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2012 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 029
96911 - Harvard Pilgrim Hlth Care Inc
for Maine

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 03/06/2013
Line State Code 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) ME 18,017 2 18,015 0 0 0 0 0 0 0
02 First Quarter (total members at end of) ME 17,578 2 17,576 0 0 0 0 0 0 0
03 Second Quarter (total members at end of) ME 17,056 2 17,054 0 0 0 0 0 0 0
04 Third Quarter (total members at end of) ME 18,266 2 18,264 0 0 0 0 0 0 0
05 Current Year (total members at end of) ME 19,450 2 19,448 0 0 0 0 0 0 0
06 Current Year Member Months ME 217,643 24 217,619 0 0 0 0 0 0 0
07 Physician (total member ambulatory encounters for year) ME 80,826 4 80,822 0 0 0 0 0 0 0
08 Non-physician (total member ambulatory encounters for year) ME 45,142 0 45,142 0 0 0 0 0 0 0
09 Total (total member ambulatory encounters for year) ME 125,968 4 125,964 0 0 0 0 0 0 0
10 Hospital patient days incurred ME 4,771 0 4,771 0 0 0 0 0 0 0
11 Number of inpatient admissions ME 1,132 0 1,132 0 0 0 0 0 0 0
12 Health premiums written (b) ME 99,262,676 48,354 99,195,242 0 0 0 0 19,080 0 0
13 Life premiums direct ME 0 0 0 0 0 0 0 0 0 0
14 Property/Casualty premiums written ME 0 0 0 0 0 0 0 0 0 0
15 Health premiums earned ME 99,262,676 48,354 99,195,242 0 0 0 0 19,080 0 0
16 Property/Casualty premiums earned ME 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services ME 83,557,296 282,842 83,271,966 0 0 0 0 2,488 0 0
18 Amount incurred for provision of health care services ME 85,135,272 266,674 84,866,461 0 0 0 0 2,137 0 0
FootNotes
0000001 (a) For health business number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0.
0000002 (b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $19080 ~

Last Updated: March 6, 2013