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2005 LIABILITIES, CAPITAL AND SURPLUS - 003 95447 - Cigna Healthcare of ME Inc. Quarter 2

  Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $16853 reinsurance ceded) 5,834,001 309,032 6,143,033 8,856,896
02 Accrued medical incentive pool and bonus amounts 327,899 0 327,899 209,925
03 Unpaid claims adjustment expenses 295,664 0 295,664 414,699
04 Aggregate health policy reserves 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 554,925 0 554,925 281,218
09 General expenses due or accrued 114,698 0 114,698 0
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 496,872 0 496,872 0
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 0 0 0 0
12 Amounts withheld or retained for the account of others 0 0 0 0
13 Remittances and items not allocated 0 0 0 0
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 547,542 0 547,542 657,609
16 Payable for securities 0 0 0 0
17 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 0 0 0 0
18 Reinsurance in unauthorized companies 0 0 0 0
19 Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
20 Liability for amounts held under uninsured accident and health plans 0 0 0 0
21 Aggregate write-ins for other liabilities (including $0 current) 1,995,507 0 1,995,507 1,708,397
22 Total liabilities (Lines 1 to 21) 10,167,108 309,032 10,476,140 12,128,744
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     100 100
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     3,738,169 3,738,169
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     14,157,905 19,967,250
30.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost)     0 0
30.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost)     0 0
31 Total capital and surplus     17,896,174 23,705,519
32 Total liabilities, capital and surplus     28,372,314 35,834,263
  Details of Write-Ins        
2101 STATE TAXES PAYABLE 1,780,008 0 1,780,008 1,539,287
2102 CREDIT BALANCES DUE POLICYHOLDERS 96,833 0 96,833 0
2103 MISCELLANEOUS PAYABLES 95,678 0 95,678 99,100
2104 STATE IMMUNIZATION ACCRUAL 22,988 0 22,988 70,010
2199   1,995,507 0 1,995,507 1,708,397
2399       0 0
2801       0 0
2899       0 0

 

Last Updated: August 22, 2012