Major Rating Factors:
Fair profitability index (4.8 on a scale of 0 to 10) with 10.7 million in losses in the current year. Weak overall results on stability tests (1.7) based on a significant -41% decrease in enrollment during the period, a decline in the number of member physicians during 2023 and a steep decline in premium revenue in 2023. Rating is significantly influenced by the acceptable financial results of CVS Health Corporation. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent overall capitalization (8.6) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (8.0) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
CO, IA, NE, NV
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
CVS Health Corporation
Investment Rating
Company Address
11819 Miami Street
Omaha, NE 68164
Omaha, NE 68164
Phone Number
(800) 471-0240
NAIC Number
95925
Website
Largest Affiliates