D
Plan Medico Servicios de Salud
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: Weak profitability index (2.3 on a scale of 0 to 10) with operating losses during 2021 and 2022. Weak overall results on stability tests (2.7) based on poor risk diversification due to the company's size. Good capitalization (5.1) based on good current risk-adjusted capital (severe loss scenario) reflecting some improvement over results in 2022.
Other Rating Factors: Good quality investment portfolio (6.7) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (7.3) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: (No states)
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
106
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
0
Salary
0
Bonus
0
Other
--
Member Physicians
822
Enrollment
Total Patient Encounters
Physician
822
Non-Physician
0
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
770 Avenida Hostos
Mayaguez, PR 00682
Phone Number
(787) 833-8070
NAIC Number
95762
Largest Affiliates
No affiliate information available.