Maine HMO Financial Summary - 2008 Annual
HMO Annual Statement Data
As of 12/31/2008
Fiscal Year
2008 Results |
Aetna Health |
CIGNA Healthcare |
HMO Maine** |
Martins Point
Generations |
Harvard Pilgrim Health Care* |
Arcadian Health Plan*** |
| Total Admitted Assets |
$46,884,121 |
$9,503,541 |
|
$4,049,127 |
$748,226,342 |
$75,489,397 |
| Premium Receivables |
$1,134,971 |
$ 58,740 |
|
$64,797 |
$13,109,838 |
$9,592,342 |
| Claims Payable |
$12,878,051 |
$642,458 |
|
$956,756 |
$193,741,628 |
$31,240,424 |
| Total Liabilities |
$26,333,215 |
$1,709,707 |
|
$2,245,051 |
$361,493,558 |
$44,822,260 |
| Surplus Notes |
$ - |
$ - |
|
$ - |
$ 97,341,298 |
$ - |
| Total Net Worth |
$20,550,906 |
$7,793,834 |
|
$1,804,076 |
$386,732,784 |
$30,667,137 |
| member months |
392,279 |
34,203 |
1,062,134 |
11,909 |
4,911,184 |
303,299 |
| enrollees |
29,768 |
2,071 |
85,185 |
1,149 |
403,332 |
25,241 |
| Premium |
$152,271,311 |
$12,247,006 |
$400,287,880 |
$6,550,791 |
$2,049,437,834 |
$230,337,506 |
| Fee-For-Service |
$ - |
$ - |
$ - |
$ - |
$ - |
$ - |
| Total Revenues |
$152,317,770 |
$12,247,006 |
$377,599,250 |
$6,550,791 |
$2,049,437,834 |
$230,337,506 |
| Total Medical & Hospital Expenses |
$104,010,051 |
$5,521,641 |
$283,955,297 |
$4,238,109 |
$1,405,487,880 |
$109,654,900 |
| Total Claims Adjustment Expenses |
$2,564,475 |
$252,038 |
$3,554,097 |
$87,146 |
$97,601,858 |
$7,674,579 |
| Total General Administration Expenses |
$16,479,229 |
$1,691,564 |
$5,053,548 |
$2,663,044 |
$109,394,359 |
$33,053,771 |
| Net Underwriting Gain(Loss) |
$4,729,578 |
$2,117,514 |
$19,639,299 |
$(1,155,648) |
$29,824,820 |
$2,461,820 |
| Pre-tax Income(Loss) |
$6,150,833 |
$2,724,090 |
$23,252,353 |
$(1,073,308) |
$52,292,074 |
$5,198,108 |
| Net Income(Loss) |
$8,340,611 |
$1,981,167 |
$15,114,029 |
$(1,073,308) |
$52,292,074 |
$3,975,978 |
| Health Care Expense Ratio |
68.31% |
45.09% |
70.94% |
64.70% |
68.58% |
47.61% |
| Claims Adjustment Expense Ratio |
1.68% |
2.06% |
0.89% |
1.33% |
4.76% |
3.33% |
| Administrative Expense Ratio |
10.82% |
13.81% |
1.26% |
40.65% |
5.34% |
14.35% |
| Net Profit Margin |
5.48% |
16.18% |
4.00% |
-16.38% |
2.55% |
1.73% |
| Total Premium Revenue PMPM |
$388.17 |
$358.07 |
$376.87 |
$550.07 |
$417.30 |
$759.44 |
| Health Care Expense PMPM |
$265.14 |
$161.44 |
$267.34 |
$355.87 |
$286.18 |
$361.54 |
| Claims Adjustment Expense PMPM |
$6.54 |
$7.37 |
$3.35 |
$7.32 |
$19.87 |
$25.30 |
| Administrative Expense PMPM |
$42.01 |
$49.46 |
$4.76 |
$223.62 |
$22.27 |
$108.98 |
| Net Income PMPM |
$21.26 |
$57.92 |
$14.23 |
$(90.13) |
$10.65 |
$13.11 |
| Provision for Fed Taxes |
$(2,189,778) |
$742,923 |
$8,138,324 |
$ - |
$ - |
$ 1,222,130 |
*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.
***Arcadian Health Plan numbers include business from four other states.
Last Updated:
September 27, 2010
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