Major Rating Factors:
Fair overall results on stability tests (3.7 on a scale of 0 to 10) based on a significant -18% decrease in enrollment during the period. Rating is significantly influenced by the strong financial results of Elevance Health Inc. Good liquidity (6.1) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Weak profitability index (1.3) with operating losses during 2019, 2021 and 2022. Average return on equity over the last five years has been poor at -6.0%.
Other Rating Factors:
Excellent overall capitalization (8.7) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (8.8) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
ME, NY
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
Elevance Health Inc
Investment Rating
Company Address
Nine Pine Street
New York, NY 10005
New York, NY 10005
Phone Number
(212) 563-5570
NAIC Number
95433
Website
Largest Affiliates