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2013 STATEMENT OF REVENUE AND EXPENSES - 004
95447 - Cigna Hlthcare of ME Inc

OLTPPROD Copyright 2014 National Association of Insurance Commissioners. All rights reserved. 03/04/2014
Line
Uncovered Current Year
Total Current Year
Total Prior Year
01 Member months   0 0
02 Net premium income (including $0 non-health premium income)   0 411
03 Change in unearned premium reserves and reserve for rate credits   0 0
04 Fee-for-service (net of $0 medical expenses)   0 0
05 Risk revenue   0 0
06 Aggregate write-ins for other health care related revenues   0 0
07 Aggregate write-ins for other non-health revenues   0 0
08 Total revenues   0 411
09 Hospital/medical benefits (hospital and medical) 0 -5,959 0
10 Other professional services (hospital and medical) 0 0 -3,806
11 Outside referrals (hospital and medical) 0 0 0
12 Emergency room and out-of-area (hospital and medical) 0 -624 0
13 Prescription drugs (hospital and medical) 0 0 0
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 0 0
16 Subtotal (hospital and medical) 0 -6,583 -3,806
17 Net reinsurance recoveries (less) 0 0 0
18 Total hospital and medical (less) 0 -6,583 -3,806
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $0 cost containment expenses (less) 0 0 15
21 General administrative expenses (less) 0 3,908 150,500
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 -2,675 146,709
24 Net underwriting gain or (loss)   2,675 -146,298
25 Net investment income earned 0 113,297 334,468
26 Net realized capital gains or (losses) less capital gains tax of $2444 0 -2,453 437,531
27 Net investment gains or (losses) 0 110,844 771,999
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0
29 Aggregate write-ins for other income or expenses 0 0 0
30 Net income or (loss), after capital gains tax and before all other federal income taxes   113,519 625,701
31 Federal and foreign income taxes incurred   70,339 -8,522
32 Net income (loss)   43,180 634,223
Details of Write-Ins
0601     0 0
0699     0 0
0799     0 0
1499   0 0 0
2999   0 0 0

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95447 - Cigna Hlthcare of ME Inc

OLTPPROD Copyright 2014 National Association of Insurance Commissioners. All rights reserved. 03/04/2014
Line
Current Year
Prior Year
33 Capital and surplus prior reporting year 5,237,112 9,732,210
34 Net income or (loss) from Line 32 43,180 634,223
35 Change in valuation basis of aggregate policy and claim reserves 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax 65,840 -129,441
39 Change in nonadmitted assets 0 120
40 Change in unauthorized and certified reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes 0 0
43 Cumulative effect of changes in accounting principles 0 0
44.1 Paid in (capital changes) 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0
44.3 Transferred to surplus (capital changes) 0 0
45.1 Paid in (surplus adjustments) 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0
45.3 Transferred from capital (surplus adjustments) 0 0
46 Dividends to stockholders 0 -5,000,000
47 Aggregate write-ins for gains or (losses) in surplus 0 0
48 Net change in capital and surplus 109,020 -4,495,098
49 Capital and surplus end of reporting year 5,346,132 5,237,112
Details of Write-Ins
4799   0 0

 

Last Updated: March 4, 2014