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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2004 Annual

Maine HMO Financial Summary - 2004 Annual

HMO Annual Statement Data

As of 12/31/2004

Fiscal Year 2004 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare ME Partners HMO Maine**
Total Admitted Assets $600,061,151
$42,903,333
$35,834,263
$45,048,095
 
Premium Receivables $13,196,251
$711,680
$1,143,987
$569,518  
Claims Payable $154,597,037
$18,364,592
$8,856,896
$10,164,278
 
Total Liabilities $356,690,245
$24,281,648
$12,128,744
$16,543,208
 
Surplus Notes $145,787,614
$ - $ -
 $ -  
Total Net Worth $243,370,906
$18,621,685
$23,705,519
$28,504,887
 

 

member months

 6,695,848 566,630
298,861
333,837
906,242
enrollees 534,074

45,591

21,797
26,415
83,277

 

Premium

$2,100,391,818
$172,588,439
$86,922,467
$96,200,508
$265,921,451
Fee-For-Service $1,312,860
$ - $ - $ - $ -
Total Revenues $2,101,704,678
$172,588,439
$86,922,467
$96,214,679
$265,921,451
Total Medical & Hospital Expenses $1,841,531,412
$140,539,716
$64,505,145
$73,866,997
$229,641,324
Total Claims Adjustment Expenses $113,020,809
$3,794,572
$3,356,632 $5,983,951
$11,718,959
Total General Administration Expenses $125,429,047
$19,385,548
$5,359,656
$6,379,307
$14,371,393
Net Underwriting Gain(Loss) $21,723,410 $8,868,603 $13,701,034 $9,993,870
$10,189,775
Pre-tax Income(Loss) $34,193,483 $10,767,478 $15,254,490 $11,595,695 $14,337,373
Net Income(Loss) $34,193,483 $7,913,949 $10,706,964 $7,870,389 $9,319,292

 

Health Care Expense Ratio

 87.62% 81.43% 74.21% 76.78% 86.36%
Claims Adjustment Expense Ratio 5.38% 2.20% 3.86% 6.22% 4.41%
Administrative Expense Ratio 5.97% 11.23% 6.17% 6.63% 5.40%
Net Profit Margin 1.63% 4.59% 12.32% 8.18% 3.50%
Total Premium Revenue PMPM $313.88 $304.59 $290.85 $288.17 $293.43
Health Care Expense PMPM $275.03 $248.03 $215.84 $221.27 $253.40
Claims Adjustment Expense PMPM $16.88 $6.70 $11.23 $17.92 $12.93
Administrative Expense PMPM $18.73 $34.21 $17.93 $19.11 $15.86
Net Income PMPM $5.11 $13.97 $35.83 $23.58 $10.28

 

Provision for Fed Taxes

 $ - $2,853,529 $4,547,526 $3,725,306 $5,018,081

*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