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2013 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Hlth Plan Inc
Quarter 2

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 08/20/2013
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 2   152,206 255,093 510,986
02 Net premium income (including $0 non-health premium income) 2   113,085,878 199,474,270 399,766,688
03 Change in unearned premium reserves and reserve for rate credits 2   0 0 0
04 Fee-for-service (net of $0 medical expenses) 2   0 0 0
05 Risk revenue 2   0 0 0
06 Aggregate write-ins for other health care related revenues 2   0 0 0
07 Aggregate write-ins for other non-health revenues 2   0 0 0
08 Total revenues 2   113,085,878 199,474,270 399,766,688
09 Hospital/medical benefits (hospital and medical) 2 5,944,301 84,148,259 118,324,316 248,644,975
10 Other professional services (hospital and medical) 2 0 16,193 20,273,014 23,864,453
11 Outside referrals (hospital and medical) 2 0 0 9,955,668 9,955,668
12 Emergency room and out-of-area (hospital and medical) 2 169,129 1,851,003 3,868,087 20,266,038
13 Prescription drugs (hospital and medical) 2 0 9,972,043 18,015,653 28,590,214
14 Aggregate write-ins for other hospital and medical (hospital and medical) 2 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 2 0 0 312,418 312,418
16 Subtotal (hospital and medical) 2 6,113,430 95,987,498 170,749,156 331,633,766
17 Net reinsurance recoveries (less) 2 0 0 468,854 570,467
18 Total hospital and medical (less) 2 6,113,430 95,987,498 170,280,302 331,063,299
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $4082717 cost containment expenses (less) 2 0 4,845,980 4,855,508 4,888,317
21 General administrative expenses (less) 2 0 9,902,200 33,530,573 66,824,351
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 2 0 0 0 0
23 Total underwriting deductions 2 6,113,430 110,735,678 208,666,383 402,775,967
24 Net underwriting gain or (loss) 2   2,350,200 -9,192,113 -3,009,279
25 Net investment income earned 2 0 874,542 571,554 1,426,035
26 Net realized capital gains (losses) less capital gains tax of $24950 2 0 46,335 8,319 168,385
27 Net investment gains or (losses) 2 0 920,877 579,873 1,594,420
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 2 0 0 0 0
29 Aggregate write-ins for other income or expenses 2 0 141,441 24,314 89,611
30 Net income or (loss) after capital gains tax and before all other federal income taxes 2   3,412,518 -8,587,926 -1,325,248
31 Federal and foreign income taxes incurred 2   -837,166 -535,760 2,484,553
32 Net income (loss) 2   4,249,684 -8,052,166 -3,809,801
Details of Write-Ins
0699   2   0 0 0
0799   2   0 0 0
1401   2 0 0 0 0
1499   2 0 0 0 0
2901 Miscellaneous Income 2 0 141,441 24,314 89,611
2999   2 0 141,441 24,314 89,611

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Hlth Plan Inc
Quarter 2

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 08/20/2013
Line Quarter Number Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 2 72,074,638 38,457,653 38,457,653
34 Net income or (loss) from Line 32 2 4,249,684 -8,052,166 -3,809,801
35 Change in valuation basis of aggregate policy and claim reserves 2 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 2 221,988 -751,129 758,136
37 Change in net unrealized foreign exchange capital gain or (loss) 2 0 0 0
38 Change in net deferred income tax 2 0 -2,895,903 2,899,111
39 Change in nonadmitted assets 2 3,363,734 844,097 374,532
40 Change in unauthorized and certified reinsurance 2 0 0 0
41 Change in treasury stock 2 0 0 0
42 Change in surplus notes 2 0 0 0
43 Cumulative effect of changes in accounting principles 2 0 0 0
44.1 Paid in (capital changes) 2 0 14,000,000 0
44.2 Transferred from surplus (stock dividend) (capital changes) 2 0 0 0
44.3 Transferred to surplus (capital changes) 2 0 0 0
45.1 Paid in (surplus adjustments) 2 0 0 34,000,000
45.2 Transferred to capital (stock dividend) (surplus adjustments) 2 0 0 0
45.3 Transferred from capital (surplus adjustments) 2 0 0 0
46 Dividends to stockholders 2 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus 2 0 809,516 -604,993
48 Net change in capital and surplus 2 7,835,406 3,954,415 33,616,985
49 Capital and surplus end of reporting period 2 79,910,044 42,412,068 72,074,638
Details of Write-Ins
4701 Prior Period Adjustments 2 0 809,516 809,516
4702 Prior Period Tax Correction 2 0 0 -1,414,509
4799   2 0 809,516 -604,993

 

 

 

 

Last Updated: September 27, 2010