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2013 STATEMENT OF REVENUE AND EXPENSES - 004
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 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   3,027,621 3,306,662 4,340,007
02 Net premium income (including $0 non-health premium income) 3   1,343,151,987 1,479,103,843 1,924,213,486
03 Change in unearned premium reserves and reserve for rate credits 3   1,196,352 -9,199,881 -1,196,352
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   1,344,348,339 1,469,903,962 1,923,017,134
09 Hospital/medical benefits (hospital and medical) 3 0 919,166,752 1,017,337,061 1,313,013,395
10 Other professional services (hospital and medical) 3 0 36,203,856 39,499,420 51,009,685
11 Outside referrals (hospital and medical) 3 0 23,367,762 24,376,060 34,319,857
12 Emergency room and out-of-area (hospital and medical) 3 0 21,098,116 23,108,807 28,685,625
13 Prescription drugs (hospital and medical) 3 0 153,163,242 160,538,134 211,266,980
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 31,136,311 32,126,978 42,990,934
16 Subtotal (hospital and medical) 3 0 1,184,136,039 1,296,986,460 1,681,286,476
17 Net reinsurance recoveries (less) 3 0 286,708 199,130 286,584
18 Total hospital and medical (less) 3 0 1,183,849,331 1,296,787,330 1,680,999,892
19 Non-health claims (net) (less) 3 0 0 0 0
20 Claims adjustment expenses, including $8145981 cost containment expenses (less) 3 0 37,606,592 30,145,719 51,917,266
21 General administrative expenses (less) 3 0 131,456,981 139,839,463 185,851,208
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 0 1,352,912,904 1,466,772,512 1,918,768,366
24 Net underwriting gain or (loss) 3   -8,564,565 3,131,450 4,248,768
25 Net investment income earned 3 0 10,144,445 10,640,073 15,099,174
26 Net realized capital gains (losses) less capital gains tax of $0 3 0 245,806 385,066 448,459
27 Net investment gains or (losses) 3 0 10,390,251 11,025,139 15,547,633
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 -3,785,947 -564,801 -3,432,432
30 Net income or (loss) after capital gains tax and before all other federal income taxes 3   -1,960,261 13,591,788 16,363,969
31 Federal and foreign income taxes incurred 3   0 0 0
32 Net income (loss) 3   -1,960,261 13,591,788 16,363,969
Details of Write-Ins
0601   3   0 0 0
0602   3   0 0 0
0603   3   0 0 0
0699   3   0 0 0
0701   3   0 0 0
0702   3   0 0 0
0703   3   0 0 0
0799   3   0 0 0
1401   3 0 0 0 0
1402   3 0 0 0 0
1403   3 0 0 0 0
1499   3 0 0 0 0
2901 Miscellaneous & Other Income/(expense) 3 0 -3,785,947 -564,801 -3,432,432
2902   3 0 0 0 0
2903   3 0 0 0 0
2999   3 0 -3,785,947 -564,801 -3,432,432

 

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
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 Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 3 481,136,887 479,479,984 479,479,984
34 Net income or (loss) from Line 32 3 -1,960,261 13,591,788 16,363,969
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 19,192,726 23,614,502 15,123,270
37 Change in net unrealized foreign exchange capital gain or (loss) 3 0 0 0
38 Change in net deferred income tax 3 0 0 0
39 Change in nonadmitted assets 3 -6,629,027 -15,820,639 -10,115,440
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 -9,736,172 -19,736,172 -19,714,896
43 Cumulative effect of changes in accounting principles 3 -8,016,915 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 0 0
47 Aggregate write-ins for gains or (losses) in surplus 3 0 0 0
48 Net change in capital and surplus 3 -7,149,649 1,649,479 1,656,903
49 Capital and surplus end of reporting period 3 473,987,238 481,129,463 481,136,887
Details of Write-Ins
4701   3 0 0 0
4799   3 0 0 0

 

 

 

 

Last Updated: November 19, 2013