|
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
Total Prior Year Ended December 31 |
| 01 |
Member months |
|
3,462,150 |
3,697,653 |
4,911,184 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
1,543,491,114 |
1,532,872,985 |
2,049,437,834 |
| 03 |
Change in unearned premium reserves and reserve for
rate credits |
|
0 |
0 |
0 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
0 |
0 |
| 05 |
Risk revenue |
|
0 |
0 |
0 |
| 06 |
Aggregate write-ins for other health care related
revenues |
|
0 |
0 |
0 |
| 07 |
Aggregate write-ins for other non-health revenues |
|
0 |
0 |
0 |
| 08 |
Total revenues |
|
1,543,491,114 |
1,532,872,985 |
2,049,437,834 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
1,073,732,039 |
1,054,766,287 |
1,405,487,880 |
| 10 |
Other professional services (hospital and
medical) |
0 |
64,150,386 |
60,159,893 |
81,381,375 |
| 11 |
Outside referrals (hospital and medical) |
0 |
20,832,034 |
22,848,568 |
29,009,467 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
0 |
34,644,756 |
37,399,771 |
41,685,845 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
178,160,997 |
172,527,453 |
229,598,255 |
| 14 |
Aggregate write-ins for other hospital and medical
(hospital and medical) |
0 |
0 |
0 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus
amounts (hospital and medical) |
0 |
18,162,741 |
20,406,546 |
26,708,129 |
| 16 |
Subtotal (hospital and medical) |
0 |
1,389,682,953 |
1,368,108,518 |
1,813,870,951 |
| 17 |
Net reinsurance recoveries (less) |
0 |
396,656 |
696,749 |
1,254,154 |
| 18 |
Total hospital and medical (less) |
0 |
1,389,286,297 |
1,367,411,769 |
1,812,616,797 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $35086842 cost
containment expenses (less) |
0 |
74,536,103 |
70,653,543 |
97,601,858 |
| 21 |
General administrative expenses (less) |
0 |
79,716,560 |
79,746,054 |
109,394,359 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only)
(less) |
0 |
0 |
0 |
0 |
| 23 |
Total underwriting deductions |
0 |
1,543,538,960 |
1,517,811,366 |
2,019,613,014 |
| 24 |
Net underwriting gain or (loss) |
|
-47,846 |
15,061,619 |
29,824,820 |
| 25 |
Net investment income earned |
0 |
15,233,897 |
16,593,053 |
22,259,525 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $0 |
0 |
-924,813 |
-109,240 |
-2,538,640 |
| 27 |
Net investment gains or (losses) |
0 |
14,309,084 |
16,483,813 |
19,720,885 |
| 28 |
Net gain or (loss) from agents' or premium balances
charged off [(amount recovered $0 (amount charged off $0] |
0 |
0 |
0 |
0 |
| 29 |
Aggregate write-ins for other income or expenses |
0 |
-4,029,492 |
-388,424 |
2,746,369 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
10,231,746 |
31,157,008 |
52,292,074 |
| 31 |
Federal and foreign income taxes incurred |
|
0 |
0 |
0 |
| 32 |
Net income (loss) |
|
10,231,746 |
31,157,008 |
52,292,074 |
|
Details of Write-Ins |
| 0601 |
|
|
0 |
0 |
0 |
| 0602 |
|
|
0 |
0 |
0 |
| 0603 |
|
|
0 |
0 |
0 |
| 0699 |
|
|
0 |
0 |
0 |
| 0701 |
|
|
0 |
0 |
0 |
| 0702 |
|
|
0 |
0 |
0 |
| 0703 |
|
|
0 |
0 |
0 |
| 0799 |
|
|
0 |
0 |
0 |
| 1401 |
|
0 |
0 |
0 |
0 |
| 1402 |
|
0 |
0 |
0 |
0 |
| 1403 |
|
0 |
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
0 |
| 2901 |
Miscellaneous & Other Income
(Expense) |
0 |
-4,029,492 |
-388,424 |
2,746,369 |
| 2999 |
|
0 |
-4,029,492 |
-388,424 |
2,746,369 |
2009 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 -
Harvard Pilgrim Health Care Inc
Quarter 3 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year Ended December 31 |
| 33 |
Capital and surplus prior reporting year |
386,732,784 |
373,472,617 |
373,472,617 |
| 34 |
Net income or (loss) from Line 32 |
10,231,746 |
31,157,008 |
52,292,074 |
| 35 |
Change in valuation basis of aggregate policy and
claim reserves |
0 |
0 |
0 |
| 36 |
Change in net unrealized capital gains (losses) less
capital gains tax of $0 |
19,319,752 |
-7,739,594 |
-13,492,743 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
0 |
0 |
0 |
| 39 |
Change in nonadmitted assets |
-25,270,362 |
-448,130 |
-2,679,267 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
0 |
| 42 |
Change in surplus notes |
-9,736,172 |
-12,881,173 |
-12,859,897 |
| 43 |
Cumulative effect of changes in accounting
principles |
0 |
0 |
0 |
| 44.1 |
Paid in (capital changes) |
0 |
0 |
0 |
| 44.2 |
Transferred from surplus (stock dividend) (capital
changes) |
0 |
0 |
0 |
| 44.3 |
Transferred to surplus (capital changes) |
0 |
0 |
0 |
| 45.1 |
Paid in (surplus adjustments) |
0 |
0 |
0 |
| 45.2 |
Transferred to capital (stock dividend) (surplus
adjustments) |
0 |
0 |
0 |
| 45.3 |
Transferred from capital (surplus adjustments) |
0 |
0 |
0 |
| 46 |
Dividends to stockholders |
0 |
0 |
0 |
| 47 |
Aggregate write-ins for gains or (losses) in
surplus |
-15,000,000 |
-10,000,000 |
-10,000,000 |
| 48 |
Net change in capital and surplus |
-20,455,036 |
88,111 |
13,260,167 |
| 49 |
Capital and surplus end of reporting period |
366,277,748 |
373,560,728 |
386,732,784 |
|
Details of Write-Ins |
| 4701 |
Other |
-15,000,000 |
-10,000,000 |
-10,000,000 |
| 4799 |
|
-15,000,000 |
-10,000,000 |
-10,000,000 |
|
|
