West Virginia Offices of the Insurance Commissioner 2009 Annual ...

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Admitted Assets, Liabilities, Net Worth, and Direct Premiums Written for 2009 Domestic Health Insurers NAIC Bus. State of Admitted Net Worth Premiums CODE Company Name Type[1] DOM Assets Liabilities Written 95408 Carelink Health Plans Inc HMO WV 58,842,782 25,152,313 33,690,469 167,835,415 12329 Delta Dental of W VA HMDI WV 4,430,380 1,552,227 2,878,153 13,493,918 54828 Mountain State BCBS Inc HMDI WV 365,766,356 152,987,587 212,778,768 766,794,332 95677 The Health Plan the Upper OH Valley In HMO WV 197,721,519 49,951,601 147,769,918 199,329,432 60016 THP Ins Co Life WV 19,689,704 9,149,041 10,540,662 10,824,136 11810 Unicare Health Plan of WV Inc HMO WV 59,241,612 15,701,813 43,539,799 155,099,634 Totals Domestic Health Insurer(s) 705,692,353 254,494,582 451,197,769 1,313,376,867 Admitted Assets, Liabilities, Net Worth, and Direct Premiums Written for 2009 Non-Domestic Health Insurers NAIC Bus. State of Admitted Net Worth Premiums CODE Company Name Type[1] DOM Assets Liabilities Written 63444 Accendo Ins Co Life UT 259,019,378 190,702,338 68,317,040 8,095,608 72052 Aetna Health Ins Co Life PA 40,794,984 23,605,774 17,189,210 0 84697 American Specialty Health Ins Co Life IL 8,198,027 675,961 7,522,066 0 60250 AmFirst Ins Co Life OK 10,805,079 4,055,402 6,749,677 0 12358 Avalon Ins Co Life PA 20,415,372 10,038,892 10,376,480 599,201 12784 Bravo Health Ins Co Inc Life DE 47,881,964 24,224,855 23,657,109 100,489 81973 Coventry Health & Life Ins Co Life DE 871,964,473 483,238,303 388,726,171 689,700,806 81396 Delta Dental Ins Co Life DE 103,855,453 54,735,936 49,119,517 623,558 48127 Dental Choice Inc HEALT KY 5,893,194 229,630 5,663,564 1,402,198 73474 Dentegra Ins Co Life DE 28,216,172 11,097,424 17,118,748 0 12747 Envision Ins Co Life OH 37,590,210 16,001,808 21,588,402 92,435 60025 Express Scripts Ins Co Life AZ 19,095,699 7,610,055 11,485,644 0 10244 Geisinger Ind Ins Co P&C PA 13,026,759 7,671,059 5,355,700 66,527 95846 Group Dental Serv Of MD Inc HEALT MD 7,484,051 3,048,249 4,435,802 0 78611 HCSC Ins Serv Co Life IL 166,255,103 94,953,654 71,301,449 0 70670 Health Care Serv Corp A Mut Legal Re Life IL 11,377,914,979 4,685,534,648 6,692,380,331 93,583 10131 Highmark Senior Resources Inc Life PA 40,247,722 15,914,741 24,332,981 10,177,742 71768 HM Health Ins Co Life PA 28,509,920 17,117,773 11,392,147 91,686,467 97292 Magellan Life Ins Co Life DE 5,290,440 1,231,022 4,059,417 0 60321 Mamsi Life & Health Ins Co Life MD 51,195,189 13,177,627 38,017,562 5,648,698 63762 Medco Containment Life Ins Co Life PA 208,742,932 101,322,691 107,420,241 6,821,205 94587 Members Health Ins Co Life IN 10,942,180 45,779 10,896,401 0 85286 OneNation Ins Co Life IN 78,312,720 391,276 77,921,444 0 96940 Optimum Choice Inc HEALT MD 162,255,338 59,579,070 102,676,268 14,346,106 93688 QCC Ins Co Life PA 1,046,165,311 542,369,592 503,795,719 8,997,325 286
Admitted Assets, Liabilities, Net Worth, and Direct Premiums Written for 2009 Non-Domestic Health Insurers 61700 Renaissance Life & Health Ins Co of Am Life IN 38,858,539 19,835,192 19,023,347 54,246 67636 Significa Ins Grp Inc Life PA 34,606,399 23,036,622 11,569,777 0 12575 SilverScript Ins Co Life TN 439,036,068 294,142,361 144,893,707 11,415,032 77399 Sterling Life Ins Co Life IL 331,679,407 122,643,615 209,035,792 1,072,065 85766 United Concordia Ins Co Life AZ 59,002,803 18,900,072 40,102,731 4,313,171 11018 Upmc Health Benefits Inc P&C PA 47,356,075 11,115,067 36,241,008 25,615,484 95216 UPMC Health Plan Inc HEALT PA 184,679,988 77,575,583 107,104,405 295,469 53953 Vision Benefits of Amer Inc HEALT PA 37,375,505 6,761,736 30,613,769 348,685 39616 Vision Serv Plan Ins Co P&C CT 178,306,637 84,165,893 94,140,744 4,433,125 64467 Wellcare Health Ins of IL Inc Life IL 105,352,323 74,798,836 30,553,487 32,929,849 10155 Wellcare Prescription Ins Inc Life FL 222,430,526 122,995,823 99,434,703 6,584,611 Totals Non-Domestic Health Insurer(s) 16,328,756,919 7,224,544,359 9,104,212,560 925,513,685 Admitted Assets, Liabilities, Net Worth, and Direct Premiums Written for 2009 All Health Insurers Totals for Domestic Health Insurers 6 705,692,353 254,494,582 451,197,769 1,313,376,867 Totals for Non-Domestic Health Insurers 36 16,328,756,919 7,224,544,359 9,104,212,560 925,513,685 Grand Totals for All Health Insuers 42 17,034,449,272 7,479,038,941 9,555,410,329 2,238,890,552 End Notes: [1] HMDI = Hospital, Medical and Dental Service or Indemnity Corporation, HMO = Health Maintenance Corporation, LHSO = Limit Health Services Organizations, Life = Life, Accident and Health, P&C = Property and Casualty 287
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West Virginia Offices of the Insura
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Executive Summary This report to th
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TABLE OF CONTENTS SECTION 1 GENERAL
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Admitted Assets, Liabilities, Commo
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Organizational Chart Virgil Helton,
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FEES AND TAXES COLLECTED DURING THE
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WEST VIRGINIA OFFICES OF THE INSURA
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APPROPRIATED APPROPRIATED EXPENDITU
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SECTION 2 DIVISIONAL REPORTS 17
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An applicant must be a resident of
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Major Activities in 2009 The Plan
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Agents Licensing and Education Divi
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Workers’ Compensation Board of Re
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The focused settlement initiative h
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October 2008 November 2008 December
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Offices of the Insurance Commission
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January 2009 February 2009 March 20
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Representing Consumers in First and
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FIRST PARTY COMPLAINTS HANDLED BY T
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CERTIFICATE OF NEED - March 2009 FA
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Hospital Rate Review The Office of
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Consumer Service Division The Consu
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CONSUMER SERVICE COMPLAINTS CALENDA
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CONSUMER SERVICE COMPLAINTS CALENDA
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Employer Coverage Unit The Employer
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Financial Accounting Unit The Finan
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Financial Conditions Division The p
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FINANCIAL CONDITIONS DIVISION West
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FINANCIAL CONDITIONS DIVISION West
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WEST VIRGINIA ESSENTIAL PROPERTY IN
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2009 Summary of West Virginia Opera
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American Retirement Life Insurance
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ADP Totalsource, Inc. d/b/a ADP Tot
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FINANCIAL CONDITIONS DIVISION Merit
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FINANCIAL CONDITIONS DIVISION Compa
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FINANCIAL CONDITIONS DIVISION Risk
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National Health Club Purchasing Gro
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FINANCIAL CONDITIONS DIVISION Name
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ADA Risk Purchasing Group, Inc. (Am
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FINANCIAL CONDITIONS DIVISION Liqui
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Office of Inspector General—Fraud
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The following chart depicts statist
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James R. Hiroskey Jr., age 25 of Lo
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Ramona Mack, age 40 of Winfield, pl
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Jennifer Jo & Matthew Nichols, ages
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Senate Bill 284 - Relating to Viati
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Senate Bill 537 - Relating to Worke
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Senate Bill 537 -continued §33-2-2
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House Bill 3047 - Clarifying that t
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114 CSR 42 - Continuing Education f
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09-EO-03 - Emergency Order entered
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DISCIPLINARY ACTIONS Individual Ins
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Market Conduct Unit Four (4) “Agr
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Employer Violator System (EVS) The
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MANAGED HEALTH CARE PLANS: The West
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A Client Reporting process was deve
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Non-Workers’ Compensation Matters
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Rates and Forms Division The Rates
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2009 Filings by Product Commercial
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Approved Rate Change History of Top
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Private Passenger Auto Market Share
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2009 West Virginia Market Share Rep
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Total for Top 10 Insurers 76.87% $4
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Page 236 and 237: 2009 West Virginia Market Share Rep
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West Virginia Offices of the Insurance Commissioner 2009 Annual ...

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