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2010 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Health Plan Inc
Quarter 1

Line Uncovered Current Year to Date Total Current Year to Date Total Prior Year to Date Total Prior Year Ended December 31
01 Member months   114,447 82,627 339,536
02 Net premium income (including $0 non-health premium income)   90,590,426 63,252,652 272,763,336
03 Change in unearned premium reserves and reserve for rate credits   0 0 0
04 Fee-for-service (net of $0 medical expenses)   0 0 0
05 Risk revenue   0 0 0
06 Aggregate write-ins for other health care related revenues   0 0 0
07 Aggregate write-ins for other non-health revenues   0 0 0
08 Total revenues   90,590,426 63,252,652 272,763,336
09 Hospital/medical benefits (hospital and medical) 0 44,543,306 30,375,687 127,969,644
10 Other professional services (hospital and medical) 0 6,711,169 5,375,173 22,285,929
11 Outside referrals (hospital and medical) 5,044,715 5,044,715 8,124,928 24,360,143
12 Emergency room and out-of-area (hospital and medical) 747,666 2,974,127 1,361,837 7,729,488
13 Prescription drugs (hospital and medical) 0 10,376,743 7,882,888 31,095,720
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 -128,501 133,425 662,318
16 Subtotal (hospital and medical) 5,792,381 69,521,559 53,253,938 214,103,242
17 Net reinsurance recoveries (less) 0 333,902 451,516 1,428,286
18 Total hospital and medical (less) 5,792,381 69,187,657 52,802,422 212,674,956
19 Non-health claims (net) (less) 0 0 0 0
20 Claims adjustment expenses, including $0 cost containment expenses (less) 0 3,546,376 2,122,843 7,062,315
21 General administrative expenses (less) 0 16,293,559 6,428,446 34,945,986
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 0 0 0
23 Total underwriting deductions 5,792,381 89,027,592 61,353,711 254,683,257
24 Net underwriting gain or (loss)   1,562,834 1,898,941 18,080,079
25 Net investment income earned 0 1,279,861 463,284 2,266,557
26 Net realized capital gains (losses) less capital gains tax of $0 0 1,141 66,491 39,412
27 Net investment gains or (losses) 0 1,281,002 529,775 2,305,969
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0 0
29 Aggregate write-ins for other income or expenses 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes   2,843,836 2,428,716 20,386,048
31 Federal and foreign income taxes incurred   1,095,099 0 6,094,799
32 Net income (loss)   1,748,737 2,428,716 14,291,249
Details of Write-Ins
0699     0 0 0
0799     0 0 0
1401 VISION 0 0 0 0
1499   0 0 0 0
2999   0 0 0 0

 

2010 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Health Plan Inc
Quarter 1

Line Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 45,183,078 30,667,137 30,667,137
34 Net income or (loss) from Line 32 1,748,737 2,428,716 14,291,249
35 Change in valuation basis of aggregate policy and claim reserves 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 -41,636 460,586 2,620,222
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0 0
38 Change in net deferred income tax 65,715 0 533,049
39 Change in nonadmitted assets 2,678,136 1,274,105 -3,258,979
40 Change in unauthorized reinsurance 0 0 0
41 Change in treasury stock 0 0 0
42 Change in surplus notes 0 0 0
43 Cumulative effect of changes in accounting principles 0 0 0
44.1 Paid in (capital changes) 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0 0
44.3 Transferred to surplus (capital changes) 0 0 0
45.1 Paid in (surplus adjustments) 1,820,000 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0 0
45.3 Transferred from capital (surplus adjustments) 0 0 0
46 Dividends to stockholders 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus -1,866,710 0 330,400
48 Net change in capital and surplus 4,404,242 4,163,407 14,515,941
49 Capital and surplus end of reporting period 49,587,320 34,830,544 45,183,078
Details of Write-Ins
4701 AUDIT ADJUSTMENTS -46,710 0 330,400
4702 AUDIT ADJUSTMENT - PAID IN CAPITAL ADJUSTMENT RECORDED IN UNASSIGNED FUNDS IN PREVIOUS YEAR. -1,820,000 0 0
4799   -1,866,710 0 330,400

 

Last Updated: September 27, 2010