| |
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
339,964 |
400,487 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
119,881,967 |
131,391,127 |
| 03 |
Change in unearned premium reserves and reserve for
rate credits |
|
44,645 |
1,345 |
| 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 |
|
119,926,612 |
131,392,472 |
| 09 |
Hospital/medical benefits (hospital and medical) |
803,342 |
81,779,745 |
88,508,458 |
| 10 |
Other professional services (hospital and
medical) |
0 |
0 |
0 |
| 11 |
Outside referrals (hospital and medical) |
839,706 |
839,706 |
1,511,936 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
112,903 |
5,645,140 |
5,629,177 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
12,141,443 |
13,553,457 |
| 14 |
Aggregate write-ins for other hospital and medical
(hospital and medical) |
0 |
0 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus
amounts (hospital and medical) |
0 |
0 |
0 |
| 16 |
Subtotal (hospital and medical) |
1,755,951 |
100,406,034 |
109,203,028 |
| 17 |
Net reinsurance recoveries (less) |
0 |
181,095 |
616,541 |
| 18 |
Total hospital and medical (less) |
1,755,951 |
100,224,939 |
108,586,487 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $736409 cost
containment expenses (less) |
0 |
2,208,933 |
2,511,670 |
| 21 |
General administrative expenses (less) |
0 |
12,233,034 |
17,993,252 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only)
(less) |
0 |
-99,974 |
2,600,000 |
| 23 |
Total underwriting deductions |
1,755,951 |
114,566,932 |
131,691,409 |
| 24 |
Net underwriting gain or (loss) |
|
5,359,680 |
-298,937 |
| 25 |
Net investment income earned |
0 |
1,690,428 |
1,338,917 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $-1612 |
0 |
-416,147 |
-6,932 |
| 27 |
Net investment gains or (losses) |
0 |
1,274,281 |
1,331,985 |
| 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 |
0 |
0 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
6,633,961 |
1,033,048 |
| 31 |
Federal and foreign income taxes incurred |
|
2,045,083 |
679,757 |
| 32 |
Net income (loss) |
|
4,588,878 |
353,291 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
2007 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 -
Aetna Health Inc ME Corp
Quarter 3 |
| |
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
27,218,445 |
21,075,193 |
21,075,193 |
| 34 |
Net income or (loss) from Line 32 |
4,588,878 |
353,291 |
6,282,501 |
| 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 |
-413,903 |
351,292 |
-747,692 |
| 39 |
Change in nonadmitted assets |
767,957 |
503,592 |
608,443 |
| 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 |
0 |
| 46 |
Dividends to stockholders |
-4,400,000 |
0 |
0 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
542,932 |
1,208,175 |
6,143,252 |
| 49 |
Capital and surplus end of reporting period |
27,761,377 |
22,283,368 |
27,218,445 |
|
Details of Write-Ins |
| 4799 |
|
0 |
0 |
0 |
|
|
