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2012 ANALYSIS OF OPERATIONS BY LINES OF BUSINESS - 007 HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc.

  LINE Total Comprehensive (Hospital and Medical) Medicare Supplement Dental Only Vision Only Federal Employees Health Benefit Plans Title XVIII Medicare Title XIX Medicaid Other
Health
Other
Non-Health
01 Net premium income 332,005,200 329,401,846 0 0 0 0 0 0 2,603,354 0
02 Change in unearned premium reserves and reserve for rate credit (20,467,241) (20,467,241) 0 0 0 0 0 0 0 0
03 Fee-for-service (net of $0 medical expenses) 0 0 0 0 0 0 0 0 0  
04 Risk revenue 0 0 0 0 0 0 0 0 0  
05 Aggregate write-ins for other health care related revenues 0 0 0 0 0 0 0 0 0  
06 Aggregate write-ins for other non-health care related revenues 0                 0
07 Total revenues 311,537,959 308,934,605 0 0 0 0 0 0 2.603,354 0
08 Hospital/medical benefits 228,046,690 225,994,962 0 0 0 0 0 0 2,051,728 0
09 Other professional services 2,531 2,531 0 0 0 0 0 0 0  
10 Outside referrals 0 0 0 0 0 0 0 0 0  
11 Emergency room and out-of-area 13,561,441 13,561,441 0 0 0 0 0 0 0  
12 Prescription drugs 42,612,704 42,612,704 0 0 0 0 0 0 0  
13 Aggregate write-ins for other hospital and medical 0 0 0 0 0 0 0 0 0  
14 Incentive pool, withhold adjustments and bonus amounts 0 0 0 0 0 0 0 0 0  
15 Subtotal 284,223,366 282,171,638 0 0 0 0 0 0 2,051,728  
16 Net reinsurance recoveries 0 0 0 0 0 0 0 0 0  
17 Total hospital and medical 284,223,366 282,171,638 0 0 0 0 0 0 2,051,728  
18 Non-health claims (net) 0                 0
19 Claims adjustment expenses including $ 2,090,321 cost containment expenses 3,883,077 5,290,280 0 0 0 0 0 0 (1,407,203) 0
20 General administrative expenses 7,520,654 10,246,093 0 0 0 0 0 0 (2,725,439) 0
21 Increase in reserves for accident and health contracts 0 0 0 0 0 0 0 0 0  
22 Increase in reserves for life contracts 0                 0
23 Total underwriting deductions 295,627,097 297,708,011 0 0 0 0 0 0 (2,080,914) 0
24 Net underwriting gain or (loss) 15,910,862 11,226,594 0 0 0 0 0 0 4,684,268 0
  Details of Write-Ins                    
0599   0 0 0 0 0 0 0 0 0  
0699   0                 0
1399   0 0 0 0 0 0 0 0 0

 

Last Updated: March 6, 2013