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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2004 Quarter 1

Maine HMO Financial Summary - 2004 Quarter 1

HMO Quarterly Statement Data

As of 3/31/2004

1st Quarter, 2004 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare ME Partners HMO Maine**
Total Admitted Assets $556,432,892
$57,204,582
$46,901,340
$55,206,267
 
Premium Receivables $8,365,241
$1,021,246
$1,635,924
$446,966  
Claims Payable $152,001,268
$20,030,035
$15,194,765
$10,913,217
 
Total Liabilities $343,559,617
$22,388,284
$21,749,413
$31,649,470
 
Surplus Notes $11,378,311
$ - $ -
 $ -  
Total Net Worth $212,873,275
$34,816,298
$25,151,927
$23,556,797
 

 

member months

 1,769,654 141,841
75,900
83,921
216,530
enrollees 590,094

47,812

24,990
27,678
72,267

 

Premium

$535,318,270
$43,073,912
$23,398,393
$24,379,399
$58,571,930
Fee-For-Service $359,673
$ - $ - $ - $ -
Total Revenues $535,677,943
$43,073,912
$23,398,393
$24,381,821
$58,571,930
Total Medical & Hospital Expenses $475,126,289
$35,047,715
$17,894,020
$19,318,308
$50,349,268
Total Claims Adjustment Expenses $28,267,066
$1,051,431
$1,209,147
$1,077,718
$2,160,516
Total General Administration Expenses $31,754,335
$4,470,284
$1,445,792
$2,012,032
$3,501,213
Net Underwriting Gain(Loss) $530,253 $2,504,482 $2,849,434 $1,973,763
$2,560,933
Pre-tax Income(Loss) $4,855,311 $3,162,382 $3,316,500 $2,453,229 $4,001,108
Net Income(Loss) $4,855,311 $2,230,483 $2,333,671 $1,899,856 $2,600,721

 

Health Care Expense Ratio

 88.70% 81.37% 76.48% 79.24% 85.96%
Claims Adjustment Expense Ratio 5.28% 2.44% 5.17% 4.42% 3.69%
Administrative Expense Ratio 5.93% 10.38% 6.18% 8.25% 5.98%
Net Profit Margin 0.91% 5.18% 9.97% 7.79% 4.44%
Total Premium Revenue PMPM $302.70 $303.68 $308.28 $290.50 $270.50
Health Care Expense PMPM $268.49 $247.09 $235.76 $230.20 $232.53
Claims Adjustment Expense PMPM $15.97 $7.41 $15.93 $12.84 $9.98
Administrative Expense PMPM $17.94 $31.52 $19.05 $23.98 $16.17
Net Income PMPM $2.74 $15.73 $30.75 $22.64 $12.01

 

Provision for Fed Taxes

 $ - $931,899 $982,829 $553,373 $1,400,387

*Harvard Pilgrim numbers include business in other New England states.
**HMO Maine operates as a line of business of Anthem Health Plans of Maine, Inc.

Last Updated: February 10, 2012