HMO Maine Revenue : Bureau of Insurance

2012 STATEMENT OF REVENUE AND EXPENSES - 004 HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc. Quarter 3

	LINE	Uncovered Current Year to Date	Total Current Year to Date	Total Prior Year to Date	Prior Year Ended December 31
01	Member months	XXX	744,023	891,791	1,137,275
02	Net premium income (including $0 non-health premium income)	XXX	244,124,329	245,608,787	328,342,089
03	Change in unearned premium reserves and reserve for rate credits	XXX	-8,642,826	-5,126,926	-10,617,388
04	Fee-for-service (net of $0 medical expenses)	XXX	0	0	0
05	Risk revenue	XXX	0	0	0
06	Aggregate write-ins for other health care related revenues	XXX	0	0	0
07	Aggregate write-ins for other non-health revenues	XXX	0	0	0
08	Total revenues	XXX	235,481,503	240,481,861	317,724,701
09	Hospital/medical benefits (medical and hospital)		171,476,777	179,387,753	234,981,356
10	Other professional services (medical and hospital)		569	4,387	7,179
11	Outside referrals (medical and hospital)		0	0	0
12	Emergency room and out-of-area (medical and hospital)		10,454,456	10,450,594	13,874,674
13	Prescription drugs (hospital and medical)		32,600,244	28,622,347	39,139,954
14	Aggregate write-ins for other hospital and medical (hospital and medical)	0	0	0	0
15	Incentive pool, withhold adjustments and bonus amounts (hospital and medical)		0	0	0
16	Subtotal (hospital and medical)	0	214,532,026	218,465,081	288,003,163
17	Net reinsurance recoveries (less)		46,839	0	0
18	Total hospital and medical (less)	0	214,485,187	218,465,081	288,003,163
19	Non-health claims (net) (less)		0	0	0
20	Claims adjustment expenses, including $1,338,646 cost containment expenses (less)		2,280,678	2,124,553	2,514,657
21	General administrative expenses (less)		5,578,966	3,830,698	6,151,323
22	Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less)		0	0	0
23	Total underwriting deductions	0	222,344,831	224,420,332	296,669,143
24	Net underwriting gain or (loss)	XXX	13,136,672	16,061,529	21,055,558
25	Net investment income earned		2,967,842	4,833,381	3,774,761
26	Net realized capital gains (losses) less capital gains tax of $		0	0	0
27	Net investment gains or (losses)	0	2,967,842	4,833,381	3,774,761
28	Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0)]	0	0	0	0
29	Aggregate write-ins for other income or expenses	0	0	0	0
30	Net income or (loss) after capital gains tax and before all other federal income taxes	XXX	16,104,514	20,894,910	24,830,319
31	Federal and foreign income taxes incurred	XXX	5,636,581	7,313,218	8,690,612
32	Net income (loss)	XXX	10,467,933	13,581,692	16,139,707
	Details of Write-Ins
0601		XXX
0602		XXX
0603		XXX
0698	Summary of remaining write-ins for Line 6 from overflow page	XXX	0	0	0
0699	Totals (Lines 0601 through 0603 plus 0698)(Line 6 above)	XXX	0	0	0
0701		XXX
0702		XXX
0703		XXX
0798	Summary of remaining write-ins for Line 7 from overflow page	XXX	0	0	0
0799	Totals (Lines 0701 through 0703 plus 0798)(Line 7 above)	XXX	0	0	0
1401
1402
1403
1498	Summary of remaining write-ins for Line 14 from overflow page	0	0	0	0
1499	Totals (Lines 1401 through 1403)(Line 14 above)	0	0	0	0
2901
2902
2903
2998	Summary of remaining write-ins for Line 29 from overflow page	0	0	0	0
2999	Totals (Lines 2901 through 2903 plus 2998)(Line 29 above)	0	0	0	0

Current Year To Date Member Months reported in column 2 and Prior Year Ended December 31 Member Months reported in Column 4 include Stop Loss members. Prior Year to Date Member Months reported in column 3 does not include Stop Loss members.