2008 LIABILITIES, CAPITAL AND SURPLUS - 003
12151 - Arcadian Health
Plan Inc
Quarter 3 |
|
Line |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance ceded) |
21,296,752 |
5,292,414 |
26,589,166 |
24,199,686 |
| 02 |
Accrued medical incentive pool and bonus amounts |
206,948 |
0 |
206,948 |
238,741 |
| 03 |
Unpaid claims adjustment expenses |
648,776 |
0 |
648,776 |
419,402 |
| 04 |
Aggregate health policy reserves |
15,560,246 |
0 |
15,560,246 |
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 |
0 |
0 |
0 |
43,355 |
| 09 |
General expenses due or accrued |
4,455,597 |
0 |
4,455,597 |
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 |
806,875 |
0 |
806,875 |
3,073,440 |
| 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 |
8,694,320 |
0 |
8,694,320 |
7,452,665 |
| 21 |
Aggregate write-ins for other liabilities (including
$0 current) |
0 |
0 |
0 |
0 |
| 22 |
Total liabilities (Lines 1 to 21) |
51,669,514 |
5,292,414 |
56,961,928 |
52,047,967 |
| 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 |
|
|
34,696,777 |
34,696,777 |
| 27 |
Surplus notes |
|
|
0 |
0 |
| 28 |
Aggregate write-ins for other than special surplus funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
-5,535,635 |
-13,977,982 |
| 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 |
|
|
29,761,142 |
21,318,795 |
| 32 |
Total liabilities, capital and surplus |
|
|
86,723,070 |
73,366,762 |
|
Details of Write-Ins |
| 2199 |
|
0 |
0 |
0 |
0 |
| 2399 |
|
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 | |
Last Updated:
September 27, 2010
|
