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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2007 Annual

Maine HMO Financial Summary - 2007 Annual

HMO Annual Statement Data

As of 12/31/2007

Fiscal Year 2007 Results Aetna Health CIGNA Healthcare HMO Maine** Martins Point Generations Harvard Pilgrim Health Care* Arcadian Health Plan
Total Admitted Assets $46,141,828 $13,437,589   $2,790,897 $754,153,763 $71,206,762
Premium Receivables $1,447,968 $520,502   $30,957 $12,006,920 $6,845,919
Claims Payable $14,079,779 $1,977,611   $531,379 $214,516,966 $24,199,686
Total Liabilities $15,636,832 $3,140,637   $863,306 $380,681,146 $49,487,967
Surplus Notes $ - $ -   $ - $110,201,195 $ -
Total Net Worth $30,504,996 $10,296,951   $1,927,591 $373,472,617 $21,718,795
             
member months 446,621 92,725 1,163,667 3,394 5,315,840 223,025
enrollees 34,662 5,328 94,252 325 443,813 19,157
             
Premium $159,046,046 $30,255,117 $422,103,930 $1,874,853 $2,066,256,034 $158,278,879
Fee-For-Service $ - $ - $ - $ - $3,309,419 $ -
Total Revenues $159,088,771 $30,255,117 $422,103,930 $1,874,853 $2,069,565,453 $158,278,879
Total Medical & Hospital Expenses $133,127,969 $25,116,103 $358,631,074 $1,801,871 $1,810,576,512 $121,484,455
Total Claims Adjustment Expenses $2,800,886 $903,659 $9,287,181 $63,014 $106,624,226 $11,149,177
Total General Administration Expenses $14,778,460 $3,350,723 $13,123,969 $1,583,465 $136,765,064 $23,560,783
Net Underwriting Gain(Loss) $8,461,058 $1,699,632 $41,061,706 $(1,573,497) $15,599,651 $2,084,464
Pre-tax Income(Loss) $10,147,386 $2,456,941 $47,715,903 $(1,438,534) $38,074,824 $4,598,287
Net Income(Loss) $6,479,071 $2,133,052 $31,015,337 $(1,438,534) $38,074,824 $4,598,287
             
Health Care Expense Ratio 83.70% 83.01% 84.96% 96.11% 87.49% 76.75%
Claims Adjustment Expense Ratio 1.76% 2.99% 2.20% 3.36% 5.15% 7.04%
Administrative Expense Ratio 9.29% 11.07% 3.11% 84.46% 6.61% 14.89%
Net Profit Margin 4.07% 7.05% 7.35% -76.73% 1.84% 2.91%
Total Premium Revenue PMM $356.11 $326.29 $362.74 $552.40 $389.32 $709.69
Health Care Expense PMM $298.08 $270.87 $308.19 $530.90 $340.60 $544.71
Claims Adjustment Expense PMM $6.27 $9.75 $7.98 $18.57 $20.06 $49.99
Administrative Expense PMM $33.09 $36.14 $11.28 $466.55 $25.73 $105.64
Net Income PMM $14.51 $23.00 $26.65 $(423.85) $7.16 $20.62
             
Provision for Fed Taxes $3,668,315 $323,889 $16,700,566 $ - $ - $ -

*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