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
|
