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2013 STATEMENT OF REVENUE AND EXPENSES - 004
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 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   1,019,501 1,132,374 4,340,007
02 Net premium income (including $0 non-health premium income) 1   446,822,719 513,483,827 1,924,213,486
03 Change in unearned premium reserves and reserve for rate credits 1   0 3,000,000 -1,196,352
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   446,822,719 516,483,827 1,923,017,134
09 Hospital/medical benefits (hospital and medical) 1 0 309,945,543 367,743,357 1,313,013,395
10 Other professional services (hospital and medical) 1 0 12,842,010 12,594,588 51,009,685
11 Outside referrals (hospital and medical) 1 0 4,681,051 5,339,695 34,319,857
12 Emergency room and out-of-area (hospital and medical) 1 0 3,108,892 6,670,481 28,685,625
13 Prescription drugs (hospital and medical) 1 0 50,488,736 56,131,641 211,266,980
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 11,420,488 11,146,563 42,990,934
16 Subtotal (hospital and medical) 1 0 392,486,720 459,626,325 1,681,286,476
17 Net reinsurance recoveries (less) 1 0 49,035 199,130 286,584
18 Total hospital and medical (less) 1 0 392,437,685 459,427,195 1,680,999,892
19 Non-health claims (net) (less) 1 0 0 0 0
20 Claims adjustment expenses, including $3740561 cost containment expenses (less) 1 0 13,671,812 10,225,087 51,917,266
21 General administrative expenses (less) 1 0 41,359,557 49,277,317 185,851,208
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 0 447,469,054 518,929,599 1,918,768,366
24 Net underwriting gain or (loss) 1   -646,335 -2,445,772 4,248,768
25 Net investment income earned 1 0 3,463,254 3,605,721 15,099,174
26 Net realized capital gains (losses) less capital gains tax of $0 1 0 117,135 123,778 448,459
27 Net investment gains or (losses) 1 0 3,580,389 3,729,499 15,547,633
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 -2,772,215 -271,329 -3,432,432
30 Net income or (loss) after capital gains tax and before all other federal income taxes 1   161,839 1,012,398 16,363,969
31 Federal and foreign income taxes incurred 1   0 0 0
32 Net income (loss) 1   161,839 1,012,398 16,363,969
Details of Write-Ins
0601   1   0 0 0
0602   1   0 0 0
0603   1   0 0 0
0699   1   0 0 0
0701   1   0 0 0
0702   1   0 0 0
0703   1   0 0 0
0799   1   0 0 0
1401   1 0 0 0 0
1402   1 0 0 0 0
1403   1 0 0 0 0
1499   1 0 0 0 0
2901 Miscellaneous & Other Expenses 1 0 -2,772,215 -271,329 -3,432,432
2999   1 0 -2,772,215 -271,329 -3,432,432

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
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 Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 1 481,136,887 479,479,984 479,479,984
34 Net income or (loss) from Line 32 1 161,839 1,012,398 16,363,969
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 11,095,156 13,621,248 15,123,270
37 Change in net unrealized foreign exchange capital gain or (loss) 1 0 0 0
38 Change in net deferred income tax 1 0 0 0
39 Change in nonadmitted assets 1 -4,859,972 345,242 -10,115,440
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 21,276 21,276 -19,714,896
43 Cumulative effect of changes in accounting principles 1 -8,193,890 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 0
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 0 0
48 Net change in capital and surplus 1 -1,775,591 15,000,164 1,656,903
49 Capital and surplus end of reporting period 1 479,361,296 494,480,148 481,136,887
Details of Write-Ins
4701   1 0 0 0
4799   1 0 0 0

 

 

 

Last Updated: November 20, 2013