|
Line |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance
ceded) |
190,154,066 |
0 |
190,154,066 |
164,425,913 |
| 02 |
Accrued medical incentive
pool and bonus amounts |
34,115,571 |
0 |
34,115,571 |
35,942,832 |
| 03 |
Unpaid claims adjustment
expenses |
2,869,951 |
0 |
2,869,951 |
2,649,017 |
| 04 |
Aggregate health policy reserves |
2,993,600 |
0 |
2,993,600 |
2,993,600 |
| 05 |
Aggregate life policy reserves |
0 |
0 |
0 |
0 |
| 06 |
Property/casualty unearned
premium reserve |
0 |
0 |
0 |
0 |
| 07 |
Aggregate health claim reserves |
229,542 |
0 |
229,542 |
229,542 |
| 08 |
Premiums received in advance |
57,714,674 |
0 |
57,714,674 |
33,708,877 |
| 09 |
General expenses due or accrued |
102,308,892 |
0 |
102,308,892 |
110,569,168 |
| 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 |
2,719,284 |
0 |
2,719,284 |
1,650,758 |
| 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 |
4,077,174 |
0 |
4,077,174 |
1,776,210 |
| 16 |
Payable for securities |
449,980 |
0 |
449,980 |
22,694,933 |
| 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 |
26,947,510 |
0 |
26,947,510 |
26,253,658 |
| 21 |
Aggregate write-ins for other
liabilities (including $0 current) |
6,909,189 |
0 |
6,909,189 |
6,849,691 |
| 22 |
Total liabilities (Lines
1 to 21) |
431,489,433 |
0 |
431,489,433 |
409,744,199 |
| 23 |
Aggregate write-ins for special
surplus funds |
|
|
0 |
0 |
| 24 |
Common capital stock |
|
|
0 |
0 |
| 25 |
Preferred capital stock |
|
|
0 |
0 |
| 26 |
Gross paid in and contributed
surplus |
|
|
0 |
0 |
| 27 |
Surplus notes |
|
|
119,937,367 |
119,916,091 |
| 28 |
Aggregate write-ins for other
than special surplus funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
203,617,223 |
202,030,665 |
| 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 |
|
|
323,554,590 |
321,946,756 |
| 32 |
Total liabilities, capital
and surplus |
|
|
755,044,023 |
731,690,955 |
|
Details of Write-Ins |
| 2101 |
Professional Liability Reserve-Medical
Malpractice |
481,000 |
0 |
481,000 |
481,000 |
| 2102 |
Deferred Rent |
5,212,543 |
0 |
5,212,543 |
5,171,949 |
| 2103 |
Deferred Gain on Sale of Equipment |
11,203 |
0 |
11,203 |
113,915 |
| 2104 |
Security Deposits |
83,913 |
0 |
83,913 |
83,913 |
| 2105 |
Accrued Long Term Expenses |
1,120,530 |
0 |
1,120,530 |
998,914 |
| 2199 |
|
6,909,189 |
0 |
6,909,189 |
6,849,691 |
| 2399 |
|
|
|
0 |
0 |
| 2801 |
Other Surplus Notes - Series 1998 Bonds |
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 |
|
