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2008 STATEMENT OF REVENUE AND EXPENSES - 004
96911 - Harvard Pilgrim Health Care Inc
Quarter 2

Line Uncovered Current Year to Date Total Current Year to Date Total Prior Year to Date Total Prior Year Ended December 31
01 Member months   2,481,088 2,657,821 5,315,840
02 Net premium income (including $0 non-health premium income)   1,021,083,442 1,019,453,814 2,066,256,034
03 Change in unearned premium reserves and reserve for rate credits   0 0 0
04 Fee-for-service (net of $0 medical expenses)   0 1,676,608 3,309,419
05 Risk revenue   0 0 0
06 Aggregate write-ins for other health care related revenues   0 0 0
07 Aggregate write-ins for other non-health revenues   0 0 0
08 Total revenues   1,021,083,442 1,021,130,422 2,069,565,453
09 Hospital/medical benefits (hospital and medical) 0 728,881,716 722,743,803 1,419,754,883
10 Other professional services (hospital and medical) 0 39,113,833 14,245,422 59,457,135
11 Outside referrals (hospital and medical) 0 11,981,748 12,583,896 30,722,320
12 Emergency room and out-of-area (hospital and medical) 0 18,209,372 16,415,713 42,014,926
13 Prescription drugs (hospital and medical) 0 116,025,333 114,022,904 229,720,760
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 14,536,215 14,986,775 28,906,488
16 Subtotal (hospital and medical) 0 928,748,217 894,998,513 1,810,576,512
17 Net reinsurance recoveries (less) 0 0 700,621 0
18 Total hospital and medical (less) 0 928,748,217 894,297,892 1,810,576,512
19 Non-health claims (net) (less) 0 0 0 0
20 Claims adjustment expenses, including $22734996 cost containment expenses (less) 0 49,138,139 54,180,735 106,624,226
21 General administrative expenses (less) 0 55,017,316 78,622,392 136,765,064
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 0 0 0
23 Total underwriting deductions 0 1,032,903,672 1,027,101,019 2,053,965,802
24 Net underwriting gain or (loss)   -11,820,230 -5,970,597 15,599,651
25 Net investment income earned 0 11,106,489 15,877,571 22,631,380
26 Net realized capital gains (losses) less capital gains tax of $0 0 2,293,425 -121,491 1,337,300
27 Net investment gains or (losses) 0 13,399,914 15,756,080 23,968,680
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0 0
29 Aggregate write-ins for other income or expenses 0 151,853 -893,561 -1,493,507
30 Net income or (loss) after capital gains tax and before all other federal income taxes   1,731,537 8,891,922 38,074,824
31 Federal and foreign income taxes incurred   0 0 0
32 Net income (loss)   1,731,537 8,891,922 38,074,824
Details of Write-Ins
0699     0 0 0
0799     0 0 0
1499   0 0 0 0
2901 Miscellaneous & Other Income 0 151,853 -893,561 -1,493,507
2999   0 151,853 -893,561 -1,493,507

 

2008 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 - Harvard Pilgrim Health Care Inc
Quarter 2

Line Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 373,472,617 321,946,756 321,946,756
34 Net income or (loss) from Line 32 1,731,537 8,891,922 38,074,824
35 Change in valuation basis of aggregate policy and claim reserves 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 2,991,331 1,254,639 1,963,578
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0 0
38 Change in net deferred income tax 0 0 0
39 Change in nonadmitted assets -1,490,993 -9,624,574 21,202,355
40 Change in unauthorized reinsurance 0 0 0
41 Change in treasury stock 0 0 0
42 Change in surplus notes -12,902,449 -9,757,448 -9,714,896
43 Cumulative effect of changes in accounting principles 0 0 0
44.1 Paid in (capital changes) 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0 0
44.3 Transferred to surplus (capital changes) 0 0 0
45.1 Paid in (surplus adjustments) 0 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0 0
45.3 Transferred from capital (surplus adjustments) 0 0 0
46 Dividends to stockholders 0 0 0
47 Aggregate write-ins for gains or (losses) in surplus -10,000,000 0 0
48 Net change in capital and surplus -19,670,574 -9,235,461 51,525,861
49 Capital and surplus end of reporting period 353,802,043 312,711,295 373,472,617
Details of Write-Ins
4701 Other -10,000,000 0 0
4799   -10,000,000 0 0

 

Last Updated: September 27, 2010