Bureau of Insurance
OTHER PFR AGENCIES
|
Maine HMO Financial Summary - 2001 Quarter 1
HMO Quarterly Statement Data
As of 3/31/2001
| 1st Quarter, 2001 Results |
Harvard* |
Aetna US Healthcare |
CIGNA Healthcare |
ME Partners |
HMO Maine** |
HMO Maine*** |
| |
|
|
|
|
|
|
| Total Admitted Assets |
$ 364,605,188 |
$ 55,591,736 |
$ 43,787,251 |
$ 27,370,629 |
|
|
| Premium Receivables |
$ 3,898,872 |
$ 1,860,624 |
$ 5,404,928 |
$ - |
|
|
| Claims Payable |
$ 158,241,197 |
$ 27,252,069 |
$ 21,416,756 |
$ 13,165,059 |
|
|
| Loans & Notes Payable-both short & long |
$ - |
$ - |
$ - |
$ - |
|
|
| Total Liabilities |
$ 260,429,560 |
$ 35,572,382 |
$ 26,451,133 |
$ 16,287,181 |
|
|
| Surplus Notes |
$ 4,411,475 |
$ - |
$ 8,681,808 |
$ - |
|
|
| Total Net Worth |
$ 104,175,628 |
$ 20,019,354 |
$ 17,336,118 |
$ 11,083,448 |
|
|
| |
|
|
|
|
|
|
| member months |
1,827,136 |
247,840 |
201,802 |
152,552 |
378,715 |
378,715 |
| enrollees |
606,143 |
81,518 |
67,522 |
51,373 |
126,481 |
126,481 |
| |
|
|
|
|
|
|
| Premium |
$ 411,338,031 |
$ 47,631,424 |
$ 38,944,211 |
$ 27,672,188 |
$ 83,785,133 |
$ 17,255,113 |
| Fee-For-Service |
$ 91,737 |
$ - |
$ - |
$ - |
$ - |
$ - |
| Total Revenues |
$ 420,355,281 |
$ 47,631,424 |
$ 38,964,635 |
$ 27,672,188 |
$ 83,785,133 |
$ 17,255,113 |
| Total Medical & Hospital Expenses |
$ 364,971,140 |
$ 45,820,524 |
$ 36,216,713 |
$ 24,739,719 |
$ 72,679,013 |
$ 15,075,095 |
| Total Administration Expenses |
$ 53,815,476 |
$ 6,173,622 |
$ 3,953,972 |
$ 4,844,043 |
$ 8,060,613 |
$ 1,681,683 |
| Pre-tax Income(Loss) |
$ 2,854,000 |
$ (5,695,369) |
$ (859,912) |
$ (1,633,936) |
$ 4,261,357 |
$ 1,714,185 |
| Net Income(Loss) |
$ 2,854,000 |
$ (4,509,494) |
$ (566,713) |
$ (1,633,936) |
$ 3,551,499 |
$ 1,004,327 |
| |
|
|
|
|
|
|
| Health Care Expense Ratio |
88.7% |
96.2% |
93.0% |
89.4% |
86.7% |
87.4% |
| Administrative Expense Ratio |
13.1% |
13.0% |
10.2% |
17.5% |
9.6% |
9.7% |
| Net Profit Margin |
0.7% |
-9.5% |
-1.5% |
-5.9% |
4.2% |
5.8% |
| Total Premium Revenue PMPM |
$225.18 |
$192.19 |
$192.98 |
$181.40 |
$221.24 |
a |
| Health Care Expense PMPM |
$199.75 |
$184.88 |
$179.47 |
$162.17 |
$191.91 |
a |
| Administrative Expenses PMPM |
$29.45 |
$24.91 |
$19.59 |
$31.75 |
$21.28 |
a |
| Net Income PMPM |
$1.56 |
($18.20) |
($2.81) |
($10.71) |
$9.38 |
a |
| |
|
|
|
|
|
|
| Provision for Fed Taxes |
$ - |
$ (1,185,875) |
$ (293,199) |
$ - |
$ 709,858 |
$ 709,858 |
*Harvard numbers include business in other New England states.
**HMO Maine operates as a line of business of Anthem Health Plans of Maine, Inc. This information is presented gross of a quota share reinsurance arrangement.
Figures are based on results had the reinsurance arrangement not been in place.
***HMO Maine operates as a line of business of Anthem Health Plans of Maine, Inc. This information is presented net of a quota share reinsurance arrangement.
Figures are based on revenues and expenses retained by HMO Maine. Certain revenues and expenses are ceded to the reinsurer. The ceded amounts are not included in these figures.
a: Although these amounts can be calculated, they have been omitted since they do not result in a meaningful comparison when compared to the results of the other HMOs due to the quota share reinsurance arrangement.
Last Updated:
June 24, 2009
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