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2010 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna Hlthcare of ME Inc

Line Uncovered Current Year Total Current Year Total Prior Year
01 Member months   950 8,715
02 Net premium income (including $0 non-health premium income)   361,972 3,109,463
03 Change in unearned premium reserves and reserve for rate credits   0 0
04 Fee-for-service (net of $0 medical expenses)   0 0
05 Risk revenue   0 0
06 Aggregate write-ins for other health care related revenues   0 0
07 Aggregate write-ins for other non-health revenues   0 0
08 Total revenues   361,972 3,109,463
09 Hospital/medical benefits (hospital and medical) 0 246,509 1,256,914
10 Other professional services (hospital and medical) 0 29,159 156,614
11 Outside referrals (hospital and medical) 0 -11 31
12 Emergency room and out-of-area (hospital and medical) 0 9,038 133,495
13 Prescription drugs (hospital and medical) 0 40,193 363,326
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 0 -248,194
16 Subtotal (hospital and medical) 0 324,888 1,662,186
17 Net reinsurance recoveries (less) 0 0 0
18 Total hospital and medical (less) 0 324,888 1,662,186
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $5514 cost containment expenses (less) 0 16,209 61,784
21 General administrative expenses (less) 0 -17,431 358,981
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 -1,520 1,580
23 Total underwriting deductions 0 322,146 2,084,531
24 Net underwriting gain or (loss)   39,826 1,024,932
25 Net investment income earned 0 354,984 426,514
26 Net realized capital gains or (losses) less capital gains tax of $-18 0 -32 -675
27 Net investment gains or (losses) 0 354,952 425,839
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0
29 Aggregate write-ins for other income or expenses 0 0 0
30 Net income or (loss), after capital gains tax and before all other federal income taxes   394,778 1,450,771
31 Federal and foreign income taxes incurred   -166,450 379,993
32 Net income (loss)   561,228 1,070,778
Details of Write-Ins
0601     0 0
0699     0 0
0799     0 0
1499   0 0 0
2901 OTHER INCOME 0 0 0
2999   0 0 0

 

2010 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95447 - Cigna Hlthcare of ME Inc

Line Current Year Prior Year
33 Capital and surplus prior reporting year 8,860,120 7,793,834
34 Net income or (loss) from Line 32 561,228 1,070,778
35 Change in valuation basis of aggregate policy and claim reserves 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax -204,049 -5,095
39 Change in nonadmitted assets 148,602 603
40 Change in unauthorized reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes 0 0
43 Cumulative effect of changes in accounting principles 0 0
44.1 Paid in (capital changes) 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0
44.3 Transferred to surplus (capital changes) 0 0
45.1 Paid in (surplus adjustments) 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0
45.3 Transferred from capital (surplus adjustments) 0 0
46 Dividends to stockholders 0 0
47 Aggregate write-ins for gains or (losses) in surplus 0 0
48 Net change in capital and surplus 505,781 1,066,286
49 Capital and surplus end of reporting year 9,365,901 8,860,120
Details of Write-Ins
4799   0 0

 

Last Updated: September 27, 2010