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2013 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 029 HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc.
for Maine

  LINE Total Individual Comprehensive Group Comprehensive Medicare Supplement Vision Only Dental Only Federal Employees Health Benefit Plan Title XVIII Medicare Title XIX Medicaid Other
01 Prior Year (total member at end of)

75,450

13 55,643 0 0 0 0 0 0 19,794
02 First Quarter (total members at end of) 70,741 12 54,728 0 0 0 0 0 0 16,001
03 Second Quarter (total members at end of) 70,101 12 54,224 0 0 0 0 0 0 15,865
04 Third Quarter (total members at end of) 69,527 12 54,166 0 0 0 0 0 0 15,349
05 Current Year (total members at end of) 69,425 12 54,166 0 0 0 0 0 0 15,247
06 Current Year Member Months 840,638 145 652,074 0 0 0 0 0 0 188,419
07 Physician (total member ambulatory encounters) 378,179 97 378,082 0 0 0 0 0 0 0
08 Non-physician (total member ambulatory encounters) 306,086 35 306,051 0 0 0 0 0 0 0
09 Totals (total member ambulatory encounters) 684,265 132 684,133 0 0 0 0 0 0 0
10 Hospital patient days incurred 14,900 0 14,900 0 0 0 0 0 0 0
11 Number of inpatient admissions 3,182 0 3,182 0 0 0 0 0 0 0
12 Health
premiums written
340,055,146 147,407 337,834,138 0 0 0 0 0 0 2,073,601
13 Life
premiums direct
0 0 0 0 0 0 0 0 0 0
14 Property/casualty
premiums written
0 0 0 0 0 0 0 0 0 0
15 Health premiums earned 312,972,789 147,407 310,751,778 0 0 0 0 0 0 2,073,601
16 Property/casualty premiums earned 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services 0 0 0 0 0 0 0 0 0 0
18 Amount incurred for provision of health care services 281,568,278 98,402 280,222,633 0 0 0 0 0 0 1,247,243
FootNotes
(a) For health business number of persons insured under PPO managed care products _____0 and number of persons insured under indemnity only products _____0 .

(b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $ ___________0.

 

 

Last Updated: March 4, 2014

March 4, 2014