2005 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Health Inc ME Corp
Quarter 3
| |
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
413,511 |
428,115 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
130,859,541 |
130,184,099 |
| 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 |
|
130,859,541 |
130,184,099 |
| 09 |
Hospital/medical benefits (hospital and medical) |
1,353,132 |
78,695,657 |
84,481,889 |
| 10 |
Other professional services (hospital and medical) |
0 |
0 |
0 |
| 11 |
Outside referrals (hospital and medical) |
1,768,964 |
1,768,964 |
2,361,831 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
192,710 |
4,817,744 |
4,374,326 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
11,907,139 |
13,307,633 |
| 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 |
0 |
0 |
| 16 |
Subtotal (hospital and medical) |
3,314,806 |
97,189,504 |
104,525,679 |
| 17 |
Net reinsurance recoveries (less) |
0 |
81,196 |
0 |
| 18 |
Total hospital and medical (less) |
3,314,806 |
97,108,308 |
104,525,679 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $834550 cost containment expenses (less) |
0 |
2,624,117 |
3,135,770 |
| 21 |
General administrative expenses (less) |
0 |
15,541,640 |
14,464,852 |
| 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 |
3,314,806 |
115,274,065 |
122,126,301 |
| 24 |
Net underwriting gain or (loss) |
|
15,585,476 |
8,057,798 |
| 25 |
Net investment income earned |
0 |
1,182,493 |
1,409,594 |
| 26 |
Net realized capital gains (losses) less capital gains tax of $1471 |
0 |
2,732 |
136,743 |
| 27 |
Net investment gains or (losses) |
0 |
1,185,225 |
1,546,337 |
| 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) after capital gains tax and before all other federal income taxes |
|
16,770,701 |
9,604,135 |
| 31 |
Federal and foreign income taxes incurred |
|
5,254,177 |
2,637,937 |
| 32 |
Net income (loss) |
|
11,516,524 |
6,966,198 |
| |
Details of Write-Ins |
| | |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
|
2005 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Health Inc ME Corp
Quarter 3 |
| |
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
18,621,685 |
32,670,528 |
32,670,528 |
| 34 |
Net income or (loss) from Line 32 |
11,516,524 |
6,966,198 |
7,913,949 |
| 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 |
-563,611 |
-473,402 |
-778,385 |
| 39 |
Change in nonadmitted assets |
430,744 |
33,254 |
515,593 |
| 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) |
-8,200,000 |
-19,700,000 |
-21,700,000 |
| 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 |
0 |
0 |
0 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
3,183,657 |
-13,173,950 |
-14,048,843 |
| 49 |
Capital and surplus end of reporting period |
21,805,342 |
19,496,578 |
18,621,685 |
| |
Details of Write-Ins |
| | |
| 4799 |
|
0 |
0 |
0 |
|
Last Updated:
August 22, 2012
|
