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2011 SCHEDULE T - 036
96911 - Harvard Pilgrim Hlth Care Inc

Line Active Status Accident & Health Premiums Medicare Title XVIII Medicaid Title XIX Federal Employees Health Benefits Program Premiums Life & Annuity Premiums & Other Considerations Property/Casualty Premiums Total Columns 2 through 7 Deposit-Type Contracts
01 Alabama AL N 0 0 0 0 0 0 0 0
02 Alaska AK N 0 0 0 0 0 0 0 0
03 Arizona AZ N 0 0 0 0 0 0 0 0
04 Arkansas AR N 0 0 0 0 0 0 0 0
05 California CA N 0 0 0 0 0 0 0 0
06 Colorado CO N 0 0 0 0 0 0 0 0
07 Connecticut CT N 0 0 0 0 0 0 0 0
08 Delaware DE N 0 0 0 0 0 0 0 0
09 Dist. Columbia DC N 0 0 0 0 0 0 0 0
10 Florida FL N 0 0 0 0 0 0 0 0
11 Georgia GA N 0 0 0 0 0 0 0 0
12 Hawaii HI N 0 0 0 0 0 0 0 0
13 Idaho ID N 0 0 0 0 0 0 0 0
14 Illinois IL N 0 0 0 0 0 0 0 0
15 Indiana IN N 0 0 0 0 0 0 0 0
16 Iowa IA N 0 0 0 0 0 0 0 0
17 Kansas KS N 0 0 0 0 0 0 0 0
18 Kentucky KY N 0 0 0 0 0 0 0 0
19 Louisiana LA N 0 0 0 0 0 0 0 0
20 Maine ME L 98,468,203 0 0 0 0 0 98,468,203 0
21 Maryland MD N 0 0 0 0 0 0 0 0
22 Massachusetts MA L 1,948,479,138 380,080 0 0 0 0 1,948,859,218 0
23 Michigan MI N 0 0 0 0 0 0 0 0
24 Minnesota MN N 0 0 0 0 0 0 0 0
25 Mississippi MS N 0 0 0 0 0 0 0 0
26 Missouri MO N 0 0 0 0 0 0 0 0
27 Montana MT N 0 0 0 0 0 0 0 0
28 Nebraska NE N 0 0 0 0 0 0 0 0
29 Nevada NV N 0 0 0 0 0 0 0 0
30 New Hampshire NH N 0 0 0 0 0 0 0 0
31 New Jersey NJ N 0 0 0 0 0 0 0 0
32 New Mexico NM N 0 0 0 0 0 0 0 0
33 New York NY N 0 0 0 0 0 0 0 0
34 North Carolina NC N 0 0 0 0 0 0 0 0
35 North Dakota ND N 0 0 0 0 0 0 0 0
36 Ohio OH N 0 0 0 0 0 0 0 0
37 Oklahoma OK N 0 0 0 0 0 0 0 0
38 Oregon OR N 0 0 0 0 0 0 0 0
39 Pennsylvania PA N 0 0 0 0 0 0 0 0
40 Rhode Island RI N 0 0 0 0 0 0 0 0
41 South Carolina SC N 0 0 0 0 0 0 0 0
42 South Dakota SD N 0 0 0 0 0 0 0 0
43 Tennessee TN N 0 0 0 0 0 0 0 0
44 Texas TX N 0 0 0 0 0 0 0 0
45 Utah UT N 0 0 0 0 0 0 0 0
46 Vermont VT N 0 0 0 0 0 0 0 0
47 Virginia VA N 0 0 0 0 0 0 0 0
48 Washington WA N 0 0 0 0 0 0 0 0
49 West Virginia WV N 0 0 0 0 0 0 0 0
50 Wisconsin WI N 0 0 0 0 0 0 0 0
51 Wyoming WY N 0 0 0 0 0 0 0 0
52 American Samoa AS N 0 0 0 0 0 0 0 0
53 Guam GU N 0 0 0 0 0 0 0 0
54 Puerto Rico PR N 0 0 0 0 0 0 0 0
55 U.S. Virgin Islands VI N 0 0 0 0 0 0 0 0
56 Northern Mariana Islands MP N 0 0 0 0 0 0 0 0
57 Canada CN N 0 0 0 0 0 0 0 0
58 Aggregate other alien OT   0 0 0 0 0 0 0 0
59 Subtotal   2,046,947,341 380,080 0 0 0 0 2,047,327,421 0
60 Reporting entity contributions for Employee Benefit Plans   0 0 0 0 0 0 0 0
61 Totals 2 2,046,947,341 380,080 0 0 0 0 2,047,327,421 0
Details of Write-Ins
5801     0 0 0 0 0 0 0 0
5802     0 0 0 0 0 0 0 0
5803     0 0 0 0 0 0 0 0
5899     0 0 0 0 0 0 0 0
FootNotes
0000001 Explanation of basis of allocation by states, premiums by states, etc. For Individual members Harvard Pilgrim allocates premium based on the members residence. For group members Harvard Pilgrim allocates premium based on the group situs.

Last Updated: March 6, 2013