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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2004 Quarter 2

Maine HMO Financial Summary - 2004 Quarter 2

HMO Quarterly Statement Data

As of 6/30/2004

2nd Quarter, 2004 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare ME Partners HMO Maine**
Total Admitted Assets $523,230,686
$47,929,152
$37,426,051
$43,169,051
 
Premium Receivables $15,944,600
$608,862
$1,537,919
$622,864  
Claims Payable $153,406,060
$19,658,005
$12,131,699
$10,476,249
 
Total Liabilities $310,801,488
$22,066,044
$19,060,239
$17,604,141
 
Surplus Notes $9,849,768
$ - $ -
 $ -  
Total Net Worth $212,429,198
$25,863,108
$18,365,812
$25,564,910
 

 

member months

 3,515,484 285,755
151,565
168,240
431,093
enrollees 582,995

47,873

 25,008
 28,264
 73,136

 

Premium

$1,075,950,269
$86,706,283
$45,922,878
$48,986,748
$123,889,348
Fee-For-Service $726,259
$ - $ - $ - $ -
Total Revenues $1,076,676,528
$86,706,283
$45,922,878
$48,983,994
$123,889,348
Total Medical & Hospital Expenses $953,862,895
$69,394,897
$34,569,539
$38,720,190
$105,786,800
Total Claims Adjustment Expenses $53,480,920
$2,081,847
$1,773,549
$2,051,238
$4,066,365
Total General Administration Expenses $67,103,712
$9,699,066
$2,876,627
$3,829,531
$6,589,656
Net Underwriting Gain(Loss) $2,229,001 $5,530,473 $6,703,163 $4,377,731
$7,446,527
Pre-tax Income(Loss) $7,742,512 $6,618,447 $7,451,810 $5,351,796 $10,019,731
Net Income(Loss) $7,742,512 $4,688,827 $5,397,741 $3,832,384 $6,512,825

 

Health Care Expense Ratio

 88.59% 80.03% 75.28% 79.04% 85.39%
Claims Adjustment Expense Ratio 4.97% 2.40% 3.86% 4.19% 3.28%
Administrative Expense Ratio 6.23% 11.19% 6.26% 7.82% 5.32%
Net Profit Margin 0.72% 5.41% 11.75% 7.82% 5.26%
Total Premium Revenue PMPM $306.27 $303.43 $302.99 $291.17 $287.38
Health Care Expense PMPM $271.33 $242.85 $228.08 $230.15 $245.39
Claims Adjustment Expense PMPM $15.21 $7.29 $11.70 $12.19 $9.43
Administrative Expense PMPM $19.09 $33.94 $18.98 $22.76 $15.29
Net Income PMPM $2.20 $16.41 $35.61 $22.78 $15.11

 

Provision for Fed Taxes

 $ - $1,929,620 $2,054,069 $1,519,412 $3,506,906

*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