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2010 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 029
95447 - Cigna Hlthcare of ME Inc
for Maine

Line State Code Total Individual Comprehensive Group Comprehensive Medicare Supplement Vision Only Dental Only Federal Employees Health Benefit Plan Title XVIII Medicare Title XIX Medicaid Other
01 Prior Year (total member at end of) ME 567 7 560 0 0 0 0 0 0 0
02 First Quarter (total members at end of) ME 177 4 173 0 0 0 0 0 0 0
03 Second Quarter (total members at end of) ME 8 3 5 0 0 0 0 0 0 0
04 Third Quarter (total members at end of) ME 0 0 0 0 0 0 0 0 0 0
05 Current Year (total members at end of) ME 0 0 0 0 0 0 0 0 0 0
06 Current Year Member Months ME 950 0 950 0 0 0 0 0 0 0
07 Physician (total member ambulatory encounters for year) ME 354 11 343 0 0 0 0 0 0 0
08 Non-physician (total member ambulatory encounters for year) ME 170 5 165 0 0 0 0 0 0 0
09 Total (total member ambulatory encounters for year) ME 524 16 508 0 0 0 0 0 0 0
10 Hospital patient days incurred ME 349 0 349 0 0 0 0 0 0 0
11 Number of inpatient admissions ME 7 0 7 0 0 0 0 0 0 0
12 Health premiums written (b) ME 369,496 12,198 357,298 0 0 0 0 0 0 0
13 Life premiums direct ME 0 0 0 0 0 0 0 0 0 0
14 Property/Casualty premiums written ME 0 0 0 0 0 0 0 0 0 0
15 Health premiums earned ME 369,496 12,198 357,298 0 0 0 0 0 0 0
16 Property/Casualty premiums earned ME 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services ME 508,894 15,266 493,628 0 0 0 0 0 0 0
18 Amount incurred for provision of health care services ME 324,888 10,949 313,939 0 0 0 0 0 0 0
FootNotes
0000001 (a) For health business number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0.
0000002 (b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $0 ~

Last Updated: September 27, 2010