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2013 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Hlth Plan Inc
Quarter 1

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 05/16/2013
Line
Quarter Number
Uncovered Current Year to Date
Total Current Year to Date
Total Prior Year to Date
Total Prior Year Ended December 31
01 Member months 1   66,823 127,061 510,986
02 Net premium income (including $0 non-health premium income) 1   51,638,853 106,058,232 399,766,688
03 Change in unearned premium reserves and reserve for rate credits 1   0 0 0
04 Fee-for-service (net of $0 medical expenses) 1   0 0 0
05 Risk revenue 1   0 0 0
06 Aggregate write-ins for other health care related revenues 1   0 0 0
07 Aggregate write-ins for other non-health revenues 1   0 0 0
08 Total revenues 1   51,638,853 106,058,232 399,766,688
09 Hospital/medical benefits (hospital and medical) 1 2,052,900 30,417,419 39,079,481 248,644,975
10 Other professional services (hospital and medical) 1 0 6,373 18,411,087 23,864,453
11 Outside referrals (hospital and medical) 1 0 0 9,955,668 9,955,668
12 Emergency room and out-of-area (hospital and medical) 1 75,477 711,443 3,868,087 20,266,038
13 Prescription drugs (hospital and medical) 1 0 5,501,167 9,344,261 28,590,214
14 Aggregate write-ins for other hospital and medical (hospital and medical) 1 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 1 0 0 312,418 312,418
16 Subtotal (hospital and medical) 1 2,128,377 36,636,402 80,971,002 331,633,766
17 Net reinsurance recoveries (less) 1 0 0 726,320 570,467
18 Total hospital and medical (less) 1 2,128,377 36,636,402 80,244,682 331,063,299
19 Non-health claims (net) (less) 1 0 0 0 0
20 Claims adjustment expenses, including $1834459 cost containment expenses (less) 1 0 2,200,182 4,594,383 4,888,317
21 General administrative expenses (less) 1 0 5,011,057 16,339,536 66,824,351
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 1 0 0 0 0
23 Total underwriting deductions 1 2,128,377 43,847,641 101,178,601 402,775,967
24 Net underwriting gain or (loss) 1   7,791,212 4,879,631 -3,009,279
25 Net investment income earned 1 0 418,224 284,657 1,426,035
26 Net realized capital gains (losses) less capital gains tax of $24909 1 0 46,260 356 168,385
27 Net investment gains or (losses) 1 0 464,484 285,013 1,594,420
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 1 0 0 0 0
29 Aggregate write-ins for other income or expenses 1 0 108,785 0 89,611
30 Net income or (loss) after capital gains tax and before all other federal income taxes 1   8,364,481 5,164,644 -1,325,248
31 Federal and foreign income taxes incurred 1   1,097,409 1,414,509 2,484,553
32 Net income (loss) 1   7,267,072 3,750,135 -3,809,801
Details of Write-Ins
0699   1   0 0 0
0799   1   0 0 0
1401   1 0 0 0 0
1499   1 0 0 0 0
2901 Miscellaneous Income 1 0 108,785 0 89,611
2999   1 0 108,785 0 89,611

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Hlth Plan Inc
Quarter 1

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 05/16/2013
Line
Quarter Number
Current Year to Date
Prior Year to Date
Prior Year Ended December 31
33 Capital and surplus prior reporting year 1 72,074,638 38,457,653 38,457,653
34 Net income or (loss) from Line 32 1 7,267,072 3,750,135 -3,809,801
35 Change in valuation basis of aggregate policy and claim reserves 1 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 1 176,205 -295,963 758,136
37 Change in net unrealized foreign exchange capital gain or (loss) 1 0 0 0
38 Change in net deferred income tax 1 0 99,069 2,899,111
39 Change in nonadmitted assets 1 391,055 3,641,886 374,532
40 Change in unauthorized and certified reinsurance 1 0 0 0
41 Change in treasury stock 1 0 0 0
42 Change in surplus notes 1 0 0 0
43 Cumulative effect of changes in accounting principles 1 0 0 0
44.1 Paid in (capital changes) 1 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 1 0 0 0
44.3 Transferred to surplus (capital changes) 1 0 0 0
45.1 Paid in (surplus adjustments) 1 0 0 34,000,000
45.2 Transferred to capital (stock dividend) (surplus adjustments) 1 0 0 0
45.3 Transferred from capital (surplus adjustments) 1 0 0 0
46 Dividends to stockholders 1 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus 1 0 809,516 -604,993
48 Net change in capital and surplus 1 7,834,332 8,004,643 33,616,985
49 Capital and surplus end of reporting period 1 79,908,970 46,462,296 72,074,638
Details of Write-Ins
4701 Prior Period Adjustments 1 0 809,516 809,516
4702 Prior Period Tax Correction 1 0 0 -1,414,509
4799   1 0 809,516 -604,993

 

 

 

Last Updated: November 20, 2013