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2011 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care Inc
Quarter 3

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 140,890,305 0 140,890,305 178,104,112
02 Accrued medical incentive pool and bonus amounts 36,018,993 0 36,018,993 26,353,581
03 Unpaid claims adjustment expenses 1,833,914 0 1,833,914 2,748,851
04 Aggregate health policy reserves 5,866,125 0 5,866,125 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 44,713,651 0 44,713,651 39,337,432
09 General expenses due or accrued 53,614,143 0 53,614,143 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 455,486 0 455,486 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 23,089,151 0 23,089,151 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 27,863,313 0 27,863,313 28,520,720
23 Aggregate write-ins for other liabilities (including $0 current) 36,710,729 0 36,710,729 36,134,273
24 Total liabilities (Lines 1 to 23) 371,055,810 0 371,055,810 381,163,507
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     68,175,333 77,911,506
30 Aggregate write-ins for other than special surplus funds     0 0
31 Unassigned funds (surplus)     382,802,541 334,812,825
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     450,977,874 412,724,331
34 Total liabilities, capital and surplus     822,033,684 793,887,838
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 453,000 0 453,000 453,000
2302 Deferred Rent 4,283,350 0 4,283,350 4,919,677
2303 Security Deposits 171,574 0 171,574 171,574
2304 Accrued Long Term Expenses 2,802,805 0 2,802,805 1,590,022
2305 Quincy Mortgage 29,000,000 0 29,000,000 29,000,000
2399   36,710,729 0 36,710,729 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