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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2005 Quarter 3

Maine HMO Financial Summary - 2005 Quarter 3

HMO Quarterly Statement Data

As of 9/30/2005

3rd Quarter, 2005 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $642,533,256
$38,071,665
$29,095,717
 
Premium Receivables $12,090,295
$686,674
$1,876,118
 
Claims Payable $156,865,826
$14,085,573
$5,492,800
 
Total Liabilities $369,632,435
$16,266,323
$9,525,902
 
Surplus Notes $130,929,711
$ - $ -
  
Total Net Worth $272,900,821
$21,805,342
$19,569,815
 

 

member months

 4,359,195 413,511
169,626
974,760
enrollees 472,925

45,549

19,163
106,885

 

Premium

$1,519,446,147
$130,859,541
$51,165,849
$301,339,760
Fee-For-Service $1,247,389
$ - $ - $ -
Total Revenues $1,520,693,536
$130,859,541
$51,165,849
$301,339,760
Total Medical & Hospital Expenses $1,307,827,643
$97,108,308
$37,727,873
$258,990,639
Total Claims Adjustment Expenses $76,684,447
$2,624,117
$1,590,738
$11,350,585
Total General Administration Expenses $104,533,164
$15,541,640
$3,930,452
$13,678,028
Net Underwriting Gain(Loss) $31,648,282 $15,585,476 $7,916,786 $17,320,508
Pre-tax Income(Loss) $46,098,105 $16,770,701 $9,233,204 $22,259,629
Net Income(Loss) $46,098,105 $11,516,524 $6,765,605 $14,468,759

 

Health Care Expense Ratio

 86.00% 74.21% 73.74% 85.95%
Claims Adjustment Expense Ratio 5.04% 2.01% 3.11% 3.77%
Administrative Expense Ratio 6.87% 11.88% 7.68% 4.54%
Net Profit Margin 3.03% 8.80% 13.22% 4.80%
Total Premium Revenue PMPM $348.85 $316.46 $301.64 $309.14
Health Care Expense PMPM $300.02 $234.84 $222.42 $265.70
Claims Adjustment Expense PMPM $17.59 $6.35 $9.38 $11.64
Administrative Expense PMPM $23.98 $37.58 $23.17 $14.03
Net Income PMPM $10.57 $27.85 $39.89 $14.84

 

Provision for Fed Taxes

 $ - $5,254,177 $2,467,599 $7,790,870

*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: November 18, 2009