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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2006 Annual

Maine HMO Financial Summary - 2006 Annual

HMO Annual Statement Data

As of 12/31/2006

Fiscal Year 2006 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $731,690,955 $45,818,412 $16,673,707  
Premium Receivables $12,877,495 $1,112,954 $1,202,625  
Claims Payable $164,425,913 $15,378,714 $3,957,506  
Total Liabilities $409,744,199 $18,599,967 $87,678,621  
Surplus Notes $119,916,091 $ - $ -  
Total Net Worth $321,946,756 $27,218,445 $7,995,086  
         
member months 5,681,500 532,147 178,927 1,247,500
enrollees 477,850 43,128 13,427 105,293
         
Premium $2,196,295,119 $175,273,029 $56,330,789 $428,171,165
Fee-For-Service $1,895,285 $ - $ - $ -
Total Revenues $2,198,190,404 $175,272,207 $56,330,789 $428,171,165
Total Medical & Hospital Expenses $1,874,034,740 $141,734,918 $50,500,020 $365,100,667
Total Claims Adjustment Expenses $107,234,193 $3,137,544 $1,497,644 $12,877,382
Total General Administration Expenses $175,803,224 $23,811,642 $4,413,521 $17,601,628
Net Underwriting Gain(Loss) $41,118,247 $6,588,103 $(895,396) $32,591,488
Pre-tax Income(Loss) $68,354,069 $8,412,703 $96,773 $39,620,757
Net Income(Loss) $68,354,069 $6,282,501 $(232,555) $25,753,492
         
Health Care Expense Ratio 85.25% 80.87% 89.65% 85.27%
Claims Adjustment Expense Ratio 4.88% 1.79% 2.66% 3.01%
Administrative Expense Ratio 8.00% 13.59% 7.84% 4.11%
Net Profit Margin 3.11% 3.58% -0.41% 6.01%
Total Premium Revenue PMPM $386.90 $329.37 $314.83 $343.22
Health Care Expense PMPM $329.85 $266.35 $282.24 $292.67
Claims Adjustment Expense PMPM $18.87 $5.90 $8.37 $10.32
Administrative Expense PMPM $30.94 $44.75 $24.67 $14.11
Net Income PMPM $12.03 $11.81 $(1.30) $20.64
         
Provision for Fed Taxes $ - $2,130,202 $329,328 $13,867,265

*Harvard Pilgrim (not-for-profit) 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