2012 LIABILITIES, CAPITAL AND SURPLUS - 003
12151 - Arcadian Hlth Plan Inc
Quarter 3 |
| OLTPPROD |
Copyright 2012 National Association of Insurance Commissioners. All rights reserved. |
11/19/2012 |
|
|
Line |
Quarter Number |
Covered Current Period |
Uncovered Current Period |
Total Current Period |
Total Prior Year |
| 01 |
Claims unpaid (less $0 reinsurance ceded) |
3 |
44,217,024 |
2,126,096 |
46,343,120 |
40,984,393 |
| 02 |
Accrued medical incentive pool and bonus amounts |
3 |
0 |
0 |
0 |
400,675 |
| 03 |
Unpaid claims adjustment expenses |
3 |
256,226 |
0 |
256,226 |
1,081,716 |
| 04 |
Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act |
3 |
2,007,899 |
0 |
2,007,899 |
1,389,674 |
| 05 |
Aggregate life policy reserves |
3 |
0 |
0 |
0 |
0 |
| 06 |
Property/casualty unearned premium reserve |
3 |
0 |
0 |
0 |
0 |
| 07 |
Aggregate health claim reserves |
3 |
0 |
0 |
0 |
0 |
| 08 |
Premiums received in advance |
3 |
137,180 |
0 |
137,180 |
0 |
| 09 |
General expenses due or accrued |
3 |
14,835,759 |
0 |
14,835,759 |
8,348,324 |
| 10.1 |
Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) |
3 |
0 |
0 |
0 |
0 |
| 10.2 |
Net deferred tax liability |
3 |
0 |
0 |
0 |
0 |
| 11 |
Ceded reinsurance premiums payable |
3 |
0 |
0 |
0 |
0 |
| 12 |
Amounts withheld or retained for the account of others |
3 |
59,896 |
0 |
59,896 |
183,576 |
| 13 |
Remittances and items not allocated |
3 |
0 |
0 |
0 |
0 |
| 14 |
Borrowed money (including $0 current) and interest thereon $0 (including $0 current) |
3 |
0 |
0 |
0 |
0 |
| 15 |
Amounts due to parent, subsidiaries and affiliates |
3 |
0 |
0 |
0 |
0 |
| 16 |
Derivatives |
3 |
0 |
0 |
0 |
0 |
| 17 |
Payable for securities |
3 |
248,973 |
0 |
248,973 |
0 |
| 18 |
Payable for securities lending |
3 |
0 |
0 |
0 |
0 |
| 19 |
Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) |
3 |
0 |
0 |
0 |
0 |
| 20 |
Reinsurance in unauthorized companies |
3 |
0 |
0 |
0 |
0 |
| 21 |
Net adjustments in assets and liabilities due to foreign exchange rates |
3 |
0 |
0 |
0 |
0 |
| 22 |
Liability for amounts held under uninsured plans |
3 |
4,275,975 |
0 |
4,275,975 |
2,603,767 |
| 23 |
Aggregate write-ins for other liabilities (including $0 current) |
3 |
0 |
0 |
0 |
0 |
| 24 |
Total liabilities (Lines 1 to 23) |
3 |
66,038,932 |
2,126,096 |
68,165,028 |
54,992,125 |
| 25 |
Aggregate write-ins for special surplus funds |
3 |
|
|
0 |
0 |
| 26 |
Common capital stock |
3 |
|
|
600,000 |
600,000 |
| 27 |
Preferred capital stock |
3 |
|
|
0 |
0 |
| 28 |
Gross paid in and contributed surplus |
3 |
|
|
48,696,777 |
34,696,777 |
| 29 |
Surplus notes |
3 |
|
|
0 |
0 |
| 30 |
Aggregate write-ins for other than special surplus funds |
3 |
|
|
0 |
0 |
| 31 |
Unassigned funds (surplus) |
3 |
|
|
3,111,187 |
3,160,876 |
| 32.1 |
(1) shares common (value included in common capital stock $0) (less treasury stock, at cost) |
3 |
|
|
0 |
0 |
| 32.2 |
(1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost) |
3 |
|
|
0 |
0 |
| 33 |
Total capital and surplus |
3 |
|
|
52,407,964 |
38,457,653 |
| 34 |
Total liabilities, capital and surplus |
3 |
|
|
120,572,992 |
93,449,778 |
|
Details of Write-Ins |
| 2301 |
|
3 |
0 |
0 |
0 |
0 |
| 2302 |
|
3 |
0 |
0 |
0 |
0 |
| 2303 |
|
3 |
0 |
0 |
0 |
0 |
| 2399 |
|
3 |
0 |
0 |
0 |
0 |
| 2501 |
|
3 |
|
|
0 |
0 |
| 2502 |
|
3 |
|
|
0 |
0 |
| 2503 |
|
3 |
|
|
0 |
0 |
| 2599 |
|
3 |
|
|
0 |
0 |
| 3001 |
|
3 |
|
|
0 |
0 |
| 3002 |
|
3 |
|
|
0 |
0 |
| 3003 |
|
3 |
|
|
0 |
0 |
| 3099 |
|
3 |
|
|
0 |
0 |
|
Last Updated:
November 19, 2012
|
