C
Seton Health Plan Inc
AustinTX
Rating Date
September 2025
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Total
Assets
Capital
Health
Premiums
Net
Income
Loading...
Major Rating Factors: Fair profitability index (3.6 on a scale of 0 to 10) due to a decline in earnings during 2022. Fair overall results on stability tests (4.1). Rating is influenced by the acceptable financial results of Ascension Health Alliance. Excellent overall capitalization (8.7) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors: Excellent quality investment portfolio (8.1). Excellent liquidity (7.2) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: TX
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
164
Provider Compensation ($000)
Capitation Pay
824
Fee For Service
Contractual Pay
Salary
0
Bonus
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Ascension Health Alliance
Investment Rating
--
Company Address
1345 Philomena Street
Austin, TX 78723
Phone Number
(512) 324-3350
NAIC Number
95240
Largest Affiliates
U
Austin, TX - Health