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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
52618 - Anthem Hlth Plans of ME Inc
Quarter 1

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 05/16/2013
Line
Quarter Number
Covered Current Period
Uncovered Current Period
Total Current Period
Total Prior Year
01 Claims unpaid (less $1508316 reinsurance ceded) 1 90,365,730 417,721 90,783,451 91,790,104
02 Accrued medical incentive pool and bonus amounts 1 0 0 0 0
03 Unpaid claims adjustment expenses 1 2,152,556 0 2,152,556 2,262,466
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 1 95,929,937 0 95,929,937 85,957,352
05 Aggregate life policy reserves 1 0 0 0 0
06 Property/casualty unearned premium reserve 1 0 0 0 0
07 Aggregate health claim reserves 1 1,388,760 0 1,388,760 1,384,446
08 Premiums received in advance 1 14,942,552 0 14,942,552 16,064,595
09 General expenses due or accrued 1 7,749,643 0 7,749,643 8,432,132
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 1 10,107,462 0 10,107,462 3,045,501
10.2 Net deferred tax liability 1 0 0 0 0
11 Ceded reinsurance premiums payable 1 701,807 0 701,807 672,353
12 Amounts withheld or retained for the account of others 1 300,815 0 300,815 366,272
13 Remittances and items not allocated 1 2,003,363 0 2,003,363 4,538,499
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 1 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 1 29,979,810 0 29,979,810 40,348,820
16 Derivatives 1 0 0 0 0
17 Payable for securities 1 5,526,277 0 5,526,277 0
18 Payable for securities lending 1 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers, $0 unauthorized reinsurers and $0 certified reinsurers) 1 0 0 0 0
20 Reinsurance in unauthorized and certified ($0) companies 1 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 1 0 0 0 0
22 Liability for amounts held under uninsured plans 1 6,009,138 0 6,009,138 10,103,547
23 Aggregate write-ins for other liabilities (including $3267264 current) 1 9,475,620 0 9,475,620 7,117,297
24 Total liabilities (Lines 1 to 23) 1 276,633,470 417,721 277,051,191 272,083,384
25 Aggregate write-ins for special surplus funds 1     0 0
26 Common capital stock 1     2,500,000 2,500,000
27 Preferred capital stock 1     0 0
28 Gross paid in and contributed surplus 1     120,652,900 120,652,900
29 Surplus notes 1     0 0
30 Aggregate write-ins for other than special surplus funds 1     0 0
31 Unassigned funds (surplus) 1     43,421,341 19,636,477
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost) 1     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost) 1     0 0
33 Total capital and surplus 1     166,574,241 142,789,377
34 Total liabilities, capital and surplus 1     443,625,432 414,872,761
Details of Write-Ins
2301 FEP SPECIAL ADVANCE 1 4,353,675 0 4,353,675 4,353,675
2302 OTHER LIABILITIES 1 2,948,202 0 2,948,202 653,679
2303 ESCHEAT LIABILITY 1 1,220,900 0 1,220,900 1,099,343
2304 RETROACTIVITY LIABILITY 1 545,136 0 545,136 573,375
2305 PERFORMANCE GUARANTEE LIABILITY 1 407,707 0 407,707 437,225
2399   1 9,475,620 0 9,475,620 7,117,297
2599   1     0 0
3099   1     0 0

Last Updated: November 20, 2013