2005 STATEMENT OF REVENUE AND EXPENSES - 004
HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc.
| |
LINE |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Member months |
|
1,296,680 |
1,240,079 |
| 02 |
Net premium income |
|
402,418,046 |
362,121,959 |
| 03 |
Change in unearned premium reserves and reserve for rate credits |
|
0 |
14,171 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
0 |
| 05 |
Risk revenue |
|
0 |
0 |
| 06 |
Aggregate write-ins for other health care related revenues |
|
0 |
0 |
| 07 |
Aggregate write-ins for other non-health revenues |
|
0 |
0 |
| 08 |
Total revenues |
|
402,418,046 |
362,136,130 |
| 09 |
Hospital/medical benefits (medical and hospital) |
|
276,946,972 |
253,954,631 |
| 10 |
Other professional services (medical and hospital) |
|
15,372 |
752 |
| 11 |
Outside referrals (medical and hospital) |
|
0 |
0 |
| 12 |
Emergency room and out-of-area (medical and hospital) |
|
15,141,506 |
11,686,503 |
| 13 |
Prescription drugs |
|
48,449,356 |
43,611,358 |
| 14 |
Aggregate write-ins for other hospital and medical (medical and hospital) |
0 |
29,079 |
0 |
| 15 |
Incentive pool and withhold adjustments (medical and hospital) |
|
|
|
| 16 |
Subtotal (medical and hospital) |
0 |
340,582,285 |
309,253,244 |
| 17 |
Net reinsurance recoveries (less) |
|
(904,940) |
5,744,923 |
| 18 |
Total hospital and medical (less) |
0 |
341,487,225 |
303,508,321 |
| 19 |
Non-health claims (less) |
|
|
|
| 20 |
Claims adjustment expenses (less) |
|
17,547,292 |
17,702,909 |
| 21 |
General administrative expenses (less) |
|
22,795,060 |
20,750,701 |
| 22 |
Increase in reserves for life and accident and health contracts (less) |
|
0 |
(9,446) |
| 23 |
Total underwriting deductions |
0 |
381,829,577 |
341,952,485 |
| 24 |
Net underwriting gain or (loss) |
|
20,588,469 |
20,183,645 |
| 25 |
Net investment income earned |
|
6,493,730 |
4,809,875 |
| 26 |
Net realized capital gains or (losses) |
|
(126,344) |
939,547 |
| 27 |
Net investment gains or (losses) |
0 |
6,367,386 |
5,749,422 |
| 28 |
Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] |
0 |
0 |
0 |
| 29 |
Aggregate write-ins for other income or expenses |
0 |
0 |
0 |
| 30 |
Net income or (loss) before federal income taxes |
0 |
26,955,855 |
25,933,067 |
| 31 |
Federal and foreign income taxes incurred |
|
9,434,549 |
8,743,386 |
| 32 |
Net income (loss) |
|
17,521,306 |
17,189,681 |
| |
Details of Write-Ins |
| | |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
Other hospital/medical |
|
29,079 |
|
| 1499 |
Totals |
0 |
29,079 |
0 |
| 2999 |
|
0 |
0 |
0 |
Last Updated:
February 12, 2009
|
