2007 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna
Healthcare of ME Inc
Quarter 2 |
|
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
55,037 |
95,619 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
17,997,107 |
29,701,977 |
| 03 |
Change in unearned premium reserves and reserve for
rate credits |
|
0 |
0 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
0 |
| 05 |
Risk revenue |
|
0 |
0 |
| 06 |
Aggregate write-ins for other health care related
revenues |
|
0 |
0 |
| 07 |
Aggregate write-ins for other non-health revenues |
|
0 |
0 |
| 08 |
Total revenues |
|
17,997,107 |
29,701,977 |
| 09 |
Hospital/medical benefits (hospital and medical) |
238,577 |
11,413,148 |
19,518,574 |
| 10 |
Other professional services (hospital and
medical) |
21,948 |
1,049,934 |
1,926,980 |
| 11 |
Outside referrals (hospital and medical) |
297,149 |
297,150 |
666,845 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
33,997 |
838,139 |
1,438,512 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
2,267,254 |
3,998,550 |
| 14 |
Aggregate write-ins for other hospital and medical
(hospital and medical) |
0 |
0 |
302,494 |
| 15 |
Incentive pool, withhold adjustments and bonus
amounts (hospital and medical) |
0 |
100,000 |
204,567 |
| 16 |
Subtotal (hospital and medical) |
591,671 |
15,965,625 |
28,056,522 |
| 17 |
Net reinsurance recoveries (less) |
0 |
124,108 |
1 |
| 18 |
Total hospital and medical (less) |
591,671 |
15,841,517 |
28,056,521 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $165762 cost
containment expenses (less) |
0 |
485,447 |
728,039 |
| 21 |
General administrative expenses (less) |
0 |
1,719,467 |
2,743,618 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only)
(less) |
0 |
-815,000 |
1,800,000 |
| 23 |
Total underwriting deductions |
591,671 |
17,231,431 |
33,328,178 |
| 24 |
Net underwriting gain or (loss) |
|
765,676 |
-3,626,201 |
| 25 |
Net investment income earned |
0 |
365,421 |
498,140 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $23443 |
0 |
34,016 |
0 |
| 27 |
Net investment gains or (losses) |
0 |
399,437 |
498,140 |
| 28 |
Net gain or (loss) from agents' or premium balances
charged off [(amount recovered $0 (amount charged off $0] |
0 |
0 |
0 |
| 29 |
Aggregate write-ins for other income or expenses |
0 |
2,217 |
0 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
1,167,330 |
-3,128,061 |
| 31 |
Federal and foreign income taxes incurred |
|
10,734 |
-434,551 |
| 32 |
Net income (loss) |
|
1,156,596 |
-2,693,510 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
AGGREGATE WRITE-INS FOR OTHER MEDICAL
AND HOSPITAL |
0 |
0 |
302,494 |
| 1499 |
|
0 |
0 |
302,494 |
| 2901 |
OTHER INCOME |
0 |
2,217 |
0 |
| 2999 |
|
0 |
2,217 |
0 | |
2007 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95447 - Cigna Healthcare of ME Inc
Quarter 2 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
7,995,086 |
11,079,054 |
11,079,054 |
| 34 |
Net income or (loss) from Line 32 |
1,156,596 |
-2,693,510 |
-232,555 |
| 35 |
Change in valuation basis of aggregate policy and
claim reserves |
0 |
0 |
0 |
| 36 |
Change in net unrealized capital gains (losses) less
capital gains tax of $0 |
0 |
0 |
0 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
-349,123 |
558,014 |
347,734 |
| 39 |
Change in nonadmitted assets |
366,491 |
-135,620 |
521,930 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
0 |
| 42 |
Change in surplus notes |
0 |
0 |
0 |
| 43 |
Cumulative effect of changes in accounting
principles |
0 |
0 |
0 |
| 44.1 |
Paid in (capital changes) |
0 |
0 |
0 |
| 44.2 |
Transferred from surplus (stock dividend) (capital
changes) |
0 |
0 |
0 |
| 44.3 |
Transferred to surplus (capital changes) |
0 |
0 |
0 |
| 45.1 |
Paid in (surplus adjustments) |
0 |
0 |
0 |
| 45.2 |
Transferred to capital (stock dividend) (surplus
adjustments) |
0 |
0 |
0 |
| 45.3 |
Transferred from capital (surplus adjustments) |
0 |
0 |
-721,077 |
| 46 |
Dividends to stockholders |
0 |
0 |
-3,000,000 |
| 47 |
Aggregate write-ins for gains or (losses) in
surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
1,173,964 |
-2,271,116 |
-3,083,968 |
| 49 |
Capital and surplus end of reporting period |
9,169,050 |
8,807,938 |
7,995,086 |
|
Details of Write-Ins |
| 4799 |
|
0 |
0 |
0 |
|
Last Updated:
November 18, 2009
|
