
GAAP net income per diluted share
$
1.25

 
$
1.47

Stock-based compensation expense (1)
0.15

 
0.14

Acquisition costs (2)

 
0.03

Restructuring charge (3)

 

Amortization of intangible assets (4)
0.03

 
0.01

Change in fair value of earnout liability (5)
0.29

 

     Provision (benefit) for income taxes (6)
(0.11
)
 
(0.08
)
Non-GAAP net income per diluted share
$
1.61

 
$
1.57

 
 
 
 
GAAP net income
$
26,071

 
$
28,028

Stock-based compensation expense (1)
3,064

 
2,746

Depreciation and amortization (8)
609

 
625

Acquisition costs (2)

 
621

Restructuring charge (3)

 

Amortization of intangible assets (4)
547

 
260

Change in fair value of earnout liability (5)
6,000

 

Other (income) expense, net (7)
21

 
(307
)
Provision (benefit) for income taxes (6)
15,554

 
(6,919
)
Adjusted EBITDA
$
51,866

 
$
25,054








 
Year Ended
December 31,
 
2018
 
2017
GAAP net income
$
241

 
$
25,426

Stock-based compensation expense (1)
12,289

 
9,694

Acquisition costs (2)
76

 
621

Restructuring charge (3)
1,865

 

Amortization of intangible assets (4)
2,091

 
1,040

     Change in fair value of earnout liability (5)
12,300

 

     Provision (benefit) for income taxes (6)
(6,220
)
 
(4,628
)
Non-GAAP net income
$
22,642

 
$
32,153

 
 
 
 
GAAP net income per diluted share
$
0.01

 
$
1.33

Stock-based compensation expense (1)
0.60

 
0.51

Acquisition costs (2)

 
0.03

Restructuring benefit (3)
0.09

 

Amortization of intangible assets (4)
0.10

 
0.05

Change in fair value of earnout liability (5)
0.60

 

     Provision for income taxes (6)
(0.29
)
 
(0.24
)
Non-GAAP net income per diluted share
$
1.11

 
$
1.69

 
 
 
 
GAAP net income
$
241

 
$
25,426

Stock-based compensation expense (1)
12,289

 
9,694

Depreciation and amortization (8)
2,479

 
2,837

Acquisition costs (2)
76

 
621

Restructuring charge (3)
1,865

 

Amortization of intangible assets (4)
2,091

 
1,040

Change in fair value of earnout liability (5)
12,300

 

Other income, net (7)
(755
)
 
(1,182
)
Provision (benefit) for income taxes (6)
3,065

 
(33,696
)
Adjusted EBITDA
$
33,651

 
$
4,740


    
Explanation of adjustments
(1)
Non-GAAP net income, Non-GAAP net income per diluted share and Adjusted EBITDA exclude the effect of expensing stock-based compensation related to stock options and restricted stock units.
(2)
Non-GAAP net income, Non-GAAP net income per diluted share and Adjusted EBITDA exclude costs related to the acquisition of GoMedigap, which was completed in January 2018.
(3)
Non-GAAP net income, Non-GAAP net income per diluted share and Adjusted EBITDA exclude restructuring charge.
(4)
Non-GAAP net income, Non-GAAP net income per diluted share and Adjusted EBITDA exclude amortization of intangible assets.
(5)
Non-GAAP net income, Non-GAAP net income per diluted share and Adjusted EBITDA exclude the change in fair value of earnout liability related to the acquisition of GoMedigap, which was completed in January 2018.
(6)
Non-GAAP net income, Non-GAAP net income per diluted share and Adjusted EBITDA exclude provision (benefit) for income taxes.
(7)
Adjusted EBITDA excludes other income, net.
(8)
Adjusted EBITDA excludes depreciation and amortization expense.












EHEALTH, INC.
SUMMARY OF SELECTED METRICS
COMMISSION REVENUE BY PRODUCT
(In thousands, unaudited)
 
Three Months Ended
 
 
 
Year Ended
 
 
 
December 31,
 
 
 
December 31,
 
 
 
2018
 
2017
 
Percent Change
 
2018
 
2017
 
Percent Change
Medicare
 
 
 
 
 
 
 
 
 
 
 
Medicare Advantage
$
85,797

 
$
52,143

 
65
 %
 
$
143,445

 
$
107,567

 
33
 %
Medicare Supplement
12,860

 
5,193

 
148
 %
 
31,166

 
15,436

 
102
 %
Medicare Part D
11,730

 
7,527

 
56
 %
 
14,609

 
11,085

 
32
 %
Total Medicare
110,387

 
64,863

 
70
 %
 
189,220

 
134,088

 
41
 %
 
 
 
 
 
 
 
 
 
 
 
 
Individual and Family (1)
 
 
 
 
 
 
 
 
 
 
 
Non-Qualified Health Plans
3,084

 
2,598

 
19
 %
 
6,470

 
10,024

 
(35
)%
Qualified Health Plans
783

 
966

 
(19
)%
 
5,789

 
7,055

 
(18
)%
Total Individual and Family
3,867

 
3,564

 
9
 %
 
12,259

 
17,079

 
(28
)%
 
 
 
 
 
 
 
 
 
 
 
 
Ancillary
 
 
 
 
 
 
 
 
 
 
 
Short-term
1,340

 
1,223

 
10
 %
 
5,583

 
5,503

 
1
 %
Dental
1,106

 
1,254

 
(12
)%
 
2,717

 
5,062

 
(46
)%
Vision
610

 
470

 
30
 %
 
1,467

 
1,607

 
(9
)%
Other
1,282

 
1,307

 
(2
)%
 
4,941

 
3,877

 
27
 %
Total Ancillary
4,338

 
4,254

 
2
 %
 
14,708

 
16,049

 
(8
)%
 
 
 
 
 
 
 
 
 
 
 
 
Small Business
2,768

 
2,539

 
9
 %
 
8,595

 
7,501

 
15
 %
 
 
 
 
 
 
 
 
 
 
 
 
Commission Bonus
884

 
836

 
6
 %
 
2,429

 
2,166

 
12
 %
 
 
 
 
 
 
 
 
 
 
 
 
Total Commission Revenue
$
122,244

 
$
76,056

 
61
 %
 
$
227,211

 
$
176,883

 
28
 %

(1)
We define our Individual and Family Plan offerings as major medical individual and family health insurance plans, which does not include Medicare-related, small business or ancillary plans. Individual and family health insurance plans include both Qualified and Non-Qualified plans. Qualified health plans are individual and family health insurance plans that meet the requirements of the Affordable Care Act and are offered through the government-run health insurance exchange in the relevant jurisdiction. Non-Qualified health plans are individual and family health insurance plans that meet the requirements of the Affordable Care Act and are not offered through the exchange in the relevant jurisdiction. Individuals who purchase Non-Qualified health plans cannot receive a subsidy in connection with the purchase of those plans.






EHEALTH, INC.
SUMMARY OF SELECTED METRICS
SUBMITTED APPLICATIONS
(Unaudited)

 
Three Months Ended
 
 
 
Year Ended
 
 
 
December 31,
 
 
 
December 31,
 
 
 
2018
 
2017
 
Percent Change
 
2018
 
2017
 
Percent Change
Medicare (1)
 
 
 
 
 
 
 
 
 
 
 
Medicare Advantage
90,693

 
60,109

 
51
 %
 
159,753

 
125,989

 
27
 %
Medicare Supplement
18,072

 
8,126

 
122
 %
 
40,252

 
21,401

 
88
 %
Medicare Part D
53,451

 
30,591

 
75
 %
 
64,898

 
42,805

 
52
 %
Total Medicare
162,216

 
98,826

 
64
 %
 
264,903

 
190,195

 
39
 %
 
 
 
 
 
 
 
 
 
 
 
 
Individual and Family (2)
 
 
 
 
 
 
 
 
 
 
 
Non-Qualified Health Plans
12,161

 
17,871

 
(32
)%
 
18,580

 
40,274

 
(54
)%
Qualified Health Plans
6,959

 
16,994

 
(59
)%
 
11,118

 
27,154

 
(59
)%
Total Individual and Family
19,120

 
34,865

 
(45
)%
 
29,698

 
67,428

 
(56
)%
 
 
 
 
 
 
 
 
 
 
 
 
Ancillary (3)
 
 
 
 
 
 
 
 
 
 
 
Short-term
26,969

 
20,219

 
33
 %
 
102,608

 
93,445

 
10
 %
Dental
14,645

 
15,817

 
(7
)%
 
46,073

 
70,452

 
(35
)%
Vision
8,288

 
7,470

 
11
 %
 
22,399

 
29,468

 
(24
)%
Other
9,656

 
15,531

 
(38
)%
 
42,415

 
34,788

 
22
 %
Total Ancillary
59,558

 
59,037

 
1
 %
 
213,495

 
228,153

 
(6
)%
 
 
 
 
 
 
 
 
 
 
 
 
Small Business (4)
3,458

 
2,777

 
25
 %
 
8,693

 
6,458

 
35
 %
 
 
 
 
 
 
 
 
 
 
 
 
Total Submitted Applications
244,352

 
195,505

 
25
 %
 
516,789

 
492,234

 
5
 %

Submitted Applications

Applications are counted as submitted when the applicant completes the application and either clicks the submit button on our website or provides verbal authorization to submit the application. The applicant may have additional actions to take before the application will be reviewed by the insurance carrier, such as providing additional information. In addition, an applicant may submit more than one application.

(1)
Medicare-related health insurance applications submitted on our website or through our customer care center during the period, including Medicare Advantage, Medicare Part D prescription drug and Medicare Supplement plans.
(2)
Major medical Individual and Family plan ("IFP") health insurance applications submitted on our website during the period. An applicant may submit more than one application. We define our IFP offerings as major medical individual and family health insurance plans, which does not include Medicare-related, small business or ancillary plans.
(3)
Ancillary Plans consists primarily of short-term, dental and vision insurance plans submitted on our website during the period.
(4)
Applications for small business health insurance applications are counted as submitted when the applicant completes the application, the employees complete their applications, the applicant submits the application to us and we submit the application to the carrier.








EHEALTH, INC.
SUMMARY OF SELECTED METRICS
APPROVED MEMBERS
(Unaudited)

 
Three Months Ended
 
 
 
Year Ended
 
 
 
December 31,
 
 
 
December 31,
 
 
 
2018
 
2017
 
Percent Change
 
2018
 
2017
 
Percent Change
Medicare
 
 
 
 
 
 
 
 
 
 
 
Medicare Advantage
83,376

 
55,125

 
51
 %
 
148,478

 
118,055

 
26
 %
Medicare Supplement
12,170

 
5,064

 
140
 %
 
29,837

 
15,992

 
87
 %
Medicare Part D
50,143

 
29,058

 
73
 %
 
61,373

 
41,618

 
47
 %
Total Medicare
145,689

 
89,247

 
63
 %
 
239,688

 
175,665

 
36
 %
 
 
 
 
 
 
 
 
 
 
 
 
Individual and Family
 
 
 
 
 
 
 
 
 
 
 
Non-Qualified Health Plans
11,360

 
17,398

 
(35
)%
 
23,075

 
50,111

 
(54
)%
Qualified Health Plans
3,092

 
6,986

 
(56
)%
 
19,575

 
28,442

 
(31
)%
Total Individual and Family
14,452

 
24,384

 
(41
)%
 
42,650

 
78,553

 
(46
)%
 
 
 
 
 
 
 
 
 
 
 
 
Ancillary
 
 
 
 
 
 
 
 
 
 
 
Short-term
28,163

 
21,269

 
32
 %
 
107,846

 
85,106

 
27
 %
Dental
14,623

 
13,871

 
5
 %
 
47,343

 
67,924

 
(30
)%
Vision
9,060

 
7,820

 
16
 %
 
24,638

 
31,360

 
(21
)%
Other
8,053

 
8,980

 
(10
)%
 
33,500

 
26,485

 
26
 %
Total Ancillaries
59,899

 
51,940

 
15
 %
 
213,327

 
210,875

 
1
 %
 
 
 
 
 
 
 
 
 
 
 
 
Small Business
7,537

 
6,502

 
16
 %
 
19,550

 
15,302

 
28
 %
 
 
 
 
 
 
 
 
 
 
 
 
Total Approved Members
227,577

 
172,073

 
32
 %
 
515,215

 
480,395

 
7
 %

Approved Members
Approved Members represents the number of individuals on submitted applications that were approved by the relevant insurance carrier for the identified product during the relevant period. Approved members may not pay for their plan and become paying members.








EHEALTH, INC.
SUMMARY OF SELECTED METRICS
ESTIMATED MEMBERSHIP
(Unaudited)

 
As of
 
 
 
December 31,
 
 
 
2018
 
2017
 
Percent Change
Medicare (1)
 
 
 
 
 
Medicare Advantage
276,357

 
236,857

 
17
 %
Medicare Supplement
70,426

 
33,635

 
109
 %
Medicare Part D
139,907

 
114,362

 
22
 %
Total Medicare
486,690

 
384,854

 
26
 %
 
 
 
 
 
 
Individual and Family (2)
151,904

 
224,396

 
(32
)%
 
 
 
 
 
 
Ancillary (3)
 
 
 
 
 
Short-term
24,192

 
16,771

 
44
 %
Dental
138,916

 
170,078

 
(18
)%
Vision
73,987

 
80,738

 
(8
)%
Other
38,136

 
28,356

 
34
 %
Total Ancillaries
275,231

 
295,943

 
(7
)%
 
 
 
 
 
 
Small Business (4)
39,101

 
31,702

 
23
 %
 
 
 
 
 
 
Total Estimated Membership
952,926

 
936,895

 
2
 %

Estimated Membership
Estimated membership represents the estimated number of members active as of the date indicated based on the number of members for whom we have received or applied a commission payment during the month of estimation.
(1)
For 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 is up to two 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 from the same month of the previous year 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. Estimated number of members active on Medicare-related health insurance as of the date indicated based on 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, 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 is up to six 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 by the percentage of members who do not accept their approved policy from the same month of the previous year 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. For IFP health insurance plans, 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.






EHEALTH, INC.
SUMMARY OF SELECTED METRICS
ESTIMATED MEMBERSHIP (Continued)
(Unaudited)

(3)
For 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 is 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 from the same month of the previous year 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 payments and related reporting from the related carriers.
(4)
For small business health insurance plans, we estimate the number of members using the number of initial members at the time the group is approved, and we update this number for changes in membership if such changes are reported to us by the group or carrier in the period it is reported. 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.

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 policies do so by discontinuing their premium payments to the carrier 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. 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. Health care reform and its impacts as well as other factors 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.






EHEALTH, INC.
SUMMARY OF SELECTED METRICS
CONSTRAINED LIFETIME VALUE OF
COMMISSIONS PER APPROVED MEMBER
(Unaudited)