2006 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 |
|
95,619 |
112,912 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
29,701,977 |
34,066,621 |
| 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 |
|
29,701,977 |
34,066,621 |
| 09 |
Hospital/medical benefits (hospital and medical) |
519,480 |
19,518,574 |
17,725,163 |
| 10 |
Other professional services (hospital and medical) |
51,013 |
1,926,980 |
1,656,198 |
| 11 |
Outside referrals (hospital and medical) |
666,844 |
666,845 |
1,208,787 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
75,892 |
1,438,512 |
1,270,116 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
3,998,550 |
3,606,014 |
| 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 |
204,567 |
51,307 |
| 16 |
Subtotal (hospital and medical) |
1,313,229 |
28,056,522 |
25,517,585 |
| 17 |
Net reinsurance recoveries (less) |
0 |
1 |
442,689 |
| 18 |
Total hospital and medical (less) |
1,313,229 |
28,056,521 |
25,074,896 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $319784 cost containment expenses (less) |
0 |
728,039 |
918,251 |
| 21 |
General administrative expenses (less) |
0 |
2,743,618 |
2,627,730 |
| 22 |
Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) |
0 |
1,800,000 |
0 |
| 23 |
Total underwriting deductions |
1,313,229 |
33,328,178 |
28,620,877 |
| 24 |
Net underwriting gain or (loss) |
|
-3,626,201 |
5,445,744 |
| 25 |
Net investment income earned |
0 |
498,140 |
815,027 |
| 26 |
Net realized capital gains (losses) less capital gains tax of $0 |
0 |
0 |
154,704 |
| 27 |
Net investment gains or (losses) |
0 |
498,140 |
969,731 |
| 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 |
|
-3,128,061 |
6,415,475 |
| 31 |
Federal and foreign income taxes incurred |
|
-434,551 |
1,667,166 |
| 32 |
Net income (loss) |
|
-2,693,510 |
4,748,309 |
| |
Details of Write-Ins |
|
|
|
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
AGGREGATE WRITE-INS FOR OTHER MEDICAL AND HOSPITAL |
0 |
302,494 |
0 |
| 1499 |
|
0 |
302,494 |
0 |
| 2901 |
OTHER INCOME |
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
|
2006 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 |
11,079,054 |
23,705,519 |
23,705,519 |
| 34 |
Net income or (loss) from Line 32 |
-2,693,510 |
4,748,309 |
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 |
558,014 |
-568,202 |
-335,821 |
| 39 |
Change in nonadmitted assets |
-135,620 |
710,548 |
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 |
-10,700,000 |
-18,700,000 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
0 |
25,000 |
| 48 |
Net change in capital and surplus |
-2,271,116 |
-5,809,345 |
-12,626,465 |
| 49 |
Capital and surplus end of reporting period |
8,807,938 |
17,896,174 |
11,079,054 |
| |
Details of Write-Ins |
|
|
|
| 4701 |
PIP |
0 |
0 |
25,000 |
| 4799 |
|
0 |
0 |
25,000 |
|
Last Updated:
August 22, 2012
|
