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2012 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care Inc
Quarter 3

OLTPPROD Copyright 2012 National Association of Insurance Commissioners. All rights reserved. 11/20/2012
Line Quarter Number Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 3 133,567,943 0 133,567,943 117,336,989
02 Accrued medical incentive pool and bonus amounts 3 40,784,265 0 40,784,265 27,084,727
03 Unpaid claims adjustment expenses 3 1,773,858 0 1,773,858 1,562,358
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 3 18,197,950 0 18,197,950 19,692,779
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 14,756,468 0 14,756,468 45,201,660
09 General expenses due or accrued 3 48,780,383 0 48,780,383 60,650,883
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 3 203,349 0 203,349 2,356,616
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 7,179,131 0 7,179,131 3,906,832
16 Derivatives 3 0 0 0 0
17 Payable for securities 3 27,149,192 0 27,149,192 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 39,730,647 0 39,730,647 32,425,998
23 Aggregate write-ins for other liabilities (including $0 current) 3 34,589,029 0 34,589,029 36,573,126
24 Total liabilities (Lines 1 to 23) 3 366,712,215 0 366,712,215 346,791,968
25 Aggregate write-ins for special surplus funds 3     0 0
26 Common capital stock 3     0 0
27 Preferred capital stock 3     0 0
28 Gross paid in and contributed surplus 3     0 0
29 Surplus notes 3     48,460,437 68,196,609
30 Aggregate write-ins for other than special surplus funds 3     0 0
31 Unassigned funds (surplus) 3     432,669,026 411,283,375
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     481,129,463 479,479,984
34 Total liabilities, capital and surplus 3     847,841,678 826,271,952
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 3 453,000 0 453,000 453,000
2302 Deferred Rent 3 3,110,927 0 3,110,927 3,806,292
2303 Security Deposits 3 142,354 0 142,354 142,354
2304 Accrued Long Term Expenses 3 1,882,748 0 1,882,748 3,171,480
2305 Quincy Mortgage 3 29,000,000 0 29,000,000 29,000,000
2399   3 34,589,029 0 34,589,029 36,573,126
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 20, 2012