tax benefits from the expected utilization of amic 's net operating loss carryforwards expiring in 2020 and 2021. earnings expectations decreased relative to the remaining period that amic 's net operating loss carryforwards are available to offset income and therefore necessitated an increase in the valuation allowance ;  consolidated investment yields ( on an annualized basis ) of 3.0 % in both 2019 and 2018 ; and  book value of $ 30.92 per common share at december 31 , 2019 compared to $ 30.16 at december 31 , 2018. the following is a summary of key performance information by segment :  the specialty health segment reported $ 7.8 million of income before taxes for the year ended december 31 , 2019 compared to $ 28.7 million for the comparable period in 2018. the decrease in 2019 when compared to 2018 is primarily due to lower premium volume in the fixed indemnity limited benefit line , which has lower loss ratios than other lines of business , as well as less favorable prior year loss development in the short-term medical and fixed indemnity limited benefit lines of business . additionally , the 2019 results of this segment include increased costs related to overall infrastructure improvements in lead generation capabilities and sales automation platforms at ihc specialty benefits , inc. , the write-off of an equity method investment and bad debt expense . results for comparable 2018 periods included more favorable development from prior periods mostly on short term medical and fixed indemnity limited benefit business ; 36 o premiums earned decreased 3.5 % or $ 6.5 million for the year ended december 31 , 2019 over the comparable period in 2018. increased premiums from the pet and short-term medical business were more than offset by decreased premiums in fixed indemnity limited benefit business ; o underwriting experience , as indicated by its u.s. gaap combined ratios , for the specialty health segment are as follows for the years indicated ( in thousands ) : replace_table_token_5_th ( a ) loss ratio represents insurance benefits claims and reserves divided by premiums earned . ( b ) expense ratio represents net commissions , administrative fees , premium taxes and other underwriting expenses divided by premiums earned . ( c ) the combined ratio is equal to the sum of the loss ratio and the expenses ratio . o the higher loss ratios in 2019 were as a result of less favorable prior period development than in 2018. the lower expense ratio in 2019 is primarily due to changes in the mix of products in the specialty health segment .  income before taxes from the group disability , life , dbl and pfl segment increased $ 2.9 million in 2019 compared to prior year results primarily due a decrease in dbl claim reserves . the december 2019 and 2018 financial results include benefits for a potential risk adjustment payment of $ 10.7 million and $ 7.0 million , respectively , associated with the company 's pfl product due to estimated amounts that the company has to pay into the new york state adjustment pool as a result of ihc 's experience with pfl being significantly better than that of the industry as a whole . this amount will be trued-up during 2020 when state industry claims experience is made available ;  the individual life , annuities and other segment in run-off reported losses before income taxes of $ 1.4 million in 2019 compared with losses of $ 0.4 million in 2018 ;  the medical stop-loss segment reported an insignificant amount of income before taxes for the years ended december 31 , 2019 and 2018. amounts recorded for investment income , and benefits , claims and reserves in the medical stop-loss segment represent the activity of the remaining reserves of medical stop-loss business in run-off ; and  loss before tax from the corporate segment for the year ended december 31 , 2019 decreased $ 1.6 million over the same period in 2018 primarily due to higher income from equity investments , partially offset by increased expenses due to changes in compensation and related costs . 37  premiums by principal product for the years indicated are as follows ( in thousands ) : replace_table_token_6_th replace_table_token_7_th information pertaining to the company 's business segments is provided in note 18 of notes to consolidated financial statements included in item 8. critical accounting policies the accounting and reporting policies of the company conform to u.s. gaap . the preparation of the consolidated financial statements in conformity with u.s. gaap requires the company 's management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes . actual results could differ from those estimates . a summary of the company 's significant accounting policies and practices is provided in note 1 of the notes to the consolidated financial statements included in item 8 of this report . management has identified the accounting policies described below as those that , due to the judgments , estimates and assumptions inherent in those policies , are critical to an understanding of the company 's consolidated financial statements and this management 's discussion and analysis . insurance premium revenue recognition and policy charges premiums for short-duration medical insurance contracts are intended to cover expected claim costs resulting from insured events that occur during a fixed period of short duration . the company has the ability to not renew the contract or to revise the premium rates at the end of each annual contract period to cover future insured events . insurance premiums from annual health contracts are collected monthly and are recognized as revenue evenly as insurance protection is provided . premiums related to long-term and short-term disability contracts are recognized on a pro rata basis over the applicable contract term . story_separator_special_tag if the company intends to sell a debt security , or it is more likely than not that it would be required to sell a debt security before the recovery of its amortized cost basis , the entire difference between the security 's amortized cost basis and its fair value at the balance sheet date would be recognized by a charge to total other-than-temporary impairment losses in the consolidated statement of income . if a decline in fair value of a debt security is judged by management to be other-than-temporary and ; ( i ) the company does not intend to sell the security ; and ( ii ) it is not more likely than not that it will be required to sell the security prior to recovery of the security 's amortized cost , the company assesses whether the present value of the cash flows to be collected from the security is less than its amortized cost basis . to the extent that the present value of the cash flows generated by a debt security is less than the amortized cost basis , a credit loss exists . for any such security , the impairment is bifurcated into ( a ) the amount of the total impairment related to the credit loss , and ( b ) the amount of the total impairment related to all other factors . the amount of the other-than-temporary impairment related to the credit loss is recognized by a charge to total other-than-temporary impairment losses in the consolidated statement of income , establishing a new cost basis for the security . the amount of the other-than-temporary impairment related to all other factors is recognized in other comprehensive income ( loss ) . it is reasonably possible that further declines in estimated fair values of such investments , or changes in assumptions or estimates of anticipated recoveries and or cash flows , may cause further other-than-temporary impairments in the near term , which could be significant . in assessing corporate debt securities for other-than-temporary impairment , the company evaluates the ability of the issuer to meet its debt obligations and the value of the company or specific collateral securing the debt position . for mortgage-backed securities where loan level data is not available , the company uses a cash flow model based on the collateral characteristics . assumptions about loss severity and defaults used in the model are primarily based on actual losses experienced and defaults in the collateral pool . prepayment speeds , both actual and estimated , are also considered . the cash flows generated by the collateral securing these securities are then determined with these default , loss severity and prepayment assumptions . these collateral cash flows are then utilized , along with consideration for the issue 's position in the overall structure , to determine the cash flows associated with the mortgage-backed security held by 43 the company . in addition , the company evaluates other asset-backed securities for other-than-temporary impairment by examining similar characteristics referenced above for mortgage-backed securities . the company evaluates u.s. treasury securities and obligations of u.s. government corporations , u.s. government agencies , and obligations of states and political subdivisions for other-than-temporary impairment by examining the terms and collateral of the security . for the purpose of other-than-temporary impairment evaluations , redeemable preferred stocks are evaluated in a manner similar to debt securities . goodwill and other intangible assets goodwill carrying amounts are evaluated for impairment , at least annually , at the reporting unit level that is equivalent to an operating segment . if the fair value of a reporting unit is less than its carrying amount , further evaluation is required to determine if a write-down of goodwill is required . in determining the fair value of each reporting unit , we used an income approach , applying a discounted cash flow method that included a residual value . based on historical experience , we make assumptions as to : ( i ) expected future performance and future economic conditions , ( ii ) projected operating earnings , ( iii ) projected new and renewal business as well as profit margins on such business , and ( iv ) a discount rate that incorporated an appropriate risk level for the reporting unit . any impairment of goodwill would be charged to expense . no impairment charge for goodwill was required in 2019 or 2018. other intangible assets are amortized to expense over their estimated useful lives and are subject to impairment testing . any impairment of other intangible assets would be charged to expense . no impairment charges for intangible assets were required in 2019 or 2018. deferred income taxes the provision for deferred income taxes is based on the asset and liability method of accounting for income taxes . under this method , deferred income taxes are recognized by applying enacted statutory tax rates to temporary differences between amounts reported in the consolidated financial statements and the tax bases of existing assets and liabilities in the years in which those temporary differences are expected to be recovered or settled . a valuation allowance is recognized for the portion of deferred tax assets that , in management 's judgment , is not likely to be realized . a liability for uncertain tax positions is recorded when it is more likely than not that a tax position will not be sustained upon examination by taxing authorities . the effect on deferred income taxes of a change in tax rates or laws is recognized in income tax expense in the period that includes the enactment date . 44 results of operations results of operations for the year ended december 31 , 2019 compared to the year ended december 31 , 2018 information by business segment for the periods indicated is as follows ( in thousands ) : replace_table_token_10_th replace_table_token_11_th premiums earned in 2019 , premiums earned increased $ 17.5 million over the comparable period of 2018.

cash flows the company had $ 24.6 million and $ 30.8 million of cash , cash equivalents and restricted cash as of december 31 , 2019 and 2018 , respectively . operating activities provided $ 39.2 million of cash and investment activities utilized $ 27.1 million of cash , primarily the result of purchases of investment securities , $ 8.0 million utilized for business acquisitions and $ 8.0 million in other investments . financing activities utilized $ 18.2 million of cash , of 47 which $ 5.2 million related to common stock dividend payments , $ 4.7 million was utilized to acquire noncontrolling interests in subsidiaries , $ 4.1 million was utilized for treasury share purchases , and $ 2.4 million related to payments for tax withholdings on share-based compensation . at december 31 , 2019 , the company had $ 526.3 million of insurance liabilities that it expects to ultimately pay out of current assets and cash flows from future business . if necessary , the company could utilize the cash received from maturities and repayments of its fixed maturity investments if the timing of claim payments associated with the company 's insurance resources does not coincide with future cash flows . for the year ended december 31 , 2019 , cash received from the maturities and other repayments of fixed maturities was $ 86.5 million . the company believes it has sufficient cash to meet its currently anticipated business requirements over the next twelve months including working capital requirements and capital investments . balance sheet the company had receivables from reinsurers of $ 363.0 million at december 31 , 2019 compared to $ 368.7 million at december 31 , 2018. all of such reinsurance receivables are from highly rated companies or are adequately secured .


 Write a concise suspicious activity report of the following text delimited by triple backquotes. Return your response as a formal report which covers the key points highlighting the location,dates,entity names and account holder information in chronological order of the text.
     ```cash flows the company had $ 24.6 million and $ 30.8 million of cash , cash equivalents and restricted cash as of december 31 , 2019 and 2018 , respectively . operating activities provided $ 39.2 million of cash and investment activities utilized $ 27.1 million of cash , primarily the result of purchases of investment securities , $ 8.0 million utilized for business acquisitions and $ 8.0 million in other investments . financing activities utilized $ 18.2 million of cash , of 47 which $ 5.2 million related to common stock dividend payments , $ 4.7 million was utilized to acquire noncontrolling interests in subsidiaries , $ 4.1 million was utilized for treasury share purchases , and $ 2.4 million related to payments for tax withholdings on share-based compensation . at december 31 , 2019 , the company had $ 526.3 million of insurance liabilities that it expects to ultimately pay out of current assets and cash flows from future business . if necessary , the company could utilize the cash received from maturities and repayments of its fixed maturity investments if the timing of claim payments associated with the company 's insurance resources does not coincide with future cash flows . for the year ended december 31 , 2019 , cash received from the maturities and other repayments of fixed maturities was $ 86.5 million . the company believes it has sufficient cash to meet its currently anticipated business requirements over the next twelve months including working capital requirements and capital investments . balance sheet the company had receivables from reinsurers of $ 363.0 million at december 31 , 2019 compared to $ 368.7 million at december 31 , 2018. all of such reinsurance receivables are from highly rated companies or are adequately secured .
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 Suspicious Activity Report : tax benefits from the expected utilization of amic 's net operating loss carryforwards expiring in 2020 and 2021. earnings expectations decreased relative to the remaining period that amic 's net operating loss carryforwards are available to offset income and therefore necessitated an increase in the valuation allowance ;  consolidated investment yields ( on an annualized basis ) of 3.0 % in both 2019 and 2018 ; and  book value of $ 30.92 per common share at december 31 , 2019 compared to $ 30.16 at december 31 , 2018. the following is a summary of key performance information by segment :  the specialty health segment reported $ 7.8 million of income before taxes for the year ended december 31 , 2019 compared to $ 28.7 million for the comparable period in 2018. the decrease in 2019 when compared to 2018 is primarily due to lower premium volume in the fixed indemnity limited benefit line , which has lower loss ratios than other lines of business , as well as less favorable prior year loss development in the short-term medical and fixed indemnity limited benefit lines of business . additionally , the 2019 results of this segment include increased costs related to overall infrastructure improvements in lead generation capabilities and sales automation platforms at ihc specialty benefits , inc. , the write-off of an equity method investment and bad debt expense . results for comparable 2018 periods included more favorable development from prior periods mostly on short term medical and fixed indemnity limited benefit business ; 36 o premiums earned decreased 3.5 % or $ 6.5 million for the year ended december 31 , 2019 over the comparable period in 2018. increased premiums from the pet and short-term medical business were more than offset by decreased premiums in fixed indemnity limited benefit business ; o underwriting experience , as indicated by its u.s. gaap combined ratios , for the specialty health segment are as follows for the years indicated ( in thousands ) : replace_table_token_5_th ( a ) loss ratio represents insurance benefits claims and reserves divided by premiums earned . ( b ) expense ratio represents net commissions , administrative fees , premium taxes and other underwriting expenses divided by premiums earned . ( c ) the combined ratio is equal to the sum of the loss ratio and the expenses ratio . o the higher loss ratios in 2019 were as a result of less favorable prior period development than in 2018. the lower expense ratio in 2019 is primarily due to changes in the mix of products in the specialty health segment .  income before taxes from the group disability , life , dbl and pfl segment increased $ 2.9 million in 2019 compared to prior year results primarily due a decrease in dbl claim reserves . the december 2019 and 2018 financial results include benefits for a potential risk adjustment payment of $ 10.7 million and $ 7.0 million , respectively , associated with the company 's pfl product due to estimated amounts that the company has to pay into the new york state adjustment pool as a result of ihc 's experience with pfl being significantly better than that of the industry as a whole . this amount will be trued-up during 2020 when state industry claims experience is made available ;  the individual life , annuities and other segment in run-off reported losses before income taxes of $ 1.4 million in 2019 compared with losses of $ 0.4 million in 2018 ;  the medical stop-loss segment reported an insignificant amount of income before taxes for the years ended december 31 , 2019 and 2018. amounts recorded for investment income , and benefits , claims and reserves in the medical stop-loss segment represent the activity of the remaining reserves of medical stop-loss business in run-off ; and  loss before tax from the corporate segment for the year ended december 31 , 2019 decreased $ 1.6 million over the same period in 2018 primarily due to higher income from equity investments , partially offset by increased expenses due to changes in compensation and related costs . 37  premiums by principal product for the years indicated are as follows ( in thousands ) : replace_table_token_6_th replace_table_token_7_th information pertaining to the company 's business segments is provided in note 18 of notes to consolidated financial statements included in item 8. critical accounting policies the accounting and reporting policies of the company conform to u.s. gaap . the preparation of the consolidated financial statements in conformity with u.s. gaap requires the company 's management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes . actual results could differ from those estimates . a summary of the company 's significant accounting policies and practices is provided in note 1 of the notes to the consolidated financial statements included in item 8 of this report . management has identified the accounting policies described below as those that , due to the judgments , estimates and assumptions inherent in those policies , are critical to an understanding of the company 's consolidated financial statements and this management 's discussion and analysis . insurance premium revenue recognition and policy charges premiums for short-duration medical insurance contracts are intended to cover expected claim costs resulting from insured events that occur during a fixed period of short duration . the company has the ability to not renew the contract or to revise the premium rates at the end of each annual contract period to cover future insured events . insurance premiums from annual health contracts are collected monthly and are recognized as revenue evenly as insurance protection is provided . premiums related to long-term and short-term disability contracts are recognized on a pro rata basis over the applicable contract term . story_separator_special_tag if the company intends to sell a debt security , or it is more likely than not that it would be required to sell a debt security before the recovery of its amortized cost basis , the entire difference between the security 's amortized cost basis and its fair value at the balance sheet date would be recognized by a charge to total other-than-temporary impairment losses in the consolidated statement of income . if a decline in fair value of a debt security is judged by management to be other-than-temporary and ; ( i ) the company does not intend to sell the security ; and ( ii ) it is not more likely than not that it will be required to sell the security prior to recovery of the security 's amortized cost , the company assesses whether the present value of the cash flows to be collected from the security is less than its amortized cost basis . to the extent that the present value of the cash flows generated by a debt security is less than the amortized cost basis , a credit loss exists . for any such security , the impairment is bifurcated into ( a ) the amount of the total impairment related to the credit loss , and ( b ) the amount of the total impairment related to all other factors . the amount of the other-than-temporary impairment related to the credit loss is recognized by a charge to total other-than-temporary impairment losses in the consolidated statement of income , establishing a new cost basis for the security . the amount of the other-than-temporary impairment related to all other factors is recognized in other comprehensive income ( loss ) . it is reasonably possible that further declines in estimated fair values of such investments , or changes in assumptions or estimates of anticipated recoveries and or cash flows , may cause further other-than-temporary impairments in the near term , which could be significant . in assessing corporate debt securities for other-than-temporary impairment , the company evaluates the ability of the issuer to meet its debt obligations and the value of the company or specific collateral securing the debt position . for mortgage-backed securities where loan level data is not available , the company uses a cash flow model based on the collateral characteristics . assumptions about loss severity and defaults used in the model are primarily based on actual losses experienced and defaults in the collateral pool . prepayment speeds , both actual and estimated , are also considered . the cash flows generated by the collateral securing these securities are then determined with these default , loss severity and prepayment assumptions . these collateral cash flows are then utilized , along with consideration for the issue 's position in the overall structure , to determine the cash flows associated with the mortgage-backed security held by 43 the company . in addition , the company evaluates other asset-backed securities for other-than-temporary impairment by examining similar characteristics referenced above for mortgage-backed securities . the company evaluates u.s. treasury securities and obligations of u.s. government corporations , u.s. government agencies , and obligations of states and political subdivisions for other-than-temporary impairment by examining the terms and collateral of the security . for the purpose of other-than-temporary impairment evaluations , redeemable preferred stocks are evaluated in a manner similar to debt securities . goodwill and other intangible assets goodwill carrying amounts are evaluated for impairment , at least annually , at the reporting unit level that is equivalent to an operating segment . if the fair value of a reporting unit is less than its carrying amount , further evaluation is required to determine if a write-down of goodwill is required . in determining the fair value of each reporting unit , we used an income approach , applying a discounted cash flow method that included a residual value . based on historical experience , we make assumptions as to : ( i ) expected future performance and future economic conditions , ( ii ) projected operating earnings , ( iii ) projected new and renewal business as well as profit margins on such business , and ( iv ) a discount rate that incorporated an appropriate risk level for the reporting unit . any impairment of goodwill would be charged to expense . no impairment charge for goodwill was required in 2019 or 2018. other intangible assets are amortized to expense over their estimated useful lives and are subject to impairment testing . any impairment of other intangible assets would be charged to expense . no impairment charges for intangible assets were required in 2019 or 2018. deferred income taxes the provision for deferred income taxes is based on the asset and liability method of accounting for income taxes . under this method , deferred income taxes are recognized by applying enacted statutory tax rates to temporary differences between amounts reported in the consolidated financial statements and the tax bases of existing assets and liabilities in the years in which those temporary differences are expected to be recovered or settled . a valuation allowance is recognized for the portion of deferred tax assets that , in management 's judgment , is not likely to be realized . a liability for uncertain tax positions is recorded when it is more likely than not that a tax position will not be sustained upon examination by taxing authorities . the effect on deferred income taxes of a change in tax rates or laws is recognized in income tax expense in the period that includes the enactment date . 44 results of operations results of operations for the year ended december 31 , 2019 compared to the year ended december 31 , 2018 information by business segment for the periods indicated is as follows ( in thousands ) : replace_table_token_10_th replace_table_token_11_th premiums earned in 2019 , premiums earned increased $ 17.5 million over the comparable period of 2018.

