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2012 LIABILITIES, CAPITAL AND SURPLUS - 003
52618 - Anthem Hlth Plans of ME Inc
Quarter 2

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) 2 74,390,577 295,744 74,686,321 97,012,263
02 Accrued medical incentive pool and bonus amounts 2 0 0 0 0
03 Unpaid claims adjustment expenses 2 1,988,747 0 1,988,747 2,166,078
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 2 79,676,079 0 79,676,079 76,119,089
05 Aggregate life policy reserves 2 0 0 0 0
06 Property/casualty unearned premium reserve 2 0 0 0 0
07 Aggregate health claim reserves 2 1,839,578 0 1,839,578 1,899,266
08 Premiums received in advance 2 12,688,697 0 12,688,697 18,973,909
09 General expenses due or accrued 2 6,864,509 0 6,864,509 9,406,290
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 2 653,139 0 653,139 0
10.2 Net deferred tax liability 2 0 0 0 0
11 Ceded reinsurance premiums payable 2 0 0 0 0
12 Amounts withheld or retained for the account of others 2 549,356 0 549,356 438,057
13 Remittances and items not allocated 2 5,677,739 0 5,677,739 3,926,224
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 2 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 2 45,957,367 0 45,957,367 32,513,158
16 Derivatives 2 0 0 0 0
17 Payable for securities 2 0 0 0 0
18 Payable for securities lending 2 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 2 0 0 0 0
20 Reinsurance in unauthorized companies 2 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 2 0 0 0 0
22 Liability for amounts held under uninsured plans 2 11,684,814 0 11,684,814 6,747,057
23 Aggregate write-ins for other liabilities (including $880699 current) 2 5,897,479 0 5,897,479 7,031,208
24 Total liabilities (Lines 1 to 23) 2 247,868,081 295,744 248,163,825 256,232,599
25 Aggregate write-ins for special surplus funds 2     0 0
26 Common capital stock 2     2,500,000 2,500,000
27 Preferred capital stock 2     0 0
28 Gross paid in and contributed surplus 2     120,652,900 120,652,900
29 Surplus notes 2     0 0
30 Aggregate write-ins for other than special surplus funds 2     0 0
31 Unassigned funds (surplus) 2     127,050,125 101,489,895
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost) 2     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost) 2     0 0
33 Total capital and surplus 2     250,203,025 224,642,795
34 Total liabilities, capital and surplus 2     498,366,850 480,875,394
Details of Write-Ins
2301 FEP SPECIAL ADVANCE 2 3,616,105 0 3,616,105 4,428,350
2302 OTHER LIABILITIES 2 716,678 0 716,678 1,082,807
2303 ESCHEAT LIABILITY 2 1,088,139 0 1,088,139 940,233
2304 RETROACTIVITY LIABILITY 2 476,557 0 476,557 579,818
2399   2 5,897,479 0 5,897,479 7,031,208
2599   2     0 0
3099   2     0 0

Last Updated: November 20, 2012