C
UTMB Health Plans Inc
Rating Date
April 2025
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: Fair profitability index (4.1 on a scale of 0 to 10) due to a decline in earnings during 2022. Weak overall results on stability tests (2.6) based on a steep decline in premium revenue in 2022, a significant -21% decrease in enrollment during the period and poor risk diversification due to the company's size. Excellent overall capitalization (10.0) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors: Excellent quality investment portfolio (8.6) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (10.0) 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 ($)
657
Provider Compensation ($000)
Capitation Pay
124
Fee For Service
52
Contractual Pay
0
Salary
0
Bonus
0
Other
--
Member Physicians
18
Enrollment
81
Total Patient Encounters
Physician
18
Non-Physician
236
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
301 University Boulevard
Galveston, TX 77555
Phone Number
(409) 766-4000
NAIC Number
95764
Largest Affiliates
No affiliate information available.