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2013 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 030
52618 - Anthem Hlth Plans of ME Inc
for Maine

OLTPPROD Copyright 2014 National Association of Insurance Commissioners. All rights reserved. 03/03/2014
Line
State Code
Total
Individual Comprehensive
Group Comprehensive
Medicare Supplement
Vision Only
Dental Only
Federal Employees Health Benefits Plan
Title XVIII Medicare
Title XIX Medicaid
Other
01 Prior Year (total member at end of) ME 333,445 16,749 142,777 20,509 84,093 9,643 35,660 0 0 24,014
02 First Quarter (total members at end of) ME 334,694 17,563 136,868 20,814 86,749 9,616 35,923 2,791 0 24,370
03 Second Quarter (total members at end of) ME 330,498 18,142 134,004 20,527 84,835 10,099 35,828 2,810 0 24,253
04 Third Quarter (total members at end of) ME 324,344 18,518 130,709 20,330 83,641 10,208 35,868 2,899 0 22,171
05 Current Year (total members at end of) ME 322,828 18,349 130,263 20,093 82,628 10,666 35,788 2,904 0 22,137
06 Current Year Member Months ME 3,948,805 216,638 1,601,163 246,695 1,020,850 120,124 430,599 34,069 0 278,667
07 Physician (total member ambulatory encounters for year) ME 1,182,369 103,369 888,958 147,647 0 0 0 42,395 0 0
08 Non-physician (total member ambulatory encounters for year) ME 1,383,745 58,033 809,361 475,613 0 0 0 40,738 0 0
09 Total (total member ambulatory encounters for year) ME 2,566,114 161,402 1,698,319 623,260 0 0 0 83,133 0 0
10 Hospital patient days incurred ME 108,611 5,449 45,984 54,511 0 0 0 2,667 0 0
11 Number of inpatient admissions ME 17,219 944 8,752 7,008 0 0 0 515 0 0
12 Health premiums written (b) ME 1,055,248,719 66,158,937 733,993,634 44,071,602 3,054,923 3,338,060 168,307,438 33,122,023 0 3,202,102
13 Life premiums direct ME 0 0 0 0 0 0 0 0 0 0
14 Property/Casualty premiums written ME 0 0 0 0 0 0 0 0 0 0
15 Health premiums earned ME 1,039,937,155 66,221,722 715,340,974 43,954,461 3,054,903 3,337,945 172,172,063 32,652,985 0 3,202,102
16 Property/Casualty premiums earned ME 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services ME 907,565,331 61,664,409 626,188,433 31,605,008 2,148,408 2,715,879 159,360,813 22,815,082 0 1,067,299
18 Amount incurred for provision of health care services ME 904,734,265 61,150,074 615,518,994 34,829,858 2,110,234 2,745,871 161,013,228 26,101,095 0 1,264,911
FootNotes
0000001 (a) For health business number of persons insured under PPO managed care products 114109 and number of persons insured under indemnity only products 39302.
0000002 (b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $33122023 ~

Last Updated: March 3, 2014