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2010 LIABILITIES, CAPITAL AND SURPLUS - 003
95517 - Aetna Health Inc ME Corp
Quarter 2

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 7,595,307 125,777 7,721,084 11,117,712
02 Accrued medical incentive pool and bonus amounts 0 0 0 0
03 Unpaid claims adjustment expenses 160,397 0 160,397 236,748
04 Aggregate health policy reserves 295,955 0 295,955 738,400
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 70,835 0 70,835 124,545
08 Premiums received in advance 0 0 0 0
09 General expenses due or accrued 495,250 0 495,250 139,871
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 280,499 0 280,499 653,280
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 0 0 0 0
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 1,685,397 0 1,685,397 2,000
16 Derivatives 0 0 0 0
17 Payable for securities 0 0 0 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 0 0 0 0
22 Aggregate write-ins for other liabilities (including $0 current) 171,871 0 171,871 5,081
23 Total liabilities (Lines 1 to 22) 10,755,511 125,777 10,881,288 13,017,637
24 Aggregate write-ins for special surplus funds     1,403,950 1,332,388
25 Common capital stock     1,000,000 1,000,000
26 Preferred capital stock     0 0
27 Gross paid in and contributed surplus     9,700,000 9,700,000
28 Surplus notes     0 0
29 Aggregate write-ins for other than special surplus funds     0 0
30 Unassigned funds (surplus)     9,562,793 7,343,749
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     21,666,743 19,376,137
33 Total liabilities, capital and surplus     32,548,031 32,393,774
Details of Write-Ins
2201 Medicare Part D Catastrophic Coverage Payable 97,282 0 97,282 0
2202 CMS Risk Share Payable 74,589 0 74,589 5,081
2299   171,871 0 171,871 5,081
2401 Additional Deferred Tax Asset Admitted Amount     1,403,950 1,332,388
2499       1,403,950 1,332,388
2999       0 0

Last Updated: September 27, 2010