Annual Statement Martins Point : Bureau of Insurance

	Line	Total	Individual Comprehensive	Group Comprehensive	Medicare Supplement	Vision Only	Dental Only	Federal Employees Health Benefit Plan	Title XVIII Medicare	Title XIX Medicaid	Other
01	Prior Year (total member at end of)	1,149	0	0	0	0	0	0	1,149	0	0
02	First Quarter (total members at end of)	2,166	0	0	0	0	0	0	2,166	0	0
03	Second Quarter (total members at end of)	2,356	0	0	0	0	0	0	2,356	0	0
04	Third Quarter (total members at end of)	2,487	0	0	0	0	0	0	2,487	0	0
05	Current Year (total members at end of)	2,651	0	0	0	0	0	0	2,651	0	0
06	Current Year Member Months	28,004	0	0	0	0	0	0	28,004	0	0
07	Physician (total member ambulatory encounters for year)	29,867	0	0	0	0	0	0	29,867	0	0
08	Non-physician (total member ambulatory encounters for year)	8,632	0	0	0	0	0	0	8,632	0	0
09	Total (total member ambulatory encounters for year)	38,499	0	0	0	0	0	0	38,499	0	0
10	Hospital patient days incurred	1,590	0	0	0	0	0	0	1,590	0	0
11	Number of inpatient admissions	300	0	0	0	0	0	0	300	0	0
12	Health premiums written (b)	16,407,224	0	0	0	0	0	0	16,407,224	0	0
13	Life premiums direct	0	0	0	0	0	0	0	0	0	0
14	Property/Casualty premiums written	0	0	0	0	0	0	0	0	0	0
15	Health premiums earned	16,407,224	0	0	0	0	0	0	16,407,224	0	0
16	Property/Casualty premiums earned	0	0	0	0	0	0	0	0	0	0
17	Amount paid for provision of health care services	10,920,139	0	0	0	0	0	0	10,920,139	0	0
18	Amount incurred for provision of health care services	12,553,999	0	0	0	0	0	0	12,553,999	0	0

	FootNotes
0000001	(a) For health business number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0.
0000002	(b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $16,407,224.