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2011 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Hlth Inc ME Corp
Quarter 1

Line Uncovered Current Year to Date Total Current Year to Date Total Prior Year to Date Total Prior Year Ended December 31
01 Member months   35,341 47,821 167,516
02 Net premium income (including $0 non-health premium income)   18,361,797 22,693,873 81,725,380
03 Change in unearned premium reserves and reserve for rate credits   5,239 12,504 13,810
04 Fee-for-service (net of $0 medical expenses)   0 0 0
05 Risk revenue   0 0 0
06 Aggregate write-ins for other health care related revenues   0 0 0
07 Aggregate write-ins for other non-health revenues   0 0 0
08 Total revenues   18,367,036 22,706,377 81,739,190
09 Hospital/medical benefits (hospital and medical) 197,642 12,793,354 16,077,644 57,370,051
10 Other professional services (hospital and medical) 0 0 0 0
11 Outside referrals (hospital and medical) 186,003 186,003 146,821 854,311
12 Emergency room and out-of-area (hospital and medical) 26,310 877,010 776,513 3,038,017
13 Prescription drugs (hospital and medical) 0 1,730,604 2,467,668 9,020,055
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 0 0 0
16 Subtotal (hospital and medical) 409,955 15,586,971 19,468,646 70,282,434
17 Net reinsurance recoveries (less) 0 0 0 0
18 Total hospital and medical (less) 409,955 15,586,971 19,468,646 70,282,434
19 Non-health claims (net) (less) 0 0 0 0
20 Claims adjustment expenses, including $247216 cost containment expenses (less) 0 366,259 389,373 1,693,002
21 General administrative expenses (less) 0 1,769,008 2,364,006 7,564,018
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 119,612 -697,847 -661,728
23 Total underwriting deductions 409,955 17,841,850 21,524,178 78,877,726
24 Net underwriting gain or (loss)   525,186 1,182,199 2,861,464
25 Net investment income earned 0 206,392 280,647 1,036,790
26 Net realized capital gains (losses) less capital gains tax of $-42804 0 -23,708 95,732 458,722
27 Net investment gains or (losses) 0 182,684 376,379 1,495,512
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0 0
29 Aggregate write-ins for other income or expenses 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes   707,870 1,558,578 4,356,976
31 Federal and foreign income taxes incurred   11,207 40,169 204,615
32 Net income (loss)   696,663 1,518,409 4,152,361
Details of Write-Ins
0699     0 0 0
0799     0 0 0
1499   0 0 0 0
2999   0 0 0 0

 

2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Hlth Inc ME Corp
Quarter 1

Line Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 14,931,099 19,376,137 19,376,137
34 Net income or (loss) from Line 32 696,663 1,518,409 4,152,361
35 Change in valuation basis of aggregate policy and claim reserves 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0 0
38 Change in net deferred income tax -188,654 -472,268 -1,224,618
39 Change in nonadmitted assets 119,771 190,313 999,479
40 Change in unauthorized reinsurance 0 0 0
41 Change in treasury stock 0 0 0
42 Change in surplus notes 0 0 0
43 Cumulative effect of changes in accounting principles 0 0 0
44.1 Paid in (capital changes) 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0 0
44.3 Transferred to surplus (capital changes) 0 0 0
45.1 Paid in (surplus adjustments) 0 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0 0
45.3 Transferred from capital (surplus adjustments) 0 0 0
46 Dividends to stockholders 0 0 -8,000,000
47 Aggregate write-ins for gains or (losses) in surplus -184,770 126,579 -372,260
48 Net change in capital and surplus 443,010 1,363,033 -4,445,038
49 Capital and surplus end of reporting period 15,374,109 20,739,170 14,931,099
Details of Write-Ins
4701 Change in Additional Deferred Tax Asset Admitted Amount -184,770 126,579 -372,260
4799   -184,770 126,579 -372,260

 

Last Updated: September 27, 2010