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2012 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Hlth Inc ME Corp
Quarter 3

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/19/2012
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 3   136,330 106,481 143,015
02 Net premium income (including $0 non-health premium income) 3   69,724,293 54,627,446 72,733,787
03 Change in unearned premium reserves and reserve for rate credits 3   -238,906 13,837 11,893
04 Fee-for-service (net of $0 medical expenses) 3   0 0 0
05 Risk revenue 3   0 0 0
06 Aggregate write-ins for other health care related revenues 3   0 0 0
07 Aggregate write-ins for other non-health revenues 3   0 0 0
08 Total revenues 3   69,485,387 54,641,283 72,745,680
09 Hospital/medical benefits (hospital and medical) 3 865,661 39,937,923 34,893,638 42,530,701
10 Other professional services (hospital and medical) 3 0 0 0 0
11 Outside referrals (hospital and medical) 3 762,220 762,220 530,870 590,825
12 Emergency room and out-of-area (hospital and medical) 3 106,332 2,658,290 2,158,258 2,922,237
13 Prescription drugs (hospital and medical) 3 134,751 10,076,453 5,113,905 11,191,628
14 Aggregate write-ins for other hospital and medical (hospital and medical) 3 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 3 0 -401,572 0 0
16 Subtotal (hospital and medical) 3 1,868,964 53,033,314 42,696,671 57,235,391
17 Net reinsurance recoveries (less) 3 0 0 0 0
18 Total hospital and medical (less) 3 1,868,964 53,033,314 42,696,671 57,235,391
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $1055318 cost containment expenses (less) 3 0 1,566,197 1,071,500 1,561,096
21 General administrative expenses (less) 3 0 6,250,836 5,458,332 7,197,621
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 3 0 185,891 268,881 122,888
23 Total underwriting deductions 3 1,868,964 61,036,238 49,495,384 66,116,996
24 Net underwriting gain or (loss) 3   8,449,149 5,145,899 6,628,684
25 Net investment income earned 3 0 510,966 587,597 756,252
26 Net realized capital gains (losses) less capital gains tax of $6738 3 0 13,128 -16,955 -6,813
27 Net investment gains or (losses) 3 0 524,094 570,642 749,439
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 3 0 0 0 0
29 Aggregate write-ins for other income or expenses 3 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   8,973,243 5,716,541 7,378,123
31 Federal and foreign income taxes incurred 3   2,624,679 1,559,914 1,744,167
32 Net income (loss) 3   6,348,564 4,156,627 5,633,956
Details of Write-Ins
0699   3   0 0 0
0799   3   0 0 0
1499   3 0 0 0 0
2999   3 0 0 0 0

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Hlth Inc ME Corp
Quarter 3

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/19/2012
Line Quarter Number Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 3 11,371,930 14,931,099 14,931,099
34 Net income or (loss) from Line 32 3 6,348,564 4,156,627 5,633,956
35 Change in valuation basis of aggregate policy and claim reserves 3 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 3 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 -368,494 -379,424 -711,901
39 Change in nonadmitted assets 3 -18,807 586,929 747,022
40 Change in unauthorized reinsurance 3 0 0 0
41 Change in treasury stock 3 0 0 0
42 Change in surplus notes 3 0 0 0
43 Cumulative effect of changes in accounting principles 3 0 0 0
44.1 Paid in (capital changes) 3 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 3 0 0 0
44.3 Transferred to surplus (capital changes) 3 0 0 0
45.1 Paid in (surplus adjustments) 3 0 0 -1,000,000
45.2 Transferred to capital (stock dividend) (surplus adjustments) 3 0 0 0
45.3 Transferred from capital (surplus adjustments) 3 0 0 0
46 Dividends to stockholders 3 -3,300,000 -3,600,000 -7,600,000
47 Aggregate write-ins for gains or (losses) in surplus 3 0 -462,053 -628,246
48 Net change in capital and surplus 3 2,661,263 302,079 -3,559,169
49 Capital and surplus end of reporting period 3 14,033,193 15,233,178 11,371,930
Details of Write-Ins
4701 Change in Additional Deferred Tax Asset Admitted Amount 3 0 -462,053 -628,246
4799   3 0 -462,053 -628,246

 

Last Updated: November 19, 2012