2009 STATEMENT OF REVENUE AND EXPENSES - 004 HMO Maine, a Line of Business
of Anthem Health Plans of Maine, Inc.
| |
LINE |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Member months |
|
912,573 |
1,062,134 |
| 02 |
Net premium income |
|
364,361,320 |
400,287,880 |
| 03 |
Change in unearned
premium reserves and reserve for rate credits |
|
(14,971,183) |
(22,688,630) |
| 04 |
Fee-for-service (net
of $0 medical expenses) |
|
0 |
0 |
| 05 |
Risk revenue |
|
0 |
0 |
| 06 |
Aggregate write-ins
for other health care related revenues |
|
0 |
0 |
| 07 |
Aggregate write-ins
for other non-health revenues |
|
0 |
0 |
| 08 |
Total revenues |
|
349,390,137 |
377,599,250 |
| 09 |
Hospital/medical
benefits (medical and hospital) |
|
275,931,945 |
283,955,297 |
| 10 |
Other professional
services (medical and hospital) |
|
6,608 |
0 |
| 11 |
Outside referrals
(medical and hospital) |
|
0 |
0 |
| 12 |
Emergency room and
out-of-area (medical and hospital) |
|
16,861,458 |
16,800,404 |
| 13 |
Prescription drugs |
|
44,340,129 |
48,596,605 |
| 14 |
Aggregate write-ins
for other hospital and medical (medical and hospital) |
0 |
0 |
0 |
| 15 |
Incentive pool,
withhold adjustments and bonus amounts (medical and hospital) |
|
|
0 |
| 16 |
Subtotal (medical
and hospital) |
0 |
337,140,140 |
349,352,306 |
| 17 |
Net reinsurance recoveries
(less) |
|
0 |
0 |
| 18 |
Total hospital and
medical (less) |
0 |
337,140,140 |
349,352,306 |
| 19 |
Non-health claims
(less) |
|
|
|
| 20 |
Claims adjustment
expenses, including $2,090,321 cost containment expenses (less) |
|
4,816,686 |
3,554,097 |
| 21 |
General administrative
expenses (less) |
|
10,507,615 |
5,053,548 |
| 22 |
Increase in reserves
for life and accident and health contracts (less) |
|
20,134 |
0 |
| 23 |
Total underwriting
deductions |
0 |
352,484,575 |
357,959,951 |
| 24 |
Net underwriting
gain or (loss) |
|
(3,094,438) |
19,639,299 |
| 25 |
Net investment income
earned |
|
3,594,092 |
4,394,511 |
| 26 |
Net realized capital
gains or (losses) |
|
97,778 |
(786,055) |
| 27 |
Net investment gains
or (losses) |
0 |
3,691,870 |
3,608,456 |
| 28 |
Net gain or (loss)
from agents' or premium balances charged off [(amount recovered
$0 (amount charged off $0] |
0 |
0 |
0 |
| 29 |
Aggregate write-ins
for other income or expenses |
0 |
0 |
4,598 |
| 30 |
Net income or (loss)
before federal income taxes |
0 |
597,432 |
23,252,353 |
| 31 |
Federal and foreign
income taxes incurred |
|
209,101 |
8,138,324 |
| 32 |
Net income (loss) |
|
388,331 |
15,114,029 |
| |
Details of Write-Ins |
|
|
|
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
Totals |
0 |
0 |
0 |
| 2901 |
Miscellaneous Income |
0 |
0 |
4,598 |
| 2999 |
Totals |
0 |
0 |
4,598 |
Last Updated:
August 22, 2012
|
