|
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
Total Prior Year Ended December 31 |
| 01 |
Member months |
|
300,503 |
339,964 |
446,621 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
115,706,535 |
119,881,967 |
159,046,046 |
| 03 |
Change in unearned premium reserves and reserve for rate credits |
|
42,754 |
44,645 |
42,725 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
0 |
0 |
| 05 |
Risk revenue |
|
0 |
0 |
0 |
| 06 |
Aggregate write-ins for other health care related revenues |
|
0 |
0 |
0 |
| 07 |
Aggregate write-ins for other non-health revenues |
|
0 |
0 |
0 |
| 08 |
Total revenues |
|
115,749,289 |
119,926,612 |
159,088,771 |
| 09 |
Hospital/medical benefits (hospital and medical) |
713,825 |
77,962,026 |
81,779,745 |
108,532,309 |
| 10 |
Other professional services (hospital and medical) |
0 |
0 |
0 |
0 |
| 11 |
Outside referrals (hospital and medical) |
854,237 |
854,237 |
839,706 |
1,125,018 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
103,348 |
5,167,415 |
5,645,140 |
7,474,782 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
12,208,030 |
12,141,443 |
16,243,459 |
| 14 |
Aggregate write-ins for other hospital and medical
(hospital and medical) |
0 |
0 |
0 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus
amounts (hospital and medical) |
0 |
0 |
0 |
0 |
| 16 |
Subtotal (hospital and medical) |
1,671,410 |
96,191,708 |
100,406,034 |
133,375,568 |
| 17 |
Net reinsurance recoveries (less) |
0 |
232,111 |
181,095 |
247,599 |
| 18 |
Total hospital and medical (less) |
1,671,410 |
95,959,597 |
100,224,939 |
133,127,969 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $694318 cost
containment expenses (less) |
0 |
2,020,026 |
2,208,933 |
2,800,886 |
| 21 |
General administrative expenses (less) |
0 |
12,385,584 |
12,233,034 |
14,778,460 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only) (less) |
0 |
77,806 |
-99,974 |
-79,602 |
| 23 |
Total underwriting deductions |
1,671,410 |
110,443,013 |
114,566,932 |
150,627,713 |
| 24 |
Net underwriting gain or (loss) |
|
5,306,276 |
5,359,680 |
8,461,058 |
| 25 |
Net investment income earned |
0 |
1,757,784 |
1,690,428 |
2,232,768 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $34936 |
0 |
-864,323 |
-416,147 |
-546,440 |
| 27 |
Net investment gains or (losses) |
0 |
893,461 |
1,274,281 |
1,686,328 |
| 28 |
Net gain or (loss) from agents' or premium balances
charged off [(amount recovered $0 (amount charged off $0] |
0 |
0 |
0 |
0 |
| 29 |
Aggregate write-ins for other income or expenses |
0 |
0 |
0 |
0 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
6,199,737 |
6,633,961 |
10,147,386 |
| 31 |
Federal and foreign income taxes incurred |
|
-1,413,842 |
2,045,083 |
3,668,315 |
| 32 |
Net income (loss) |
|
7,613,579 |
4,588,878 |
6,479,071 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
0 |
| 0799 |
|
|
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
0 |
2008 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 -
Aetna Health Inc ME Corp
Quarter 3 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year Ended December 31 |
| 33 |
Capital and surplus prior reporting year |
30,504,996 |
27,218,445 |
27,218,445 |
| 34 |
Net income or (loss) from Line 32 |
7,613,579 |
4,588,878 |
6,479,071 |
| 35 |
Change in valuation basis of aggregate policy and claim reserves |
0 |
0 |
0 |
| 36 |
Change in net unrealized capital gains (losses) less
capital gains tax of $0 |
0 |
0 |
0 |
| 37 |
Change in net unrealized foreign exchange capital gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
-608,360 |
-413,903 |
-173,150 |
| 39 |
Change in nonadmitted assets |
-189,726 |
767,957 |
1,380,630 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
0 |
| 42 |
Change in surplus notes |
0 |
0 |
0 |
| 43 |
Cumulative effect of changes in accounting principles |
0 |
0 |
0 |
| 44.1 |
Paid in (capital changes) |
0 |
0 |
0 |
| 44.2 |
Transferred from surplus (stock dividend) (capital changes) |
0 |
0 |
0 |
| 44.3 |
Transferred to surplus (capital changes) |
0 |
0 |
0 |
| 45.1 |
Paid in (surplus adjustments) |
0 |
0 |
0 |
| 45.2 |
Transferred to capital (stock dividend) (surplus adjustments) |
0 |
0 |
0 |
| 45.3 |
Transferred from capital (surplus adjustments) |
0 |
0 |
0 |
| 46 |
Dividends to stockholders |
-9,000,000 |
-4,400,000 |
-4,400,000 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
-2,184,507 |
542,932 |
3,286,551 |
| 49 |
Capital and surplus end of reporting period |
28,320,489 |
27,761,377 |
30,504,996 |
|
Details of Write-Ins |
| 4799 |
|
0 |
0 |
0 |
|
|
