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2011 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Health Care Inc
Quarter 2

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 140,807,697 0 140,807,697 178,104,112
02 Accrued medical incentive pool and bonus amounts 31,920,793 0 31,920,793 26,353,581
03 Unpaid claims adjustment expenses 1,759,295 0 1,759,295 2,748,851
04 Aggregate health policy reserves 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 43,466,719 0 43,466,719 39,337,432
09 General expenses due or accrued 62,026,566 0 62,026,566 64,595,425
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 0
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 1,214,378 0 1,214,378 1,018,051
13 Remittances and items not allocated 0 0 0 0
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 12,407,662 0 12,407,662 4,351,062
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 20,233,438 0 20,233,438 28,520,720
23 Aggregate write-ins for other liabilities (including $0 current) 36,085,578 0 36,085,578 36,134,273
24 Total liabilities (Lines 1 to 23) 349,922,126 0 349,922,126 381,163,507
25 Aggregate write-ins for special surplus funds     0 0
26 Common capital stock     0 0
27 Preferred capital stock     0 0
28 Gross paid in and contributed surplus     0 0
29 Surplus notes     68,154,057 77,911,506
30 Aggregate write-ins for other than special surplus funds     0 0
31 Unassigned funds (surplus)     362,438,993 334,812,825
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     430,593,050 412,724,331
34 Total liabilities, capital and surplus     780,515,176 793,887,838
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 453,000 0 453,000 453,000
2302 Deferred Rent 4,495,459 0 4,495,459 4,919,677
2303 Security Deposits 171,574 0 171,574 171,574
2304 Accrued Long Term Expenses 1,965,545 0 1,965,545 1,590,022
2305 Quincy Mortgage 29,000,000 0 29,000,000 29,000,000
2399   36,085,578 0 36,085,578 36,134,273
2501       0 0
2502       0 0
2503       0 0
2599       0 0
3001       0 0
3002       0 0
3003       0 0
3099       0 0

Last Updated: September 27, 2010