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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2001 Quarter 3

Maine HMO Financial Summary - 2001 Quarter 3

HMO Quarterly Statement Data

As of 9/30/2001

3rd Quarter, 2001 Results Harvard* Aetna US Healthcare CIGNA Healthcare ME Partners HMO Maine** HMO Maine***
             
Total Admitted Assets $ 364,389,152
$ 51,278,921
$ 49,728,206
$ 30,437,725
   
Premium Receivables $ 10,651,625
$ 2,234,757
$ 3,330,495
$ -    
Claims Payable $ 157,665,747
$ 25,768,334
$ 21,851,364
$ 14,936,304
   
Loans & Notes Payable-both short & long $ - $ - $ - $ -    
Total Liabilities $ 261,965,209
$ 36,348,631
$ 30,196,211
$ 19,084,188
   
Surplus Notes $ 6,031,000
$ - $ 8,681,808
$ -    
Total Net Worth $ 102,423,943
$ 14,930,290
$ 19,531,995
$ 11,353,537
   
             
member months 5,345,989
724,037
595,477
457,778
1,141,981
1,141,981
enrollees 582,979
79,315
64,990
48,573
133,416
133,416
             
Premium $1,233,255,126
$144,837,404
$118,521,486
$86,175,414
$265,289,477
$136,659,711
Fee-For-Service $303,274
$ - $ - $ - $ - $ -
Total Revenues $1,260,179,244
$144,837,404
$118,521,486
$86,175,414
$265,289,477
$136,659,711
Total Medical & Hospital Expenses $1,098,791,868
$138,376,939
$106,045,272
$76,921,287
$231,813,541
$119,541,118
Total Administration Expenses $152,777,168
$18,654,129
$11,924,252
$14,835,979
$21,452,585
$9,844,107
Pre-tax Income(Loss) $12,456,982
$(14,828,700)
 $1,723,465
$(4,813,583)
 $18,047,000
$11,855,345
Net Income(Loss) $12,456,982
$(12,161,648)
 $1,388,426
$(4,806,095)
 $15,313,698
$11,620,017
             
Health Care Expense Ratio 89.1% 95.5% 89.5% 89.3% 87.4% 87.5%
Administrative Expense Ratio 12.4% 12.9% 10.1% 17.2% 8.1% 7.2%
Net Profit Margin 1.0% -8.4% 1.2% -5.6% 5.8% 8.5%
Total Premium Revenue PMPM $230.74 $200.04 $199.04 $188.25 $232.31 a
Health Care Expense PMPM $205.54 $191.12 $178.08 $168.03 $202.99 a
Administrative Expenses PMPM $28.58 $25.76 $20.02 $32.41 $18.79 a
Net Income PMPM $2.33 ($16.80) $2.33 ($10.50) $13.41 a
             
Provision for Fed Taxes $ - $ (2,667,052) $ 335,039 $ (7,488) $ 2,733,302 $ 235,328

*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