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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2007 Quarter 2

Maine HMO Financial Summary - 2007 Quarter 2

HMO Quarterly Statement Data

As of 6/30/2007

2nd Quarter, 2007 Results Aetna Health CIGNA Healthcare HMO Maine** Martins Point
Generations		 Harvard Pilgrim Health Care* Arcadian Health Plan
Total Admitted Assets $44,188,321 $14,640,191   $3,430,793 $757,723,346 $68,927,391
Premium Receivables $1,139,763 $793,339   $16,986 $15,810,321 $600,913
Claims Payable $16,461,108 $3,865,571   $426,793 $209,529,735 $18,467,964
Total Liabilities $19,348,420 $5,471,141   $870,976 $445,012,051 $55,768,857
Surplus Notes $ - $ -   $ - $110,158,643 $ -
Total Net Worth $24,839,901 $9,169,050   $2,559,817 $312,711,295 $13,158,534
member months 231,732 55,037 597,479 1,548 2,657,821 107,679
enrollees 37,050 8,136 97,485 277 442,940 56,422
Premium $80,935,949 $17,997,107 $215,674,220 $890,759 $1,019,453,814 $75,482,634
Fee-For-Service $ - $ - $ - $ - $1,676,608 $ -
Total Revenues $80,969,958 $17,997,107 $215,674,220 $890,759 $1,021,130,422 $75,482,634
Total Medical & Hospital Expenses $70,063,030 $15,841,517 $183,677,626 $886,348 $894,297,892 $58,550,538
Total Claims Adjustment Expenses $1,543,145 $485,447 $5,264,375 $21,340 $54,180,735 $5,278,187
Total General Administration Expenses $7,509,070 $1,719,467 $7,195,684 $852,433 $78,622,392 $16,543,753
Net Underwriting Gain(Loss) $1,854,688 $765,676 $19,536,535 $(869,362) $(5,970,597) $(4,889,844)
Pre-tax Income(Loss) $2,570,232 $1,167,330 $23,014,754 $(809,472) $8,891,922 $(3,817,207)
Net Income(Loss) $1,855,204 $1,156,596 $14,959,590 $(809,472) $8,891,922 $(3,817,207)
Health Care Expense Ratio 86.57% 88.02% 85.16% 99.50% 87.58% 77.57%
Claims Adjustment Expense Ratio 1.91% 2.70% 2.44% 2.40% 5.31% 6.99%
Administrative Expense Ratio 9.28% 9.55% 3.34% 95.70% 7.70% 21.92%
Net Profit Margin 2.29% 6.43% 6.94% -90.87% 0.87% -5.06%
Total Premium Revenue PMPM $349.27 $327.00 $360.97 $575.43 $384.20 $701.00
Health Care Expense PMPM $302.35 $287.83 $307.42 $572.58 $336.48 $543.75
Claims Adjustment Expense PMPM $6.66 $8.82 $8.81 $13.79 $20.39 $49.02
Administrative Expense PMPM $32.40 $31.24 $12.04 $550.67 $29.58 $153.64
Net Income PMPM $8.01 $21.01 $25.04 $(522.91) $3.35 $(35.45)
Income Taxes Incurred $715,028 $10,734 $8,055,164 $ - $ - $ -

*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