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2012 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Hlth Plan Inc
Quarter 2

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/21/2012
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   255,093 254,749 500,520
02 Net premium income (including $0 non-health premium income) 2   199,474,270 208,492,043 406,022,923
03 Change in unearned premium reserves and reserve for rate credits 2   0 0 0
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   199,474,270 208,492,043 406,022,923
09 Hospital/medical benefits (hospital and medical) 2 5,253,854 118,324,316 92,176,522 186,801,652
10 Other professional services (hospital and medical) 2 0 20,273,014 35,146,502 66,510,826
11 Outside referrals (hospital and medical) 2 0 9,955,668 19,717,031 42,287,258
12 Emergency room and out-of-area (hospital and medical) 2 0 3,868,087 7,651,801 14,733,732
13 Prescription drugs (hospital and medical) 2 0 18,015,653 18,763,115 32,361,773
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 0 312,418 583,504 536,374
16 Subtotal (hospital and medical) 2 5,253,854 170,749,156 174,038,475 343,231,615
17 Net reinsurance recoveries (less) 2 0 468,854 276,090 1,823,869
18 Total hospital and medical (less) 2 5,253,854 170,280,302 173,762,385 341,407,746
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $1878717 cost containment expenses (less) 2 0 4,855,508 8,341,295 15,778,754
21 General administrative expenses (less) 2 0 33,530,573 27,606,800 57,073,178
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 2 0 0 0 0
23 Total underwriting deductions 2 5,253,854 208,666,383 209,710,480 414,259,678
24 Net underwriting gain or (loss) 2   -9,192,113 -1,218,437 -8,236,755
25 Net investment income earned 2 0 571,554 3,639,971 4,256,065
26 Net realized capital gains (losses) less capital gains tax of $0 2 0 8,319 -124 -124
27 Net investment gains or (losses) 2 0 579,873 3,639,847 4,255,941
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 24,314 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 2   -8,587,926 2,421,410 -3,980,814
31 Federal and foreign income taxes incurred 2   -535,760 0 -1,643,568
32 Net income (loss) 2   -8,052,166 2,421,410 -2,337,246
Details of Write-Ins
0699   2   0 0 0
0799   2   0 0 0
1401   2 0 0 0 0
1499   2 0 0 0 0
2901 MISCELLANEOUS INCOME 2 0 24,314 0 0
2999   2 0 24,314 0 0

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Hlth Plan Inc
Quarter 2

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/21/2012
Line Quarter Number Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 2 38,457,653 44,732,871 44,732,871
34 Net income or (loss) from Line 32 2 -8,052,166 2,421,410 -2,337,246
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 -751,129 -3,312,986 -3,776,378
37 Change in net unrealized foreign exchange capital gain or (loss) 2 0 0 0
38 Change in net deferred income tax 2 -2,895,903 0 136,862
39 Change in nonadmitted assets 2 844,097 140,908 -384,113
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 14,000,000 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 0
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 0 0
47 Aggregate write-ins for gains or (losses) in surplus 2 809,516 85,657 85,657
48 Net change in capital and surplus 2 3,954,415 -665,011 -6,275,218
49 Capital and surplus end of reporting period 2 42,412,068 44,067,860 38,457,653
Details of Write-Ins
4701 AUDIT ADJUSTMENTS 2 809,516 85,657 85,657
4702   2 0 0 0
4799   2 809,516 85,657 85,657

 

Last Updated: November 21, 2012