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2012 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Hlth Inc ME Corp
Quarter 2

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 2   90,785 70,699 143,015
02 Net premium income (including $0 non-health premium income) 2   46,462,273 36,435,812 72,733,787
03 Change in unearned premium reserves and reserve for rate credits 2   -222,864 13,750 11,893
04 Fee-for-service (net of $0 medical expenses) 2   0 0 0
05 Risk revenue 2   0 0 0
06 Aggregate write-ins for other health care related revenues 2   0 0 0
07 Aggregate write-ins for other non-health revenues 2   0 0 0
08 Total revenues 2   46,239,409 36,449,562 72,745,680
09 Hospital/medical benefits (hospital and medical) 2 452,873 27,843,950 23,125,361 42,530,701
10 Other professional services (hospital and medical) 2 0 0 0 0
11 Outside referrals (hospital and medical) 2 395,018 395,018 351,531 590,825
12 Emergency room and out-of-area (hospital and medical) 2 57,511 1,917,040 1,538,915 2,922,237
13 Prescription drugs (hospital and medical) 2 67,183 6,921,021 3,412,239 11,191,628
14 Aggregate write-ins for other hospital and medical (hospital and medical) 2 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 2 0 -468,390 0 0
16 Subtotal (hospital and medical) 2 972,585 36,608,639 28,428,046 57,235,391
17 Net reinsurance recoveries (less) 2 0 0 0 0
18 Total hospital and medical (less) 2 972,585 36,608,639 28,428,046 57,235,391
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $717819 cost containment expenses (less) 2 0 1,065,315 733,061 1,561,096
21 General administrative expenses (less) 2 0 4,298,047 3,631,652 7,197,621
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 2 0 -63,237 164,748 122,888
23 Total underwriting deductions 2 972,585 41,908,764 32,957,507 66,116,996
24 Net underwriting gain or (loss) 2   4,330,645 3,492,055 6,628,684
25 Net investment income earned 2 0 351,633 404,079 756,252
26 Net realized capital gains (losses) less capital gains tax of $6725 2 0 13,105 -16,955 -6,813
27 Net investment gains or (losses) 2 0 364,738 387,124 749,439
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 2 0 0 0 0
29 Aggregate write-ins for other income or expenses 2 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 2   4,695,383 3,879,179 7,378,123
31 Federal and foreign income taxes incurred 2   1,370,934 909,502 1,744,167
32 Net income (loss) 2   3,324,449 2,969,677 5,633,956
Details of Write-Ins
0699   2   0 0 0
0799   2   0 0 0
1499   2 0 0 0 0
2999   2 0 0 0 0

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Hlth Inc ME Corp
Quarter 2

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 2 11,371,930 14,931,099 14,931,099
34 Net income or (loss) from Line 32 2 3,324,449 2,969,677 5,633,956
35 Change in valuation basis of aggregate policy and claim reserves 2 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 2 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 2 0 0 0
38 Change in net deferred income tax 2 47,788 -357,661 -711,901
39 Change in nonadmitted assets 2 -480,625 344,886 747,022
40 Change in unauthorized reinsurance 2 0 0 0
41 Change in treasury stock 2 0 0 0
42 Change in surplus notes 2 0 0 0
43 Cumulative effect of changes in accounting principles 2 0 0 0
44.1 Paid in (capital changes) 2 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 2 0 0 0
44.3 Transferred to surplus (capital changes) 2 0 0 0
45.1 Paid in (surplus adjustments) 2 0 0 -1,000,000
45.2 Transferred to capital (stock dividend) (surplus adjustments) 2 0 0 0
45.3 Transferred from capital (surplus adjustments) 2 0 0 0
46 Dividends to stockholders 2 0 -3,600,000 -7,600,000
47 Aggregate write-ins for gains or (losses) in surplus 2 0 -328,602 -628,246
48 Net change in capital and surplus 2 2,891,612 -971,700 -3,559,169
49 Capital and surplus end of reporting period 2 14,263,542 13,959,399 11,371,930
Details of Write-Ins
4701 Change in Additional Deferred Tax Asset Admitted Amount 2 0 -328,602 -628,246
4799   2 0 -328,602 -628,246

 

Last Updated: November 20, 2012