B
Neighborhood Health Plan of RI
Rating Date
January 2026
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: Good overall profitability index (5.7 on a scale of 0 to 10) with operating gains in each of the last five years. Good overall results on stability tests (6.8) based on consistent premium and capital growth in the last five years, steady enrollment growth, averaging 5% over the past five years. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Fair capitalization (4.8) based on good current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the fair level during recent years. Excellent quality investment portfolio (9.9) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: RI
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
611
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
910 Douglas Pike
Smithfield, RI 02917
Phone Number
(401) 459-6000
NAIC Number
95402
Largest Affiliates
No affiliate information available.