D
Santa Clara County
Rating Date
September 2025
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: Weak profitability index (1.1 on a scale of 0 to 10) with 2.7 million in losses in the current year. Fair capitalization index (4.8) based on fair current risk-adjusted capital (moderate loss scenario) as results have slipped from the good range over the last three years. Weak overall results on stability tests (1.3) in spite of steady enrollment growth, averaging 7% over the past five years but weak risk-adjusted capital in prior years.
Other Rating Factors: Fair liquidity (4.1) as cash resources may not be adequate to cover a spike in claims.
Principal Lines of Business: --
Licensed in: CA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
367
Provider Compensation ($000)
Capitation Pay
--
Fee For Service
--
Contractual Pay
--
Salary
--
Bonus
--
Other
--
Member Physicians
--
Enrollment
Total Patient Encounters
Physician
--
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
2480 North First Street
San Jose, CA 95131
Phone Number
(408) 885-4760
NAIC Number
--
Largest Affiliates
No affiliate information available.