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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