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2011 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna Hlthcare of ME Inc

Line Uncovered Current Year Total Current Year Total Prior Year
01 Member months   0 950
02 Net premium income (including $0 non-health premium income)   6,826 361,972
03 Change in unearned premium reserves and reserve for rate credits   0 0
04 Fee-for-service (net of $0 medical expenses)   0 0
05 Risk revenue   0 0
06 Aggregate write-ins for other health care related revenues   0 0
07 Aggregate write-ins for other non-health revenues   0 0
08 Total revenues   6,826 361,972
09 Hospital/medical benefits (hospital and medical) 0 -46,732 246,509
10 Other professional services (hospital and medical) 0 -126 29,159
11 Outside referrals (hospital and medical) 0 177 -11
12 Emergency room and out-of-area (hospital and medical) 0 -2,014 9,038
13 Prescription drugs (hospital and medical) 0 0 40,193
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 0 0
16 Subtotal (hospital and medical) 0 -48,695 324,888
17 Net reinsurance recoveries (less) 0 0 0
18 Total hospital and medical (less) 0 -48,695 324,888
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $0 cost containment expenses (less) 0 -1,596 16,209
21 General administrative expenses (less) 0 2,030 -17,431
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 -60 -1,520
23 Total underwriting deductions 0 -48,321 322,146
24 Net underwriting gain or (loss)   55,147 39,826
25 Net investment income earned 0 350,093 354,984
26 Net realized capital gains or (losses) less capital gains tax of $0 0 0 -32
27 Net investment gains or (losses) 0 350,093 354,952
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0
29 Aggregate write-ins for other income or expenses 0 0 0
30 Net income or (loss), after capital gains tax and before all other federal income taxes   405,240 394,778
31 Federal and foreign income taxes incurred   34,740 -166,450
32 Net income (loss)   370,500 561,228
Details of Write-Ins
0601     0 0
0699     0 0
0799     0 0
1499   0 0 0
2999   0 0 0

 

2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95447 - Cigna Hlthcare of ME Inc

Line Current Year Prior Year
33 Capital and surplus prior reporting year 9,365,901 8,860,120
34 Net income or (loss) from Line 32 370,500 561,228
35 Change in valuation basis of aggregate policy and claim reserves 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax -7,769 -204,049
39 Change in nonadmitted assets 3,578 148,602
40 Change in unauthorized reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes 0 0
43 Cumulative effect of changes in accounting principles 0 0
44.1 Paid in (capital changes) 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0
44.3 Transferred to surplus (capital changes) 0 0
45.1 Paid in (surplus adjustments) 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0
45.3 Transferred from capital (surplus adjustments) 0 0
46 Dividends to stockholders 0 0
47 Aggregate write-ins for gains or (losses) in surplus 0 0
48 Net change in capital and surplus 366,309 505,781
49 Capital and surplus end of reporting year 9,732,210 9,365,901
Details of Write-Ins
4799   0 0

 

Last Updated: August 15, 2012