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2010 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 007
12545 - Martins Point Generations LLC
Quarter 3

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) 2,651 0 0 0 0 0 0 2,651 0 0
02 First Quarter (total members at end of) 5,502 0 0 0 0 0 0 5,502 0 0
03 Second Quarter (total members at end of) 6,111 0 0 0 0 0 0 6,111 0 0
04 Third Quarter (total members at end of) 6,515 0 0 0 0 0 0 6,515 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 52,980 0 0 0 0 0 0 52,980 0 0
07 Physician (total member ambulatory encounters) 57,471 0 0 0 0 0 0 57,471 0 0
08 Non-physician (total member ambulatory encounters) 16,579 0 0 0 0 0 0 16,579 0 0
09 Total (total member ambulatory encounters) 74,050 0 0 0 0 0 0 74,050 0 0
10 Hospital patient days incurred 4,057 0 0 0 0 0 0 4,057 0 0
11 Number of inpatient admissions 717 0 0 0 0 0 0 717 0 0
12 Health premiums written (a) 31,173,432 0 0 0 0 0 0 31,173,432 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 31,173,432 0 0 0 0 0 0 31,173,432 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 25,041,337 0 0 0 0 0 0 25,041,337 0 0
18 Amount incurred for provision of health care services 28,787,513 0 0 0 0 0 0 28,787,513 0 0
FootNotes
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $8990574
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $31173432
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $19307027

Last Updated: September 27, 2010