|
Line |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance ceded) |
209,529,735 |
0 |
209,529,735 |
164,425,913 |
| 02 |
Accrued medical incentive pool and bonus amounts |
31,398,813 |
0 |
31,398,813 |
35,942,832 |
| 03 |
Unpaid claims adjustment expenses |
3,098,913 |
0 |
3,098,913 |
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 |
48,982,597 |
0 |
48,982,597 |
33,708,877 |
| 09 |
General expenses due or accrued |
105,434,343 |
0 |
105,434,343 |
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 |
1,992,492 |
0 |
1,992,492 |
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 |
6,039,075 |
0 |
6,039,075 |
1,776,210 |
| 16 |
Payable for securities |
7,409,172 |
0 |
7,409,172 |
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 |
21,585,707 |
0 |
21,585,707 |
26,253,658 |
| 21 |
Aggregate write-ins for other liabilities (including
$0 current) |
6,318,062 |
0 |
6,318,062 |
6,849,691 |
| 22 |
Total liabilities (Lines 1 to 21) |
445,012,051 |
0 |
445,012,051 |
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 |
|
|
110,158,643 |
119,916,091 |
| 28 |
Aggregate write-ins for other than special surplus
funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
202,552,652 |
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 |
|
|
312,711,295 |
321,946,756 |
| 32 |
Total liabilities, capital and surplus |
|
|
757,723,346 |
731,690,955 |
|
Details of Write-Ins |
| 2101 |
Professional Liability Reserve-Medical
Malpractice |
481,000 |
0 |
481,000 |
481,000 |
| 2102 |
Deferred Rent |
5,253,138 |
0 |
5,253,138 |
5,171,949 |
| 2103 |
Deferred Gain on Sale of Equipment |
12,229 |
0 |
12,229 |
113,915 |
| 2104 |
Security Deposits |
83,913 |
0 |
83,913 |
83,913 |
| 2105 |
Accrued Long Term Expenses |
36,586 |
0 |
36,586 |
998,914 |
| 2106 |
Deferred Comp Plan |
451,196 |
0 |
451,196 |
0 |
| 2199 |
|
6,318,062 |
0 |
6,318,062 |
6,849,691 |
| 2399 |
|
|
|
0 |
0 |
| 2801 |
Other Surplus Notes - Series 1998
Bonds |
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 | |
