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2012 STATEMENT OF REVENUE AND EXPENSES - 004
96911 - Harvard Pilgrim Hlth Care Inc

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 03/06/2013
Line Uncovered Current Year Total Current Year Total Prior Year
01 Member months   4,340,007 4,660,701
02 Net premium income (including $0 non-health premium income)   1,924,213,486 2,046,429,485
03 Change in unearned premium reserves and reserve for rate credits   -1,196,352 0
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   1,923,017,134 2,046,429,485
09 Hospital/medical benefits (hospital and medical) 0 1,313,013,395 1,375,912,605
10 Other professional services (hospital and medical) 0 51,009,685 50,486,719
11 Outside referrals (hospital and medical) 0 34,319,857 35,670,009
12 Emergency room and out-of-area (hospital and medical) 0 28,685,625 37,680,750
13 Prescription drugs (hospital and medical) 0 211,266,980 222,444,296
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 42,990,934 35,133,369
16 Subtotal (hospital and medical) 0 1,681,286,476 1,757,327,748
17 Net reinsurance recoveries (less) 0 286,584 711,944
18 Total hospital and medical (less) 0 1,680,999,892 1,756,615,804
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $15954881 cost containment expenses (less) 0 51,917,266 36,284,756
21 General administrative expenses (less) 0 185,851,208 182,652,293
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 0 0
23 Total underwriting deductions 0 1,918,768,366 1,975,552,853
24 Net underwriting gain or (loss)   4,248,768 70,876,632
25 Net investment income earned 0 15,099,174 16,306,364
26 Net realized capital gains or (losses) less capital gains tax of $0 0 448,459 3,829,894
27 Net investment gains or (losses) 0 15,547,633 20,136,258
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 -3,432,432 -16,791,395
30 Net income or (loss), after capital gains tax and before all other federal income taxes   16,363,969 74,221,495
31 Federal and foreign income taxes incurred   0 0
32 Net income (loss)   16,363,969 74,221,495
Details of Write-Ins
0601     0 0
0602     0 0
0603     0 0
0699     0 0
0701     0 0
0702     0 0
0703     0 0
0799     0 0
1401   0 0 0
1402   0 0 0
1403   0 0 0
1499   0 0 0
2901 Miscellaneous & Other Income/(Expense) 0 -3,432,432 -16,791,395
2902   0 0 0
2903   0 0 0
2904   0 0 0
2999   0 -3,432,432 -16,791,395

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 - Harvard Pilgrim Hlth Care Inc

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 03/06/2013
Line Current Year Prior Year
33 Capital and surplus prior reporting year 479,479,984 412,724,331
34 Net income or (loss) from Line 32 16,363,969 74,221,495
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 15,123,270 9,502,993
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax 0 0
39 Change in nonadmitted assets -10,115,440 -7,253,938
40 Change in unauthorized and certified reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes -19,714,896 -9,714,897
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 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0
45.3 Transferred from capital (surplus adjustments) 0 0
46 Dividends to stockholders 0 0
47 Aggregate write-ins for gains or (losses) in surplus 0 0
48 Net change in capital and surplus 1,656,903 66,755,653
49 Capital and surplus end of reporting year 481,136,887 479,479,984
Details of Write-Ins
4701   0 0
4799   0 0

 

Last Updated: March 6, 2013