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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Hlthcare 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 $0 reinsurance ceded) 1 0 0 0 0
02 Accrued medical incentive pool and bonus amounts 1 0 0 0 0
03 Unpaid claims adjustment expenses 1 0 0 0 0
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 1 0 0 0 0
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 0 0 0 0
08 Premiums received in advance 1 0 0 0 0
09 General expenses due or accrued 1 0 0 0 0
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 1 0 0 0 0
10.2 Net deferred tax liability 1 173,886 0 173,886 168,706
11 Ceded reinsurance premiums payable 1 0 0 0 0
12 Amounts withheld or retained for the account of others 1 0 0 0 0
13 Remittances and items not allocated 1 0 0 0 0
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 0 0 0 50,449
16 Derivatives 1 0 0 0 0
17 Payable for securities 1 0 0 0 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 0 0 0 0
23 Aggregate write-ins for other liabilities (including $15061 current) 1 15,061 0 15,061 13,892
24 Total liabilities (Lines 1 to 23) 1 188,947 0 188,947 233,047
25 Aggregate write-ins for special surplus funds 1     0 0
26 Common capital stock 1     100 100
27 Preferred capital stock 1     0 0
28 Gross paid in and contributed surplus 1     2,971,401 2,971,401
29 Surplus notes 1     0 0
30 Aggregate write-ins for other than special surplus funds 1     0 0
31 Unassigned funds (surplus) 1     2,287,864 2,265,612
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     5,259,365 5,237,113
34 Total liabilities, capital and surplus 1     5,448,312 5,470,160
Details of Write-Ins
2301 ACCRUED TAXES- OTHER 1 12,476 0 12,476 11,244
2302 BROKER COMMISSIONS PAYABLE 1 289 0 289 352
2303 CREDIT BALANCES DUE POLICYHOLDERS 1 2,296 0 2,296 2,296
2399   1 15,061 0 15,061 13,892
2599   1     0 0
3001   1     0 0
3099   1     0 0

Last Updated: November 20, 2013