2008 STATEMENT OF REVENUE AND EXPENSES - 004 HMO Maine, a Line of
Business of Anthem Health Plans of Maine, Inc. Quarter 3
| |
LINE |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
Prior Year Ended December 31 |
| 01 |
Member months |
XXX |
804,362 |
881,089 |
1,163,667 |
| 02 |
Net premium income
(including $0 non-health premium income) |
XXX |
316,499,325 |
316,144,395 |
422,103,930 |
| 03 |
Change in unearned
premium reserves and reserve for rate credits |
XXX |
-15,289,396 |
0 |
0 |
| 04 |
Fee-for-service (net
of $0 medical expenses) |
XXX |
0 |
0 |
0 |
| 05 |
Risk revenue |
XXX |
0 |
0 |
0 |
| 06 |
Aggregate write-ins
for other health care related revenues |
XXX |
0 |
0 |
0 |
| 07 |
Aggregate write-ins
for other non-health revenues |
XXX |
0 |
0 |
0 |
| 08 |
Total revenues |
XXX |
301,209,929 |
316,144,395 |
422,103,930 |
| 09 |
Hospital/medical
benefits (medical and hospital) |
|
213,111,027 |
215,822,129 |
291,074,022 |
| 10 |
Other professional
services (medical and hospital) |
|
0 |
2,377 |
2,378 |
| 11 |
Outside referrals
(medical and hospital) |
|
0 |
0 |
0 |
| 12 |
Emergency room and
out-of-area (medical and hospital) |
|
12,587,787 |
12,884,539 |
16,646,341 |
| 13 |
Prescription drugs
(hospital and medical) |
|
36,834,919 |
38,905,930 |
50,908,333 |
| 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 |
| 16 |
Subtotal (hospital
and medical) |
0 |
262,533,733 |
267,614,975 |
358,631,074 |
| 17 |
Net reinsurance recoveries
(less) |
|
0 |
0 |
0 |
| 18 |
Total hospital and
medical (less) |
0 |
262,533,733 |
267,614,975 |
358,631,074 |
| 19 |
Non-health claims
(net) (less) |
|
0 |
0 |
0 |
| 20 |
Claims adjustment
expenses, including $2,423,447 cost containment expenses (less) |
|
5,837,936 |
6,772,138 |
9,287,181 |
| 21 |
General administrative
expenses (less) |
|
8,249,747 |
9,256,590 |
13,123,969 |
| 22 |
Increase in reserves
for life and accident and health contracts (including $0 increase
in reserves for life only) (less) |
|
0 |
0 |
0 |
| 23 |
Total underwriting
deductions |
0 |
276,621,416 |
283,643,703 |
381,042,224 |
| 24 |
Net underwriting
gain or (loss) |
XXX |
24,588,513 |
32,500,692 |
41,061,706 |
| 25 |
Net investment income
earned |
|
3,623,513 |
4,888,912 |
6,138,837 |
| 26 |
Net realized capital
gains (losses) less capital gains tax of $ -8,558 |
|
-504,714 |
597,560 |
489,759 |
| 27 |
Net investment gains
or (losses) |
0 |
3,118,799 |
5,486,472 |
6,628,596 |
| 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 |
11,075 |
25,601 |
| 30 |
Net income or (loss)
after capital gains tax and before all other federal income taxes |
XXX |
27,707,312 |
37,998,239 |
47,715,903 |
| 31 |
Federal and foreign
income taxes incurred |
XXX |
9,697,559 |
13,299,384 |
16,700,566 |
| 32 |
Net income (loss) |
XXX |
18,009,753 |
24,698,855 |
31,015,337 |
| |
Details of Write-Ins |
|
|
|
|
| 0601 |
|
XXX |
0 |
0 |
0 |
| 0699 |
|
XXX |
0 |
0 |
0 |
| 0701 |
|
XXX |
0 |
0 |
0 |
| 0799 |
|
XXX |
0 |
0 |
0 |
| 1401 |
|
0 |
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
0 |
| 2901 |
Miscellaneous income |
0 |
0 |
11,075 |
25,601 |
| 2999 |
Totals |
0 |
0 |
11,075 |
25,601 |
Last Updated:
November 18, 2009
|