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CareFirst posted net income of $92.4 million from continuing
operations in 2001. Membership continued to expand, surpassing
the 3 million mark in June 2001 and ending the year at 3.1
million, a 3 percent gain from year-end 2000. The most dramatic
expansion of membership came in Delaware where enrollment
increased 19 percent, due largely to growth within major accounts,
our capacity to tailor plans to meet specific
customer needs and a sharp focus on marketing throughout the
year. Nearly 80,000 new members were also added in the Washington
area. These gains were partially offset by a loss of 37,000
members in Maryland, largely the result of CareFirst’s
withdrawal from the Medicaid program. The company also faced
weakness in its Maryland operations where losses were recorded
on Open Enrollment and commercial HMO operations.
The company’s ability to do well in a very competitive
marketplace is largely the consequence of effectively managed
administrative expenses, strong brand identity, and customer
service. CareFirst administrative costs for 2001 ran at only
9 percent of total revenues. From our customers’ perspective
this means that 91 cents of every premium dollar in 2001 was
allocated to health care and related services. And for the
fifth consecutive year, CareFirst earned the Blue Cross and
Blue Shield Association’s prestigious Brand Excellence
Award. The award recognizes success in promoting customer
loyalty to the Blue Cross and Blue Shield brand names.
CareFirst continues to make substantial investments in information
technology to further integrate several core operating systems
and to expand the company’s e-commerce capabilities.
Additional capital investments will be made in 2002 and the
next few succeeding years to comply with reporting and member
privacy requirements set forth in the federal Health Insurance
Portability and Accountability Act (HIPAA).
CareFirst revenues on consolidated operations — including
premiums and premium-equivalents — rose to nearly $6
billion in 2001, up from $5 billion in 2000. The company’s
statutory reserves, a measure of financial strength used to
assess an insurer’s ability to cover claims, to meet
unexpected contingencies and provide a source of funding to
invest in product and service improvements, rose to $784.7
million at year-end 2001, a 13 percent gain from year-end
2000.
*Financial results for 1999 have been restated
to include operating results of Blue Cross Blue Shield of
Delaware and to properly display the discontinued Medicare
and Medicaid operations of CareFirst BlueCross BlueShield.


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