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2013 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 007
12151 - Arcadian Hlth Plan Inc
Quarter 1

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 05/16/2013
Line
Quarter Number
Total
Individual Comprehensive
Group Comprehensive
Medicare Supplement
Vision Only
Dental Only
Federal Employees Health Benefit Plan
Title XVIII Medicare
Title XIX Medicaid
Other
01 Prior Year (total member at end of) 1 42,180 0 0 0 0 0 0 42,180 0 0
02 First Quarter (total members at end of) 1 22,239 0 0 0 0 0 0 22,239 0 0
03 Second Quarter (total members at end of) 1 0 0 0 0 0 0 0 0 0 0
04 Third Quarter (total members at end of) 1 0 0 0 0 0 0 0 0 0 0
05 Current Year (total members at end of) 1 0 0 0 0 0 0 0 0 0 0
06 Current Year Member Months 1 66,823 0 0 0 0 0 0 66,823 0 0
07 Physician (total member ambulatory encounters) 1 41,776 0 0 0 0 0 0 41,776 0 0
08 Non-physician (total member ambulatory encounters) 1 59,214 0 0 0 0 0 0 59,214 0 0
09 Total (total member ambulatory encounters) 1 100,990 0 0 0 0 0 0 100,990 0 0
10 Hospital patient days incurred 1 13,736 0 0 0 0 0 0 13,736 0 0
11 Number of inpatient admissions 1 2,520 0 0 0 0 0 0 2,520 0 0
12 Health premiums written (a) 1 51,638,853 0 0 0 0 0 0 51,636,805 0 2,048
13 Life premiums direct 1 0 0 0 0 0 0 0 0 0 0
14 Property/casualty premiums written 1 0 0 0 0 0 0 0 0 0 0
15 Health premiums earned 1 51,638,853 0 0 0 0 0 0 51,636,805 0 2,048
16 Property/casualty premiums earned 1 0 0 0 0 0 0 0 0 0 0
17 Amount paid for provision of health care services 1 63,194,506 0 0 0 0 0 0 63,194,506 0 0
18 Amount incurred for provision of health care services 1 36,636,402 0 0 0 0 0 0 36,636,402 0 0
FootNotes
0000001 (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $51636805

Last Updated: November 20, 2013