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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2008 Quarter 2

Maine HMO Financial Summary - 2008 Quarter 2

HMO Quarterly Statement Data

As of 6/30/2008

2nd Quarter, 2008 Results Aetna Health CIGNA Healthcare HMO Maine** Martins Point
Generations		 Harvard Pilgrim Health Care* Arcadian Health Plan***
Total Admitted Assets $41,714,926 $9,914,087   $4,730,545 $751,597,519 $82,775,881
Premium Receivables $1,841,064 $351,569   $77,876 $27,271,511 $13,127,990
Claims Payable $14,859,797 $1,226,537   $1,197,405 $230,887,874 $23,307,167
Total Liabilities $18,711,011 $2,685,559   $2,658,859 $397,795,475 $54,629,146
Surplus Notes $ - $ -   $ - $97,298,746 $ -
Total Net Worth $23,003,915 $7,228,529   $2,071,686 $353,802,043 $28,146,735
member months 203,794 21,320 542,101 5,401 2,481,088 150,273
enrollees 33,229 3,271 88,897 1,000 410,362 25,849
Premium $77,691,016 $7,392,907 $203,545,949 $2,989,760 $1,021,083,442 $112,428,486
Fee-For-Service $ - $ - $ - $ - $ - $ -
Total Revenues $77,722,264 $7,392,907 $203,545,949 $2,989,760 $1,021,083,442 $112,428,486
Total Medical & Hospital Expenses $65,927,171 $4,935,289 $172,975,587 $2,999,397 $928,748,217 $90,887,250
Total Claims Adjustment Expenses $1,389,345 $141,075 $3,483,467 $30,783 $49,138,139 $2,989,117
Total General Administration Expenses $8,553,294 $1,024,149 $4,922,582 $ 832,754 $55,017,316 $18,063,753
Net Underwriting Gain(Loss) $1,549,585 $1,292,394 $22,164,313 $(873,174) $(11,820,230) $488,366
Pre-tax Income(Loss) $2,242,907 $1,654,561 $24,612,088 $(831,003) $1,731,537 $1,912,628
Net Income(Loss) $1,509,023 $1,332,897 $15,997,857 $(831,003) $1,731,537 $1,912,628
Health Care Expense Ratio 84.86% 66.76% 84.98% 100.32% 90.96% 80.84%
Claims Adjustment Expense Ratio 1.79% 1.91% 1.71% 1.03% 4.81% 2.66%
Administrative Expense Ratio 11.01% 13.85% 2.42% 27.85% 5.39% 16.07%
Net Profit Margin 1.94% 18.03% 7.86% -27.79% 0.17% 1.70%
Total Premium Revenue PMPM $381.22 $346.76 $375.48 $553.56 $411.55 $748.16
Health Care Expense PMPM $323.50 $231.49 $319.08 $555.34 $374.33 $604.81
Claims Adjustment Expense PMPM $6.82 $6.62 $6.43 $5.70 $19.81 $19.89
Administrative Expense PMPM $41.97 $48.04 $9.08 $154.19 $22.17 $120.21
Net Income PMPM $7.40 $62.52 $29.51 $(153.86) $0.70 $12.73
Provision for Fed Taxes $733,884 $321,664 $8,614,231 $ - $ - $ -

*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: February 10, 2012