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2012 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Hlthcare of ME Inc

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 03/06/2013
Line Covered Current Year Uncovered Current Year Total Current Year Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 0 0 0 0
02 Accrued medical incentive pool and bonus amounts 0 0 0 0
03 Unpaid claims adjustment expenses 0 0 0 0
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserves 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 0 0 0 0
09 General expenses due or accrued 0 0 0 0
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 34,740
10.2 Net deferred tax liability 168,706 0 168,706 39,265
11 Ceded reinsurance premiums payable 0 0 0 0
12 Amounts withheld or retained for the account of others 0 0 0 0
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 50,449 0 50,449 90,065
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, $0 unauthorized reinsurers and ($0 certified reinsurers) 0 0 0 0
20 Reinsurance in unauthorized and certified ($0) 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 0 0 0 0
23 Aggregate write-ins for other liabilities (including $13892 current) 13,892 0 13,892 17,450
24 Total liabilities (Lines 1 to 23) 233,047 0 233,047 181,520
25 Aggregate write-ins for special surplus funds     0 0
26 Common capital stock     100 100
27 Preferred capital stock     0 0
28 Gross paid in and contributed surplus     2,971,401 2,971,401
29 Surplus notes     0 0
30 Aggregate write-ins for other than special surplus funds     0 0
31 Unassigned funds (surplus)     2,265,612 6,760,709
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     5,237,113 9,732,210
34 Total liabilities, capital and surplus     5,470,160 9,913,730
Details of Write-Ins
2301 ACCRUED TAXES- OTHER 11,244 0 11,244 14,473
2302 COMMISSION PAYABLE 352 0 352 327
2303 CREDIT BALANCES DUE POLICYHOLDERS 2,296 0 2,296 2,297
2304 ESCHEAT LIABILITY 0 0 0 353
2399   13,892 0 13,892 17,450
2599       0 0
3001       0 0
3099       0 0

Last Updated: March 6, 2013