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2008 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Health Care Inc
Quarter 1

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 214,992,997 0 214,992,997 214,516,966
02 Accrued medical incentive pool and bonus amounts 36,476,713 0 36,476,713 32,461,620
03 Unpaid claims adjustment expenses 3,233,642 0 3,233,642 3,081,455
04 Aggregate health policy reserves 0 0 0 0
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 33,984,900 0 33,984,900 26,362,045
09 General expenses due or accrued 39,590,102 0 39,590,102 55,106,437
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 2,164,196 0 2,164,196 963,961
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 11,449,775 0 11,449,775 7,687,197
16 Payable for securities 744,492 0 744,492 2,715,897
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 29,571,205 0 29,571,205 31,436,492
21 Aggregate write-ins for other liabilities (including $0 current) 6,203,809 0 6,203,809 6,349,076
22 Total liabilities (Lines 1 to 21) 378,411,831 0 378,411,831 380,681,146
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     0 0
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     0 0
27 Surplus notes     110,222,471 110,201,195
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     269,295,107 263,271,422
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     379,517,578 373,472,617
32 Total liabilities, capital and surplus     757,929,409 754,153,763
Details of Write-Ins
2101 Professional Liability Reserve-Medical Malpractice 442,000 0 442,000 442,000
2102 Deferred Rent 5,189,061 0 5,189,061 5,334,328
2103 Security Deposits 83,913 0 83,913 83,913
2104 Accrued Long Term Expenses 488,835 0 488,835 488,835
2199   6,203,809 0 6,203,809 6,349,076
2399       0 0
2899       0 0

Last Updated: November 18, 2009