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2007 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Healthcare of ME Inc
Quarter 1

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 3,852,310 78,365 3,930,675 3,957,506
02 Accrued medical incentive pool and bonus amounts 434,588 0 434,588 482,536
03 Unpaid claims adjustment expenses 80,416 0 80,416 104,550
04 Aggregate health policy reserves 0 0 0 815,000
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 119,805 0 119,805 134,959
09 General expenses due or accrued 24,044 0 24,044 315,230
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 98,034 0 98,034 633,398
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 2,922 0 2,922 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 866,638 0 866,638 1,955,842
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 0 0 0 0
21 Aggregate write-ins for other liabilities (including $0 current) 209,511 0 209,511 279,600
22 Total liabilities (Lines 1 to 21) 5,688,268 78,365 5,766,633 8,678,621
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     100 100
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     2,971,401 2,971,401
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     5,691,043 5,023,585
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     8,662,544 7,995,086
32 Total liabilities, capital and surplus     14,429,177 16,673,707
Details of Write-Ins
2101 COMM TO AGENTS DUE OR ACCRUED 73,130 0 73,130 0
2102 CREDIT BALANCES DUE POLICYHOLDERS 0 0 0 47,323
2103 DOI AUDIT ACCRUAL 0 0 0 85,000
2104 ESCHEAT LIABILITY 44,126 0 44,126 28,715
2105 MISCELLANEOUS PAYABLES 0 0 0 118,562
2106 OTHER LIABILITIES 92,255 0 92,255 0
2199   209,511 0 209,511 279,600
2399       0 0
2801       0 0
2899       0 0

Last Updated: November 18, 2009