|
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 | |
