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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2006 Quarter 1

Maine HMO Financial Summary - 2006 Quarter 1

HMO Quarterly Statement Data

As of 3/31/2006

1st Quarter, 2006 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $694,891,003 $40,517,437 $19,288,312  
Premium Receivables $5,591,962 $1,331,013 $1,396,854  
Claims Payable $171,090,861 $16,124,861 $5,677,877  
Total Liabilities $394,735,408 $19,591,775 $9,488,995  
Surplus Notes $130,972,263 $ - $ -  
Total Net Worth $300,155,595 $20,925,662 $9,799,317  

 

member months

 1,423,282 136,230 49,122 309,563
enrollees 478,294 45,031 16,029 103,206

 

Premium

$535,792,372 $44,348,886 $15,171,765 $103,098,012
Fee-For-Service $510,634 $ - $ - $ -
Total Revenues $536,303,006 $44,329,561 $15,171,765 $103,098,012
Total Medical & Hospital Expenses $472,896,635 $37,581,487 $14,494,112 $89,988,370
Total Claims Adjustment Expenses $26,881,714 $865,683 $357,990 $2,896,974
Total General Administration Expenses $30,880,308 $6,890,784 $1,382,414 $3,762,737
Net Underwriting Gain(Loss) $5,644,349 $(1,008,393) $(1,242,751) $6,449,931
Pre-tax Income(Loss) $12,583,984 $(594,974) $(1,000,098) $8,133,358
Net Income(Loss) $12,583,984 $(271,351) $(708,028) $5,286,683

 

Health Care Expense Ratio

 88.18% 84.74% 95.53% 87.28%
Claims Adjustment Expense Ratio 5.01% 1.95% 2.36% 2.81%
Administrative Expense Ratio 5.76% 15.54% 9.11% 3.65%
Net Profit Margin 2.35% -0.61% -4.67% 5.13%
Total Premium Revenue PMPM $376.81 $325.54 $308.86 $333.04
Health Care Expense PMPM $332.26 $275.87 $295.06 $290.69
Claims Adjustment Expense PMPM $18.89 $6.35 $7.29 $9.36
Administrative Expense PMPM $21.70 $50.58 $28.14 $12.15
Net Income PMPM $8.84 $(1.99) $(14.41) $17.08

 

Income Taxes Incurred

 $ - $(323,623) $(292,070) $2,846,675

*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