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2011 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 007
12545 - Martins Point Generations LLC
Quarter 1

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) 6,971 0 0 0 0 0 0 6,971 0 0
02 First Quarter (total members at end of) 11,280 0 0 0 0 0 0 11,280 0 0
03 Second Quarter (total members at end of) 0 0 0 0 0 0 0 0 0 0
04 Third Quarter (total members at end of) 0 0 0 0 0 0 0 0 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 33,502 0 0 0 0 0 0 33,502 0 0
07 Physician (total member ambulatory encounters) 35,716 0 0 0 0 0 0 35,716 0 0
08 Non-physician (total member ambulatory encounters) 12,645 0 0 0 0 0 0 12,645 0 0
09 Total (total member ambulatory encounters) 48,361 0 0 0 0 0 0 48,361 0 0
10 Hospital patient days incurred 1,001 0 0 0 0 0 0 1,001 0 0
11 Number of inpatient admissions 266 0 0 0 0 0 0 266 0 0
12 Health premiums written (a) 19,077,160 0 0 0 0 0 0 19,077,160 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 19,077,160 0 0 0 0 0 0 19,077,160 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 12,338,788 0 0 0 0 0 0 12,338,788 0 0
18 Amount incurred for provision of health care services 18,937,190 0 0 0 0 0 0 18,937,190 0 0
FootNotes
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $19077160

Last Updated: September 27, 2010