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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
52618 - Anthem Hlth Plans of ME Inc

OLTPPROD Copyright 2014 National Association of Insurance Commissioners. All rights reserved. 03/03/2014
Line
Covered Current Year
Uncovered Current Year
Total Current Year
Total Prior Year
01 Claims unpaid (less $2298828 reinsurance ceded) 89,236,596 456,205 89,692,801 91,790,104
02 Accrued medical incentive pool and bonus amounts 115,488 0 115,488 0
03 Unpaid claims adjustment expenses 2,140,362 0 2,140,362 2,262,466
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 101,268,916 0 101,268,916 85,957,352
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserves 0 0 0 0
07 Aggregate health claim reserves 1,177,990 0 1,177,990 1,384,446
08 Premiums received in advance 12,289,600 0 12,289,600 16,064,595
09 General expenses due or accrued 5,021,402 0 5,021,402 8,432,132
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 1,103,459 0 1,103,459 3,045,501
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 812,919 0 812,919 672,353
12 Amounts withheld or retained for the account of others 318,291 0 318,291 366,272
13 Remittances and items not allocated 2,268,098 0 2,268,098 4,538,499
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 20,856,748 0 20,856,748 40,348,820
16 Derivatives 0 0 0 0
17 Payable for securities 0 0 0 0
18 Payable for securities lending 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers, $0 unauthorized reinsurers and ($0 certified reinsurers) 0 0 0 0
20 Reinsurance in unauthorized and certified ($0) companies 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22 Liability for amounts held under uninsured plans 7,915,760 0 7,915,760 10,103,547
23 Aggregate write-ins for other liabilities (including $3828717 current) 9,475,956 0 9,475,956 7,117,297
24 Total liabilities (Lines 1 to 23) 254,001,585 456,205 254,457,790 272,083,384
25 Aggregate write-ins for special surplus funds     0 0
26 Common capital stock     2,500,000 2,500,000
27 Preferred capital stock     0 0
28 Gross paid in and contributed surplus     120,652,900 120,652,900
29 Surplus notes     0 0
30 Aggregate write-ins for other-than-special surplus funds     0 0
31 Unassigned funds (surplus)     39,975,867 19,636,477
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost)     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost)     0 0
33 Total capital and surplus     163,128,767 142,789,377
34 Total liabilities, capital and surplus     417,586,557 414,872,761
Details of Write-Ins
2301 FEP SPECIAL ADVANCE 4,353,675 0 4,353,675 4,353,675
2302 BLUE CARD LIABILTIES 1,586,220 0 1,586,220 305,358
2303 ESCHEAT LIABILITY 1,214,895 0 1,214,895 1,099,343
2304 OTHER LIABILITIES 1,046,547 0 1,046,547 348,321
2305 PERFORMANCE GAURANTEE LIABILITY 710,091 0 710,091 437,225
2306 RETROACTIVITY LIABILITY 564,528 0 564,528 573,375
2399   9,475,956 0 9,475,956 7,117,297
2599       0 0
3099       0 0

Last Updated: March 3, 2014