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2013 LIABILITIES, CAPITAL AND SURPLUS - 003
96911 - Harvard Pilgrim Hlth Care Inc
Quarter 3

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 11/19/2013
Line Quarter Number Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 3 138,986,337 0 138,986,337 137,058,836
02 Accrued medical incentive pool and bonus amounts 3 48,331,036 0 48,331,036 38,663,363
03 Unpaid claims adjustment expenses 3 1,859,649 0 1,859,649 1,833,695
04 Aggregate health policy reserves, including the liability of $0 for medical loss ratio rebate per the Public Health Service Act 3 0 0 0 20,889,131
05 Aggregate life policy reserves 3 0 0 0 0
06 Property/casualty unearned premium reserve 3 0 0 0 0
07 Aggregate health claim reserves 3 0 0 0 0
08 Premiums received in advance 3 29,507,301 0 29,507,301 20,916,101
09 General expenses due or accrued 3 81,086,237 0 81,086,237 82,594,379
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 3 0 0 0 0
10.2 Net deferred tax liability 3 0 0 0 0
11 Ceded reinsurance premiums payable 3 0 0 0 0
12 Amounts withheld or retained for the account of others 3 26,451 0 26,451 315,020
13 Remittances and items not allocated 3 0 0 0 0
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 3 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 3 13,157,945 0 13,157,945 6,415,825
16 Derivatives 3 0 0 0 0
17 Payable for securities 3 0 0 0 0
18 Payable for securities lending 3 0 0 0 0
19 Funds held under reinsurance treaties with ($0 authorized reinsurers, $0 unauthorized reinsurers and $0 certified reinsurers) 3 0 0 0 0
20 Reinsurance in unauthorized and certified ($0) companies 3 0 0 0 0
21 Net adjustments in assets and liabilities due to foreign exchange rates 3 0 0 0 0
22 Liability for amounts held under uninsured plans 3 47,470,230 0 47,470,230 58,453,112
23 Aggregate write-ins for other liabilities (including $0 current) 3 34,622,532 0 34,622,532 34,316,139
24 Total liabilities (Lines 1 to 23) 3 395,047,718 0 395,047,718 401,455,601
25 Aggregate write-ins for special surplus funds 3     0 0
26 Common capital stock 3     0 0
27 Preferred capital stock 3     0 0
28 Gross paid in and contributed surplus 3     0 0
29 Surplus notes 3     38,745,541 48,481,713
30 Aggregate write-ins for other than special surplus funds 3     0 0
31 Unassigned funds (surplus) 3     435,241,697 432,655,174
32.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost) 3     0 0
32.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost) 3     0 0
33 Total capital and surplus 3     473,987,238 481,136,887
34 Total liabilities, capital and surplus 3     869,034,956 882,592,488
Details of Write-Ins
2301 Professional Liability Reserve-Medical Malpractice 3 453,000 0 453,000 453,000
2302 Deferred Rent 3 2,093,489 0 2,093,489 2,746,826
2303 Security Deposits 3 142,354 0 142,354 142,354
2304 Accrued Long Term Expenses 3 2,933,689 0 2,933,689 1,973,959
2305 Quincy Mortgage 3 29,000,000 0 29,000,000 29,000,000
2399   3 34,622,532 0 34,622,532 34,316,139
2501   3     0 0
2502   3     0 0
2503   3     0 0
2599   3     0 0
3001   3     0 0
3002   3     0 0
3003   3     0 0
3099   3     0 0

Last Updated: November 19, 2013