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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2008 Quarter 3

Maine HMO Financial Summary - 2008 Quarter 3

HMO Quarterly Statement Data

As of 9/30/2008

3rd Quarter, 2008 Results Aetna Health CIGNA Healthcare HMO Maine** Martins Point
Generations		 Harvard Pilgrim Health Care* Arcadian Health Plan***
Total Admitted Assets $44,072,809 $9,928,872   $5,226,685 $738,720,255 $86,723,070
Premium Receivables $1,176,539 $ -   $80,215 $9,373,722 $5,280,640
Claims Payable $13,718,907 $580,279   $1,168,696 $200,466,098 $26,589,166
Total Liabilities $15,752,320 $2,123,558   $2,982,142 $365,159,527 $56,961,928
Surplus Notes $ - $ -   $ - $97,320,022 $ -
Total Net Worth $28,320,489 $7,805,314   $2,244,543 $373,560,728 $29,761,142
member months 300,503 28,804 804,362 8,558 3,697,653 227,278
enrollees 31,886 2,193 87,281 1,077 405,603 25,558
Premium $115,706,535 $10,027,958 $316,499,325 $4,749,323 $1,532,872,985 $170,973,915
Fee-For-Service $ - $ - $ - $ - $ - $ -
Total Revenues $115,749,289 $10,027,958 $301,209,929 $4,749,323 $1,532,872,985 $170,973,915
Total Medical & Hospital Expenses $95,959,597 $6,459,182 $262,533,733 $4,103,665 $1,367,411,769 $141,475,317
Total Claims Adjustment Expenses $2,020,026 $197,514 $5,837,936 $50,871 $70,653,543 $3,713,532
Total General Administration Expenses $12,385,584 $1,351,281 $8,249,747 $ 1,319,895 $79,746,054 $24,405,514
Net Underwriting Gain(Loss) $5,306,276 $2,019,981 $24,588,513 $(725,108) $15,061,619 $1,379,552
Pre-tax Income(Loss) $6,199,737 $2,507,310 $27,707,312 $(660,448) $31,157,008 $3,494,152
Net Income(Loss) $7,613,579 $1,894,886 $18,009,753 $(660,448) $31,157,008 $3,494,152
Health Care Expense Ratio 82.93% 64.41% 82.95% 86.41% 89.21% 82.75%
Claims Adjustment Expense Ratio 1.75% 1.97% 1.84% 1.07% 4.61% 2.17%
Administrative Expense Ratio 10.70% 13.48% 2.61% 27.79% 5.20% 14.27%
Net Profit Margin 6.58% 18.90% 5.98% -13.91% 2.03% 2.04%
Total Premium Revenue PMPM $385.04 $348.14 $393.48 $554.96 $414.55 $752.27
Health Care Expense PMPM $319.33 $224.25 $326.39 $479.51 $369.81 $622.48
Claims Adjustment Expense PMPM $6.72 $6.86 $7.26 $5.94 $19.11 $16.34
Administrative Expense PMPM $41.22 $46.91 $10.26 $154.23 $21.57 $107.38
Net Income PMPM $25.34 $65.79 $22.39 $(77.17) $8.43 $15.37
Provision for Fed Taxes $(1,413,842) $612,424 $9,697,559 $ - $ - $ -

*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.
***Arcadian Health Plan numbers include business from four other states.

Last Updated: June 24, 2009