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2012 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care 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) 137,058,836 0 137,058,836 117,336,989
02 Accrued medical incentive pool and bonus amounts 38,663,363 0 38,663,363 27,084,727
03 Unpaid claims adjustment expenses 1,833,695 0 1,833,695 1,562,358
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 20,889,131 0 20,889,131 19,692,779
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 20,916,101 0 20,916,101 45,201,660
09 General expenses due or accrued 82,594,379 0 82,594,379 60,650,883
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 0
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 0 0 0 0
12 Amounts withheld or retained for the account of others 315,020 0 315,020 2,356,616
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 6,415,825 0 6,415,825 3,906,832
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 58,453,112 0 58,453,112 32,425,998
23 Aggregate write-ins for other liabilities (including $0 current) 34,316,139 0 34,316,139 36,573,126
24 Total liabilities (Lines 1 to 23) 401,455,601 0 401,455,601 346,791,968
25 Aggregate write-ins for special surplus funds     0 0
26 Common capital stock     0 0
27 Preferred capital stock     0 0
28 Gross paid in and contributed surplus     0 0
29 Surplus notes     48,481,713 68,196,609
30 Aggregate write-ins for other than special surplus funds     0 0
31 Unassigned funds (surplus)     432,655,174 411,283,375
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     481,136,887 479,479,984
34 Total liabilities, capital and surplus     882,592,488 826,271,952
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 453,000 0 453,000 453,000
2302 Deferred Rent 2,746,826 0 2,746,826 3,806,292
2303 Security Deposits 142,354 0 142,354 142,354
2304 Accrued Long Term Expenses 1,973,959 0 1,973,959 3,171,480
2305 Quincy Mortgage 29,000,000 0 29,000,000 29,000,000
2399   34,316,139 0 34,316,139 36,573,126
2501       0 0
2502       0 0
2503       0 0
2599       0 0
3001       0 0
3002       0 0
3003       0 0
3099       0 0

Last Updated: March 6, 2013