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
|