E
HUMANA HEALTH PLANS OF PUERTO RICO
San Juan, PR
Data as of
June 30, 2020
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
0.98
Risk Adjusted
Capital Ratio #2
0.81
Total
Assets
171.20M
Capital
35.10M
Health
Premiums
185.63M
Net
Income
10.50M
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Major Rating Factors: Weak profitability index (0.7 on a scale of 0 to 10). Fair overall results on stability tests (4.4). Good capitalization index (5.3) based on good current risk-adjusted capital (severe loss scenario).
Other Rating Factors: Good liquidity (6.5) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. High quality investment portfolio (9.2).
Principal Lines of Business: Medicare (91.6%), FEHB (6.1%), comp med (2.3%)
Licensed in: PR
Principal Enrollment Breakdown: HMO (100.0%)
Other Highlights
Medical Loss Ratio
89.4%
Medical Expense
Per Member Per Month ($)
618
Provider Compensation ($000)
Capitation Pay
162,924
Fee For Service
2,427
Contractual Pay
163,089
Salary
0
Bonus
0
Other
0
Member Physicians
23,051
Enrollment
38,195
Total Patient Encounters
Physician
23,051
Non-Physician
--
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
383 FD ROOSEVELT AVENUE
SAN JUAN, PR
Phone Number
(787) 282-7900
NAIC Number
95721
Website
--
Largest Affiliates
No affiliate information available.
Weiss Ratings