|
2007 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 007
12545 - Martins Point Generations LLC
Quarter 1 |
|
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) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 04 |
Third Quarter (total members
at end of) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 05 |
Current Year (total members
at end of) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 06 |
Current Year Member Months |
718 |
0 |
0 |
0 |
0 |
0 |
0 |
718 |
0 |
0 |
| 07 |
Physician (total member ambulatory
encounters) |
195 |
0 |
0 |
0 |
0 |
0 |
0 |
195 |
0 |
0 |
| 08 |
Non-physician (total member
ambulatory encounters) |
153 |
0 |
0 |
0 |
0 |
0 |
0 |
153 |
0 |
0 |
| 09 |
Total (total member ambulatory
encounters) |
348 |
0 |
0 |
0 |
0 |
0 |
0 |
348 |
0 |
0 |
| 10 |
Hospital patient days incurred |
42 |
0 |
0 |
0 |
0 |
0 |
0 |
42 |
0 |
0 |
| 11 |
Number of inpatient admissions |
5 |
0 |
0 |
0 |
0 |
0 |
0 |
5 |
0 |
0 |
| 12 |
Health premiums written (a) |
425,392 |
0 |
0 |
0 |
0 |
0 |
0 |
425,392 |
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 |
425,392 |
0 |
0 |
0 |
0 |
0 |
0 |
425,392 |
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 |
128,678 |
0 |
0 |
0 |
0 |
0 |
0 |
128,678 |
0 |
0 |
| 18 |
Amount incurred for provision
of health care services |
369,715 |
0 |
0 |
0 |
0 |
0 |
0 |
369,715 |
0 |
0 |
|
|
FootNotes |
| 0000001 |
(a) For health premiums written: amount of Medicare
Title XVIII exempt from state taxes or fees $425392 |
|
|
Last Updated:
November 18, 2009
|