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2013 STATEMENT OF REVENUE AND EXPENSES - 004 HMO Maine, a Line of Business of Anthem Health Plans of Maine, Inc.

  LINE Uncovered Current Year Total Current Year Total Prior Year
01 Member months   840,638 970,585
02 Net premium income   339,989,760 332,005,200
03 Change in unearned premium reserves and reserve for rate credits   (27,082,359) (20,467,241)
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   312,907,401 311,537,959
09 Hospital/medical benefits (medical and hospital)   224,909,894 228,046,690
10 Other professional services (medical and hospital)   1612 2,531
11 Outside referrals (medical and hospital)   0 0
12 Emergency room and out-of-area (medical and hospital)   13,013,376 13,561,441
13 Prescription drugs   43,091,833 42,612,704
14 Aggregate write-ins for other hospital and medical (medical and hospital) 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (medical and hospital)   551,564 0
16 Subtotal (medical and hospital) 0 281,568,279 284,223,366
17 Net reinsurance recoveries (less)   0 0
18 Total hospital and medical (less) 0 281,568,279 284,223,366
19 Non-health claims (less)      
20 Claims adjustment expenses, including $3,429,611 cost containment expenses (less)   5,997,902 3,883,077
21 General administrative expenses (less)   12,927,727 7,520,654
22 Increase in reserves for life and accident and health contracts (including $............ increase in reserves for life only)   0 0
23 Total underwriting deductions (Lines 18 through 22) 0 300,493,908 295,627,097
24 Net underwriting gain or (loss)   12,413,493 15,910,862
25 Net investment income earned   1,974,113 3,268,671
26 Net realized capital gains or (losses)   0 0
27 Net investment gains or (losses) 0 1,974,113 3,268,671
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) before federal income taxes 0 14,387,606 19,179,533
31 Federal and foreign income taxes incurred   5,035,662 6,712,837
32 Net income (loss)   9,351,944 12,466,696
  Details of Write-Ins      
0699     0 0
0799     0 0
1499

Totals

0 0 0
2999 Totals 0 0 0

 

Last Updated: March 4, 2014