2011 STATEMENT OF REVENUE AND EXPENSES - 004 HMO Maine, a Line of Business
of Anthem Health Plans of Maine, Inc.
| |
LINE |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Member months |
|
1,137,275 |
780,226 |
| 02 |
Net premium income |
|
328,342,089 |
350,909,549 |
| 03 |
Change in unearned
premium reserves and reserve for rate credits |
|
(10,617,388) |
13,929,839 |
| 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 |
|
317,724,701 |
364,839,388 |
| 09 |
Hospital/medical
benefits (medical and hospital) |
|
234,981,356 |
250,902,821 |
| 10 |
Other professional
services (medical and hospital) |
|
7,179 |
9,367 |
| 11 |
Outside referrals
(medical and hospital) |
|
0 |
0 |
| 12 |
Emergency room and
out-of-area (medical and hospital) |
|
13,874,674 |
15,284,393 |
| 13 |
Prescription drugs |
|
39,139,954 |
42,828,819 |
| 14 |
Aggregate write-ins
for other hospital and medical (medical and hospital) |
0 |
0 |
0 |
| 15 |
Incentive pool,
withhold adjustments and bonus amounts (medical and hospital) |
|
0 |
0 |
| 16 |
Subtotal (medical
and hospital) |
0 |
288,003,163 |
309,025,400 |
| 17 |
Net reinsurance recoveries
(less) |
|
0 |
0 |
| 18 |
Total hospital and
medical (less) |
0 |
288,003,163 |
309,025,400 |
| 19 |
Non-health claims
(less) |
|
|
|
| 20 |
Claims adjustment
expenses, including $1,476,104 cost containment expenses (less) |
|
2,514,657 |
5,924,145 |
| 21 |
General administrative
expenses (less) |
|
6,151,323 |
10,681,592 |
| 22 |
Increase in reserves
for life and accident and health contracts (less) |
|
0 |
(20,134) |
| 23 |
Total underwriting
deductions |
0 |
296,669,143 |
325,611,003 |
| 24 |
Net underwriting
gain or (loss) |
|
21,055,558 |
39,228,385 |
| 25 |
Net investment income
earned |
|
3,774,761 |
(6,665,680) |
| 26 |
Net realized capital
gains or (losses) |
|
0 |
0 |
| 27 |
Net investment gains
or (losses) |
0 |
3,774,761 |
(6,665,680) |
| 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)
before federal income taxes |
0 |
24,830,319 |
32,562,705 |
| 31 |
Federal and foreign
income taxes incurred |
|
8,690,612 |
11,396,946 |
| 32 |
Net income (loss) |
|
16,139,707 |
21,165,759 |
| |
Details of Write-Ins |
|
|
|
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
Totals |
0 |
0 |
0 |
| 2999 |
Totals |
0 |
0 |
0 |
Last Updated:
August 22, 2012
|
