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2013 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian Hlth Plan Inc
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   229,446 383,617 510,986
02 Net premium income (including $0 non-health premium income) 3   169,772,538 302,104,787 399,766,688
03 Change in unearned premium reserves and reserve for rate credits 3   0 0 0
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   169,772,538 302,104,787 399,766,688
09 Hospital/medical benefits (hospital and medical) 3 9,438,621 133,614,283 190,394,231 248,644,975
10 Other professional services (hospital and medical) 3 0 16,178 22,138,431 23,864,453
11 Outside referrals (hospital and medical) 3 0 0 9,955,668 9,955,668
12 Emergency room and out-of-area (hospital and medical) 3 274,591 3,005,209 3,868,087 20,266,038
13 Prescription drugs (hospital and medical) 3 0 13,715,472 23,554,122 28,590,214
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 0 312,418 312,418
16 Subtotal (hospital and medical) 3 9,713,212 150,351,142 250,222,957 331,633,766
17 Net reinsurance recoveries (less) 3 0 0 567,902 570,467
18 Total hospital and medical (less) 3 9,713,212 150,351,142 249,655,055 331,063,299
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $6541567 cost containment expenses (less) 3 0 7,734,952 4,851,694 4,888,317
21 General administrative expenses (less) 3 0 15,578,196 53,104,528 66,824,351
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 3 0 0 0 0
23 Total underwriting deductions 3 9,713,212 173,664,290 307,611,277 402,775,967
24 Net underwriting gain or (loss) 3   -3,891,752 -5,506,490 -3,009,279
25 Net investment income earned 3 0 1,361,255 1,001,669 1,426,035
26 Net realized capital gains (losses) less capital gains tax of $-94869 3 0 -176,186 32,835 168,385
27 Net investment gains or (losses) 3 0 1,185,069 1,034,504 1,594,420
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 0 117,013 89,609 89,611
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   -2,589,670 -4,382,377 -1,325,248
31 Federal and foreign income taxes incurred 3   -3,098,160 -901,589 2,484,553
32 Net income (loss) 3   508,490 -3,480,788 -3,809,801
Details of Write-Ins
0699   3   0 0 0
0799   3   0 0 0
1499   3 0 0 0 0
2901 MISCELLANEOUS INCOME 3 0 117,013 89,609 89,611
2999   3 0 117,013 89,609 89,611

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Hlth Plan Inc
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 72,074,638 38,457,653 38,457,653
34 Net income or (loss) from Line 32 3 508,490 -3,480,788 -3,809,801
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 3 427,055 1,293,615 758,136
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 0 -2,596,510 2,899,111
39 Change in nonadmitted assets 3 3,742,328 3,924,478 374,532
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 14,000,000 34,000,000
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 0 0
47 Aggregate write-ins for gains or (losses) in surplus 3 0 809,516 -604,993
48 Net change in capital and surplus 3 4,677,873 13,950,311 33,616,985
49 Capital and surplus end of reporting period 3 76,752,511 52,407,964 72,074,638
Details of Write-Ins
4701 PRIOR PERIOD ADJUSTMENTS 3 0 809,516 809,516
4702 PRIOR PERIOD TAX CORRECTION 3 0 0 -1,414,509
4799   3 0 809,516 -604,993

 

 

 

 

 

 

Last Updated: November 19, 2013