2010 SCHEDULE T - 036 12151 - Arcadian Hlth Plan
Inc |
|
Line |
Active Status |
Accident & Health Premiums |
Medicare Title XVIII |
Medicaid Title XIX |
Federal Employees Health Benefits Program
Premiums |
Life & Annuity Premiums & Other
Considerations |
Property/Casualty Premiums |
Total Columns 2 through 7 |
Deposit-Type Contracts |
| 01 |
Alabama AL |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 02 |
Alaska AK |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 03 |
Arizona AZ |
L |
0 |
48,976,142 |
0 |
0 |
0 |
0 |
48,976,142 |
0 |
| 04 |
Arkansas AR |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 05 |
California CA |
L |
0 |
12,971,319 |
0 |
0 |
0 |
0 |
12,971,319 |
0 |
| 06 |
Colorado CO |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 07 |
Connecticut CT |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 08 |
Delaware DE |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 09 |
Dist. Columbia DC |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 10 |
Florida FL |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 11 |
Georgia GA |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 12 |
Hawaii HI |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 13 |
Idaho ID |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 14 |
Illinois IL |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 15 |
Indiana IN |
L |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 16 |
Iowa IA |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 17 |
Kansas KS |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 18 |
Kentucky KY |
L |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 19 |
Louisiana LA |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 20 |
Maine ME |
L |
0 |
62,657,124 |
0 |
0 |
0 |
0 |
62,657,124 |
0 |
| 21 |
Maryland MD |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 22 |
Massachusetts MA |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 23 |
Michigan MI |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 24 |
Minnesota MN |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 25 |
Mississippi MS |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 26 |
Missouri MO |
L |
0 |
21,190,186 |
0 |
0 |
0 |
0 |
21,190,186 |
0 |
| 27 |
Montana MT |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 28 |
Nebraska NE |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 29 |
Nevada NV |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 30 |
New Hampshire NH |
L |
0 |
1,411,102 |
0 |
0 |
0 |
0 |
1,411,102 |
0 |
| 31 |
New Jersey NJ |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 32 |
New Mexico NM |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 33 |
New York NY |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 34 |
North Carolina NC |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 35 |
North Dakota ND |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 36 |
Ohio OH |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 37 |
Oklahoma OK |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 38 |
Oregon OR |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 39 |
Pennsylvania PA |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 40 |
Rhode Island RI |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 41 |
South Carolina SC |
L |
0 |
70,799,919 |
0 |
0 |
0 |
0 |
70,799,919 |
0 |
| 42 |
South Dakota SD |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 43 |
Tennessee TN |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 44 |
Texas TX |
L |
0 |
138,135,630 |
0 |
0 |
0 |
0 |
138,135,630 |
0 |
| 45 |
Utah UT |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 46 |
Vermont VT |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 47 |
Virginia VA |
L |
0 |
7,046,364 |
0 |
0 |
0 |
0 |
7,046,364 |
0 |
| 48 |
Washington WA |
L |
0 |
26,306,447 |
0 |
0 |
0 |
0 |
26,306,447 |
0 |
| 49 |
West Virginia WV |
L |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 50 |
Wisconsin WI |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 51 |
Wyoming WY |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 52 |
American Samoa AS |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 53 |
Guam GU |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 54 |
Puerto Rico PR |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 55 |
U.S. Virgin Islands VI |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 56 |
Northern Mariana Islands MP |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 57 |
Canada CN |
N |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 58 |
Aggregate other aliien OT |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 59 |
Subtotal |
|
0 |
389,494,233 |
0 |
0 |
0 |
0 |
389,494,233 |
0 |
| 60 |
Reporting entity contributions for Employee Benefit
Plans |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 61 |
Totals |
12 |
0 |
389,494,233 |
0 |
0 |
0 |
0 |
389,494,233 |
0 |
|
Details of Write-Ins |
| 5899 |
|
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 | |
|
FootNotes |
| 0000001 |
Explanation of basis of allocation by states,
premiums by states, etc. MEDICARE ADVANTAGE ORGANIZATIONS CONTRACT
WITH THE CENTER FOR MEDICARE AND MEDICAID SERVICES -?CMS? AT THE
STATE LEVEL. INDIVIDUAL PLANS, SET TO BID AND APPROVED BY CMS, ARE
DESIGNED TO SERVICE SPECIFIC GEOGRAPHIC AREAS WITHIN THE CONTRACT
-OR STATE. PLAN PREMIUMS ARE ALLOCATED AT A MEMBER LEVEL DETERMINED
BY THE MEMBER?S PLAN CHOICE AND SPECIFIC MEMBER DEMOGRAPHICS,
INCLUDING BUT NOT LIMITED TO GEOGRAPHIC LOCATION, AGE, GENDER, AND
HEALTH STATUS. PLAN MEMBERSHIP IS DETERMINED BASED ON WHERE THE
MEMBER RESIDES AND MEMBER?S SPECIFIC PLAN CHOICE IN THE EVENT THAT
MULTIPLE PLANS COVER THE SAME SE |
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Last Updated:
September 27, 2010
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