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2013 STATEMENT OF REVENUE AND EXPENSES - 004
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 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   2,028,521 2,269,342 4,340,007
02 Net premium income (including $0 non-health premium income) 2   900,993,259 1,027,558,176 1,924,213,486
03 Change in unearned premium reserves and reserve for rate credits 2   1,196,352 7,006,029 -1,196,352
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   902,189,611 1,034,564,205 1,923,017,134
09 Hospital/medical benefits (hospital and medical) 2 0 624,756,525 729,070,932 1,313,013,395
10 Other professional services (hospital and medical) 2 0 24,566,984 26,645,269 51,009,685
11 Outside referrals (hospital and medical) 2 0 13,916,840 14,848,596 34,319,857
12 Emergency room and out-of-area (hospital and medical) 2 0 7,147,285 15,749,331 28,685,625
13 Prescription drugs (hospital and medical) 2 0 101,422,952 111,316,628 211,266,980
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 21,993,755 24,009,473 42,990,934
16 Subtotal (hospital and medical) 2 0 793,804,341 921,640,229 1,681,286,476
17 Net reinsurance recoveries (less) 2 0 139,386 199,130 286,584
18 Total hospital and medical (less) 2 0 793,664,955 921,441,099 1,680,999,892
19 Non-health claims (net) (less) 2 0 0 0 0
20 Claims adjustment expenses, including $7461111 cost containment expenses (less) 2 0 26,575,906 20,866,451 51,917,266
21 General administrative expenses (less) 2 0 88,501,800 96,066,795 185,851,208
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 0 908,742,661 1,038,374,345 1,918,768,366
24 Net underwriting gain or (loss) 2   -6,553,050 -3,810,140 4,248,768
25 Net investment income earned 2 0 6,774,816 7,143,850 15,099,174
26 Net realized capital gains (losses) less capital gains tax of $0 2 0 196,395 166,159 448,459
27 Net investment gains or (losses) 2 0 6,971,211 7,310,009 15,547,633
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 -3,036,651 -452,374 -3,432,432
30 Net income or (loss) after capital gains tax and before all other federal income taxes 2   -2,618,490 3,047,495 16,363,969
31 Federal and foreign income taxes incurred 2   0 0 0
32 Net income (loss) 2   -2,618,490 3,047,495 16,363,969
Details of Write-Ins
0601   2   0 0 0
0602   2   0 0 0
0603   2   0 0 0
0699   2   0 0 0
0701   2   0 0 0
0702   2   0 0 0
0703   2   0 0 0
0799   2   0 0 0
1401   2 0 0 0 0
1402   2 0 0 0 0
1403   2 0 0 0 0
1499   2 0 0 0 0
2901 Miscellaneous & Other Expenses 2 0 -3,036,651 -452,374 -3,432,432
2999   2 0 -3,036,651 -452,374 -3,432,432

 

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
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 Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 2 481,136,887 479,479,984 479,479,984
34 Net income or (loss) from Line 32 2 -2,618,490 3,047,495 16,363,969
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 11,683,735 9,379,200 15,123,270
37 Change in net unrealized foreign exchange capital gain or (loss) 2 0 0 0
38 Change in net deferred income tax 2 0 0 0
39 Change in nonadmitted assets 2 -5,554,631 -7,940,079 -10,115,440
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 -9,757,448 -19,757,448 -19,714,896
43 Cumulative effect of changes in accounting principles 2 -8,105,393 0 0
44.1 Paid in (capital changes) 2 0 0 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 0
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 0 0
48 Net change in capital and surplus 2 -14,352,227 -15,270,832 1,656,903
49 Capital and surplus end of reporting period 2 466,784,660 464,209,152 481,136,887
Details of Write-Ins
4701   2 0 0 0
4799   2 0 0 0

 

 

 

 

 

Last Updated: September 27, 2010