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2009 LIABILITIES, CAPITAL AND SURPLUS - 003
12151 - Arcadian Health Plan Inc
Quarter 2

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 28,688,783 5,140,049 33,828,832 31,240,424
02 Accrued medical incentive pool and bonus amounts 527,398 0 527,398 195,916
03 Unpaid claims adjustment expenses 1,170,205 0 1,170,205 1,148,398
04 Aggregate health policy reserves 3,109,665 0 3,109,665 3,473,450
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 4,502,303 0 4,502,303 5,797,520
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 616,686 0 616,686 1,222,130
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 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 610,489 0 610,489 281,944
16 Payable for securities 500,000 0 500,000 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 175,226 0 175,226 1,462,478
21 Aggregate write-ins for other liabilities (including $0 current) 0 0 0 0
22 Total liabilities (Lines 1 to 21) 39,900,755 5,140,049 45,040,804 44,822,260
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     600,000 600,000
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     34,696,777 34,696,777
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     7,690,389 -4,629,640
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     42,987,166 30,667,137
32 Total liabilities, capital and surplus     88,027,970 75,489,397
Details of Write-Ins
2199   0 0 0 0
2399       0 0
2899       0 0

Last Updated: September 27, 2010