2010 ANALYSIS OF OPERATIONS BY LINES OF BUSINESS - 007 HMO Maine, a Line of
Business of Anthem Health Plans of Maine, Inc.
| |
LINE |
Total |
Comprehensive (Hospital
and Medical) |
Medicare Supplement |
Dental Only |
Vision Only |
Federal Employees Health
Benefit Plans |
Title XVIII Medicare |
Title XIX Medicaid |
Other
Health |
Other
Non-Health |
| 01 |
Net
premium income |
350,909,549 |
349,232,258 |
0 |
0 |
0 |
0 |
0 |
0 |
1,677,291 |
0 |
| 02 |
Change
in unearned premium reserves and reserve for rate credit |
13,929,839 |
13,929,839 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 03 |
Fee-for-service
(net of $0 medical expenses) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 04 |
Risk
revenue |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 05 |
Aggregate
write-ins for other health care related revenues |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 06 |
Aggregate
write-ins for other non-health care related revenues |
0 |
|
|
|
|
|
|
|
|
0 |
| 07 |
Total
revenues |
364,839,388 |
363,162,097 |
0 |
0 |
0 |
0 |
0 |
0 |
1,677,291 |
0 |
| 08 |
Hospital/medical
benefits |
250,902,821 |
250,166,025 |
0 |
0 |
0 |
0 |
0 |
0 |
736,796 |
0 |
| 09 |
Other
professional services |
9,367 |
9,367 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 10 |
Outside
referrals |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 11 |
Emergency
room and out-of-area |
15,284,393 |
15,284,393 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 12 |
Prescription
drugs |
42,828,819 |
42,832,584 |
0 |
0 |
0 |
0 |
0 |
0 |
(3,765) |
|
| 13 |
Aggregate
write-ins for other hospital and medical |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 14 |
Incentive
pool, withhold adjustments and bonus amounts |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 15 |
Subtotal |
309,025,400 |
308,292,369 |
0 |
0 |
0 |
0 |
0 |
0 |
733,031 |
|
| 16 |
Net
reinsurance recoveries |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 17 |
Total
hospital and medical |
309,025,400 |
308,292,369 |
0 |
0 |
0 |
0 |
0 |
0 |
733,031 |
|
| 18 |
Non-health
claims (net) |
0 |
|
|
|
|
|
|
|
|
0 |
| 19 |
Claims
adjustment expenses including $ 2,090,321 cost containment expenses |
5,924,145 |
7,787,868 |
0 |
0 |
0 |
0 |
0 |
0 |
(1,863,723) |
0 |
| 20 |
General
administrative expenses |
10,681,592 |
14,041,997 |
0 |
0 |
0 |
0 |
0 |
0 |
(3,360,405) |
0 |
| 21 |
Increase
in reserves for accident and health contracts |
(20,134) |
(20,134) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 22 |
Increase
in reserves for life contracts |
0 |
|
|
|
|
|
|
|
|
0 |
| 23 |
Total
underwriting deductions |
325,611,003 |
330,102,100 |
0 |
0 |
0 |
0 |
0 |
0 |
(4,491,097) |
0 |
| 24 |
Net
underwriting gain or (loss) |
39,228,385 |
33,059,997 |
0 |
0 |
0 |
0 |
0 |
0 |
6,168,388 |
0 |
| |
Details
of Write-Ins |
|
|
|
|
|
|
|
|
|
|
| 0599 |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
| 0699 |
|
0 |
|
|
|
|
|
|
|
|
0 |
| 1399 |
|
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Last Updated:
August 22, 2012
|