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Martin's Point Generations, LLC


NAIC Group Code..... 0000,
(Current Period) (Prior Period)

NAIC Company Code..... 12545

Employer's ID Number..... 20-4505084

Organized under the Laws of Maine

State of Domicile or Port of Entry Maine

Country of Domicile US

Licensed as business type:

Life, Accident and Health [ ] Property/Casualty [ ] Hospital, Medical and Dental Service or Indemnity [ ]
Dental Service Corporation [ ] Vision Service Corporation [ ] Other [ ] Health Maintenance Organization [ X ]

Is HMO Federally Qualified? Yes [ X ] No [ ]

Incorporated/Organized..... January 11, 2006

Commenced Business..... January 1, 2007

Statutory Home Office 331 Veranda Street, Portland, Maine 04103
(Street and Number) (City or Town, State and Zip Code)

Main Administrative Office 331 Veranda Street, Portland, Maine 04103 207-774-5801
(Street and Number) (City or Town, State and Zip Code) (Area Code) (Telephone Number)

Mail Address PO Box 9746, Portland, Maine 04104-5040
(Street and Number) (City or Town, State and Zip Code)

Primary Location of Books and Records 27 Northport Drive, Portland, Maine 04103 207-253-6224
(Street and Number) (City or Town, State and Zip Code) (Area Code) (Telephone Number)

Internet Website Address

Statutory Statement Contact Charles Nicholas Hadiaris 207-253-6224
(Name) (Area Code) (Telephone Number) (Extension) 207-253-6227
(E-mail Address) (Fax Number)

David Hermon Howes, MD (President & CEO)
Dale Hansen Bradford (Chief Operating Officer)
Jane Elizabeth Rollinson (Interim Chief Financial Officer)
Sandra Lynn Monfiletto (Chief Administrative Officer)

Elizabeth Hartley Johnson, MD (Chief Medical Officer)
Daniel Bruce Chojnowski (Director of Finance, Corporate Controller)

Michael Eric Thomas, Chair
Warren Deems Alpern, MD, Vice Chair
Robert Adair Moore, Secretary
George Nelson Campbell, Jr., Treasurer
Karen Loeb Lifford, MD
Marylou Buyse, MD
Raymond Eldon Durkee
Daniel Kent Onion, MD
Edward Charles Dupont, Jr.
James Alexander Hester, Jr. PhD
Ronald Fitzjohn Dixon, MD#
David Hermon Howes, MD

State of........ Maine
County of..... Cumberland} ss

The officers of this reporting entity, being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively.

David Hermon Howes, MD
President & CEO

Jane Elizabeth Rollinson
Interim Chief Financial Officer


Subscribed and sworn to before me this
____ day of _________________



a. Is this an original filing? Yes [ X ] No [ ]
b. If no: 1. State the amendment number.....
2. Date filed.....
3. Number of pages attached.....


Last Updated: March 6, 2013