2005 LIABILITIES, CAPITAL AND SURPLUS - 003 95447 - Cigna Healthcare of ME Inc Quarter 3

	Line	Covered Current Period	Uncovered Current Period	Total Current Period	Total Prior Year
01	Claims unpaid (less $0 reinsurance ceded)	5,205,081	287,719	5,492,800	8,856,896
02	Accrued medical incentive pool and bonus amounts	467,114	0	467,114	209,925
03	Unpaid claims adjustment expenses	261,064	0	261,064	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	329,042	0	329,042	281,218
09	General expenses due or accrued	2,143,622	0	2,143,622	0
10.1	Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses))	0	0	0	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	610,150	0	610,150	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)	222,110	0	222,110	1,708,397
22	Total liabilities (Lines 1 to 21)	9,238,183	287,719	9,525,902	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			3,738,168	3,738,169
27	Surplus notes			0	0
28	Aggregate write-ins for other than special surplus funds			0	0
29	Unassigned funds (surplus)			15,831,547	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			19,569,815	23,705,519
32	Total liabilities, capital and surplus			29,095,717	35,834,263
	Details of Write-Ins
2101	MISCELLANEOUS PAYABLES	130,346	0	130,346	99,100
2102	CREDIT BALANCES DUE POLICYHOLDERS	82,829	0	82,829	0
2103	STATE IMMUNIZATION ACCRUAL	8,935	0	8,935	70,010
2104	STATE TAXES PAYABLE	0	0	0	1,539,287
2199		222,110	0	222,110	1,708,397
2399				0	0
2801				0	0
2899				0	0