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2007 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Healthcare of ME Inc
Quarter 2

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $16000 reinsurance ceded) 3,784,766 80,805 3,865,571 3,957,506
02 Accrued medical incentive pool and bonus amounts 300,752 0 300,752 482,536
03 Unpaid claims adjustment expenses 80,134 0 80,134 104,550
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 38,167 0 38,167 134,959
09 General expenses due or accrued 38,655 0 38,655 315,230
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 239,047 0 239,047 633,398
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 5,092 0 5,092 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 681,704 0 681,704 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) 222,019 0 222,019 279,600
22 Total liabilities (Lines 1 to 21) 5,390,336 80,805 5,471,141 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)     6,197,549 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     9,169,050 7,995,086
32 Total liabilities, capital and surplus     14,640,191 16,673,707
Details of Write-Ins
2101 COMM TO AGENTS DUE OR ACCRUED 64,721 0 64,721 0
2102 CREDIT BALANCES DUE POLICYHOLDERS 0 0 0 47,323
2103 DOI AUDIT ACCRUAL 0 0 0 85,000
2104 ESCHEAT LIABILITY 33,848 0 33,848 28,715
2105 MISCELLANEOUS PAYABLES 0 0 0 118,562
2106 OTHER LIABILITIES 123,450 0 123,450 0
2199   222,019 0 222,019 279,600
2399       0 0
2801       0 0
2899       0 0

Last Updated: September 27, 2010