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2012 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Hlth Plan Inc
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   383,617 377,829 500,520
02 Net premium income (including $0 non-health premium income) 3   302,104,787 308,547,919 406,022,923
03 Change in unearned premium reserves and reserve for rate credits 3   0 0 0
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   302,104,787 308,547,919 406,022,923
09 Hospital/medical benefits (hospital and medical) 3 11,453,495 190,394,231 140,118,070 186,801,652
10 Other professional services (hospital and medical) 3 0 22,138,431 50,434,974 66,510,826
11 Outside referrals (hospital and medical) 3 9,955,668 9,955,668 31,518,691 42,287,258
12 Emergency room and out-of-area (hospital and medical) 3 0 3,868,087 11,292,950 14,733,732
13 Prescription drugs (hospital and medical) 3 0 23,554,122 26,574,162 32,361,773
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 0 312,418 434,159 536,374
16 Subtotal (hospital and medical) 3 21,409,163 250,222,957 260,373,006 343,231,615
17 Net reinsurance recoveries (less) 3 0 567,902 940,233 1,823,869
18 Total hospital and medical (less) 3 21,409,163 249,655,055 259,432,773 341,407,746
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $1874903 cost containment expenses (less) 3 0 4,851,694 12,016,307 15,778,754
21 General administrative expenses (less) 3 0 53,104,528 41,314,483 57,073,178
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 3 0 0 0 0
23 Total underwriting deductions 3 21,409,163 307,611,277 312,763,563 414,259,678
24 Net underwriting gain or (loss) 3   -5,506,490 -4,215,644 -8,236,755
25 Net investment income earned 3 0 1,001,669 3,946,554 4,256,065
26 Net realized capital gains (losses) less capital gains tax of $13203 3 0 32,835 -124 -124
27 Net investment gains or (losses) 3 0 1,034,504 3,946,430 4,255,941
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 89,609 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   -4,382,377 -269,214 -3,980,814
31 Federal and foreign income taxes incurred 3   -901,589 0 -1,643,568
32 Net income (loss) 3   -3,480,788 -269,214 -2,337,246
Details of Write-Ins
0699   3   0 0 0
0799   3   0 0 0
1401   3 0 0 0 0
1499   3 0 0 0 0
2901 Miscellaneous Income 3 0 89,609 0 0
2999   3 0 89,609 0 0

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Hlth Plan Inc
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 38,457,653 44,732,871 44,732,871
34 Net income or (loss) from Line 32 3 -3,480,788 -269,214 -2,337,246
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 1,293,615 -3,784,977 -3,776,378
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 -2,596,510 0 136,862
39 Change in nonadmitted assets 3 3,924,478 -600,590 -384,113
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 14,000,000 0 0
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 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus 3 809,516 85,657 85,657
48 Net change in capital and surplus 3 13,950,311 -4,569,124 -6,275,218
49 Capital and surplus end of reporting period 3 52,407,964 40,163,747 38,457,653
Details of Write-Ins
4701 Prior Year Adjustment 3 809,516 85,657 85,657
4702   3 0 0 0
4799   3 809,516 85,657 85,657

 

Last Updated: November 19, 2012