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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2005 Quarter 2

Maine HMO Financial Summary - 2005 Quarter 2

HMO Quarterly Statement Data

As of 6/30/2005

2nd Quarter, 2005 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $595,236,626
$38,265,283
$28,372,314
 
Premium Receivables $13,144,203
$1,168,339
$2,443,450
 
Claims Payable $155,478,862
$14,904,219
$6,143,033
 
Total Liabilities $340,445,426
$16,885,183
$10,476,140
 
Surplus Notes $130,908,436
$ - $ -
  
Total Net Worth $254,791,200
$21,380,100
$17,896,174
 

 

member months

 2,947,340 276,097
112,912
653,244
enrollees 475,647

45,471

18,696
107,682

 

Premium

$1,011,532,076
$86,770,094
$34,066,621
$200,666,254
Fee-For-Service $836,345
$ - $ - $ -
Total Revenues $1,012,368,421
$86,770,094
$34,066,621
$200,666,254
Total Medical & Hospital Expenses $880,416,785
$64,523,379
$25,074,896
$174,590,076
Total Claims Adjustment Expenses $50,688,088
$1,744,324
$918,251
$7,742,552
Total General Administration Expenses $62,859,276
$10,295,561
$2,627,730
$9,330,165
Net Underwriting Gain(Loss) $18,404,272 $10,206,830 $5,445,744 $9,003,461
Pre-tax Income(Loss) $27,063,405 $10,994,821 $6,415,475 $12,249,440
Net Income(Loss) $27,063,405 $7,610,364 $4,748,309 $7,962,136

 

Health Care Expense Ratio

 86.97% 74.36% 73.61% 87.01%
Claims Adjustment Expense Ratio 5.01% 2.01% 2.70% 3.86%
Administrative Expense Ratio 6.21% 11.87% 7.71% 4.65%
Net Profit Margin 2.67% 8.77% 13.94% 3.97%
Total Premium Revenue PMPM $343.49 $314.27 $301.71 $307.18
Health Care Expense PMPM $298.72 $233.70 $222.07 $267.27
Claims Adjustment Expense PMPM $17.20 $6.32 $8.13 $11.85
Administrative Expense PMPM $21.33 $37.29 $23.27 $14.28
Net Income PMPM $9.18 $27.56 $42.05 $12.19

 

Provision for Fed Taxes

 $ - $3,384,457 $1,667,166 $4,287,304

*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