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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2006 Quarter 2

Maine HMO Financial Summary - 2006 Quarter 2

HMO Quarterly Statement Data

As of 6/30/2006

2nd Quarter, 2006 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $693,177,492 $40,981,113 $18,940,781  
Premium Receivables $13,344,344 $1,485,330 $2,001,896  
Claims Payable $180,135,762 $16,346,099 $5,746,181  
Total Liabilities $396,842,280 $20,712,438 $10,132,843  
Surplus Notes $124,146,962 $ - $ -  
Total Net Worth $296,335,214 $20,268,675 $8,807,938  

 

member months

 2,843,707 268,175 95,619 620,019
enrollees 473,422 43,753 15,559 103,421

 

Premium

$1,075,954,701 $87,594,094 $29,701,977 $215,857,112
Fee-For-Service $914,644 $ - $ - $ -
Total Revenues $1,073,869,345 $87,572,439 $29,701,977 $215,857,112
Total Medical & Hospital Expenses $945,083,833 $74,139,358 $28,056,521 $187,031,420
Total Claims Adjustment Expenses $56,797,925 $1,718,234 $728,039 $5,927,083
Total General Administration Expenses $67,662,531 $12,361,223 $2,743,618 $7,856,832
Net Underwriting Gain(Loss) $7,325,056 $(2,746,376) $(3,626,201) $15,041,777
Pre-tax Income(Loss) $19,564,834 $(1,901,121) $(3,128,061) $17,308,969
Net Income(Loss) $19,564,834 $(1,668,829) $(2,693,510) $11,250,830

 

Health Care Expense Ratio

 87.76% 84.64% 94.46% 86.65%
Claims Adjustment Expense Ratio 5.27% 1.96% 2.45% 2.75%
Administrative Expense Ratio 6.28% 14.11% 9.24% 3.64%
Net Profit Margin 1.82% -1.91% -9.07% 5.21%
Total Premium Revenue PMPM $378.69 $326.63 $310.63 $348.15
Health Care Expense PMPM $332.34 $276.46 $293.42 $301.65
Claims Adjustment Expense PMPM $19.97 $6.41 $7.61 $9.56
Administrative Expense PMPM $23.79 $46.09 $28.69 $12.67
Net Income PMPM $6.88 $(6.22) $(28.17) $18.15

*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