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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2003 Quarter 2

Maine HMO Financial Summary - 2003 Quarter 2

HMO Quarterly Statement Data

As of 6/30/2003

2nd Quarter, 2003 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare ME Partners HMO Maine**
Total Admitted Assets $437,105,532
 $54,783,919
 $49,695,046
 $35,383,468
  
Premium Receivables $10,847,413
 $1,425,972
 $2,121,104
 $719,528  
Claims Payable $132,669,194
 $16,248,627
 $19,088,985
 $13,792,706
  
Total Liabilities $262,666,201
 $18,043,121
 $31,184,415
 $19,596,890
  
Surplus Notes $11,353,791
 $ - $1,681,808
 $ -  
Total Net Worth $174,439,331
 $36,740,798
 $18,510,631
 $15,786,578
  

 

member months

 3,347,945 247,495
 225,930
 213,900
 617,819
enrollees 574,460

41,110

 36,450
 34,997
 102,951

 

Premium

$925,855,023
 $74,167,986
 $61,852,547
 $56,015,708
 $185,810,827
Fee-For-Service $575,413
 $ - $ - $ - $ -
Total Revenues $926,430,436
 $74,167,986
 $61,852,547
 $55,946,434
 $185,810,827
Total Medical & Hospital Expenses $824,909,390
 $58,825,540
 $55,179,099
 $44,748,295
 $161,942,903
Total Claims Adjustment Expenses $31,536,109
 $1,764,766
 $1,807,377
 $3,353,028
 $9,416,223
Total General Administration Expenses $59,569,078
 $7,884,269
 $4,657,112
 $3,824,928
 $7,088,989
Net Underwriting Gain(Loss) $10,415,859 $5,693,411 $208,959 $4,020,183
 $7,362,712
Pre-tax Income(Loss) $16,697,733 $6,430,533 $1,001,662 $4,585,427 $8,877,269
Net Income(Loss) $16,697,733 $4,119,811 $874,507 $3,355,947 $5,770,225

 

Health Care Expense Ratio

 89.04% 79.31% 89.21% 79.89% 87.15%
Claims Adjustment Expense Ratio 3.40% 2.38% 2.92% 5.99% 5.07%
Administrative Expense Ratio 6.43% 10.63% 7.53% 6.83% 3.82%
Net Profit Margin 1.80% 5.55% 1.41% 6.00% 3.11%
Total Premium Revenue PMPM $276.72 $299.67 $273.77 $261.88 $300.75
Health Care Expense PMPM $246.39 $237.68 $244.23 $209.20 $262.12
Claims Adjustment Expense PMPM $9.42 $7.13 $8.00 $15.68 $15.24
Administrative Expenses PMPM $17.79 $31.86 $20.61 $17.88 $11.47
Net Income PMPM $4.99 $16.65 $3.87 $15.69 $9.34

 

Provision for Fed Taxes

 $ - $2,310,722 $127,155 $1,229,480 $3,107,044

*Harvard Pilgrim numbers include business in other New England states.
**HMO Maine operates as a line of business of Anthem Health Plans of Maine, Inc.

 

 

Last Updated: June 24, 2009