Major Rating Factors:
Fair overall results on stability tests (4.0 on a scale of 0 to 10) based on a significant -15% decrease in enrollment during the period. Good liquidity (6.5) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent capitalization (7.9) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2019.
Other Rating Factors:
Excellent quality investment portfolio (7.8) containing small junk bond exposure. Weak profitability index (2.4) with operating losses during 2019 and 2023.
Principal Lines of Business:
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Licensed in:
MA
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Fallon Community Health Plan Inc
Investment Rating
--
Company Address
One Mercantile Street
Worcester, MA 01608
Worcester, MA 01608
Phone Number
(508) 799-2100
NAIC Number
95541
Website
Largest Affiliates