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2013 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 030
96911 - Harvard Pilgrim Hlth Care Inc
for Maine

OLTPPROD Copyright 2014 National Association of Insurance Commissioners. All rights reserved. 03/04/2014
Line
State Code
Total
Individual Comprehensive
Group Comprehensive
Medicare Supplement
Vision Only
Dental Only
Federal Employees Health Benefits Plan
Title XVIII Medicare
Title XIX Medicaid
Other
01 Prior Year (total member at end of) ME 19,450 2 19,448 0 0 0 0 0 0 0
02 First Quarter (total members at end of) ME 23,203 2 23,201 0 0 0 0 0 0 0
03 Second Quarter (total members at end of) ME 24,400 2 24,398 0 0 0 0 0 0 0
04 Third Quarter (total members at end of) ME 25,501 2 25,499 0 0 0 0 0 0 0
05 Current Year (total members at end of) ME 27,150 2 27,148 0 0 0 0 0 0 0
06 Current Year Member Months ME 294,168 24 294,144 0 0 0 0 0 0 0
07 Physician (total member ambulatory encounters for year) ME 98,659 25 98,634 0 0 0 0 0 0 0
08 Non-physician (total member ambulatory encounters for year) ME 59,501 1 59,500 0 0 0 0 0 0 0
09 Total (total member ambulatory encounters for year) ME 158,160 26 158,134 0 0 0 0 0 0 0
10 Hospital patient days incurred ME 5,145 16 5,129 0 0 0 0 0 0 0
11 Number of inpatient admissions ME 1,289 3 1,286 0 0 0 0 0 0 0
12 Health premiums written (b) ME 122,640,776 53,565 122,587,211 0 0 0 0 0 0 0
13 Life premiums direct ME 0 0 0 0 0 0 0 0 0 0
14 Property/Casualty premiums written ME 0 0 0 0 0 0 0 0 0 0
15 Health premiums earned ME 122,640,776 53,565 122,587,211 0 0 0 0 0 0 0
16 Property/Casualty premiums earned ME 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services ME 104,761,537 322,867 104,438,670 0 0 0 0 0 0 0
18 Amount incurred for provision of health care services ME 102,675,381 310,623 102,364,758 0 0 0 0 0 0 0
FootNotes
0000001 (a) For health business number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0.
0000002 (b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $0 ~

Last Updated: March 4, 2014