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2009 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Healthcare of ME Inc
Quarter 1

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 506,890 711 507,601 642,458
02 Accrued medical incentive pool and bonus amounts 16,204 0 16,204 366,034
03 Unpaid claims adjustment expenses 10,899 15 10,914 15,704
04 Aggregate health policy reserves 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 0 0 0 0
09 General expenses due or accrued 21,000 0 21,000 15,000
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 30,085 0 30,085 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 0 0 0 0
13 Remittances and items not allocated 0 0 0 828
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 624,675 0 624,675 576,388
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 0 0 0 0
21 Aggregate write-ins for other liabilities (including $0 current) 105,129 0 105,129 93,295
22 Total liabilities (Lines 1 to 21) 1,314,882 726 1,315,608 1,709,707
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     100 100
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     2,971,401 2,971,401
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     4,948,056 4,822,333
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     7,919,557 7,793,834
32 Total liabilities, capital and surplus     9,235,165 9,503,541
Details of Write-Ins
2101 ACCRUED TAXES- OTHER 75,140 0 75,140 62,313
2102 COMMISSION PAYABLE 177 0 177 12,929
2103 CREDIT BALANCES DUE POLICYHOLDERS 24,664 0 24,664 13,100
2104 ESCHEAT LIABILITY 5,148 0 5,148 4,953
2199   105,129 0 105,129 93,295
2399       0 0
2801       0 0
2899       0 0

Last Updated: September 2, 2009