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2013 STATEMENT OF REVENUE AND EXPENSES - 004
96911 - Harvard Pilgrim Hlth Care 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   4,020,702 4,340,007
02 Net premium income (including $0 non-health premium income)   1,784,760,345 1,924,213,486
03 Change in unearned premium reserves and reserve for rate credits   1,196,352 -1,196,352
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   1,785,956,697 1,923,017,134
09 Hospital/medical benefits (hospital and medical) 0 1,219,995,028 1,313,013,395
10 Other professional services (hospital and medical) 0 47,786,747 51,009,685
11 Outside referrals (hospital and medical) 0 32,563,633 34,319,857
12 Emergency room and out-of-area (hospital and medical) 0 26,685,590 28,685,625
13 Prescription drugs (hospital and medical) 0 204,108,494 211,266,980
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 32,923,375 42,990,934
16 Subtotal (hospital and medical) 0 1,564,062,867 1,681,286,476
17 Net reinsurance recoveries (less) 0 1,838,301 286,584
18 Total hospital and medical (less) 0 1,562,224,566 1,680,999,892
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $10928308 cost containment expenses (less) 0 49,243,498 51,917,266
21 General administrative expenses (less) 0 175,092,431 185,851,208
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 1,786,560,495 1,918,768,366
24 Net underwriting gain or (loss)   -603,798 4,248,768
25 Net investment income earned 0 14,283,290 15,099,174
26 Net realized capital gains or (losses) less capital gains tax of $0 0 340,096 448,459
27 Net investment gains or (losses) 0 14,623,386 15,547,633
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 -2,515,395 -3,432,432
30 Net income or (loss), after capital gains tax and before all other federal income taxes   11,504,193 16,363,969
31 Federal and foreign income taxes incurred   0 0
32 Net income (loss)   11,504,193 16,363,969
Details of Write-Ins
0601     0 0
0602     0 0
0603     0 0
0699     0 0
0701     0 0
0702     0 0
0703     0 0
0799     0 0
1401   0 0 0
1402   0 0 0
1403   0 0 0
1499   0 0 0
2901 Miscellaneous & Other Income/(Expense) 0 -2,515,395 -3,432,432
2902   0 0 0
2903   0 0 0
2904   0 0 0
2999   0 -2,515,395 -3,432,432

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 - Harvard Pilgrim Hlth Care 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 481,136,887 479,479,984
34 Net income or (loss) from Line 32 11,504,193 16,363,969
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 25,542,893 15,123,270
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax 0 0
39 Change in nonadmitted assets -5,951,755 -10,115,440
40 Change in unauthorized and certified reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes -9,714,897 -19,714,896
43 Cumulative effect of changes in accounting principles -5,905,770 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 0
47 Aggregate write-ins for gains or (losses) in surplus 0 0
48 Net change in capital and surplus 15,474,664 1,656,903
49 Capital and surplus end of reporting year 496,611,551 481,136,887
Details of Write-Ins
4701   0 0
4799   0 0

 

Last Updated: March 4, 2014