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2011 STATEMENT OF REVENUE AND EXPENSES - 004
12545 - Martins Point Generations LLC
Quarter 3

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/21/2012
Line Quarter Number 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   104,371 52,980 73,367
02 Net premium income (including $0 non-health premium income) 3   63,887,353 31,173,432 43,018,578
03 Change in unearned premium reserves and reserve for rate credits 3   0 0 0
04 Fee-for-service (net of $0 medical expenses) 3   0 0 0
05 Risk revenue 3   0 0 0
06 Aggregate write-ins for other health care related revenues 3   0 0 0
07 Aggregate write-ins for other non-health revenues 3   0 0 0
08 Total revenues 3   63,887,353 31,173,432 43,018,578
09 Hospital/medical benefits (hospital and medical) 3 0 49,142,580 24,062,972 33,487,076
10 Other professional services (hospital and medical) 3 0 0 0 0
11 Outside referrals (hospital and medical) 3 0 0 0 0
12 Emergency room and out-of-area (hospital and medical) 3 0 0 0 0
13 Prescription drugs (hospital and medical) 3 0 10,200,799 4,724,541 6,449,111
14 Aggregate write-ins for other hospital and medical (hospital and medical) 3 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 3 0 166,293 0 199,371
16 Subtotal (hospital and medical) 3 0 59,509,672 28,787,513 40,135,558
17 Net reinsurance recoveries (less) 3 0 3,464 0 64,995
18 Total hospital and medical (less) 3 0 59,506,208 28,787,513 40,070,563
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $822803 cost containment expenses (less) 3 0 1,474,451 444,714 805,166
21 General administrative expenses (less) 3 0 9,940,610 5,176,107 7,579,343
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 3 0 0 0 0
23 Total underwriting deductions 3 0 70,921,269 34,408,334 48,455,072
24 Net underwriting gain or (loss) 3   -7,033,916 -3,234,902 -5,436,494
25 Net investment income earned 3 0 32,555 13,778 16,932
26 Net realized capital gains (losses) less capital gains tax of $0 3 0 0 0 0
27 Net investment gains or (losses) 3 0 32,555 13,778 16,932
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 3 0 0 0 0
29 Aggregate write-ins for other income or expenses 3 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   -7,001,361 -3,221,124 -5,419,562
31 Federal and foreign income taxes incurred 3   0 0 0
32 Net income (loss) 3   -7,001,361 -3,221,124 -5,419,562
Details of Write-Ins
0601   3   0 0 0
0602   3   0 0 0
0603   3   0 0 0
0699   3   0 0 0
0701   3   0 0 0
0702   3   0 0 0
0703   3   0 0 0
0799   3   0 0 0
1401   3 0 0 0 0
1402   3 0 0 0 0
1403   3 0 0 0 0
1499   3 0 0 0 0
2901   3 0 0 0 0
2902   3 0 0 0 0
2903   3 0 0 0 0
2999   3 0 0 0 0

 

 

 

2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12545 - Martins Point Generations LLC
Quarter 3

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/21/2012
Line Quarter Number Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 3 5,257,792 2,210,385 2,210,385
34 Net income or (loss) from Line 32 3 -7,001,361 -3,221,124 -5,419,562
35 Change in valuation basis of aggregate policy and claim reserves 3 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 3 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 0 0 0
39 Change in nonadmitted assets 3 -105,106 7,875 -33,031
40 Change in unauthorized reinsurance 3 0 0 0
41 Change in treasury stock 3 0 0 0
42 Change in surplus notes 3 0 0 0
43 Cumulative effect of changes in accounting principles 3 0 0 0
44.1 Paid in (capital changes) 3 9,970,000 4,000,000 8,500,000
44.2 Transferred from surplus (stock dividend) (capital changes) 3 0 0 0
44.3 Transferred to surplus (capital changes) 3 0 0 0
45.1 Paid in (surplus adjustments) 3 0 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 3 0 0 0
45.3 Transferred from capital (surplus adjustments) 3 0 0 0
46 Dividends to stockholders 3 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus 3 0 0 0
48 Net change in capital and surplus 3 2,863,533 786,751 3,047,407
49 Capital and surplus end of reporting period 3 8,121,325 2,997,136 5,257,792
Details of Write-Ins
4701   3 0 0 0
4702   3 0 0 0
4703   3 0 0 0
4799   3 0 0 0

 

Last Updated: September 27, 2010