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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Summary > 2006 Quarter 3

Maine HMO Financial Summary - 2006 Quarter 3

HMO Quarterly Statement Data

As of 9/30/2006

3rd Quarter, 2006 Results Harvard Pilgrim Health Care* Aetna Health CIGNA Healthcare HMO Maine**
Total Admitted Assets $676,271,481 $44,174,492 $19,742,135  
Premium Receivables $8,711,533 $1,983,269 $1,481,273  
Claims Payable $173,064,401 $16,338,501 $4,431,496  
Total Liabilities $363,630,776 $21,891,124 $8,727,523  
Surplus Notes $ - $ - $ -  
Total Net Worth $312,640,705 $22,283,368 $11,014,612  

 

member months

 4,262,541 400,487 138,670 932,344
enrollees 474,289 44,465 14,214 104,512

 

Premium

$1,640,653,891 $131,391,127 $43,275,893 $319,594,466
Fee-For-Service $1,364,692 $ - $ - $ -
Total Revenues $1,642,018,583 $131,392,472 $43,275,893 $319,594,466
Total Medical & Hospital Expenses $1,415,680,666 $108,586,487 $39,073,002 $274,543,219
Total Claims Adjustment Expenses $79,980,629 $2,511,670 $1,093,366 $9,327,015
Total General Administration Expenses $117,977,333 $17,993,252 $4,014,283 $12,114,399
Net Underwriting Gain(Loss) $28,379,955 $(298,937) $(904,758) $23,609,833
Pre-tax Income(Loss) $46,957,198 $1,033,048 $(163,455) $27,000,025
Net Income(Loss) $46,957,198 $353,291 $(592,126) $17,550,016

 

Health Care Expense Ratio

 86.22% 82.64% 90.29% 85.90%
Claims Adjustment Expense Ratio 4.87% 1.91% 2.53% 2.92%
Administrative Expense Ratio 7.18% 13.69% 9.28% 3.79%
Net Profit Margin 2.86% 0.27% -1.37% 5.49%
Total Premium Revenue PMPM $385.22 $328.08 $312.08 $342.79
Health Care Expense PMPM $332.12 $271.14 $281.77 $294.47
Claims Adjustment Expense PMPM $18.76 $6.27 $7.88 $10.00
Administrative Expense PMPM $27.68 $44.93 $28.95 $12.99
Net Income PMPM $11.02 $0.88 $(4.27) $18.82

*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: December 8, 2011