2009 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 029
96911 -
Harvard Pilgrim Health Care Inc for Maine |
|
Line |
Total |
Individual Comprehensive |
Group Comprehensive |
Medicare Supplement |
Vision Only |
Dental Only |
Federal Employees Health Benefit Plan |
Title XVIII Medicare |
Title XIX Medicaid |
Other |
| 01 |
Prior Year (total member at end of) |
18,355 |
5 |
18,195 |
0 |
0 |
0 |
0 |
155 |
0 |
0 |
| 02 |
First Quarter (total members at end of) |
19,268 |
4 |
19,084 |
0 |
0 |
0 |
0 |
180 |
0 |
0 |
| 03 |
Second Quarter (total members at end of) |
19,645 |
3 |
19,435 |
0 |
0 |
0 |
0 |
207 |
0 |
0 |
| 04 |
Third Quarter (total members at end of) |
20,260 |
3 |
20,030 |
0 |
0 |
0 |
0 |
227 |
0 |
0 |
| 05 |
Current Year (total members at end of) |
20,444 |
2 |
20,221 |
0 |
0 |
0 |
0 |
221 |
0 |
0 |
| 06 |
Current Year Member Months |
237,480 |
41 |
234,933 |
0 |
0 |
0 |
0 |
2,506 |
0 |
0 |
| 07 |
Physician (total member ambulatory encounters for
year) |
96,735 |
13 |
91,649 |
0 |
0 |
0 |
0 |
5,073 |
0 |
0 |
| 08 |
Non-physician (total member ambulatory encounters
for year) |
34,186 |
0 |
31,156 |
0 |
0 |
0 |
0 |
3,030 |
0 |
0 |
| 09 |
Total (total member ambulatory encounters for
year) |
130,921 |
13 |
122,805 |
0 |
0 |
0 |
0 |
8,103 |
0 |
0 |
| 10 |
Hospital patient days incurred |
5,716 |
0 |
5,044 |
0 |
0 |
0 |
0 |
672 |
0 |
0 |
| 11 |
Number of inpatient admissions |
1,451 |
0 |
1,364 |
0 |
0 |
0 |
0 |
87 |
0 |
0 |
| 12 |
Health premiums written (b) |
90,598,269 |
55,282 |
89,142,429 |
0 |
0 |
0 |
0 |
1,400,558 |
0 |
0 |
| 13 |
Life premiums direct |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 14 |
Property/Casualty premiums written |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 15 |
Health premiums earned |
90,598,269 |
55,282 |
89,142,429 |
0 |
0 |
0 |
0 |
1,400,558 |
0 |
0 |
| 16 |
Property/Casualty premiums earned |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 17 |
Amount paid for provision of health care services |
79,408,676 |
249,723 |
77,906,448 |
0 |
0 |
0 |
0 |
1,252,505 |
0 |
0 |
| 18 |
Amount incurred for provision of health care
services |
83,999,712 |
256,131 |
82,456,427 |
0 |
0 |
0 |
0 |
1,287,154 |
0 |
0 | |
|
FootNotes |
| 0000001 |
(a) For health business number of persons insured
under PPO managed care products 0 and number of persons insured
under indemnity only products 0. |
|
| 0000002 |
(b) For health premiums written: amount of Medicare
Title XVIII exempt from state taxes or fees $1,400,558 |
|
|
|
Last Updated:
September 27, 2010
|