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2012 STATEMENT OF REVENUE AND EXPENSES - 004
12545 - Martins Point Generations LLC
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   94,442 68,039 142,392
02 Net premium income (including $0 non-health premium income) 2   65,559,160 39,231,707 86,989,481
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   65,559,160 39,231,707 86,989,481
09 Hospital/medical benefits (hospital and medical) 2 0 50,291,623 31,975,412 69,684,782
10 Other professional services (hospital and medical) 2 0 0 0 0
11 Outside referrals (hospital and medical) 2 0 0 0 0
12 Emergency room and out-of-area (hospital and medical) 2 0 0 0 0
13 Prescription drugs (hospital and medical) 2 0 9,714,309 6,957,266 13,528,771
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 0 163,937 91,293 189,201
16 Subtotal (hospital and medical) 2 0 60,169,869 39,023,971 83,402,754
17 Net reinsurance recoveries (less) 2 0 0 1,575 3,463
18 Total hospital and medical (less) 2 0 60,169,869 39,022,396 83,399,291
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $758674 cost containment expenses (less) 2 0 1,333,447 560,237 2,221,664
21 General administrative expenses (less) 2 0 6,325,181 6,686,801 13,221,643
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 67,828,497 46,269,434 98,842,598
24 Net underwriting gain or (loss) 2   -2,269,337 -7,037,727 -11,853,117
25 Net investment income earned 2 0 9,323 21,747 35,566
26 Net realized capital gains (losses) less capital gains tax of $0 2 0 0 0 0
27 Net investment gains or (losses) 2 0 9,323 21,747 35,566
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   -2,260,014 -7,015,980 -11,817,551
31 Federal and foreign income taxes incurred 2   0 0 0
32 Net income (loss) 2   -2,260,014 -7,015,980 -11,817,551
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   2 0 0 0 0
2902   2 0 0 0 0
2903   2 0 0 0 0
2999   2 0 0 0 0

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12545 - Martins Point Generations LLC
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 9,410,776 5,257,792 5,257,792
34 Net income or (loss) from Line 32 2 -2,260,014 -7,015,980 -11,817,551
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 0 0 0
39 Change in nonadmitted assets 2 -223,474 -275,059 -29,465
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 4,200,000 8,770,000 16,000,000
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 1,716,512 1,478,961 4,152,984
49 Capital and surplus end of reporting period 2 11,127,288 6,736,753 9,410,776
Details of Write-Ins
4701   2 0 0 0
4702   2 0 0 0
4703   2 0 0 0
4799   2 0 0 0

 

Last Updated: November 21, 2012