Major Rating Factors:
Weak profitability index (1.9 on a scale of 0 to 10) with operating losses during 2018, 2019 and 2022. Average return on equity over the last five years has been poor at -18.7%. Weak overall results on stability tests (0.3) based on an excessive 36% enrollment growth during the period. Rating is significantly influenced by the acceptable financial results of CVS Health Corporation. Good liquidity (6.7) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (9.7) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
TX
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
CVS Health Corporation
Investment Rating
Company Address
1425 Union Meeting Road
Blue Bell, PA 19422
Blue Bell, PA 19422
Phone Number
(800) 872-3862
NAIC Number
95490
Website
Largest Affiliates