2009 LIABILITIES, CAPITAL AND SURPLUS - 003
12545 - Martins Point
Generations LLC
Quarter 3 |
|
Line |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance ceded) |
2,397,766 |
0 |
2,397,766 |
956,756 |
| 02 |
Accrued medical incentive pool and bonus amounts |
0 |
0 |
0 |
0 |
| 03 |
Unpaid claims adjustment expenses |
83,397 |
0 |
83,397 |
34,103 |
| 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 |
94,566 |
0 |
94,566 |
69,912 |
| 09 |
General expenses due or accrued |
210,884 |
0 |
210,884 |
358,222 |
| 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 |
763,691 |
0 |
763,691 |
331,778 |
| 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 |
572,833 |
0 |
572,833 |
494,280 |
| 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) |
0 |
0 |
0 |
0 |
| 22 |
Total liabilities (Lines 1 to 21) |
4,123,137 |
0 |
4,123,137 |
2,245,051 |
| 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 |
|
|
5,000,000 |
5,000,000 |
| 27 |
Surplus notes |
|
|
0 |
0 |
| 28 |
Aggregate write-ins for other than special surplus
funds |
|
|
0 |
0 |
| 29 |
Unassigned funds (surplus) |
|
|
-3,378,936 |
-3,195,924 |
| 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 |
|
|
1,621,064 |
1,804,076 |
| 32 |
Total liabilities, capital and surplus |
|
|
5,744,201 |
4,049,127 |
|
Details of Write-Ins |
| 2101 |
|
0 |
0 |
0 |
0 |
| 2102 |
|
0 |
0 |
0 |
0 |
| 2103 |
|
0 |
0 |
0 |
0 |
| 2199 |
|
0 |
0 |
0 |
0 |
| 2301 |
|
|
|
0 |
0 |
| 2302 |
|
|
|
0 |
0 |
| 2303 |
|
|
|
0 |
0 |
| 2399 |
|
|
|
0 |
0 |
| 2801 |
|
|
|
0 |
0 |
| 2802 |
|
|
|
0 |
0 |
| 2803 |
|
|
|
0 |
0 |
| 2899 |
|
|
|
0 |
0 |
|
Last Updated:
September 27, 2010
|
