Major Rating Factors:
Weak profitability index (2.7 on a scale of 0 to 10) with 15.0 million in losses in the current year. Weak capitalization (2.8) based on weak current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2017. Fair overall results on stability tests (3.6) based on a steep decline in capital during 2021. Rating is influenced by the weak financial results of First Medical Health Plan Inc.
Other Rating Factors:
Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent quality investment portfolio (8.3) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks.
Principal Lines of Business:
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Licensed in:
PR
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
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Company Address
530 Marginal Buchanan
Guaynabo, PR 00966
Guaynabo, PR 00966
Phone Number
(787) 474-3999
NAIC Number
95722
Website
Largest Affiliates
No affiliate information available.
