2005 ANALYSIS OF OPERATIONS BY LINES OF BUSINESS - 007
HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc.
| |
LINE |
Total |
Comprehensive (Hospital and Medical) |
Medicare Supplement |
Dental Only |
Vision Only |
Federal Employees Health Benefit Plans |
Title XVIII Medicare |
Title XIX Medicaid |
Stop Loss |
Disability Income |
Long-Term Care |
Other
Health |
Other
Non-Health |
| 01 |
Net premium income |
402,418,046 |
402,418,046 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 02 |
Change in unearned premium reserves and reserve for rate credit |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 03 |
Fee-for-service (net of $0 medical expenses) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 04 |
Risk revenue |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 05 |
Aggregate write-ins for other health care related revenues |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 06 |
Aggregate write-ins for other non-health care related revenues |
0 |
|
|
|
|
|
|
|
|
|
|
|
0 |
| 07 |
Total revenues |
402,418,046 |
402,418,046 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 08 |
Hospital/medical benefits |
276,946,972 |
276,946,972 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 09 |
Other professional services |
15,372 |
15,372 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 10 |
Outside referrals |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 11 |
Emergency room and out-of-area |
15,141,506 |
15,141,506 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 12 |
Prescription drugs |
48,449,356 |
48,449,356 |
|
|
|
|
|
|
|
|
|
|
|
| 13 |
Aggregate write-ins for other hospital and medical |
29,079 |
29,079 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 14 |
Incentive pool, withhold adjustments and bonus amounts |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 15 |
Subtotal |
340,582,285 |
340,582,285 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 16 |
Net reinsurance recoveries |
(904,940) |
(904,940) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 17 |
Total hospital and medical |
341,487,225 |
341,487,225 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 18 |
Non-health claims (net) |
0 |
0 |
|
|
|
|
|
|
|
|
|
|
|
| 19 |
Claims adjustment expenses including $ 6,224,684 cost containment expenses |
17,547,292 |
17,547,292 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 20 |
General administrative expenses |
22,795,060 |
22,795,060 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 21 |
Increase in reserves for accident and health contracts |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 22 |
Increase in reserves for life contracts |
0 |
0 |
|
|
|
|
|
|
|
|
|
|
|
| 23 |
Total underwriting deductions |
381,829,577 |
381,829,577 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 24 |
Net underwriting gain or (loss) |
20,588,469 |
20,588,469 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| |
Details of Write-Ins |
| | | | | | | | | | | | |
| 0599 |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 0699 |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 1301 |
Other hospital/medical |
29,079 |
29,079 |
|
|
|
|
|
|
|
|
|
|
|
| 1399 |
Total |
29,079 |
29,079 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Last Updated:
November 18, 2009
|