2008 EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION - 029
12545 -
Martins Point Generations LLC
for Maine |
|
Line |
Total |
Individual Comprehensive |
Group Comprehensive |
Medicare Supplement |
Vision Only |
Dental Only |
Federal Employees Health Benefit Plan |
Title XVIII Medicare |
Title XIX Medicaid |
Other |
| 01 |
Prior Year (total member at end of) |
325 |
0 |
0 |
0 |
0 |
0 |
0 |
325 |
0 |
0 |
| 02 |
First Quarter (total members at end of) |
870 |
0 |
0 |
0 |
0 |
0 |
0 |
870 |
0 |
0 |
| 03 |
Second Quarter (total members at end of) |
1,000 |
0 |
0 |
0 |
0 |
0 |
0 |
1,000 |
0 |
0 |
| 04 |
Third Quarter (total members at end of) |
1,077 |
0 |
0 |
0 |
0 |
0 |
0 |
1,077 |
0 |
0 |
| 05 |
Current Year (total members at end of) |
1,149 |
0 |
0 |
0 |
0 |
0 |
0 |
1,149 |
0 |
0 |
| 06 |
Current Year Member Months |
11,909 |
0 |
0 |
0 |
0 |
0 |
0 |
11,909 |
0 |
0 |
| 07 |
Physician (total member ambulatory encounters for
year) |
13,425 |
0 |
0 |
0 |
0 |
0 |
0 |
13,425 |
0 |
0 |
| 08 |
Non-physician (total member ambulatory encounters
for year) |
9,086 |
0 |
0 |
0 |
0 |
0 |
0 |
9,086 |
0 |
0 |
| 09 |
Total (total member ambulatory encounters for
year) |
22,511 |
0 |
0 |
0 |
0 |
0 |
0 |
22,511 |
0 |
0 |
| 10 |
Hospital patient days incurred |
598 |
0 |
0 |
0 |
0 |
0 |
0 |
598 |
0 |
0 |
| 11 |
Number of inpatient admissions |
154 |
0 |
0 |
0 |
0 |
0 |
0 |
154 |
0 |
0 |
| 12 |
Health premiums written (b) |
6,550,791 |
0 |
0 |
0 |
0 |
0 |
0 |
6,550,791 |
0 |
0 |
| 13 |
Life premiums direct |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 14 |
Property/Casualty premiums written |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 15 |
Health premiums earned |
6,550,791 |
0 |
0 |
0 |
0 |
0 |
0 |
6,550,791 |
0 |
0 |
| 16 |
Property/Casualty premiums earned |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 17 |
Amount paid for provision of health care services |
4,530,872 |
0 |
0 |
0 |
0 |
0 |
0 |
4,530,872 |
0 |
0 |
| 18 |
Amount incurred for provision of health care
services |
4,976,312 |
0 |
0 |
0 |
0 |
0 |
0 |
4,976,312 |
0 |
0 | |
|
FootNotes |
| 0000001 |
(a) For health business number of persons insured
under PPO managed care products 0 and number of persons insured
under indemnity only products 0. |
| 0000002 |
(b) For health premiums written: amount of Medicare
Title XVIII exempt from state taxes or fees $6550791 ~ |
|
|
Last Updated:
September 27, 2010
|
