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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2007 Quarter 1

Maine HMO Financial Summary - 2007 Quarter 1

HMO Quarterly Statement Data

As of 3/31/2007

1st Quarter, 2007 Results Aetna Health CIGNA Healthcare HMO Maine** Martins Point
Generations		 Harvard Pilgrim Health Care* Arcadian Health Plan
Total Admitted Assets $47,017,498 $14,429,177   $2,683,315 $755,044,023 $60,606,651
Premium Receivables $1,737,038 $748,516   $38,791 $12,300,947 $5,633,291
Claims Payable $16,328,282 $3,930,675   $241,037 $190,154,066 $19,704,610
Total Liabilities $19,373,280 $5,766,633   $742,519 $431,489,433 $49,998,554
Surplus Notes $ - $ -   $ - $119,937,367 $ -
Total Net Worth $27,644,218 $8,662,544   $1,940,796 $323,554,590 $10,608,097

 

member months

 118,944 29,664 302,522 718 1,327,636 51,247
enrollees 38,919 8,702 100,240 250 445,784 18,077

 

Premium

$41,357,957 $9,844,464 $112,729,331 $425,392 $503,272,441 $34,347,231
Fee-For-Service $ - $ - $ - $ - $798,144 $ -
Total Revenues $41,373,709 $9,844,464 $112,729,331 $425,392 $504,070,585 $34,347,231
Total Medical & Hospital Expenses $37,916,477 $9,174,524 $96,053,223 $369,715 $435,773,652 $25,798,614
Total Claims Adjustment Expenses $834,198 $246,149 $2,426,369 $12,052 $28,494,114 $3,320,371
Total General Administration Expenses $2,887,111 $704,264 $3,316,516 $500,304 $40,817,296 $10,407,247
Net Underwriting Gain(Loss) $(264,077) $534,527 $10,933,223 $(456,679) $(1,014,477) $(5,179,001)
Pre-tax Income(Loss) $294,426 $734,145 $12,885,069 $(428,493) $6,488,383 $(4,700,636)
Net Income(Loss) $275,456 $851,768 $8,375,295 $(428,493) $6,488,383 $(4,700,636)

 

Health Care Expense Ratio

 91.68% 93.19% 85.21% 86.91% 86.45% 75.11%
Claims Adjustment Expense Ratio 2.02% 2.50% 2.15% 2.83% 5.65% 9.67%
Administrative Expense Ratio 6.98% 7.15% 2.94% 117.61% 8.10% 30.30%
Net Profit Margin 0.67% 8.65% 7.43% -100.73% 1.29% -13.69%
Total Premium Revenue PMPM $347.71 $331.87 $372.63 $592.47 $379.68 $670.23
Health Care Expense PMPM $318.78 $309.28 $317.51 $514.92 $328.23 $503.42
Claims Adjustment Expense PMPM $7.01 $8.30 $8.02 $16.79 $21.46 $64.79
Administrative Expense PMPM $24.27 $23.74 $10.96 $696.80 $30.74 $203.08
Net Income PMPM $2.32 $28.71 $27.68 $(596.79) $4.89 $(91.73)

 

Income Taxes Incurred

 $18,970 $(117,623) $4,509,774 $ - $ - $ -

*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