|
Line |
Total |
Individual Comprehensive |
Group Comprehensive |
Medicare Supplement |
Vision Only |
Dental Only |
Federal Employees Health Benefit Plan |
Title XVIII Medicare |
Title XIX Medicaid |
Other |
| 01 |
Prior Year (total member at end of) |
300,096 |
34,391 |
168,531 |
33,766 |
20,062 |
8,248 |
35,098 |
0 |
0 |
0 |
| 02 |
First Quarter (total members at end of) |
280,803 |
22,490 |
160,377 |
32,510 |
21,377 |
8,892 |
35,157 |
0 |
0 |
0 |
| 03 |
Second Quarter (total members at end of) |
277,265 |
21,913 |
158,484 |
31,707 |
21,500 |
8,500 |
35,161 |
0 |
0 |
0 |
| 04 |
Third Quarter (total members at end of) |
275,737 |
21,725 |
157,976 |
31,207 |
21,435 |
8,117 |
35,277 |
0 |
0 |
0 |
| 05 |
Current Year (total members at end of) |
271,472 |
21,291 |
154,945 |
30,675 |
21,254 |
8,093 |
35,214 |
0 |
0 |
0 |
| 06 |
Current Year Member Months |
3,363,574 |
199,876 |
1,968,175 |
414,793 |
257,090 |
101,033 |
422,607 |
0 |
0 |
0 |
| 07 |
Physician (total member ambulatory encounters for
year) |
1,460,945 |
134,145 |
1,138,492 |
188,308 |
0 |
0 |
0 |
0 |
0 |
0 |
| 08 |
Non-physician (total member ambulatory encounters
for year) |
1,619,546 |
64,145 |
825,867 |
729,534 |
0 |
0 |
0 |
0 |
0 |
0 |
| 09 |
Total (total member ambulatory encounters for
year) |
3,080,491 |
198,290 |
1,964,359 |
917,842 |
0 |
0 |
0 |
0 |
0 |
0 |
| 10 |
Hospital patient days incurred |
131,781 |
7,909 |
55,032 |
68,840 |
0 |
0 |
0 |
0 |
0 |
0 |
| 11 |
Number of inpatient admissions |
25,232 |
1,399 |
11,733 |
12,100 |
0 |
0 |
0 |
0 |
0 |
0 |
| 12 |
Health premiums written (b) |
1,025,930,524 |
68,525,167 |
735,551,520 |
63,019,945 |
1,045,042 |
2,915,497 |
152,509,566 |
0 |
0 |
2,363,787 |
| 13 |
Life premiums direct |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 14 |
Property/Casualty premiums written |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 15 |
Health premiums earned |
997,289,321 |
67,172,619 |
713,076,966 |
62,584,795 |
1,042,289 |
2,910,057 |
148,138,808 |
0 |
0 |
2,363,787 |
| 16 |
Property/Casualty premiums earned |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 17 |
Amount paid for provision of health care services |
870,671,661 |
61,189,012 |
618,280,186 |
50,861,964 |
487,377 |
2,169,874 |
135,596,364 |
0 |
0 |
2,086,884 |
| 18 |
Amount incurred for provision of health care
services |
863,377,013 |
57,603,806 |
612,915,253 |
50,253,095 |
482,838 |
2,120,162 |
139,586,710 |
0 |
0 |
415,149 | |