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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2007 Quarter 3

Maine HMO Financial Summary - 2007 Quarter 3

HMO Quarterly Statement Data

As of 9/30/2007

3rd Quarter, 2007 Results Aetna Health CIGNA Healthcare HMO Maine** Martins Point
Generations		 Harvard Pilgrim Health Care* Arcadian Health Plan
Total Admitted Assets $45,841,288 $14,075,190   $3,379,036 $749,362,106 $60,649,531
Premium Receivables $1,837,314 $285,513   $34,958 $10,581,460 $1,724,630
Claims Payable $14,606,276 $2,537,619   $624,422 $196,524,945 $17,259,760
Total Liabilities $18,079,911 $4,084,403   $818,742 $388,631,107 $43,752,764
Surplus Notes $ - $ -   $ - $110,179,919 $ -
Total Net Worth $27,761,377 $9,990,787   $2,560,294 $360,730,999 $16,896,771
member months 339,964 75,903 881,089 2,447 3,986,336 164,657
enrollees 36,143 6,635 94,354 303 444,078 19,090
Premium $119,881,967 $24,808,708 $316,144,395 $1,408,274 $1,541,189,529 $116,384,514
Fee-For-Service $ - $ - $ - $ - $2,444,520 $ -
Total Revenues $119,926,612 $24,808,708 $316,144,395 $1,408,274 $1,543,634,049 $116,384,514
Total Medical & Hospital Expenses $100,224,939 $20,730,310 $267,614,975 $1,324,256 $1,346,335,430 $91,318,591
Total Claims Adjustment Expenses $2,208,933 $679,340 $6,772,138 $56,249 $81,120,835 $6,829,110
Total General Administration Expenses $12,233,034 $2,479,617 $9,256,590 $937,956 $114,318,379 $21,404,909
Net Underwriting Gain(Loss) $5,359,680 $1,734,441 $32,500,692 $(910,187) $1,859,405 $(3,168,096)
Pre-tax Income(Loss) $6,633,961 $2,316,566 $37,998,239 $(808,995) $24,198,823 $(924,311)
Net Income(Loss) $4,588,878 $1,918,418 $24,698,855 $(808,995) $24,198,823 $(924,311)
Health Care Expense Ratio 83.60% 83.56% 84.65% 94.03% 87.22% 78.46%
Claims Adjustment Expense Ratio 1.84% 2.74% 2.14% 3.99% 5.26% 5.87%
Administrative Expense Ratio 10.20% 9.99% 2.93% 66.60% 7.41% 18.39%
Net Profit Margin 3.83% 7.73% 7.81% -57.45% 1.57% -0.79%
Total Premium Revenue PMPM $352.63 $326.85 $358.81 $575.51 $387.23 $706.83
Health Care Expense PMPM $294.81 $273.12 $303.73 $541.18 $337.74 $554.60
Claims Adjustment Expense PMPM $6.50 $8.95 $7.69 $22.99 $20.35 $41.47
Administrative Expense PMPM $35.98 $32.67 $10.51 $383.31 $28.68 $130.00
Net Income PMPM $13.50 $25.27 $28.03 $(330.61) $6.07 $(5.61)
Income Taxes Incurred $2,045,083 $398,148 $13,299,384 $ - $ - $ -

*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