E
Avera Health Plans Inc
Rating Date
January 2026
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.34
Risk Adjusted
Capital Ratio #2
1.12
Total
Assets
95.45M
Capital
48.17M
Health
Premiums
317.11M
Net
Income
12.62M
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Weiss Ratings Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Rating E
Capitalization Index 6.98
Investment Safety Index 4.50
Liquidity Index 6.29
Profitability Index 1.24
Reserve Adequacy Index --
Stability Index 4.31
Company Info Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Industry Health
NAIC Number 01412
Phone Number (605) 322-4500
Website www.averahealthplans.com/insurance/
Address 5300 South Broadband Lane Sioux Falls, SD 57108
Balance Sheet Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Total Assets 95.45M
Capital and Reserves Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Risk-Adjusted Capital Ratio #1 1.34
Risk-Adjusted Capital Ratio #2 1.12
1-Year Reserve Development --
2-Year Reserve Development --
Capital 48.17M
Premium to Surplus --
Reserves to Surplus --
Investments Avera Health Plans Inc
Sioux Falls, SD 		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 Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Medical Loss Ratio 87.98%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Bonus Pay 0.00
Capitation Pay 0.00
Contractual Pay 50.64K
Enrollment 49.49K
Fee For Service 243.42K
Medical Expense Per Member Per Month $465.00
Network Physicians 7.17K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 439.95K
Total Patient Encounters-Non-Physician 59.07K
Profitability Avera Health Plans Inc
Sioux Falls, SD 		Click to
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Net Income 12.62M
Net Premium 317.13M
Health Premium 317.11M