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2013 SCHEDULE T - 014
12151 - Arcadian Hlth Plan Inc
Quarter 3

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 11/19/2013
Line Quarter Number Active Status Accident & Health Premiums Medicare Title XVIII Medicaid Title XIX Federal Employees Health Benefits Program Premiums Life and Annuity Premiums and Other Considerations Property/Casualty Premiums Total Columns 2 through 7 Deposit-Type Contracts Branch Operatons Indicator
01 Alabama AL 3 N 0 0 0 0 0 0 0 0  
02 Alaska AK 3 N 0 0 0 0 0 0 0 0  
03 Arizona AZ 3 L 0 -351,682 0 0 0 0 -351,682 0  
04 Arkansas AR 3 N 0 0 0 0 0 0 0 0  
05 California CA 3 L 0 11,917,940 0 0 0 0 11,917,940 0  
06 Colorado CO 3 N 0 0 0 0 0 0 0 0  
07 Connecticut CT 3 N 0 0 0 0 0 0 0 0  
08 Delaware DE 3 N 0 0 0 0 0 0 0 0  
09 Dist. Columbia DC 3 N 0 0 0 0 0 0 0 0  
10 Florida FL 3 N 0 0 0 0 0 0 0 0  
11 Georgia GA 3 N 0 0 0 0 0 0 0 0  
12 Hawaii HI 3 N 0 0 0 0 0 0 0 0  
13 Idaho ID 3 N 0 0 0 0 0 0 0 0  
14 Illinois IL 3 N 0 0 0 0 0 0 0 0  
15 Indiana IN 3 L 0 0 0 0 0 0 0 0  
16 Iowa IA 3 N 0 0 0 0 0 0 0 0  
17 Kansas KS 3 N 0 0 0 0 0 0 0 0  
18 Kentucky KY 3 L 0 0 0 0 0 0 0 0  
19 Louisiana LA 3 N 0 0 0 0 0 0 0 0  
20 Maine ME 3 L 0 40,584,535 0 0 0 0 40,584,535 0  
21 Maryland MD 3 N 0 0 0 0 0 0 0 0  
22 Massachusetts MA 3 N 0 0 0 0 0 0 0 0  
23 Michigan MI 3 N 0 0 0 0 0 0 0 0  
24 Minnesota MN 3 N 0 0 0 0 0 0 0 0  
25 Mississippi MS 3 N 0 0 0 0 0 0 0 0  
26 Missouri MO 3 L 352 3,102,656 0 0 0 0 3,103,008 0  
27 Montana MT 3 N 0 0 0 0 0 0 0 0  
28 Nebraska NE 3 N 0 0 0 0 0 0 0 0  
29 Nevada NV 3 N 0 0 0 0 0 0 0 0  
30 New Hampshire NH 3 L 0 14,102,268 0 0 0 0 14,102,268 0  
31 New Jersey NJ 3 N 0 0 0 0 0 0 0 0  
32 New Mexico NM 3 N 0 0 0 0 0 0 0 0  
33 New York NY 3 N 0 0 0 0 0 0 0 0  
34 North Carolina NC 3 N 0 0 0 0 0 0 0 0  
35 North Dakota ND 3 N 0 0 0 0 0 0 0 0  
36 Ohio OH 3 N 0 0 0 0 0 0 0 0  
37 Oklahoma OK 3 N 0 0 0 0 0 0 0 0  
38 Oregon OR 3 N 0 0 0 0 0 0 0 0  
39 Pennsylvania PA 3 N 0 0 0 0 0 0 0 0  
40 Rhode Island RI 3 N 0 0 0 0 0 0 0 0  
41 South Carolina SC 3 L 0 36,985,966 0 0 0 0 36,985,966 0  
42 South Dakota SD 3 N 0 0 0 0 0 0 0 0  
43 Tennessee TN 3 N 0 0 0 0 0 0 0 0  
44 Texas TX 3 L 5,632 27,190,583 0 0 0 0 27,196,215 0  
45 Utah UT 3 N 0 0 0 0 0 0 0 0  
46 Vermont VT 3 N 0 0 0 0 0 0 0 0  
47 Virginia VA 3 L 0 -209,265 0 0 0 0 -209,265 0  
48 Washington WA 3 L 0 36,443,553 0 0 0 0 36,443,553 0  
49 West Virginia WV 3 L 0 0 0 0 0 0 0 0  
50 Wisconsin WI 3 N 0 0 0 0 0 0 0 0  
51 Wyoming WY 3 N 0 0 0 0 0 0 0 0  
52 American Samoa AS 3 N 0 0 0 0 0 0 0 0  
53 Guam GU 3 N 0 0 0 0 0 0 0 0  
54 Puerto Rico PR 3 N 0 0 0 0 0 0 0 0  
55 U.S. Virgin Islands VI 3 N 0 0 0 0 0 0 0 0  
56 Northern Mariana Islands MP 3 N 0 0 0 0 0 0 0 0  
57 Canada CAN 3 N 0 0 0 0 0 0 0 0  
58 Aggregate other alien OT 3   0 0 0 0 0 0 0 0  
59 Subtotal 3   5,984 169,766,554 0 0 0 0 169,772,538 0  
60 Reporting entity contributions for Employee Benefit Plans 3   0 0 0 0 0 0 0 0  
61 Totals 3 12 5,984 169,766,554 0 0 0 0 169,772,538 0  
Details of Write-Ins
58999   3   0 0 0 0 0 0 0 0  

Last Updated: November 19, 2013