2007 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 030 12545 -
Martins Point Generations LLC for Maine |
|
Line |
Total |
Individual Comprehensive |
Group Comprehensive |
Medicare Supplement |
Vision Only |
Dental Only |
Federal Employees Health Benefit Plan |
Title XVIII Medicare |
Title XIX Medicaid |
Other |
| 01 |
Prior Year (total member at end of) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 02 |
First Quarter (total members at end of) |
250 |
0 |
0 |
0 |
0 |
0 |
0 |
250 |
0 |
0 |
| 03 |
Second Quarter (total members at end of) |
285 |
0 |
0 |
0 |
0 |
0 |
0 |
285 |
0 |
0 |
| 04 |
Third Quarter (total members at end of) |
303 |
0 |
0 |
0 |
0 |
0 |
0 |
303 |
0 |
0 |
| 05 |
Current Year (total members at end of) |
325 |
0 |
0 |
0 |
0 |
0 |
0 |
325 |
0 |
0 |
| 06 |
Current Year Member Months |
3,394 |
0 |
0 |
0 |
0 |
0 |
0 |
3,394 |
0 |
0 |
| 07 |
Physician (total member ambulatory encounters for
year) |
1,430 |
0 |
0 |
0 |
0 |
0 |
0 |
1,430 |
0 |
0 |
| 08 |
Non-physician (total member ambulatory encounters
for year) |
844 |
0 |
0 |
0 |
0 |
0 |
0 |
844 |
0 |
0 |
| 09 |
Total (total member ambulatory encounters for
year) |
2,274 |
0 |
0 |
0 |
0 |
0 |
0 |
2,274 |
0 |
0 |
| 10 |
Hospital patient days incurred |
217 |
0 |
0 |
0 |
0 |
0 |
0 |
217 |
0 |
0 |
| 11 |
Number of inpatient admissions |
70 |
0 |
0 |
0 |
0 |
0 |
0 |
70 |
0 |
0 |
| 12 |
Health premiums written (b) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 13 |
Life premiums direct |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 14 |
Property/Casualty premiums written |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 15 |
Health premiums earned |
1,874,853 |
0 |
0 |
0 |
0 |
0 |
0 |
1,874,853 |
0 |
0 |
| 16 |
Property/Casualty premiums earned |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 17 |
Amount paid for provision of health care services |
1,270,492 |
0 |
0 |
0 |
0 |
0 |
0 |
1,270,492 |
0 |
0 |
| 18 |
Amount incurred for provision of health care
services |
1,801,871 |
0 |
0 |
0 |
0 |
0 |
0 |
1,801,871 |
0 |
0 | |
|
FootNotes |
| 0000001 |
(a) For health business number of persons insured
under PPO managed care products 0 and number of persons insured
under indemnity only products 0. |
| 0000002 |
(b) For health premiums written: amount of Medicare
Title XVIII exempt from state taxes or fees $0 ~ |
|
|
Last Updated:
September 27, 2010
|