2006 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna Healthcare of ME Inc
Quarter 1
| |
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
49,122 |
57,572 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
15,171,765 |
17,259,399 |
| 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 |
|
15,171,765 |
17,259,399 |
| 09 |
Hospital/medical benefits (hospital and medical) |
236,928 |
10,256,892 |
9,823,568 |
| 10 |
Other professional services (hospital and medical) |
19,827 |
858,350 |
731,625 |
| 11 |
Outside referrals (hospital and medical) |
300,497 |
300,497 |
636,826 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
34,309 |
740,072 |
733,654 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
1,985,807 |
1,823,384 |
| 14 |
Aggregate write-ins for other hospital and medical (hospital and medical) |
0 |
302,494 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus amounts (hospital and medical) |
0 |
50,000 |
-24,060 |
| 16 |
Subtotal (hospital and medical) |
591,561 |
14,494,112 |
13,724,997 |
| 17 |
Net reinsurance recoveries (less) |
0 |
0 |
344,491 |
| 18 |
Total hospital and medical (less) |
591,561 |
14,494,112 |
13,380,506 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $156240 cost containment expenses (less) |
0 |
357,990 |
910,726 |
| 21 |
General administrative expenses (less) |
0 |
1,382,414 |
1,210,026 |
| 22 |
Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) |
0 |
180,000 |
0 |
| 23 |
Total underwriting deductions |
591,561 |
16,414,516 |
15,501,258 |
| 24 |
Net underwriting gain or (loss) |
|
-1,242,751 |
1,758,141 |
| 25 |
Net investment income earned |
0 |
242,653 |
409,588 |
| 26 |
Net realized capital gains (losses) less capital gains tax of $0 |
0 |
0 |
49 |
| 27 |
Net investment gains or (losses) |
0 |
242,653 |
409,637 |
| 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 |
|
-1,000,098 |
2,167,777 |
| 31 |
Federal and foreign income taxes incurred |
|
-292,070 |
584,764 |
| 32 |
Net income (loss) |
|
-708,028 |
1,583,014 |
| |
Details of Write-Ins |
|
|
|
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
DIRIGO ASSESSMENT |
0 |
302,494 |
0 |
| 1499 |
|
0 |
302,494 |
0 |
| 2999 |
|
0 |
0 |
0 |
|
2006 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95447 - Cigna Healthcare of ME Inc
Quarter 1 |
| |
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
11,079,054 |
23,705,519 |
23,705,519 |
| 34 |
Net income or (loss) from Line 32 |
-708,028 |
1,583,014 |
6,266,606 |
| 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 |
267,845 |
-188,309 |
-335,821 |
| 39 |
Change in nonadmitted assets |
-97,783 |
167,980 |
117,750 |
| 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 |
0 |
0 |
-18,700,000 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
-741,771 |
0 |
25,000 |
| 48 |
Net change in capital and surplus |
-1,279,737 |
1,562,684 |
-12,626,465 |
| 49 |
Capital and surplus end of reporting period |
9,799,317 |
25,268,203 |
11,079,054 |
| |
Details of Write-Ins |
|
|
|
| 4701 |
PIP |
0 |
0 |
25,000 |
| 4702 |
PRIOR PERIOD SEAMLESS ADJUSTMENT |
-741,771 |
0 |
0 |
| 4799 |
|
-741,771 |
0 |
25,000 |
|
Last Updated:
August 22, 2012
|
