Skip Maine state header navigation

Agencies | Online Services | Help

Skip All Navigation

2012 STATEMENT OF REVENUE AND EXPENSES - 004
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 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   1,132,374 1,174,253 4,660,701
02 Net premium income (including $0 non-health premium income) 1   513,483,827 510,034,626 2,046,429,485
03 Change in unearned premium reserves and reserve for rate credits 1   3,000,000 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   516,483,827 510,034,626 2,046,429,485
09 Hospital/medical benefits (hospital and medical) 1 0 367,743,357 349,682,964 1,375,912,605
10 Other professional services (hospital and medical) 1 0 12,594,588 12,427,047 50,486,719
11 Outside referrals (hospital and medical) 1 0 5,339,695 5,122,027 35,670,009
12 Emergency room and out-of-area (hospital and medical) 1 0 6,670,481 7,153,302 37,680,750
13 Prescription drugs (hospital and medical) 1 0 56,131,641 56,315,693 222,444,296
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 11,146,563 11,354,880 35,133,369
16 Subtotal (hospital and medical) 1 0 459,626,325 442,055,913 1,757,327,748
17 Net reinsurance recoveries (less) 1 0 199,130 0 711,944
18 Total hospital and medical (less) 1 0 459,427,195 442,055,913 1,756,615,804
19 Non-health claims (net) (less) 1 0 0 0 0
20 Claims adjustment expenses, including $4422423 cost containment expenses (less) 1 0 10,225,087 9,140,900 36,284,756
21 General administrative expenses (less) 1 0 49,277,317 40,010,292 182,652,293
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 0 518,929,599 491,207,105 1,975,552,853
24 Net underwriting gain or (loss) 1   -2,445,772 18,827,521 70,876,632
25 Net investment income earned 1 0 3,605,721 4,230,808 16,306,364
26 Net realized capital gains (losses) less capital gains tax of $0 1 0 123,778 792,697 3,829,894
27 Net investment gains or (losses) 1 0 3,729,499 5,023,505 20,136,258
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 -271,329 713,336 -16,791,395
30 Net income or (loss) after capital gains tax and before all other federal income taxes 1   1,012,398 24,564,362 74,221,495
31 Federal and foreign income taxes incurred 1   0 0 0
32 Net income (loss) 1   1,012,398 24,564,362 74,221,495
Details of Write-Ins
0601   1   0 0 0
0602   1   0 0 0
0603   1   0 0 0
0699   1   0 0 0
0701   1   0 0 0
0702   1   0 0 0
0703   1   0 0 0
0799   1   0 0 0
1401   1 0 0 0 0
1402   1 0 0 0 0
1403   1 0 0 0 0
1499   1 0 0 0 0
2901 Miscellaneous & Other Income 1 0 -271,329 713,336 -16,791,395
2999   1 0 -271,329 713,336 -16,791,395

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
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 Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 1 479,479,984 412,724,331 412,724,331
34 Net income or (loss) from Line 32 1 1,012,398 24,564,362 74,221,495
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 13,621,248 9,693,814 9,502,993
37 Change in net unrealized foreign exchange capital gain or (loss) 1 0 0 0
38 Change in net deferred income tax 1 0 0 0
39 Change in nonadmitted assets 1 345,242 -3,066,541 -7,253,938
40 Change in unauthorized reinsurance 1 0 0 0
41 Change in treasury stock 1 0 0 0
42 Change in surplus notes 1 21,276 21,275 -9,714,897
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 0 0 0
48 Net change in capital and surplus 1 15,000,164 31,212,910 66,755,653
49 Capital and surplus end of reporting period 1 494,480,148 443,937,241 479,479,984
Details of Write-Ins
4701   1 0 0 0
4799   1 0 0 0

 

Last Updated: November 20, 2012