|
Line |
Covered Current Year |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance ceded) |
218,616,787 |
0 |
218,616,787 |
193,741,628 |
| 02 |
Accrued medical incentive pool and bonus amounts |
20,700,334 |
0 |
20,700,334 |
28,136,234 |
| 03 |
Unpaid claims adjustment expenses |
3,176,172 |
0 |
3,176,172 |
2,838,520 |
| 04 |
Aggregate health policy reserves |
0 |
0 |
0 |
0 |
| 05 |
Aggregate life policy reserves |
0 |
0 |
0 |
0 |
| 06 |
Property/casualty unearned premium reserves |
0 |
0 |
0 |
0 |
| 07 |
Aggregate health claim reserves |
0 |
0 |
0 |
0 |
| 08 |
Premiums received in advance |
46,338,315 |
0 |
46,338,315 |
31,615,820 |
| 09 |
General expenses due or accrued |
48,835,002 |
0 |
48,835,002 |
56,781,727 |
| 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 |
1,265,677 |
0 |
1,265,677 |
1,559,176 |
| 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 |
11,416,153 |
0 |
11,416,153 |
10,165,325 |
| 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 |
32,741,125 |
0 |
32,741,125 |
30,645,150 |
| 21 |
Aggregate write-ins for other liabilities (including
$0 current) |
36,098,268 |
0 |
36,098,268 |
6,009,978 |
| 22 |
Total liabilities (Lines 1 to 21) |
419,187,833 |
0 |
419,187,833 |
361,493,558 |
| 23 |
Aggregate write-ins for special surplus funds |
|
|
0 |
0 |
| 24 |
Common capital stock |
|
|
0 |
0 |
| 25 |
Preferred capital stock |
|
|
0 |
0 |
| 26 |
Gross paid in and contributed surplus |
|
|
0 |
0 |
| 27 |
Surplus notes |
|
|
87,626,402 |
97,341,298 |
| 28 |
Aggregate write-ins for other than special surplus
funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
294,329,270 |
289,391,486 |
| 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 |
|
|
381,955,672 |
386,732,784 |
| 32 |
Total liabilities, capital and surplus |
|
|
801,143,505 |
748,226,342 |
|
Details of Write-Ins |
| 2101 |
Professional Liability Reserve-Medical
Malpractice |
357,000 |
0 |
357,000 |
357,000 |
| 2102 |
Deferred Rent |
5,842,001 |
0 |
5,842,001 |
5,098,961 |
| 2103 |
Security Deposits |
171,574 |
0 |
171,574 |
83,913 |
| 2104 |
Accrued Long Term Expenses |
727,693 |
0 |
727,693 |
470,104 |
| 2105 |
Quincy Mortgage |
29,000,000 |
0 |
29,000,000 |
0 |
| 2199 |
|
36,098,268 |
0 |
36,098,268 |
6,009,978 |
| 2301 |
|
|
|
0 |
0 |
| 2302 |
|
|
|
0 |
0 |
| 2303 |
|
|
|
0 |
0 |
| 2399 |
|
|
|
0 |
0 |
| 2801 |
|
|
|
0 |
0 |
| 2802 |
|
|
|
0 |
0 |
| 2803 |
|
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 |
|
