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2008 LIABILITIES, CAPITAL AND SURPLUS - 003
12151 - Arcadian Health Plan Inc
Quarter 1

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 19,184,424 6,235,159 25,419,583 24,199,686
02 Accrued medical incentive pool and bonus amounts 334,109 0 334,109 238,741
03 Unpaid claims adjustment expenses 429,808 0 429,808 419,402
04 Aggregate health policy reserves 13,641,400 0 13,641,400 12,351,502
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 43,355
09 General expenses due or accrued 3,226,890 0 3,226,890 4,269,176
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 258,865 0 258,865 513,440
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 7,982,598 0 7,982,598 7,452,665
21 Aggregate write-ins for other liabilities (including $0 current) 0 0 0 0
22 Total liabilities (Lines 1 to 21) 45,101,449 6,235,159 51,336,608 49,487,967
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     32,876,777 32,876,777
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     -14,028,917 -11,757,982
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     19,447,860 21,718,795
32 Total liabilities, capital and surplus     70,784,468 71,206,762
Details of Write-Ins
2199   0 0 0 0
2399       0 0
2899       0 0

Last Updated: September 27, 2010