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2008 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Healthcare of ME Inc

Line Covered Current Year Uncovered Current Year Total Current Year Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 640,402 2,056 642,458 1,977,611
02 Accrued medical incentive pool and bonus amounts 366,034 0 366,034 314,217
03 Unpaid claims adjustment expenses 15,654 50 15,704 41,055
04 Aggregate health policy reserves 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserves 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 0 0 0 96,554
09 General expenses due or accrued 15,000 0 15,000 56,741
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 123,027
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 828 0 828 159
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 576,388 0 576,388 438,667
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 0 0 0 0
21 Aggregate write-ins for other liabilities (including $0 current) 93,295 0 93,295 92,606
22 Total liabilities (Lines 1 to 21) 1,707,601 2,106 1,709,707 3,140,637
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     100 100
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     2,971,401 2,971,401
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     4,822,333 7,325,450
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     7,793,834 10,296,951
32 Total liabilities, capital and surplus     9,503,541 13,437,589
Details of Write-Ins
2101 ACCRUED TAXES- OTHER 62,313 0 62,313 0
2102 COMMISSION PAYABLE 12,929 0 12,929 27,834
2103 CREDIT BALANCES DUE POLICYHOLDERS 13,100 0 13,100 46,473
2104 ESCHEAT LIABILITY 4,953 0 4,953 18,299
2199   93,295 0 93,295 92,606
2399       0 0
2801       0 0
2899       0 0

Last Updated: September 27, 2010