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2010 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Health Care Inc
Quarter 1

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 232,931,993 0 232,931,993 218,616,787
02 Accrued medical incentive pool and bonus amounts 25,474,821 0 25,474,821 20,700,334
03 Unpaid claims adjustment expenses 3,564,279 0 3,564,279 3,176,172
04 Aggregate health policy reserves 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 21,000,000 0 21,000,000 0
08 Premiums received in advance 43,044,907 0 43,044,907 46,338,315
09 General expenses due or accrued 43,347,261 0 43,347,261 48,835,002
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 0
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 0 0 0 0
12 Amounts withheld or retained for the account of others 1,246,518 0 1,246,518 1,265,677
13 Remittances and items not allocated 0 0 0 0
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 11,277,134 0 11,277,134 11,416,153
16 Derivatives 0 0 0 0
17 Payable for securities 5,031,890 0 5,031,890 0
18 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 0 0 0 0
19 Reinsurance in unauthorized companies 0 0 0 0
20 Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
21 Liability for amounts held under uninsured plans 30,621,131 0 30,621,131 32,741,125
22 Aggregate write-ins for other liabilities (including $0 current) 36,077,729 0 36,077,729 36,098,268
23 Total liabilities (Lines 1 to 22) 453,617,663 0 453,617,663 419,187,833
24 Aggregate write-ins for special surplus funds     0 0
25 Common capital stock     0 0
26 Preferred capital stock     0 0
27 Gross paid in and contributed surplus     0 0
28 Surplus notes     87,647,678 87,626,402
29 Aggregate write-ins for other than special surplus funds     0 0
30 Unassigned funds (surplus)     268,424,178 294,329,270
31.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost)     0 0
31.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost)     0 0
32 Total capital and surplus     356,071,856 381,955,672
33 Total liabilities, capital and surplus     809,689,519 801,143,505
Details of Write-Ins
2201 Professional Liability Reserve-Medical Malpractice 321,000 0 321,000 357,000
2202 Deferred Rent 5,677,968 0 5,677,968 5,842,001
2203 Security Deposits 171,574 0 171,574 171,574
2204 Accrued Long Term Expenses 907,187 0 907,187 727,693
2205 Quincy Mortgage 29,000,000 0 29,000,000 29,000,000
2299   36,077,729 0 36,077,729 36,098,268
2401       0 0
2402       0 0
2403       0 0
2499       0 0
2901       0 0
2902       0 0
2903       0 0
2999       0 0

Last Updated: September 27, 2010