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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2004 Quarter 3

Maine HMO Financial Summary - 2004 Quarter 3

HMO Quarterly Statement Data

As of 9/30/2004

3rd Quarter, 2004 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare ME Partners HMO Maine**
Total Admitted Assets $559,503,239
 $42,102,468
 $34,744,878
 $46,103,980
  
Premium Receivables $8,876,289
 $859,625
 $1,280,956
 $651,975  
Claims Payable $153,025,958
 $20,645,528
 $10,470,642
 $11,386,327
  
Total Liabilities $336,759,925
 $22,605,890
 $15,123,843
 $18,175,491
  
Surplus Notes $9,619,007
 $ - $ -
 $ -  
Total Net Worth $222,743,314
 $19,496,578
 $19,621,035
 $27,928,489
  

 

member months

 5,103,905 428,115
218,214
 252,661
 660,782
enrollees 536,678

46,979

 21,769
 27,872
 79,061

 

Premium

$1,585,609,863
 $130,184,099
 $66,087,408
$73,071,571
 $194,194,307
Fee-For-Service $1,067,171
 $ - $ - $ - $ -
Total Revenues $1,586,677,034
 $130,184,099
 $66,088,242
 $73,072,542
 $194,194,307
Total Medical & Hospital Expenses $1,397,272,794
 $104,525,679
 $49,601,913
 $56,747,220
$165,320,243
Total Claims Adjustment Expenses $80,752,804
 $3,135,770
 $2,665,312
 $3,177,262
 $6,045,944
Total General Administration Expenses $98,174,315
 $14,464,852
 $4,569,276
 $5,931,746
 $9,797,618
Net Underwriting Gain(Loss) $10,477,121 $8,057,798 $9,251,741 $7,230,627
 $13,030,502
Pre-tax Income(Loss) $19,844,419 $9,604,135 $10,395,120 $8,509,876 $16,242,422
Net Income(Loss) $19,844,419 $6,966,198 $6,582,586 $6,056,856 $10,557,574

 

Health Care Expense Ratio

 88.06% 80.29% 75.06% 77.66% 85.13%
Claims Adjustment Expense Ratio 5.09% 2.41% 4.03% 4.35% 3.11%
Administrative Expense Ratio 6.19% 11.11% 6.91% 8.12% 5.05%
Net Profit Margin 1.25% 5.35% 9.96% 8.29% 5.44%
Total Premium Revenue PMPM $310.88 $304.09 $302.86 $289.21 $293.89
Health Care Expense PMPM $273.77 $244.15 $227.31 $224.60 $250.19
Claims Adjustment Expense PMPM $15.82 $7.32 $12.21 $12.58 $9.15
Administrative Expense PMPM $19.24 $33.79 $20.94 $23.48 $14.83
Net Income PMPM $3.89 $16.27 $30.17 $23.97 $15.98

 

Provision for Fed Taxes

 $ - $2,637,937 $3,812,534 $2,453,020 $5,684,848

*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: November 18, 2009