2005 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna Healthcare of ME Inc
Quarter 2
| |
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
112,912 |
151,565 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
34,066,621 |
45,922,878 |
| 03 |
Change in unearned premium reserves and reserve for rate credits |
|
0 |
0 |
| 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 |
|
34,066,621 |
45,922,878 |
| 09 |
Hospital/medical benefits (hospital and medical) |
891,686 |
17,725,163 |
24,425,414 |
| 10 |
Other professional services (hospital and medical) |
83,317 |
1,656,198 |
1,528,925 |
| 11 |
Outside referrals (hospital and medical) |
1,208,787 |
1,208,787 |
1,781,328 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
52,636 |
1,270,116 |
1,737,957 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
3,606,014 |
5,209,446 |
| 14 |
Aggregate write-ins for other hospital and medical (hospital and medical) |
0 |
0 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus amounts (hospital and medical) |
0 |
51,307 |
-95,303 |
| 16 |
Subtotal (hospital and medical) |
2,236,426 |
25,517,585 |
34,587,767 |
| 17 |
Net reinsurance recoveries (less) |
0 |
442,689 |
18,228 |
| 18 |
Total hospital and medical (less) |
2,236,426 |
25,074,896 |
34,569,539 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $399,314 cost containment expenses (less) |
0 |
918,251 |
1,773,549 |
| 21 |
General administrative expenses (less) |
0 |
2,627,730 |
2,876,627 |
| 22 |
Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) |
0 |
0 |
0 |
| 23 |
Total underwriting deductions |
2,236,426 |
28,620,877 |
39,219,715 |
| 24 |
Net underwriting gain or (loss) |
|
5,445,744 |
6,703,163 |
| 25 |
Net investment income earned |
0 |
815,027 |
917,227 |
| 26 |
Net realized capital gains (losses) less capital gains tax of $0 |
0 |
154,704 |
-169,415 |
| 27 |
Net investment gains or (losses) |
0 |
969,731 |
747,812 |
| 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 |
835 |
| 30 |
Net income or (loss) after capital gains tax and before all other federal income taxes |
|
6,415,475 |
7,451,810 |
| 31 |
Federal and foreign income taxes incurred |
|
1,667,166 |
2,054,069 |
| 32 |
Net income (loss) |
|
4,748,309 |
5,397,741 |
| |
Details of Write-Ins |
| | |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2901 |
Other Income |
0 |
0 |
835 |
| 2999 |
|
0 |
0 |
835 |
2005 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95447 - Cigna Healthcare of ME Inc
Quarter 2
| |
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
23,705,519 |
23,004,209 |
23,004,209 |
| 34 |
Net income or (loss) from Line 32 |
4,748,309 |
5,397,741 |
10,706,964 |
| 35 |
Change in valuation basis of aggregate policy and claim reserves |
0 |
0 |
0 |
| 36 |
Change in net unrealized capital gains (losses) less capital gains tax of $0 |
0 |
0 |
0 |
| 37 |
Change in net unrealized foreign exchange capital gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
-568,202 |
410,359 |
-216,784 |
| 39 |
Change in nonadmitted assets |
710,548 |
-446,497 |
211,130 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
0 |
| 42 |
Change in surplus notes |
0 |
0 |
0 |
| 43 |
Cumulative effect of changes in accounting principles |
0 |
0 |
0 |
| 44.1 |
Paid in (capital changes) |
0 |
0 |
0 |
| 44.2 |
Transferred from surplus (stock dividend) (capital changes) |
0 |
0 |
0 |
| 44.3 |
Transferred to surplus (capital changes) |
0 |
0 |
0 |
| 45.1 |
Paid in (surplus adjustments) |
0 |
0 |
0 |
| 45.2 |
Transferred to capital (stock dividend) (surplus adjustments) |
0 |
0 |
0 |
| 45.3 |
Transferred from capital (surplus adjustments) |
0 |
0 |
0 |
| 46 |
Dividends to stockholders |
-10,700,000 |
-10,000,000 |
-10,000,000 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
-5,809,345 |
-4,638,397 |
701,310 |
| 49 |
Capital and surplus end of reporting period |
17,896,174 |
18,365,812 |
23,705,519 |
| |
Details of Write-Ins |
|
|
|
| 4799 |
|
0 |
0 |
0 |
Last Updated:
August 22, 2012
|
