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2013 ANALYSIS OF OPERATIONS BY LINES OF BUSINESS - 007 HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc.

  LINE Total Comprehensive (Hospital and Medical) Medicare Supplement Dental Only Vision Only Federal Employees Health Benefit Plans Title XVIII Medicare Title XIX Medicaid Other
Health
Other
Non-Health
01 Net premium income 339,989,760 337,916,159 0 0 0 0 0 0 2,073,601 0
02 Change in unearned premium reserves and reserve for rate credit (27,082,359) (27,082,359) 0 0 0 0 0 0 0 0
03 Fee-for-service (net of $0 medical expenses) 0 0 0 0 0 0 0 0 0  
04 Risk revenue 0 0 0 0 0 0 0 0 0  
05 Aggregate write-ins for other health care related revenues 0 0 0 0 0 0 0 0 0  
06 Aggregate write-ins for other non-health care related revenues 0                 0
07 Total revenues 312,907,401 310,833,800 0 0 0 0 0 0 2,073,601 0
08 Hospital/medical benefits 224,909,894 223,662,651 0 0 0 0 0 0 1,247,243 0
09 Other professional services 1,612 1,612 0 0 0 0 0 0 0  
10 Outside referrals 0 0 0 0 0 0 0 0 0  
11 Emergency room and out-of-area 13,013,376 13,013,376 0 0 0 0 0 0 0  
12 Prescription drugs 43,091,833 43,091,833 0 0 0 0 0 0 0  
13 Aggregate write-ins for other hospital and medical 0 0 0 0 0 0 0 0 0  
14 Incentive pool, withhold adjustments and bonus amounts 551,564 551,564 0 0 0 0 0 0 0  
15 Subtotal 281,568,279 280,321,036 0 0 0 0 0 0 1,247,243  
16 Net reinsurance recoveries 0 0 0 0 0 0 0 0 0  
17 Total hospital and medical 281,568,279 280,321,036 0 0 0 0 0 0 1,247,243  
18 Non-health claims (net) 0                 0
19 Claims adjustment expenses including $ 2,090,321 cost containment expenses 5,997,902 5,951,526 0 0 0 0 0 0 46,376 0
20 General administrative expenses 12,927,727 12,827,769 0 0 0 0 0 0 99,958 0
21 Increase in reserves for accident and health contracts 0 0 0 0 0 0 0 0 0  
22 Increase in reserves for life contracts 0                 0
23 Total underwriting deductions 300,493,908 299,100,331 0 0 0 0 0 0 1,393,577 0
24 Net underwriting gain or (loss) 12,413,493 11,733,469 0 0 0 0 0 0 680,024 0
  Details of Write-Ins                    
0599   0 0 0 0 0 0 0 0 0  
0699   0                 0
1399   0 0 0 0 0 0 0 0 0

 

Last Updated: March 4, 2014