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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care 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 $0 reinsurance ceded) 2 132,501,770 0 132,501,770 137,058,836
02 Accrued medical incentive pool and bonus amounts 2 48,894,153 0 48,894,153 38,663,363
03 Unpaid claims adjustment expenses 2 1,776,726 0 1,776,726 1,833,695
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 2 0 0 0 20,889,131
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 0 0 0 0
08 Premiums received in advance 2 26,095,567 0 26,095,567 20,916,101
09 General expenses due or accrued 2 88,585,764 0 88,585,764 82,594,379
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 2 0 0 0 0
10.2 Net deferred tax liability 2 0 0 0 0
11 Ceded reinsurance premiums payable 2 0 0 0 0
12 Amounts withheld or retained for the account of others 2 395,127 0 395,127 315,020
13 Remittances and items not allocated 2 0 0 0 0
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 5,451,950 0 5,451,950 6,415,825
16 Derivatives 2 0 0 0 0
17 Payable for securities 2 4,473,917 0 4,473,917 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 32,519,425 0 32,519,425 58,453,112
23 Aggregate write-ins for other liabilities (including $0 current) 2 34,608,231 0 34,608,231 34,316,139
24 Total liabilities (Lines 1 to 23) 2 375,302,630 0 375,302,630 401,455,601
25 Aggregate write-ins for special surplus funds 2     0 0
26 Common capital stock 2     0 0
27 Preferred capital stock 2     0 0
28 Gross paid in and contributed surplus 2     0 0
29 Surplus notes 2     38,724,265 48,481,713
30 Aggregate write-ins for other than special surplus funds 2     0 0
31 Unassigned funds (surplus) 2     428,060,395 432,655,174
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     466,784,660 481,136,887
34 Total liabilities, capital and surplus 2     842,087,290 882,592,488
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 2 453,000 0 453,000 453,000
2302 Deferred Rent 2 2,345,622 0 2,345,622 2,746,826
2303 Security Deposits 2 108,993 0 108,993 142,354
2304 Accrued Long Term Expenses 2 2,700,616 0 2,700,616 1,973,959
2305 Quincy Mortgage 2 29,000,000 0 29,000,000 29,000,000
2399   2 34,608,231 0 34,608,231 34,316,139
2501   2     0 0
2502   2     0 0
2503   2     0 0
2599   2     0 0
3001   2     0 0
3002   2     0 0
3003   2     0 0
3099   2     0 0

Last Updated: September 27, 2010