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2011 LIABILITIES, CAPITAL AND SURPLUS - 003
52618 - Anthem Hlth Plans of ME Inc

Line Covered Current Year Uncovered Current Year Total Current Year Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 96,646,155 366,107 97,012,263 68,798,486
02 Accrued medical incentive pool and bonus amounts 0 0 0 0
03 Unpaid claims adjustment expenses 2,166,078 0 2,166,078 2,160,209
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 76,119,089 0 76,119,089 68,779,925
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserves 0 0 0 0
07 Aggregate health claim reserves 1,899,266 0 1,899,266 2,234,693
08 Premiums received in advance 18,973,909 0 18,973,909 19,062,725
09 General expenses due or accrued 9,406,290 0 9,406,290 8,450,084
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 1,454,442
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 438,057 0 438,057 361,452
13 Remittances and items not allocated 3,926,224 0 3,926,224 4,562,050
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 32,513,158 0 32,513,158 30,225,876
16 Derivatives 0 0 0 0
17 Payable for securities 0 0 0 0
18 Payable for securities lending 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 0 0 0 0
20 Reinsurance in unauthorized companies 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22 Liability for amounts held under uninsured plans 6,747,057 0 6,747,057 6,585,123
23 Aggregate write-ins for other liabilities (including $1106088 current) 7,031,208 0 7,031,208 9,785,564
24 Total liabilities (Lines 1 to 23) 255,866,491 366,107 256,232,599 222,460,629
25 Aggregate write-ins for special surplus funds     0 0
26 Common capital stock     2,500,000 2,500,000
27 Preferred capital stock     0 0
28 Gross paid in and contributed surplus     120,652,900 120,652,900
29 Surplus notes     0 0
30 Aggregate write-ins for other than special surplus funds     0 0
31 Unassigned funds (surplus)     101,489,895 106,028,537
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost)     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost)     0 0
33 Total capital and surplus     224,642,795 229,181,437
34 Total liabilities, capital and surplus     480,875,394 451,642,066
Details of Write-Ins
2301 FEP SPECIAL ADVANCE 4,428,350 0 4,428,350 7,240,551
2302 OTHER LIABILITIES 1,082,807 0 1,082,807 791,495
2303 ESCHEAT LIABILITY 940,233 0 940,233 1,023,931
2304 RETROACTIVITY LIABILITY 579,818 0 579,818 729,587
2399   7,031,208 0 7,031,208 9,785,564
2599       0 0
3099       0 0

Last Updated: August 15, 2012