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2012 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Hlth Inc ME Corp

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 03/05/2013

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Hlth Inc ME Corp

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 03/05/2013
Line Current Year Prior Year
33 Capital and surplus prior reporting year 11,371,930 14,931,099
34 Net income or (loss) from Line 32 7,423,060 5,633,956
35 Change in valuation basis of aggregate policy and claim reserves 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax -654,137 -711,901
39 Change in nonadmitted assets -22,827 747,022
40 Change in unauthorized and certified reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes 0 0
43 Cumulative effect of changes in accounting principles 0 0
44.1 Paid in (capital changes) 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0
44.3 Transferred to surplus (capital changes) 0 0
45.1 Paid in (surplus adjustments) 0 -1,000,000
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0
45.3 Transferred from capital (surplus adjustments) 0 0
46 Dividends to stockholders -3,300,000 -7,600,000
47 Aggregate write-ins for gains or (losses) in surplus 0 -628,246
48 Net change in capital and surplus 3,446,096 -3,559,169
49 Capital and surplus end of reporting year 14,818,026 11,371,930
Details of Write-Ins
4701 Change in Additional Deferred Tax Asset Admitted Amount 0 -628,246
4799   0 -628,246
Line Uncovered Current Year Total Current Year Total Prior Year
01 Member months   185,746 143,015
02 Net premium income (including $0 non-health premium income)   93,333,783 72,733,787
03 Change in unearned premium reserves and reserve for rate credits   -115,174 11,893
04 Fee-for-service (net of $0 medical expenses)   0 0
05 Risk revenue   0 0
06 Aggregate write-ins for other health care related revenues   0 0
07 Aggregate write-ins for other non-health revenues   0 0
08 Total revenues   93,218,609 72,745,680
09 Hospital/medical benefits (hospital and medical) 1,216,777 55,226,358 42,530,701
10 Other professional services (hospital and medical) 0 0 0
11 Outside referrals (hospital and medical) 1,032,834 1,032,834 590,825
12 Emergency room and out-of-area (hospital and medical) 150,205 3,755,130 2,922,237
13 Prescription drugs (hospital and medical) 176,953 13,343,899 11,191,628
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 -419,768 0
16 Subtotal (hospital and medical) 2,576,769 72,938,453 57,235,391
17 Net reinsurance recoveries (less) 0 0 0
18 Total hospital and medical (less) 2,576,769 72,938,453 57,235,391
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $1244121 cost containment expenses (less) 0 1,934,059 1,561,096
21 General administrative expenses (less) 0 8,921,462 7,197,621
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 -75,696 122,888
23 Total underwriting deductions 2,576,769 83,718,278 66,116,996
24 Net underwriting gain or (loss)   9,500,331 6,628,684
25 Net investment income earned 0 665,228 756,252
26 Net realized capital gains or (losses) less capital gains tax of $16504 0 -53,206 -6,813
27 Net investment gains or (losses) 0 612,022 749,439
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0
29 Aggregate write-ins for other income or expenses 0 0 0
30 Net income or (loss), after capital gains tax and before all other federal income taxes   10,112,353 7,378,123
31 Federal and foreign income taxes incurred   2,689,293 1,744,167
32 Net income (loss)   7,423,060 5,633,956
Details of Write-Ins
0699     0 0
0799     0 0
1499   0 0 0
2999   0 0 0

Last Updated: March 6, 2013