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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
52618 - Anthem Hlth Plans of ME Inc
Quarter 2

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 08/20/2013
Line Quarter Number Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $1543284 reinsurance ceded) 2 83,342,880 402,886 83,745,766 91,790,104
02 Accrued medical incentive pool and bonus amounts 2 0 0 0 0
03 Unpaid claims adjustment expenses 2 2,085,878 0 2,085,878 2,262,466
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 2 91,921,084 0 91,921,084 85,957,352
05 Aggregate life policy reserves 2 0 0 0 0
06 Property/casualty unearned premium reserve 2 0 0 0 0
07 Aggregate health claim reserves 2 1,347,734 0 1,347,734 1,384,446
08 Premiums received in advance 2 11,034,365 0 11,034,365 16,064,595
09 General expenses due or accrued 2 5,024,907 0 5,024,907 8,432,132
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 2 4,597,783 0 4,597,783 3,045,501
10.2 Net deferred tax liability 2 0 0 0 0
11 Ceded reinsurance premiums payable 2 762,096 0 762,096 672,353
12 Amounts withheld or retained for the account of others 2 522,789 0 522,789 366,272
13 Remittances and items not allocated 2 2,307,304 0 2,307,304 4,538,499
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 2 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 2 27,309,015 0 27,309,015 40,348,820
16 Derivatives 2 0 0 0 0
17 Payable for securities 2 0 0 0 0
18 Payable for securities lending 2 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers, $0 unauthorized reinsurers and $0 certified reinsurers) 2 0 0 0 0
20 Reinsurance in unauthorized and certified ($0) companies 2 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 2 0 0 0 0
22 Liability for amounts held under uninsured plans 2 7,405,853 0 7,405,853 10,103,547
23 Aggregate write-ins for other liabilities (including $3791164 current) 2 10,024,657 0 10,024,657 7,117,297
24 Total liabilities (Lines 1 to 23) 2 247,686,345 402,886 248,089,231 272,083,384
25 Aggregate write-ins for special surplus funds 2     0 0
26 Common capital stock 2     2,500,000 2,500,000
27 Preferred capital stock 2     0 0
28 Gross paid in and contributed surplus 2     120,652,900 120,652,900
29 Surplus notes 2     0 0
30 Aggregate write-ins for other than special surplus funds 2     0 0
31 Unassigned funds (surplus) 2     58,269,162 19,636,477
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost) 2     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost) 2     0 0
33 Total capital and surplus 2     181,422,062 142,789,377
34 Total liabilities, capital and surplus 2     429,511,293 414,872,761
Details of Write-Ins
2301 FEP SPECIAL ADVANCE 2 4,353,675 0 4,353,675 4,353,675
2302 OTHER LIABILITIES 2 3,249,301 0 3,249,301 653,679
2303 ESCHEAT LIABILITY 2 1,251,656 0 1,251,656 1,099,343
2304 RETROACTIVITY LIABILITY 2 624,858 0 624,858 573,375
2305 PERFORMANCE GUARANTEES 2 545,167 0 545,167 437,225
2399   2 10,024,657 0 10,024,657 7,117,297
2599   2     0 0
3099   2     0 0

Last Updated: September 27, 2010