Skip Maine state header navigation

Agencies | Online Services | Help

Skip First Level Navigation | Skip All Navigation

Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2005 Annual

Maine HMO Financial Summary - 2005 Annual

HMO Annual Statement Data

As of 12/31/2005

Fiscal Year 2005 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $636,190,531
$38,221,662
$20,826,312
 
Premium Receivables $10,105,676
$1,550,998
$1,209,944
 
Claims Payable $153,573,978
$14,759,343
$5,740,542
 
Total Liabilities $346,270,413
$17,146,469
$9,747,258
 
Surplus Notes $130,950,987
$ - $ -
  
Total Net Worth $289,920,118
$21,075,193
$11,079,054
 

 

member months

 5,766,696 550,081
212,698
1,296,680
enrollees 474,423

45,609

17,925
107,038

 

Premium

$2,034,039,205
$174,723,291
$64,283,954
$402,418,046
Fee-For-Service $1,606,798
$ - $ - $ -
Total Revenues $2,035,646,003
$174,775,154
$64,283,954
$402,418,046
Total Medical & Hospital Expenses $1,716,975,585
$131,290,789
$52,289,836
$341,487,225
Total Claims Adjustment Expenses $109,935,867
$3,021,556
$2,030,711 $17,547,292
Total General Administration Expenses $163,821,866
$20,639,514
$3,377,197
$22,795,060
Net Underwriting Gain(Loss) $44,912,685 $19,723,295 $6,586,210 $20,588,469
Pre-tax Income(Loss) $64,983,595 $21,275,366 $8,280,159 $26,955,855
Net Income(Loss) $64,983,595 $14,518,280 $6,266,606 $17,521,306

 

Health Care Expense Ratio

 84.35% 75.14% 81.34% 84.86%
Claims Adjustment Expense Ratio 5.40% 1.73% 3.16% 4.36%
Administrative Expense Ratio 8.05% 11.81% 5.25% 5.66%
Net Profit Margin 3.19% 8.31% 9.75% 4.35%
Total Premium Revenue PMPM $353.00 $317.63 $302.23 $310.34
Health Care Expense PMPM $297.74 $238.68 $245.84 $263.36
Claims Adjustment Expense PMPM $19.06 $5.49 $9.55 $13.53
Administrative Expense PMPM $28.41 $37.52 $15.88 $17.58
Net Income PMPM $11.27 $26.39 $29.46 $13.51

 

Provision for Fed Taxes

 $ - $6,757,086 $2,013,553 $9,434,549

*Harvard Pilgrim (not-for-profit) 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