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2012 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care Inc
Quarter 1

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/20/2012
Line Quarter Number Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 1 135,500,924 0 135,500,924 117,336,989
02 Accrued medical incentive pool and bonus amounts 1 34,235,742 0 34,235,742 27,084,727
03 Unpaid claims adjustment expenses 1 1,812,429 0 1,812,429 1,562,358
04 Aggregate health policy reserves, including the liability of $16692779 for medical loss ratio rebate per the Public Health Service Act 1 16,692,779 0 16,692,779 19,692,779
05 Aggregate life policy reserves 1 0 0 0 0
06 Property/casualty unearned premium reserve 1 0 0 0 0
07 Aggregate health claim reserves 1 0 0 0 0
08 Premiums received in advance 1 43,621,919 0 43,621,919 45,201,660
09 General expenses due or accrued 1 47,667,995 0 47,667,995 60,650,883
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 1 0 0 0 0
10.2 Net deferred tax liability 1 0 0 0 0
11 Ceded reinsurance premiums payable 1 0 0 0 0
12 Amounts withheld or retained for the account of others 1 1,193,207 0 1,193,207 2,356,616
13 Remittances and items not allocated 1 0 0 0 0
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 1 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 1 4,582,960 0 4,582,960 3,906,832
16 Derivatives 1 0 0 0 0
17 Payable for securities 1 1,481,857 0 1,481,857 0
18 Payable for securities lending 1 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 1 0 0 0 0
20 Reinsurance in unauthorized companies 1 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 1 0 0 0 0
22 Liability for amounts held under uninsured plans 1 30,724,915 0 30,724,915 32,425,998
23 Aggregate write-ins for other liabilities (including $0 current) 1 36,739,405 0 36,739,405 36,573,126
24 Total liabilities (Lines 1 to 23) 1 354,254,132 0 354,254,132 346,791,968
25 Aggregate write-ins for special surplus funds 1     0 0
26 Common capital stock 1     0 0
27 Preferred capital stock 1     0 0
28 Gross paid in and contributed surplus 1     0 0
29 Surplus notes 1     68,217,885 68,196,609
30 Aggregate write-ins for other than special surplus funds 1     0 0
31 Unassigned funds (surplus) 1     426,262,263 411,283,375
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost) 1     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost) 1     0 0
33 Total capital and surplus 1     494,480,148 479,479,984
34 Total liabilities, capital and surplus 1     848,734,280 826,271,952
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 1 453,000 0 453,000 453,000
2302 Deferred Rent 1 3,574,779 0 3,574,779 3,806,292
2303 Security Deposits 1 142,354 0 142,354 142,354
2304 Accrued Long Term Expenses 1 3,569,272 0 3,569,272 3,171,480
2305 Quincy Mortgage 1 29,000,000 0 29,000,000 29,000,000
2399   1 36,739,405 0 36,739,405 36,573,126
2501   1     0 0
2502   1     0 0
2503   1     0 0
2599   1     0 0
3001   1     0 0
3002   1     0 0
3003   1     0 0
3099   1     0 0

Last Updated: November 20, 2012