E
Avera Health Plans Inc
Rating Date
April 2025
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: Weak profitability index (0.9 on a scale of 0 to 10) with 24.8 million in losses in the last two years. Average return on equity over the last five years has been poor at -2.3%. Weak liquidity (1.7) as a spike in claims may stretch capacity. Good quality investment portfolio (4.9).
Other Rating Factors: Fair overall results on stability tests (3.6). Rating is influenced by the weak financial results of Avera Health. Good capitalization (5.8) based on good current risk-adjusted capital (severe loss scenario) reflecting some improvement over results in 2021.
Principal Lines of Business: --
Licensed in: IA, NE, SD
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
5300 South Broadband Lane
Sioux Falls, SD 57108
Phone Number
(605) 322-4500
NAIC Number
95839
Largest Affiliates
No affiliate information available.