D
First Medical Health Plan 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: Weak profitability index (2.1 on a scale of 0 to 10) with 2.3 million in losses in the last two years. Return on equity has been fair, averaging 6.8% over the last five years. Weak capitalization index (2.3) based on weak current risk-adjusted capital (severe loss scenario). Fair overall results on stability tests (3.1).
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 (7.3) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks.
Principal Lines of Business: --
Licensed in: PR
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
819
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
0
Enrollment
Total Patient Encounters
Physician
0
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
530 Marginal Buchanan
Guaynabo, PR 00966
Phone Number
(787) 474-3999
NAIC Number
95722
Largest Affiliates
No affiliate information available.