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2010 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 007
95447 - Cigna Healthcare of ME Inc
Quarter 2

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) 567 7 560 0 0 0 0 0 0 0
02 First Quarter (total members at end of) 182 0 182 0 0 0 0 0 0 0
03 Second Quarter (total members at end of) 8 0 8 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 927 0 927 0 0 0 0 0 0 0
07 Physician (total member ambulatory encounters) 350 11 339 0 0 0 0 0 0 0
08 Non-physician (total member ambulatory encounters) 164 5 159 0 0 0 0 0 0 0
09 Total (total member ambulatory encounters) 514 16 498 0 0 0 0 0 0 0
10 Hospital patient days incurred 171 0 171 0 0 0 0 0 0 0
11 Number of inpatient admissions 7 0 7 0 0 0 0 0 0 0
12 Health premiums written (a) 363,503 0 363,503 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 363,503 0 363,503 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 496,519 0 496,519 0 0 0 0 0 0 0
18 Amount incurred for provision of health care services 776,519 0 776,519 0 0 0 0 0 0 0
FootNotes
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $0
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $0

Last Updated: September 27, 2010