B
Medica Health Plans
Rating Date
September 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: Good quality investment portfolio (6.7 on a scale of 0 to 10) containing moderate junk bond exposure. Excellent profitability (8.5) despite a decline in earnings during 2022. Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario). Moreover, capital levels have been consistent in recent years.
Other Rating Factors: Excellent overall results on stability tests (7.1) based on consistent premium and capital growth in the last five years but rapid enrollment growth during the past five years and a decline in the number of member physicians during 2022. Excellent liquidity (7.1) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: IA, MN, ND, NE, SD
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
Salary
0
Bonus
Other
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Medica Holding Co
Investment Rating
--
Company Address
401 Carlson Parkway
Minnetonka, MN 55305
Phone Number
(952) 992-2900
NAIC Number
52626
Largest Affiliates
B
Minnetonka, MN - Health
B
Madison, WI - Health
C
Madison, WI - Health
C
Minnetonka, MN - Health
C
Madison, WI - Health