2006 STATEMENT OF REVENUE AND EXPENSES - 004 95447 - Cigna
Healthcare of ME Inc
| |
Line |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Member months |
|
178,927 |
212,698 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
56,330,789 |
64,283,954 |
| 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 |
|
56,330,789 |
64,283,954 |
| 09 |
Hospital/medical benefits (hospital and medical) |
973,022 |
35,338,073 |
36,686,322 |
| 10 |
Other professional services (hospital and medical) |
88,532 |
3,221,623 |
3,240,834 |
| 11 |
Outside referrals (hospital and medical) |
1,287,134 |
1,287,134 |
2,216,346 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
108,312 |
2,560,940 |
2,802,367 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
7,668,056 |
7,443,389 |
| 14 |
Aggregate write-ins for other hospital and medical
(hospital and medical) |
0 |
97,890 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus amounts
(hospital and medical) |
0 |
381,816 |
391,593 |
| 16 |
Subtotal (hospital and medical) |
2,457,000 |
50,555,532 |
52,780,851 |
| 17 |
Net reinsurance recoveries (less) |
0 |
55,512 |
491,015 |
| 18 |
Total hospital and medical (less) |
2,457,000 |
50,500,020 |
52,289,836 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $597870 cost
containment expenses (less) |
0 |
1,497,644 |
2,030,711 |
| 21 |
General administrative expenses (less) |
0 |
4,413,521 |
3,377,197 |
| 22 |
Increase in reserves for life and accident and health
contracts (including $0 increase in reserves for life only) (less) |
0 |
815,000 |
0 |
| 23 |
Total underwriting deductions |
2,457,000 |
57,226,185 |
57,697,744 |
| 24 |
Net underwriting gain or (loss) |
|
-895,396 |
6,586,210 |
| 25 |
Net investment income earned |
0 |
992,073 |
1,441,229 |
| 26 |
Net realized capital gains or (losses) less capital
gains tax of $0 |
0 |
0 |
252,720 |
| 27 |
Net investment gains or (losses) |
0 |
992,073 |
1,693,949 |
| 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 |
96 |
0 |
| 30 |
Net income or (loss), after capital gains tax and
before all other federal income taxes |
|
96,773 |
8,280,159 |
| 31 |
Federal and foreign income taxes incurred |
|
329,328 |
2,013,553 |
| 32 |
Net income (loss) |
|
-232,555 |
6,266,606 |
|
Details of Write-Ins |
| 0601 |
|
|
0 |
0 |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
OTHER MEDICAL EXPENSES |
0 |
97,890 |
0 |
| 1499 |
|
0 |
97,890 |
0 |
| 2901 |
OTHER INCOME |
0 |
96 |
0 |
| 2999 |
|
0 |
96 |
0 |
2006 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005 95447 -
Cigna Healthcare of ME Inc
| |
Line |
Current Year |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
11,079,054 |
23,705,519 |
| 34 |
Net income or (loss) from Line 32 |
-232,555 |
6,266,606 |
| 35 |
Change in valuation basis of aggregate policy and
claim reserves |
0 |
0 |
| 36 |
Change in net unrealized capital gains (losses)
less capital gains tax of $0 |
0 |
0 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
| 38 |
Change in net deferred income tax |
347,734 |
-335,821 |
| 39 |
Change in nonadmitted assets |
521,930 |
117,750 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
| 42 |
Change in surplus notes |
0 |
0 |
| 43 |
Cumulative effect of changes in accounting principles |
0 |
0 |
| 44.1 |
Paid in (capital changes) |
0 |
0 |
| 44.2 |
Transferred from surplus (stock dividend) (capital
changes) |
0 |
0 |
| 44.3 |
Transferred to surplus (capital changes) |
0 |
0 |
| 45.1 |
Paid in (surplus adjustments) |
0 |
0 |
| 45.2 |
Transferred to capital (stock dividend) (surplus
adjustments) |
0 |
0 |
| 45.3 |
Transferred from capital (surplus adjustments) |
-721,077 |
0 |
| 46 |
Dividends to stockholders |
-3,000,000 |
-18,700,000 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
25,000 |
| 48 |
Net change in capital and surplus |
-3,083,968 |
-12,626,465 |
| 49 |
Capital and surplus end of reporting year |
7,995,086 |
11,079,054 |
|
Details of Write-Ins |
| 4701 |
PIP |
0 |
25,000 |
| 4799 |
|
0 |
25,000 |
Last Updated:
September 27, 2010
|