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2010 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 029
13627 - SelectCare of ME Inc
for Maine

Line 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) 0 0 0 0 0 0 0 0 0 0
02 First Quarter (total members at end of) 0 0 0 0 0 0 0 0 0 0
03 Second Quarter (total members at end of) 0 0 0 0 0 0 0 0 0 0
04 Third Quarter (total members at end of) 0 0 0 0 0 0 0 0 0 0
05 Current Year (total members at end of) 0 0 0 0 0 0 0 0 0 0
06 Current Year Member Months 0 0 0 0 0 0 0 0 0 0
07 Physician (total member ambulatory encounters for year) 0 0 0 0 0 0 0 0 0 0
08 Non-physician (total member ambulatory encounters for year) 0 0 0 0 0 0 0 0 0 0
09 Total (total member ambulatory encounters for year) 0 0 0 0 0 0 0 0 0 0
10 Hospital patient days incurred 0 0 0 0 0 0 0 0 0 0
11 Number of inpatient admissions 0 0 0 0 0 0 0 0 0 0
12 Health premiums written (b) 0 0 0 0 0 0 0 0 0 0
13 Life premiums direct 0 0 0 0 0 0 0 0 0 0
14 Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15 Health premiums earned 0 0 0 0 0 0 0 0 0 0
16 Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services 0 0 0 0 0 0 0 0 0 0
18 Amount incurred for provision of health care services 0 0 0 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