Martins Point Enrollment : Bureau of Insurance

	Line	Total	Individual Comprehensive	Group Comprehensive	Medicare Supplement	Vision Only	Dental Only	Federal Employees Health Benefit Plan	Title XVIII Medicare	Title XIX Medicaid	Other
01	Prior Year (total member at end of)	6,971	0	0	0	0	0	0	6,971	0	0
02	First Quarter (total members at end of)	11,280	0	0	0	0	0	0	11,280	0	0
03	Second Quarter (total members at end of)	11,685	0	0	0	0	0	0	11,685	0	0
04	Third Quarter (total members at end of)	12,328	0	0	0	0	0	0	12,328	0	0
05	Current Year (total members at end of)	0	0	0	0	0	0	0	0	0	0
06	Current Year Member Months	104,371	0	0	0	0	0	0	104,371	0	0
07	Physician (total member ambulatory encounters)	116,555	0	0	0	0	0	0	116,555	0	0
08	Non-physician (total member ambulatory encounters)	47,886	0	0	0	0	0	0	47,886	0	0
09	Total (total member ambulatory encounters)	164,441	0	0	0	0	0	0	164,441	0	0
10	Hospital patient days incurred	7,761	0	0	0	0	0	0	7,761	0	0
11	Number of inpatient admissions	1,217	0	0	0	0	0	0	1,217	0	0
12	Health premiums written (a)	63,887,353	0	0	0	0	0	0	63,887,353	0	0
13	Life premiums direct	0	0	0	0	0	0	0	0	0	0
14	Property/casualty premiums written	0	0	0	0	0	0	0	0	0	0
15	Health premiums earned	63,887,353	0	0	0	0	0	0	63,887,353	0	0
16	Property/casualty premiums earned	0	0	0	0	0	0	0	0	0	0
17	Amount paid for provision of health care services	54,171,375	0	0	0	0	0	0	54,171,375	0	0
18	Amount incurred for provision of health care services	59,509,672	0	0	0	0	0	0	59,509,672	0	0

	FootNotes
0000001	(a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $19077160
0000001	(a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $63887353
0000001	(a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $39231707