Skip Maine state header navigation

Agencies | Online Services | Help

Skip All Navigation

2011 STATEMENT OF REVENUE AND EXPENSES - 004
12545 - Martins Point Generations LLC
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   33,502 15,782 73,367
02 Net premium income (including $0 non-health premium income)   19,077,160 8,990,574 43,018,578
03 Change in unearned premium reserves and reserve for rate credits   0 0 0
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   19,077,160 8,990,574 43,018,578
09 Hospital/medical benefits (hospital and medical) 0 15,201,161 6,284,248 33,487,076
10 Other professional services (hospital and medical) 0 0 0 0
11 Outside referrals (hospital and medical) 0 0 0 0
12 Emergency room and out-of-area (hospital and medical) 0 0 0 0
13 Prescription drugs (hospital and medical) 0 3,481,425 1,262,412 6,449,111
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) 0 254,604 0 199,371
16 Subtotal (hospital and medical) 0 18,937,190 7,546,660 40,135,558
17 Net reinsurance recoveries (less) 0 560 0 64,995
18 Total hospital and medical (less) 0 18,936,630 7,546,660 40,070,563
19 Non-health claims (net) (less) 0 0 0 0
20 Claims adjustment expenses, including $148339 cost containment expenses (less) 0 447,526 148,385 805,166
21 General administrative expenses (less) 0 3,797,637 1,747,933 7,579,343
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 0 0 0
23 Total underwriting deductions 0 23,181,793 9,442,978 48,455,072
24 Net underwriting gain or (loss)   -4,104,633 -452,404 -5,436,494
25 Net investment income earned 0 10,809 4,153 16,932
26 Net realized capital gains (losses) less capital gains tax of $0 0 0 0 0
27 Net investment gains or (losses) 0 10,809 4,153 16,932
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   -4,093,824 -448,251 -5,419,562
31 Federal and foreign income taxes incurred   0 0 0
32 Net income (loss)   -4,093,824 -448,251 -5,419,562
Details of Write-Ins
0601     0 0 0
0602     0 0 0
0603     0 0 0
0699     0 0 0
0701     0 0 0
0702     0 0 0
0703     0 0 0
0799     0 0 0
1401   0 0 0 0
1402   0 0 0 0
1403   0 0 0 0
1499   0 0 0 0
2901   0 0 0 0
2902   0 0 0 0
2903   0 0 0 0
2999   0 0 0 0

 

2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12545 - Martins Point Generations LLC
Quarter 1

Line Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 5,257,792 2,210,385 2,210,385
34 Net income or (loss) from Line 32 -4,093,824 -448,251 -5,419,562
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 0 0 0
39 Change in nonadmitted assets -58,584 34,068 -33,031
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) 4,770,000 0 8,500,000
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 0
47 Aggregate write-ins for gains or (losses) in surplus -1 -1 0
48 Net change in capital and surplus 617,591 -414,184 3,047,407
49 Capital and surplus end of reporting period 5,875,383 1,796,201 5,257,792
Details of Write-Ins
4701 Rounding -1 -1 0
4702   0 0 0
4703   0 0 0
4799   -1 -1 0

 

Last Updated: September 27, 2010