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2012 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Hlth Plan Inc
Quarter 1

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/20/2012
Line Quarter Number Uncovered Current Year to Date Total Current Year to Date Total Prior Year to Date Total Prior Year Ended December 31
01 Member months 1   127,061 129,084 500,520
02 Net premium income (including $0 non-health premium income) 1   106,058,232 106,039,953 406,022,923
03 Change in unearned premium reserves and reserve for rate credits 1   0 0 0
04 Fee-for-service (net of $0 medical expenses) 1   0 0 0
05 Risk revenue 1   0 0 0
06 Aggregate write-ins for other health care related revenues 1   0 0 0
07 Aggregate write-ins for other non-health revenues 1   0 0 0
08 Total revenues 1   106,058,232 106,039,953 406,022,923
09 Hospital/medical benefits (hospital and medical) 1 0 39,079,481 40,924,644 186,801,652
10 Other professional services (hospital and medical) 1 0 18,411,087 18,917,785 66,510,826
11 Outside referrals (hospital and medical) 1 9,955,668 9,955,668 9,984,324 42,287,258
12 Emergency room and out-of-area (hospital and medical) 1 1,090,183 3,868,087 4,128,524 14,733,732
13 Prescription drugs (hospital and medical) 1 0 9,344,261 9,615,179 32,361,773
14 Aggregate write-ins for other hospital and medical (hospital and medical) 1 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 1 0 312,418 301,018 536,374
16 Subtotal (hospital and medical) 1 11,045,851 80,971,002 83,871,474 343,231,615
17 Net reinsurance recoveries (less) 1 0 726,320 158,016 1,823,869
18 Total hospital and medical (less) 1 11,045,851 80,244,682 83,713,458 341,407,746
19 Non-health claims (net) (less) 1 0 0 0 0
20 Claims adjustment expenses, including $1617592 cost containment expenses (less) 1 0 4,594,383 3,243,228 15,778,754
21 General administrative expenses (less) 1 0 16,339,536 15,789,929 57,073,178
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 1 0 0 0 0
23 Total underwriting deductions 1 11,045,851 101,178,601 102,746,615 414,259,678
24 Net underwriting gain or (loss) 1   4,879,631 3,293,338 -8,236,755
25 Net investment income earned 1 0 284,657 2,422,677 4,256,065
26 Net realized capital gains (losses) less capital gains tax of $0 1 0 356 0 -124
27 Net investment gains or (losses) 1 0 285,013 2,422,677 4,255,941
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 1 0 0 0 0
29 Aggregate write-ins for other income or expenses 1 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 1   5,164,644 5,716,015 -3,980,814
31 Federal and foreign income taxes incurred 1   1,414,509 1,352,104 -1,643,568
32 Net income (loss) 1   3,750,135 4,363,911 -2,337,246
Details of Write-Ins
0699   1   0 0 0
0799   1   0 0 0
1401 VISION 1 0 0 0 0
1499   1 0 0 0 0
2999   1 0 0 0 0

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Hlth Plan Inc
Quarter 1

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/20/2012
Line Quarter Number Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 1 38,457,653 44,732,871 44,732,871
34 Net income or (loss) from Line 32 1 3,750,135 4,363,911 -2,337,246
35 Change in valuation basis of aggregate policy and claim reserves 1 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 1 -295,963 -1,643,184 -3,776,378
37 Change in net unrealized foreign exchange capital gain or (loss) 1 0 0 0
38 Change in net deferred income tax 1 99,069 0 136,862
39 Change in nonadmitted assets 1 3,641,886 1,212,350 -384,113
40 Change in unauthorized reinsurance 1 0 0 0
41 Change in treasury stock 1 0 0 0
42 Change in surplus notes 1 0 0 0
43 Cumulative effect of changes in accounting principles 1 0 0 0
44.1 Paid in (capital changes) 1 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 1 0 0 0
44.3 Transferred to surplus (capital changes) 1 0 0 0
45.1 Paid in (surplus adjustments) 1 0 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 1 0 0 0
45.3 Transferred from capital (surplus adjustments) 1 0 0 0
46 Dividends to stockholders 1 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus 1 809,516 85,657 85,657
48 Net change in capital and surplus 1 8,004,643 4,018,734 -6,275,218
49 Capital and surplus end of reporting period 1 46,462,296 48,751,605 38,457,653
Details of Write-Ins
4701 AUDIT ADJUSTMENTS 1 0 85,657 85,657
4702 POST CLOSE/PRE-AUDIT ADJUSTMENT 1 809,516 0 0
4799   1 809,516 85,657 85,657

 

Last Updated: November 20, 2012