|
2007 LIABILITIES, CAPITAL AND SURPLUS - 003
12151 - Arcadian Health Plan Inc
Quarter 1 |
|
Line |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance
ceded) |
16,307,989 |
3,396,621 |
19,704,610 |
17,180,367 |
| 02 |
Accrued medical incentive
pool and bonus amounts |
176,440 |
0 |
176,440 |
176,440 |
| 03 |
Unpaid claims adjustment
expenses |
512,517 |
0 |
512,517 |
446,878 |
| 04 |
Aggregate health policy reserves |
7,919,803 |
0 |
7,919,803 |
5,611,122 |
| 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 |
13,730,223 |
0 |
13,730,223 |
43,354 |
| 09 |
General expenses due or accrued |
2,710,636 |
0 |
2,710,636 |
1,481,408 |
| 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 |
73,120 |
0 |
73,120 |
64,903 |
| 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 plans |
5,171,205 |
0 |
5,171,205 |
3,923,609 |
| 21 |
Aggregate write-ins for other
liabilities (including $0 current) |
0 |
0 |
0 |
0 |
| 22 |
Total liabilities (Lines
1 to 21) |
46,601,933 |
3,396,621 |
49,998,554 |
28,928,081 |
| 23 |
Aggregate write-ins for special
surplus funds |
|
|
0 |
0 |
| 24 |
Common capital stock |
|
|
600,000 |
600,000 |
| 25 |
Preferred capital stock |
|
|
0 |
0 |
| 26 |
Gross paid in and contributed
surplus |
|
|
29,376,776 |
21,876,776 |
| 27 |
Surplus notes |
|
|
0 |
0 |
| 28 |
Aggregate write-ins for other
than special surplus funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
-19,368,679 |
-15,094,488 |
| 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 |
|
|
10,608,097 |
7,382,288 |
| 32 |
Total liabilities, capital
and surplus |
|
|
60,606,651 |
36,310,369 |
|
Details of Write-Ins |
| 2199 |
|
0 |
0 |
0 |
0 |
| 2399 |
|
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 |
|
Last Updated:
September 27, 2010
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