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2012 STATEMENT OF REVENUE AND EXPENSES - 004
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 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   3,306,662 3,501,590 4,660,701
02 Net premium income (including $0 non-health premium income) 3   1,479,103,843 1,540,313,061 2,046,429,485
03 Change in unearned premium reserves and reserve for rate credits 3   -9,199,881 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   1,469,903,962 1,540,313,061 2,046,429,485
09 Hospital/medical benefits (hospital and medical) 3 0 1,017,337,061 1,049,783,576 1,375,912,605
10 Other professional services (hospital and medical) 3 0 39,499,420 40,838,201 50,486,719
11 Outside referrals (hospital and medical) 3 0 24,376,060 25,776,567 35,670,009
12 Emergency room and out-of-area (hospital and medical) 3 0 23,108,807 27,919,453 37,680,750
13 Prescription drugs (hospital and medical) 3 0 160,538,134 166,390,371 222,444,296
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 32,126,978 29,562,674 35,133,369
16 Subtotal (hospital and medical) 3 0 1,296,986,460 1,340,270,842 1,757,327,748
17 Net reinsurance recoveries (less) 3 0 199,130 624,725 711,944
18 Total hospital and medical (less) 3 0 1,296,787,330 1,339,646,117 1,756,615,804
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $12653622 cost containment expenses (less) 3 0 30,145,719 27,271,615 36,284,756
21 General administrative expenses (less) 3 0 139,839,463 120,644,471 182,652,293
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 0 1,466,772,512 1,487,562,203 1,975,552,853
24 Net underwriting gain or (loss) 3   3,131,450 52,750,858 70,876,632
25 Net investment income earned 3 0 10,640,073 11,997,628 16,306,364
26 Net realized capital gains (losses) less capital gains tax of $0 3 0 385,066 3,872,641 3,829,894
27 Net investment gains or (losses) 3 0 11,025,139 15,870,269 20,136,258
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 -564,801 -2,152,974 -16,791,395
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   13,591,788 66,468,153 74,221,495
31 Federal and foreign income taxes incurred 3   0 0 0
32 Net income (loss) 3   13,591,788 66,468,153 74,221,495
Details of Write-Ins
0601   3   0 0 0
0602   3   0 0 0
0603   3   0 0 0
0699   3   0 0 0
0701   3   0 0 0
0702   3   0 0 0
0703   3   0 0 0
0799   3   0 0 0
1401   3 0 0 0 0
1402   3 0 0 0 0
1403   3 0 0 0 0
1499   3 0 0 0 0
2901 Miscellaneous & Other Income/(expense) 3 0 -564,801 -2,152,974 -16,791,395
2902   3 0 0 0 0
2903   3 0 0 0 0
2999   3 0 -564,801 -2,152,974 -16,791,395

 

2012 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
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 Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 3 479,479,984 412,724,331 412,724,331
34 Net income or (loss) from Line 32 3 13,591,788 66,468,153 74,221,495
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 23,614,502 -5,213,455 9,502,993
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 0 0 0
39 Change in nonadmitted assets 3 -15,820,639 -13,264,982 -7,253,938
40 Change in unauthorized reinsurance 3 0 0 0
41 Change in treasury stock 3 0 0 0
42 Change in surplus notes 3 -19,736,172 -9,736,173 -9,714,897
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 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 0 0 0
48 Net change in capital and surplus 3 1,649,479 38,253,543 66,755,653
49 Capital and surplus end of reporting period 3 481,129,463 450,977,874 479,479,984
Details of Write-Ins
4701 Other 3 0 0 0
4799   3 0 0 0

 

Last Updated: November 20, 2012