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2008 LIABILITIES, CAPITAL AND SURPLUS - 003
95517 - Aetna Health Inc ME Corp
Quarter 3

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 13,479,765 239,142 13,718,907 14,079,779
02 Accrued medical incentive pool and bonus amounts 0 0 0 0
03 Unpaid claims adjustment expenses 272,870 0 272,870 279,470
04 Aggregate health policy reserves 179,782 0 179,782 144,730
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 328,357 0 328,357 360,400
08 Premiums received in advance 0 0 0 0
09 General expenses due or accrued 0 0 0 0
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 0 0 0 748,250
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 0 0 0 24,203
12 Amounts withheld or retained for the account of others 0 0 0 0
13 Remittances and items not allocated 0 0 0 0
14 Borrowed money (including $0 current) and interest thereon $0 (including $0 current) 0 0 0 0
15 Amounts due to parent, subsidiaries and affiliates 1,252,404 0 1,252,404 0
16 Payable for securities 0 0 0 0
17 Funds held under reinsurance treaties with ($0 authorized reinsurers and $0 unauthorized reinsurers) 0 0 0 0
18 Reinsurance in unauthorized companies 0 0 0 0
19 Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
20 Liability for amounts held under uninsured plans 0 0 0 0
21 Aggregate write-ins for other liabilities (including $0 current) 0 0 0 0
22 Total liabilities (Lines 1 to 21) 15,513,178 239,142 15,752,320 15,636,832
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     1,000,000 1,000,000
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     9,700,000 9,700,000
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     17,620,489 19,804,996
30.1 (1) shares common (value included in common capital stock $0) (less treasury stock, at cost)     0 0
30.2 (1) shares preferred (value included in preferred capital stock $0) (less treasury stock, at cost)     0 0
31 Total capital and surplus     28,320,489 30,504,996
32 Total liabilities, capital and surplus     44,072,809 46,141,828
Details of Write-Ins
2199   0 0 0 0
2399       0 0
2899       0 0

Last Updated: September 27, 2010