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2012 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna Hlthcare of ME 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   0 0 0
02 Net premium income (including $0 non-health premium income) 2   407 0 6,826
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   407 0 6,826
09 Hospital/medical benefits (hospital and medical) 2 0 0 -10,543 -46,732
10 Other professional services (hospital and medical) 2 0 -1,785 -5,830 -126
11 Outside referrals (hospital and medical) 2 0 0 0 177
12 Emergency room and out-of-area (hospital and medical) 2 0 0 0 -2,014
13 Prescription drugs (hospital and medical) 2 0 0 0 0
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 0 0 0
16 Subtotal (hospital and medical) 2 0 -1,785 -16,373 -48,695
17 Net reinsurance recoveries (less) 2 0 0 0 0
18 Total hospital and medical (less) 2 0 -1,785 -16,373 -48,695
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $0 cost containment expenses (less) 2 0 15 -1,612 -1,596
21 General administrative expenses (less) 2 0 133,150 -9,993 2,030
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 2 0 0 -60 -60
23 Total underwriting deductions 2 0 131,380 -28,038 -48,321
24 Net underwriting gain or (loss) 2   -130,973 28,038 55,147
25 Net investment income earned 2 0 174,653 174,469 350,093
26 Net realized capital gains (losses) less capital gains tax of $-20 2 0 -33 0 0
27 Net investment gains or (losses) 2 0 174,620 174,469 350,093
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   43,647 202,507 405,240
31 Federal and foreign income taxes incurred 2   -30,501 17,045 34,740
32 Net income (loss) 2   74,148 185,462 370,500
Details of Write-Ins
0601   2   0 0 0
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
95447 - Cigna Hlthcare of ME 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 9,732,210 9,365,901 9,365,901
34 Net income or (loss) from Line 32 2 74,148 185,462 370,500
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 -5,237 -6,847 -7,769
39 Change in nonadmitted assets 2 0 3,578 3,578
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 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 0 0 0
48 Net change in capital and surplus 2 68,911 182,193 366,309
49 Capital and surplus end of reporting period 2 9,801,121 9,548,094 9,732,210
Details of Write-Ins
4799   2 0 0 0

 

Last Updated: November 21, 2012