Major Rating Factors:
Good overall results on stability tests (5.2 on a scale of 0 to 10) despite a decline in the number of member physicians during 2023. Rating is significantly influenced by the strong financial results of Health Care Service Corporation. Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Weak profitability index (1.6) with operating losses during 2022. Return on equity has been low, averaging 1.2% over the last five years.
Other Rating Factors:
Weak quality investment portfolio (0.0) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks. Weak liquidity (2.7) as a spike in claims may stretch capacity.
Principal Lines of Business:
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Licensed in:
OK
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
Health Care Service Corporation
Investment Rating
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Company Address
300 East Randolph Street
Chicago, IL 60601
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
11814
Website
Largest Affiliates