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2010 STATEMENT OF REVENUE AND EXPENSES - 004
12545 - Martins Point Generations LLC
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   15,782 6,196 28,004
02 Net premium income (including $0 non-health premium income)   8,990,574 3,616,131 16,407,224
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   8,990,574 3,616,131 16,407,224
09 Hospital/medical benefits (hospital and medical) 0 6,284,248 1,959,995 10,561,521
10 Other professional services (hospital and medical) 0 0 0 0
11 Outside referrals (hospital and medical) 0 0 0 0
12 Emergency room and out-of-area (hospital and medical) 0 0 0 0
13 Prescription drugs (hospital and medical) 0 1,262,412 481,950 1,992,478
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 0 0 0
16 Subtotal (hospital and medical) 0 7,546,660 2,441,945 12,553,999
17 Net reinsurance recoveries (less) 0 0 6,649 8,504
18 Total hospital and medical (less) 0 7,546,660 2,435,296 12,545,495
19 Non-health claims (net) (less) 0 0 0 0
20 Claims adjustment expenses, including $60880 cost containment expenses (less) 0 148,385 61,959 373,887
21 General administrative expenses (less) 0 1,747,933 915,994 4,098,518
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 0 9,442,978 3,413,249 17,017,900
24 Net underwriting gain or (loss)   -452,404 202,882 -610,676
25 Net investment income earned 0 4,153 14,556 25,299
26 Net realized capital gains (losses) less capital gains tax of $0 0 0 0 0
27 Net investment gains or (losses) 0 4,153 14,556 25,299
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   -448,251 217,438 -585,377
31 Federal and foreign income taxes incurred   0 0 0
32 Net income (loss)   -448,251 217,438 -585,377
Details of Write-Ins
0601     0 0 0
0602     0 0 0
0603     0 0 0
0699     0 0 0
0701     0 0 0
0702     0 0 0
0703     0 0 0
0799     0 0 0
1401   0 0 0 0
1402   0 0 0 0
1403   0 0 0 0
1499   0 0 0 0
2901   0 0 0 0
2902   0 0 0 0
2903   0 0 0 0
2999   0 0 0 0

 

2010 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12545 - Martins Point Generations LLC
Quarter 1

Line Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 2,210,385 1,804,076 1,804,076
34 Net income or (loss) from Line 32 -448,251 217,438 -585,377
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 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0 0
38 Change in net deferred income tax 0 0 0
39 Change in nonadmitted assets 34,068 20,735 -8,314
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 1,000,000
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) 0 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 0 0
48 Net change in capital and surplus -414,184 238,173 406,309
49 Capital and surplus end of reporting period 1,796,201 2,042,249 2,210,385
Details of Write-Ins
4701 Rounding -1 0 0
4702   0 0 0
4703   0 0 0
4799   -1 0 0

 

Last Updated: September 27, 2010