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2008 LIABILITIES, CAPITAL AND SURPLUS - 003
95447 - Cigna Healthcare of ME Inc
Quarter 3

Line Covered Current Period Uncovered Current Period Total Current Period Total Prior Year
01 Claims unpaid (less $0 reinsurance ceded) 578,466 1,813 580,279 1,977,611
02 Accrued medical incentive pool and bonus amounts 347,483 0 347,483 314,217
03 Unpaid claims adjustment expenses 13,641 47 13,688 41,055
04 Aggregate health policy reserves 0 0 0 0
05 Aggregate life policy reserves 0 0 0 0
06 Property/casualty unearned premium reserve 0 0 0 0
07 Aggregate health claim reserves 0 0 0 0
08 Premiums received in advance 44,607 0 44,607 96,554
09 General expenses due or accrued 15,000 0 15,000 56,741
10.1 Current federal and foreign income tax payable and interest thereon (including $0 on realized capital gains (losses)) 471,189 0 471,189 123,027
10.2 Net deferred tax liability 0 0 0 0
11 Ceded reinsurance premiums payable 0 0 0 0
12 Amounts withheld or retained for the account of others 0 0 0 0
13 Remittances and items not allocated 0 0 0 159
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 575,824 0 575,824 438,667
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) 75,488 0 75,488 92,606
22 Total liabilities (Lines 1 to 21) 2,121,698 1,860 2,123,558 3,140,637
23 Aggregate write-ins for special surplus funds     0 0
24 Common capital stock     100 100
25 Preferred capital stock     0 0
26 Gross paid in and contributed surplus     2,971,401 2,971,401
27 Surplus notes     0 0
28 Aggregate write-ins for other than special surplus funds     0 0
29 Unassigned funds (surplus)     4,833,813 7,325,450
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     7,805,314 10,296,951
32 Total liabilities, capital and surplus     9,928,872 13,437,588
Details of Write-Ins
2101 ACCRUED TAXES 8,603 0 8,603 0
2102 COMMISSION PAYABLE 2,204 0 2,204 27,834
2103 CREDIT BALANCES DUE POLICYHOLDERS 49,228 0 49,228 46,473
2104 ESCHEAT LIABILITY 15,453 0 15,453 18,299
2199   75,488 0 75,488 92,606
2399       0 0
2801       0 0
2899       0 0

Last Updated: September 27, 2010