B
Presbyterian 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: Good liquidity (6.8 on a scale of 0 to 10) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Fair overall results on stability tests (4.1) based on a decline in the number of member physicians during 2021. Excellent profitability (7.9) with operating gains in each of the last five years.
Other Rating Factors: Excellent capitalization (7.4) based on good current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2019. Excellent quality investment portfolio (8.4) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: NM
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
655
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Presbyterian Healthcare Services
Investment Rating
--
Company Address
9521 San Mateo Boulevard, NE
Albuquerque, NM 87113
Phone Number
(505) 923-6107
NAIC Number
95330
Largest Affiliates
B
Albuquerque, NM - Health
Weiss Ratings