|
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 |
|
3,124,119 |
2,691,363 |
3,601,041 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
770,801,616 |
758,240,160 |
1,029,852,818 |
| 03 |
Change in unearned premium reserves and reserve for
rate credits |
|
-2,670,136 |
-75,022 |
-19,851,653 |
| 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 |
-3,656 |
-3,656 |
| 08 |
Total revenues |
|
768,131,480 |
758,161,482 |
1,009,997,509 |
| 09 |
Hospital/medical benefits (hospital and medical) |
1,988,895 |
526,031,396 |
522,076,775 |
701,857,260 |
| 10 |
Other professional services (hospital and
medical) |
20,379 |
5,390,014 |
5,334,992 |
7,078,054 |
| 11 |
Outside referrals (hospital and medical) |
0 |
0 |
0 |
0 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
93,567 |
24,747,011 |
24,666,628 |
32,703,648 |
| 13 |
Prescription drugs (hospital and medical) |
394,849 |
104,431,358 |
105,771,290 |
139,173,673 |
| 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) |
2,497,690 |
660,599,779 |
657,849,685 |
880,812,635 |
| 17 |
Net reinsurance recoveries (less) |
0 |
0 |
0 |
0 |
| 18 |
Total hospital and medical (less) |
2,497,690 |
660,599,779 |
657,849,685 |
880,812,635 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $10256076 cost
containment expenses (less) |
0 |
20,028,362 |
17,729,907 |
27,222,671 |
| 21 |
General administrative expenses (less) |
0 |
36,112,350 |
38,677,844 |
49,084,125 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only)
(less) |
0 |
0 |
-6,347,696 |
-6,347,696 |
| 23 |
Total underwriting deductions |
2,497,690 |
716,740,491 |
707,909,740 |
950,771,735 |
| 24 |
Net underwriting gain or (loss) |
|
51,390,989 |
50,251,742 |
59,225,774 |
| 25 |
Net investment income earned |
0 |
7,297,285 |
7,485,735 |
10,063,633 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $176596 |
0 |
315,404 |
153,865 |
175,888 |
| 27 |
Net investment gains or (losses) |
0 |
7,612,689 |
7,639,600 |
10,239,521 |
| 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 |
33,554 |
66,043 |
83,122 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
59,037,232 |
57,957,385 |
69,548,417 |
| 31 |
Federal and foreign income taxes incurred |
|
18,507,971 |
16,503,460 |
20,746,180 |
| 32 |
Net income (loss) |
|
40,529,261 |
41,453,925 |
48,802,237 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
0 |
| 0701 |
LOSS ON SALE OF FIXED ASSETS |
|
0 |
-3,656 |
-3,656 |
| 0799 |
|
|
0 |
-3,656 |
-3,656 |
| 1499 |
|
0 |
0 |
0 |
0 |
| 2901 |
MISCELLANEOUS INCOME |
0 |
33,554 |
66,043 |
83,122 |
| 2999 |
|
0 |
33,554 |
66,043 |
83,122 |
2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
52618 -
Anthem Health Plans of ME Inc
Quarter 3 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year Ended December 31 |
| 33 |
Capital and surplus prior reporting year |
229,181,437 |
209,506,305 |
209,506,305 |
| 34 |
Net income or (loss) from Line 32 |
40,529,261 |
41,453,925 |
48,802,237 |
| 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 $-8328 |
-15,456 |
-85,488 |
-78,505 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
-2,290,946 |
-614,078 |
-37,140 |
| 39 |
Change in nonadmitted assets |
1,878,516 |
-7,748,306 |
-8,111,460 |
| 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 |
-20,900,000 |
| 47 |
Aggregate write-ins for gains or (losses) in
surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
40,101,375 |
33,006,053 |
19,675,132 |
| 49 |
Capital and surplus end of reporting period |
269,282,812 |
242,512,358 |
229,181,437 |
|
Details of Write-Ins |
| 4799 |
|
0 |
0 |
0 |
|
|
