B
Gateway Health Plan Inc
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 (3.1 on a scale of 0 to 10). Rating is significantly influenced by the strong financial results of Highmark Health. Good profitability index (5.0) due to a decline in earnings during 2021. Good quality investment portfolio (5.3) containing junk bond exposure equal to 72.4% of capital.
Other Rating Factors: Good liquidity (6.7) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent overall capitalization (8.0) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Principal Lines of Business: --
Licensed in: PA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
650
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Highmark Health
Investment Rating
--
Company Address
Four Gateway Center
Pittsburgh, PA 15222
Phone Number
(412) 544-7000
NAIC Number
96938
Largest Affiliates
B
Pittsburgh, PA - Health
B
B
Parkersburg, WV - Health
B
Wilmington, DE - Health
U
Pittsburgh, PA - Health
Weiss Ratings