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2013 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Hlth Inc ME Corp
Quarter 3

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 11/19/2013
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 3   154,835 136,330 185,746
02 Net premium income (including $0 non-health premium income) 3   72,569,000 69,724,293 93,333,783
03 Change in unearned premium reserves and reserve for rate credits 3   -150,443 -238,906 -115,174
04 Fee-for-service (net of $0 medical expenses) 3   0 0 0
05 Risk revenue 3   0 0 0
06 Aggregate write-ins for other health care related revenues 3   0 0 0
07 Aggregate write-ins for other non-health revenues 3   0 0 0
08 Total revenues 3   72,418,557 69,485,387 93,218,609
09 Hospital/medical benefits (hospital and medical) 3 1,149,011 49,268,461 39,937,923 55,226,358
10 Other professional services (hospital and medical) 3 0 0 0 0
11 Outside referrals (hospital and medical) 3 853,998 853,998 762,220 1,032,834
12 Emergency room and out-of-area (hospital and medical) 3 113,686 2,842,155 2,658,290 3,755,130
13 Prescription drugs (hospital and medical) 3 127,854 10,123,114 10,076,453 13,343,899
14 Aggregate write-ins for other hospital and medical (hospital and medical) 3 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 3 0 413,748 -401,572 -419,768
16 Subtotal (hospital and medical) 3 2,244,549 63,501,476 53,033,314 72,938,453
17 Net reinsurance recoveries (less) 3 0 0 0 0
18 Total hospital and medical (less) 3 2,244,549 63,501,476 53,033,314 72,938,453
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $1014174 cost containment expenses (less) 3 0 1,576,593 1,566,197 1,934,059
21 General administrative expenses (less) 3 0 7,658,707 6,250,836 8,921,462
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 3 0 572,900 185,891 -75,696
23 Total underwriting deductions 3 2,244,549 73,309,676 61,036,238 83,718,278
24 Net underwriting gain or (loss) 3   -891,119 8,449,149 9,500,331
25 Net investment income earned 3 0 451,303 510,966 665,228
26 Net realized capital gains (losses) less capital gains tax of $5941 3 0 -552,154 13,128 -53,206
27 Net investment gains or (losses) 3 0 -100,851 524,094 612,022
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 3 0 0 0 0
29 Aggregate write-ins for other income or expenses 3 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   -991,970 8,973,243 10,112,353
31 Federal and foreign income taxes incurred 3   -510,607 2,624,679 2,689,293
32 Net income (loss) 3   -481,363 6,348,564 7,423,060
Details of Write-Ins
0699   3   0 0 0
0799   3   0 0 0
1499   3 0 0 0 0
2999   3 0 0 0 0

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Hlth Inc ME Corp
Quarter 3

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 11/19/2013
Line
Quarter Number
Current Year to Date
Prior Year to Date
Prior Year Ended December 31
33 Capital and surplus prior reporting year 3 14,818,026 11,371,930 11,371,930
34 Net income or (loss) from Line 32 3 -481,363 6,348,564 7,423,060
35 Change in valuation basis of aggregate policy and claim reserves 3 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 3 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 158,375 -368,494 -654,137
39 Change in nonadmitted assets 3 -113,865 -18,807 -22,827
40 Change in unauthorized and certified reinsurance 3 0 0 0
41 Change in treasury stock 3 0 0 0
42 Change in surplus notes 3 0 0 0
43 Cumulative effect of changes in accounting principles 3 0 0 0
44.1 Paid in (capital changes) 3 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 3 0 0 0
44.3 Transferred to surplus (capital changes) 3 0 0 0
45.1 Paid in (surplus adjustments) 3 0 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 3 0 0 0
45.3 Transferred from capital (surplus adjustments) 3 0 0 0
46 Dividends to stockholders 3 0 -3,300,000 -3,300,000
47 Aggregate write-ins for gains or (losses) in surplus 3 0 0 0
48 Net change in capital and surplus 3 -436,853 2,661,263 3,446,096
49 Capital and surplus end of reporting period 3 14,381,173 14,033,193 14,818,026
Details of Write-Ins
4799   3 0 0 0

 

 

 

Last Updated: November 19, 2013