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2010 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Healthcare of ME Inc
Quarter 2

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 477,057 1,758 478,815 198,816
02 Accrued medical incentive pool and bonus amounts 0 0 0 0
03 Unpaid claims adjustment expenses 10,603 39 10,642 4,065
04 Aggregate health policy reserves 3,570 0 3,570 1,580
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 0 0 0 0
09 General expenses due or accrued 0 0 0 0
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 391,981
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 587,810 0 587,810 578,341
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) 120,511 0 120,511 75,633
23 Total liabilities (Lines 1 to 22) 1,199,551 1,797 1,201,348 1,250,416
24 Aggregate write-ins for special surplus funds     0 0
25 Common capital stock     100 100
26 Preferred capital stock     0 0
27 Gross paid in and contributed surplus     2,971,401 2,971,401
28 Surplus notes     0 0
29 Aggregate write-ins for other than special surplus funds     0 0
30 Unassigned funds (surplus)     5,700,412 5,888,618
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     8,671,913 8,860,119
33 Total liabilities, capital and surplus     9,873,261 10,110,535
Details of Write-Ins
2201 COMMISSION PAYABLE 1,374 0 1,374 4,681
2202 CREDIT BALANCES DUE POLICYHOLDERS 68,673 0 68,673 2,347
2203 ESCHEAT LIABILITY 906 0 906 1,694
2204 STATE INCOME TAXES PAYBLE 49,558 0 49,558 66,911
2299   120,511 0 120,511 75,633
2499       0 0
2901       0 0
2999       0 0

Last Updated: September 27, 2010