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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2005 Quarter 1

Maine HMO Financial Summary - 2005 Quarter 1

HMO Quarterly Statement Data

As of 3/31/2005

1st Quarter, 2005 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $597,099,398
 $45,764,265
 $36,785,591
  
Premium Receivables $7,134,812
 $678,379
 $2,370,118
  
Claims Payable $168,724,791
 $16,518,966
 $7,832,523
  
Total Liabilities $348,749,896
 $23,391,529
 $11,517,387
  
Surplus Notes $145,824,312
 $ - $ -
  
Total Net Worth $248,349,502
 $22,372,736
 $25,268,204
  

 

member months

 1,511,382 139,251
 57,572
 324,510
enrollees 501,598

46,147

 19,439
 108,049

 

Premium

$509,908,571
 $43,521,000
 $17,259,399
 $100,735,882
Fee-For-Service $406,418
 $ - $ - $ -
Total Revenues $510,314,989
 $43,521,000
 $17,259,399
 $100,735,882
Total Medical & Hospital Expenses $449,984,985
 $32,231,712
 $13,380,506
 $89,165,419
Total Claims Adjustment Expenses $24,436,719
 $872,449
 $910,726
 $3,887,502
Total General Administration Expenses $31,193,495
 $5,277,031
 $1,210,026
 $4,684,637
Net Underwriting Gain(Loss) $4,699,790 $5,139,808 $1,758,141 $2,998,324
Pre-tax Income(Loss) $8,456,493 $5,522,215 $2,167,777 $4,604,640
Net Income(Loss) $8,456,493 $3,877,825 $1,583,014 $2,993,016

 

Health Care Expense Ratio

 88.18% 74.06% 77.53% 88.51%
Claims Adjustment Expense Ratio 4.79% 2.00% 5.28% 3.86%
Administrative Expense Ratio 6.11% 12.13% 7.01% 4.65%
Net Profit Margin 1.66% 8.91% 9.17% 2.97%
Total Premium Revenue PMPM $337.65 $312.54 $299.79 $310.42
Health Care Expense PMPM $297.73 $231.46 $232.41 $274.77
Claims Adjustment Expense PMPM $16.17 $6.27 $15.82 $11.98
Administrative Expense PMPM $20.64 $37.90 $21.02 $14.44
Net Income PMPM $5.60 $27.85 $27.50 $9.22

 

Income Taxes Incurred

 $ - $1,644,390 $584,764 $1,611,624

*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