B
Fallon Cmnty Health Plan Inc
Rating Date
September 2025
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
2.40
Risk Adjusted
Capital Ratio #2
2.00
Total
Assets
790.60M
Capital
276.76M
Health
Premiums
1.30B
Net
Income
-9.24M
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Weiss Ratings Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Rating B
Capitalization Index 8.30
Investment Safety Index 7.66
Liquidity Index 6.33
Profitability Index 4.10
Reserve Adequacy Index --
Stability Index 5.31
Company Info Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Industry Health
NAIC Number 01247
Phone Number (508) 799-2100
Website www.fallonhealth.org
Address One Mercantile Street Worcester, MA 01608
Balance Sheet Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Total Assets 790.60M
Capital and Reserves Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Risk-Adjusted Capital Ratio #1 2.40
Risk-Adjusted Capital Ratio #2 2.00
1-Year Reserve Development --
2-Year Reserve Development --
Capital 276.76M
Premium to Surplus --
Reserves to Surplus --
Investments Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Cash --
CMO & Structured Securities --
Common & Preferred Stock --
Invested Assets --
Investments in Affiliates --
Mortgages in Good Standing --
Non-Investment Grade Bonds --
Non-Performing Mortgages --
Other Investment Grade Bonds --
Other Investments --
Real Estate --
Operating Ratios Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Medical Loss Ratio 89.81%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Bonus Pay 7.78K
Capitation Pay 498.15K
Contractual Pay 1.00M
Enrollment 136.60K
Fee For Service 0.00
Medical Expense Per Member Per Month $1,184.00
Network Physicians 87.41K
Other Pay --
Salary Pay 28.35K
Total Patient Encounters - Physician 1.00M
Total Patient Encounters-Non-Physician 740.64K
Profitability Fallon Cmnty Health Plan Inc
Worcester, MA 		Click to
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Net Income -9.24M
Net Premium 1.30B
Health Premium 1.30B