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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care 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) 1 151,364,850 0 151,364,850 137,058,836
02 Accrued medical incentive pool and bonus amounts 1 49,135,080 0 49,135,080 38,663,363
03 Unpaid claims adjustment expenses 1 2,088,955 0 2,088,955 1,833,695
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 1 20,889,131 0 20,889,131 20,889,131
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 20,340,993 0 20,340,993 20,916,101
09 General expenses due or accrued 1 78,677,593 0 78,677,593 82,594,379
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 0 0 0 0
11 Ceded reinsurance premiums payable 1 0 0 0 0
12 Amounts withheld or retained for the account of others 1 0 0 0 315,020
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 4,059,375 0 4,059,375 6,415,825
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 39,539,064 0 39,539,064 58,453,112
23 Aggregate write-ins for other liabilities (including $0 current) 1 34,584,586 0 34,584,586 34,316,139
24 Total liabilities (Lines 1 to 23) 1 400,679,627 0 400,679,627 401,455,601
25 Aggregate write-ins for special surplus funds 1     0 0
26 Common capital stock 1     0 0
27 Preferred capital stock 1     0 0
28 Gross paid in and contributed surplus 1     0 0
29 Surplus notes 1     48,502,989 48,481,713
30 Aggregate write-ins for other than special surplus funds 1     0 0
31 Unassigned funds (surplus) 1     430,858,307 432,655,174
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     479,361,296 481,136,887
34 Total liabilities, capital and surplus 1     880,040,923 882,592,488
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 1 453,000 0 453,000 453,000
2302 Deferred Rent 1 2,554,535 0 2,554,535 2,746,826
2303 Security Deposits 1 142,354 0 142,354 142,354
2304 Accrued Long Term Expenses 1 2,434,697 0 2,434,697 1,973,959
2305 Quincy Mortgage 1 29,000,000 0 29,000,000 29,000,000
2399   1 34,584,586 0 34,584,586 34,316,139
2501   1     0 0
2502   1     0 0
2503   1     0 0
2599   1     0 0
3001   1     0 0
3002   1     0 0
3003   1     0 0
3099   1     0 0

Last Updated: November 20, 2013