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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