B
GHS Health Maintenance Org Inc
ChicagoIL
Rating Date
September 2023
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Total
Assets
Capital
Health
Premiums
Net
Income
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Major Rating Factors: Fair overall results on stability tests (3.9 on a scale of 0 to 10) based on a steep decline in premium revenue in 2021, rapid enrollment growth during the past five years. Rating is significantly influenced by the strong financial results of Health Care Service Corporation a Mutual Legal Reserve Co. Excellent overall capitalization (10.0) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Weak profitability index (0.9) due to a decline in earnings during 2021. Average return on equity over the last five years has been poor at -21.6%.
Other Rating Factors: Weak quality investment portfolio (0.0) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks. Weak liquidity (2.8) as a spike in claims may stretch capacity.
Principal Lines of Business: --
Licensed in: OK
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
71
Provider Compensation ($000)
Capitation Pay
295
Fee For Service
Contractual Pay
Salary
0
Bonus
384
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Health Care Service Corporation a Mutual Legal Reserve Co
Investment Rating
--
Company Address
300 East Randolph Street
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
11814
Largest Affiliates
B
Chicago, IL - Health
B
Chicago, IL - Health
B
Chicago, IL - Health
B
Chicago, IL - Health
U
Chicago, IL - Health
Weiss Ratings