E
HUMANA HEALTH PLANS OF PUERTO RICO
Data as of
September 30, 2021
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: Weak profitability index (1.1 on a scale of 0 to 10). Good overall results on stability tests (5.1) despite a decline in enrollment during 2020. Strong capitalization index (8.5) based on excellent current risk-adjusted capital (severe loss scenario).
Other Rating Factors: High quality investment portfolio (9.2). Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business: Medicare (90.5%), FEHB (7.0%), comp med (2.4%)
Licensed in: PR
Principal Enrollment Breakdown: HMO (100.0%)
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
636
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
0
Member Physicians
--
Enrollment
Total Patient Encounters
Physician
--
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
383 fd roosevelt avenue
SAN JUAN, PR 00918
Phone Number
(787) 282-7900
NAIC Number
95721
Website
--
Largest Affiliates
No affiliate information available.
Weiss Ratings