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2012 STATEMENT OF REVENUE AND EXPENSES - 004
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 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   2,269,342 2,342,014 4,660,701
02 Net premium income (including $0 non-health premium income) 2   1,027,558,176 1,026,431,521 2,046,429,485
03 Change in unearned premium reserves and reserve for rate credits 2   7,006,029 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   1,034,564,205 1,026,431,521 2,046,429,485
09 Hospital/medical benefits (hospital and medical) 2 0 729,070,932 715,085,773 1,375,912,605
10 Other professional services (hospital and medical) 2 0 26,645,269 28,092,944 50,486,719
11 Outside referrals (hospital and medical) 2 0 14,848,596 11,682,469 35,670,009
12 Emergency room and out-of-area (hospital and medical) 2 0 15,749,331 14,142,918 37,680,750
13 Prescription drugs (hospital and medical) 2 0 111,316,628 112,682,127 222,444,296
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 24,009,473 20,794,191 35,133,369
16 Subtotal (hospital and medical) 2 0 921,640,229 902,480,422 1,757,327,748
17 Net reinsurance recoveries (less) 2 0 199,130 96,668 711,944
18 Total hospital and medical (less) 2 0 921,441,099 902,383,754 1,756,615,804
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $8652113 cost containment expenses (less) 2 0 20,866,451 18,417,029 36,284,756
21 General administrative expenses (less) 2 0 96,066,795 79,195,446 182,652,293
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 0 1,038,374,345 999,996,229 1,975,552,853
24 Net underwriting gain or (loss) 2   -3,810,140 26,435,292 70,876,632
25 Net investment income earned 2 0 7,143,850 8,130,156 16,306,364
26 Net realized capital gains (losses) less capital gains tax of $0 2 0 166,159 3,858,638 3,829,894
27 Net investment gains or (losses) 2 0 7,310,009 11,988,794 20,136,258
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 -452,374 -1,293,702 -16,791,395
30 Net income or (loss) after capital gains tax and before all other federal income taxes 2   3,047,495 37,130,384 74,221,495
31 Federal and foreign income taxes incurred 2   0 0 0
32 Net income (loss) 2   3,047,495 37,130,384 74,221,495
Details of Write-Ins
0601   2   0 0 0
0602   2   0 0 0
0603   2   0 0 0
0699   2   0 0 0
0701   2   0 0 0
0702   2   0 0 0
0703   2   0 0 0
0799   2   0 0 0
1401   2 0 0 0 0
1402   2 0 0 0 0
1403   2 0 0 0 0
1499   2 0 0 0 0
2901 Miscellaneous & Other Expenses 2 0 -452,374 -1,293,702 -16,791,395
2999   2 0 -452,374 -1,293,702 -16,791,395

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
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 Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 2 479,479,984 412,724,331 412,724,331
34 Net income or (loss) from Line 32 2 3,047,495 37,130,384 74,221,495
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 9,379,200 2,600,568 9,502,993
37 Change in net unrealized foreign exchange capital gain or (loss) 2 0 0 0
38 Change in net deferred income tax 2 0 0 0
39 Change in nonadmitted assets 2 -7,940,079 -12,104,784 -7,253,938
40 Change in unauthorized reinsurance 2 0 0 0
41 Change in treasury stock 2 0 0 0
42 Change in surplus notes 2 -19,757,448 -9,757,449 -9,714,897
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 -15,270,832 17,868,719 66,755,653
49 Capital and surplus end of reporting period 2 464,209,152 430,593,050 479,479,984
Details of Write-Ins
4701   2 0 0 0
4799   2 0 0 0

 

Last Updated: November 21, 2012