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2012 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care Inc
Quarter 2

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/21/2012
Line Quarter Number Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 2 144,367,988 0 144,367,988 117,336,989
02 Accrued medical incentive pool and bonus amounts 2 37,320,947 0 37,320,947 27,084,727
03 Unpaid claims adjustment expenses 2 2,011,626 0 2,011,626 1,562,358
04 Aggregate health policy reserves, including the liability of $2001591 for medical loss ratio rebate per the Public Health Service Act 2 2,001,591 0 2,001,591 19,692,779
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 0 0 0 0
08 Premiums received in advance 2 39,594,160 0 39,594,160 45,201,660
09 General expenses due or accrued 2 59,591,777 0 59,591,777 60,650,883
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 2 0 0 0 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 2 266,627 0 266,627 2,356,616
13 Remittances and items not allocated 2 0 0 0 0
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 4,974,866 0 4,974,866 3,906,832
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 22,006,037 0 22,006,037 32,425,998
23 Aggregate write-ins for other liabilities (including $0 current) 2 35,362,126 0 35,362,126 36,573,126
24 Total liabilities (Lines 1 to 23) 2 347,497,745 0 347,497,745 346,791,968
25 Aggregate write-ins for special surplus funds 2     0 0
26 Common capital stock 2     0 0
27 Preferred capital stock 2     0 0
28 Gross paid in and contributed surplus 2     0 0
29 Surplus notes 2     48,439,161 68,196,609
30 Aggregate write-ins for other than special surplus funds 2     0 0
31 Unassigned funds (surplus) 2     415,769,991 411,283,375
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     464,209,152 479,479,984
34 Total liabilities, capital and surplus 2     811,706,897 826,271,952
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 2 453,000 0 453,000 453,000
2302 Deferred Rent 2 3,343,704 0 3,343,704 3,806,292
2303 Security Deposits 2 142,354 0 142,354 142,354
2304 Accrued Long Term Expenses 2 2,423,068 0 2,423,068 3,171,480
2305 Quincy Mortgage 2 29,000,000 0 29,000,000 29,000,000
2399   2 35,362,126 0 35,362,126 36,573,126
2501   2     0 0
2502   2     0 0
2503   2     0 0
2599   2     0 0
3001   2     0 0
3002   2     0 0
3003   2     0 0
3099   2     0 0

Last Updated: November 27, 2012