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2011 LIABILITIES, CAPITAL AND SURPLUS - 003
52618 - Anthem Health Plans of ME Inc
Quarter 2

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 87,112,486 334,476 87,446,962 68,798,486
02 Accrued medical incentive pool and bonus amounts 0 0 0 0
03 Unpaid claims adjustment expenses 2,277,427 0 2,277,427 2,160,209
04 Aggregate health policy reserves 69,222,206 0 69,222,206 68,779,925
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 2,119,521 0 2,119,521 2,234,693
08 Premiums received in advance 19,501,878 0 19,501,878 19,062,725
09 General expenses due or accrued 6,761,325 0 6,761,325 8,450,084
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 1,300,682 0 1,300,682 1,454,442
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 0 0 0 0
12 Amounts withheld or retained for the account of others 309,113 0 309,113 361,452
13 Remittances and items not allocated 5,947,352 0 5,947,352 4,562,050
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 2,473,411 0 2,473,411 30,225,876
16 Derivatives 0 0 0 0
17 Payable for securities 0 0 0 0
18 Payable for securities lending 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 0 0 0 0
20 Reinsurance in unauthorized companies 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22 Liability for amounts held under uninsured plans 11,928,176 0 11,928,176 6,585,123
23 Aggregate write-ins for other liabilities (including $1536127 current) 7,915,512 0 7,915,512 9,785,564
24 Total liabilities (Lines 1 to 23) 216,869,089 334,476 217,203,565 222,460,629
25 Aggregate write-ins for special surplus funds     0 0
26 Common capital stock     2,500,000 2,500,000
27 Preferred capital stock     0 0
28 Gross paid in and contributed surplus     120,652,900 120,652,900
29 Surplus notes     0 0
30 Aggregate write-ins for other than special surplus funds     0 0
31 Unassigned funds (surplus)     134,641,525 106,028,537
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost)     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost)     0 0
33 Total capital and surplus     257,794,425 229,181,437
34 Total liabilities, capital and surplus     474,997,990 451,642,066
Details of Write-Ins
2301 FEP SPECIAL ADVANCE 5,251,254 0 5,251,254 7,240,551
2302 ESCHEAT LIABILITY 1,108,561 0 1,108,561 1,023,931
2303 OTHER LIABILITIES 892,649 0 892,649 791,495
2304 RETROACTIVITY LIABILITY 663,048 0 663,048 729,587
2399   7,915,512 0 7,915,512 9,785,564
2599       0 0
3099       0 0

Last Updated: September 27, 2010