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Insurance Company Information

On the following pages you will find specific information on the companies listed in this brochure such as mailing address, the number of insured lives, and customer service phone numbers with hours of operation.


Executive Compensation - For the Maine domestic health insurers (Aetna Health, Anthem Health Plans, CIGNA HealthCare, Martin's Point and Select Care), you will find executive compensation listed for the senior managers and directors. The information is filed with the Bureau of Insurance in accordance with the guidelines of the National Association of Insurance Commissioners. “Insurers that are part of a group of insurers or their holding company system may report amounts paid to officers and employees of more than one insurer in the group or system either on a total gross basis or by allocation to each insurer.” CIGNA and Select Care have listed compensation that appears specific only to the Maine company while the other three companies appear to have listed total compensation for all companies within their group.


Other Financial Information - You may also find extensive financial information by viewing a company’s 10K form (annual report) or 10Q form (quarterly report) on the U.S. Securities and Exchange Commission’s web-site. The U.S. Securities and Exchange Commission’s Electronic Data Gathering, Analysis, and Retrieval (EDGAR) system provides access to compensation and other financial information for publicly traded parent corporations of health insurance carriers. All companies, foreign and domestic, are required to file registration statements, periodic reports, and other forms electronically through EDGAR. Anyone can access and download this information for free. On this web site http://www.sec.gov/edgar.shtml you will find links to a complete list of filings available through EDGAR and instructions for searching the EDGAR database.


Medical Loss Ratios - Included in this brochure are the medical loss ratios by type of health insurance for Maine’s domestic health insurers.

General Company Information

Aetna Health, Inc. 175 Running Hill Road, South Portland, ME 04106
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010  
Number of covered persons, in self insured health insurance plans as of December 31, 2010  
Customer service phone numbers See ID card
Hours the customer service phone is staffed 8:00 am - 6:00 pm Monday - Friday
Web site www.Aetna.com
Products offered in Maine HMO and Point of Service products to large groups. Individuals including sole proprietors are offered an individual HMO health plan.
Accreditation designation NCQA accreditation
Executive Compensation (the total gross compensation paid to each individual includes all companies which are part of the company group)
Name & Principal Position Salary Bonus All Other Compensation Totals
Ronald A. Williams, Chairman $1,095,785 $900,000 $51,466,878 $53,462,663
Elease E. Wright, Sr. V.P., Human Resources $451,862 $235,872 $7,552,860 $8,240,594
Mark T. Bertolini, Chief Executive Officer and President $937,318 $612,144 $1,842,652 $3,392,114
Joseph M. Zubretsky, Sr. Executive V.P., Chief Financial Officer and Chief Enterprise Risk Officer $730,728 $396,760 $2,259,988 $3,387,476
William J. Casazza, Sr. V.P. and General Counsel $498,129 $218,020 $758,945 $1,475,094
Jean C. LaTorre, V.P. and Chief Investment Officer $382,560 $475,363 $332,331 $1,190,254
Margaret M. McCarthy, Executive V.P., Operations and Technology $588,506 $353,600 $98,680 $1,040,786
William I. Kramer, Vice President $233,640 $45,000 $745,068 $1,023,708
Steven B. Kelmar, V.P. Head of Government Relations $386,207 $270,000 $324,578 $980,785
Lonny Reisman, M.D., Sr. V.P., Chief Medical Officer $547,893 $239,800 $83,830 $871,523
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 


Anthem Health Plans of Maine 2 Gannett Drive, South Portland, ME 04106
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010 193,862
Number of covered persons in self-insured health insurance plans as of December 31, 2010 103,307
Customer service phone numbers 1-800-482-0966
Hours the customer service phone number is staffed 8:00 am - 5:00 pm Monday - Friday
Web site www.anthem.com
Products offered in Maine Individual, Small Group, and Large Group, HMO, PPO Point of Service, Medicare Supplement
Accreditation designation NCQA accreditation, URAC accreditation
Executive Compensation (the total gross compensation paid to each individual includes all companies which are part of the company group)
Name & Principal Position Salary Bonus All Other Compensation Totals
R. David Kretschmer, Treasurer $403,844 $220,054 $1,768,263 $2,392,161
Daniel P. Corcoran, President and Chairperson $235,613 $70,374 $269,434 $575,421
Kathleen S. Keifer, Secretary $238,917 $75,311 $202,156 $516,384
Chrystal L. Veazey-Watson, Assistant Secretary $217,464 $52,722 $61,004 $331,190
Micheal H. Burton, Regional VP Sales $168,855 $29,513 $105,034 $303,402
Jeffrey J. Holmstrom, Medical Director $193,362 $44,024 $39,350 $276,736
Mary Austin Dowd, Managing Sr Assoc Gen Counsel $169,167 $41,812 $49,745 $260,724
Lendall L. Smith, Clerk $187,631 $31,886 $24,378 $243,895
Colin T. McHugh $151,779 $30,373 $20,601 $202,753
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios


CIGNA HealthCare of Maine, Inc. 5 Fundy Road, Suite 300 Falmouth, ME 04105
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010 2
Number of covered persons in self-insured health insurance plans as of December 31, 2010 0
Customer service phone number 800-CIGNA24
Hours the customer service phone number is staffed 24 hours a day - 7 days a week
Web site www.cigna.com
Products offered in Maine HMO and Point of Service (POS) plans. Only HMO offered to groups with less than 50 members.
Accreditation designation NCQA Excellent, URAC
Executive Compensation (the total gross compensation paid to each individual is the amount allocated to this insurer only)
Name & Principal Position Salary Bonus All Other Compensation Totals
Donald Michael Curry, President $911 $346 $343 $1,600
Aslam Mohammed Khan, M.D., M.M., Vice President $996 $314 $259 $1,569
David Mathew Porcello, Vice President $672 $456 $597 $1,725
Robert David Picinich, Vice President $969 $518 $1,222 $2,709
Robert Paul Hockmuth, M.D., Vice President $999 $223 $280 $1,502
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

Connecticut General Life Insurance Company 900 Cottage Grove Road, Hartford, CT 06152
Number of covered persons in all fully insured health insurance plans issued in Maine as of December 31, 2010 36,458
Number of covered persons in self-insured health insurance plans as of December 31, 2010 42,560
Customer service phone number 800-CIGNA24
Hours the customer service phone number is staffed 24 hours a day - 7 days a week
Web site www.cigna.com
Products offered in Maine PPO products for large group market: Network Point of Service/Designated Provider Plan, Preferred Provider Plan, Exclusive Provider Organization, Open Access Plus
Accreditation designation URAC
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

Guardian Life Insurance Company of America 7 Hanover Square, New York, NY 10004
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number 1-800-873-4542
Hours the customer service phone number is staffed 7:00 am - 8:00 pm (Central Standard Time) Monday - Friday
Web site www.GuardianLife.com
Products offered in Maine Guardian Indemnity Insurance - Small and Large Group
Accreditation designation NCQA for UR management and URAC
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

Harvard Pilgrim Health Care, Inc. 93 Worcester Street, Wellesley, MA 02481
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010 44,468
Number of covered persons in self-insured health insurance plans as of December 31, 2010 1,393
Customer service phone number

1-888-333-4742

1-800-532-7575 (Dirigo Members)

Hours the customer service phone number is staffed 8:00 am - 7:30 pm Monday & Wednesday
8:00 am - 5:30 pm Tuesday, Thursday, & Friday
Web site www.harvardpilgrim.org
Products offered in Maine Small and Large Group HMO PPO & Point of Service plans, HMO nongroup
Accreditation designation NCQA Excellent
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

John Alden Life Insurance Company 501 W. Michigan Street, Milwaukee, WI 53203
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number 1-800-800-1212
Hours the customer service phone number is staffed 7:30 am - 6:30 pm Central Standard Time Monday - Friday
Web site www.assuranthealth.com
Products offered in Maine Small Group, Individual, Short-Term Medical
Accreditation designation URAC
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

Martin's Point Generations, LLC, 331 Veranda Street, Portland, ME 04103
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number  
Hours the customer service phone number is staffed  
Web site www.martinspoint.org
Products offered in Maine  
Accreditation designation  
Executive Compensation (the total gross compensation paid to each individual is the amount allocated to this insurer only)
Name & Principal Position Salary Bonus All Other Compensation Totals
Dale Hansen Bradford, Chief Operating Officer $0 $0 $438,000 $438,000
Dennis J. Reese, CPA, Chief Financial Officer $284,716 $120,000 $0 $404,716
Elizabeth Hartley Johnson, MD, Chief Medical Officer $289,165 $14,387 $0 $303,552
David Howard Olsten, Chief Delivery Systems $228,289 $20,445 $0 $248,734
WJ Duke Dufresne, V.P., Medical Management $273,498 $10,813 $0 $284,311
Sandra Lynn Monfiletto, Chief Administrative Officer $214,858 $17,033 $8,462 $240,353
Andrea Cianchette Maker, V.P. Corporate Affairs $197,183 $16,242 $0 $213,425
Gregory Philip McCarthy, V.P. Information Systems $177,273 $25,037 $0 $202,310
Shannon M. Banks, V.P. Delivery Systems $173,876 $13,072 $0 $186,948

 

MEGA Life & Health Insurance Company 9151 Grapevine Highway, North, Richland Hill, TX 76180
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number 1-800-527-5504
Hours the customer service phone number is staffed 7:00 am - 7:00 pm Central Standard Time Monday - Friday
Web site www.megainsurance.com
Products offered in Maine Small Group Indemnity plans, Large Group
Accreditation designation N/A (no utilization review)
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

Securian Life Insurance Company 400 Robert Street N, St. Paul, MN 55101
Number of covered persons in all fully insured dental plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured dental plans as of December 31, 2010  
Customer service phone number 1-800-234-9009
Hours the customer service phone number is staffed 8:00 am-5:30 pm Monday - Friday
Web site www.securian.com
Products offered in Maine Traditional and preferred PPA dental plans to employers with two or more eligible employees
Accreditation designation N/A - Dental coverage only
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

Select Care of Maine, Inc., 4888 Loop Central Drive, Suite 700, Houston, TX 77081
Number of covered persons in all fully insured health insurance or HMO plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number  
Hours the customer service phone number is staffed  
Web site www.universalamerican.com
Products offered in Maine  
Accreditation designation  
Executive Compensation (the total gross compensation paid to each individual is the amount allocated to this insurer only)
Name & Principal Position Salary Bonus All Other Compensation Totals
Theodore M. Carpenter, Jr., Chief Executive Officer $4,327 $2,813 $2,440 $9,580
John Squarok, Secretary and Treasurer $3,046 $1,500 $685 $5,231
Kirk Clove, Executive V.P. $4,000 $2,000 $2,631 $8,631

 

Trustmark Life Insurance Company 400 Field Drive, Lake Forest, IL 60045
Number of covered persons in all fully insured health insurance plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number 1-888-813-7099
Hours the customer service phone number is staffed 8:00 am - 9:00 pm Monday - Thursday
8:00 am - 8:00 pm Friday
8:00 am - 2:00 pm Saturday
Web site www.healthplan.com
Products offered in Maine Small Group with PPO
Accreditation designation URAC, NCQA
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

 

United Healthcare Insurance Company 475 Kilvert St. Suite 310, Warwick, RI 02886
Number of covered persons in all fully insured health insurance plans issued in Maine as of December 31, 2010  
Number of covered persons in self-insured health insurance plans as of December 31, 2010  
Customer service phone number On back of enrollee's insurance card
Hours the customer service phone number is staffed 8:00 am - 8:00 pm Monday - Friday
Web site www.myuhc.com
Products offered in Maine Small, Medium, and Large Group (PPO and Point of Service Managed Indemnity plans)
Accreditation designation URAC
Complaint Ranking Utilization Review Appeals External Reviews Complaints Loss Ratios

Accreditation

What is Accreditation?

A company receives accreditation when they meet specific standards established by the rating organization. Organizations that review health insurers and HMOs for accreditation look at some or all of the following areas: access to care; quality of care; utilization review; customer rights; preventive health services; and the efficiacy, efficiency, appropriateness, availability, timeliness, and continuity of health care. Several organizations perform reviews and have specific accreditation standards. Two of the major accreditation organizations are the National Committee on Quality Assurance (NCQA) and the American Accreditation Healthcare Commission (URAC).

What is NCQA?

NCQA's accreditation program includes selected performance measures in such key areas as member satisfaction, quality of care, and access to needed care with good customer service. To learn more about NCQA accreditation and to get more detailed information about how a plan is rated, visit NCQA's Health Plan Report Card on their web site at www.ncqa.org.

What is URAC?

The American Accreditation Healthcare Commission's (URAC) accreditation program is intended to promote quality and accountability for health care organizations. To receive URAC accreditation, managed care organizations must demonstrate quality in both their organizational structure and operations by delivering high quality services to their members in claims review processing, complaints and grievances, and case management. For more information you can visit URAC's web site at www.urac.org.

Loss Ratios by Line for Domestic Health Insurers
Insurer Large Group Small Group Individual
Aetna Health Inc ME Corp      
Earned premium      
Incurred claims      
Loss Ratio      
       
Anthem Health Plans of ME, Inc.      
Earned premium      
Incurred claims      
Loss Ratio      
       
Cigna Healthcare of ME, Inc      
Earned premium      
Incurred claims      
Loss Ratio      
       
Martin's Point Generations, LLC      
Earned premium      
Incurred claims      
Loss Ratio      
       
Select Care of Maine, Inc.      
Earned premium      
Incurred claims      
Loss Ratio      

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Last Updated: August 22, 2012