2007 LIABILITIES, CAPITAL AND SURPLUS - 003
12151 - Arcadian Health
Plan Inc
Quarter 3 |
| |
Line |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance ceded) |
14,790,341 |
2,469,419 |
17,259,760 |
17,180,367 |
| 02 |
Accrued medical incentive pool and bonus amounts |
90,682 |
0 |
90,682 |
176,440 |
| 03 |
Unpaid claims adjustment expenses |
417,265 |
0 |
417,265 |
446,878 |
| 04 |
Aggregate health policy reserves |
13,550,354 |
0 |
13,550,354 |
5,611,122 |
| 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 |
43,355 |
0 |
43,355 |
43,354 |
| 09 |
General expenses due or accrued |
2,821,972 |
0 |
2,821,972 |
1,481,408 |
| 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 |
0 |
0 |
0 |
0 |
| 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 |
742,549 |
0 |
742,549 |
64,903 |
| 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 |
8,826,827 |
0 |
8,826,827 |
3,923,609 |
| 21 |
Aggregate write-ins for other liabilities (including $0 current) |
0 |
0 |
0 |
0 |
| 22 |
Total liabilities (Lines 1 to 21) |
41,283,345 |
2,469,419 |
43,752,764 |
28,928,081 |
| 23 |
Aggregate write-ins for special surplus funds |
|
|
0 |
0 |
| 24 |
Common capital stock |
|
|
600,000 |
600,000 |
| 25 |
Preferred capital stock |
|
|
0 |
0 |
| 26 |
Gross paid in and contributed surplus |
|
|
29,876,777 |
21,876,776 |
| 27 |
Surplus notes |
|
|
0 |
0 |
| 28 |
Aggregate write-ins for other than special surplus funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
-13,580,006 |
-15,094,488 |
| 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 |
|
|
16,896,771 |
7,382,288 |
| 32 |
Total liabilities, capital and surplus |
|
|
60,649,535 |
36,310,369 |
|
Details of Write-Ins |
| 2199 |
|
0 |
0 |
0 |
0 |
| 2399 |
|
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 | |
Last Updated:
September 27, 2010
|
