|
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 |
|
3,697,653 |
3,986,336 |
5,315,840 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
1,532,872,985 |
1,541,189,529 |
2,066,256,034 |
| 03 |
Change in unearned premium reserves and reserve for
rate credits |
|
0 |
0 |
0 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
2,444,520 |
3,309,419 |
| 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 |
|
1,532,872,985 |
1,543,634,049 |
2,069,565,453 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
1,054,766,287 |
1,083,695,973 |
1,419,754,883 |
| 10 |
Other professional services (hospital and medical) |
0 |
60,159,893 |
21,589,588 |
59,457,135 |
| 11 |
Outside referrals (hospital and medical) |
0 |
22,848,568 |
21,348,780 |
30,722,320 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
0 |
37,399,771 |
27,299,450 |
42,014,926 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
172,527,453 |
169,238,459 |
229,720,760 |
| 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 |
20,406,546 |
23,857,093 |
28,906,488 |
| 16 |
Subtotal (hospital and medical) |
0 |
1,368,108,518 |
1,347,029,343 |
1,810,576,512 |
| 17 |
Net reinsurance recoveries (less) |
0 |
696,749 |
693,913 |
0 |
| 18 |
Total hospital and medical (less) |
0 |
1,367,411,769 |
1,346,335,430 |
1,810,576,512 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $33349630 cost
containment expenses (less) |
0 |
70,653,543 |
81,120,835 |
106,624,226 |
| 21 |
General administrative expenses (less) |
0 |
79,746,054 |
114,318,379 |
136,765,064 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only) (less) |
0 |
0 |
0 |
0 |
| 23 |
Total underwriting deductions |
0 |
1,517,811,366 |
1,541,774,644 |
2,053,965,802 |
| 24 |
Net underwriting gain or (loss) |
|
15,061,619 |
1,859,405 |
15,599,651 |
| 25 |
Net investment income earned |
0 |
16,593,053 |
23,782,720 |
22,631,380 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $0 |
0 |
-109,240 |
-175,841 |
1,337,300 |
| 27 |
Net investment gains or (losses) |
0 |
16,483,813 |
23,606,879 |
23,968,680 |
| 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 |
-388,424 |
-1,267,461 |
-1,493,507 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
31,157,008 |
24,198,823 |
38,074,824 |
| 31 |
Federal and foreign income taxes incurred |
|
0 |
0 |
0 |
| 32 |
Net income (loss) |
|
31,157,008 |
24,198,823 |
38,074,824 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
0 |
| 0799 |
|
|
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
0 |
| 2901 |
Miscellaneous & Other Income |
0 |
-388,424 |
-1,267,461 |
-1,493,507 |
| 2999 |
|
0 |
-388,424 |
-1,267,461 |
-1,493,507 |
2008 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 - Harvard Pilgrim Health Care Inc
Quarter 3 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year Ended December 31 |
| 33 |
Capital and surplus prior reporting year |
373,472,617 |
321,946,756 |
321,946,756 |
| 34 |
Net income or (loss) from Line 32 |
31,157,008 |
24,198,823 |
38,074,824 |
| 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 |
-7,739,594 |
2,714,577 |
1,963,578 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
0 |
0 |
0 |
| 39 |
Change in nonadmitted assets |
-448,130 |
21,607,015 |
21,202,355 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
0 |
| 42 |
Change in surplus notes |
-12,881,173 |
-9,736,172 |
-9,714,896 |
| 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 |
0 |
0 |
0 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
-10,000,000 |
0 |
0 |
| 48 |
Net change in capital and surplus |
88,111 |
38,784,243 |
51,525,861 |
| 49 |
Capital and surplus end of reporting period |
373,560,728 |
360,730,999 |
373,472,617 |
|
Details of Write-Ins |
| 4701 |
Other |
-10,000,000 |
0 |
0 |
| 4799 |
|
-10,000,000 |
0 |
0 |
|
|
