C
Orange County Health Authority
Orange,  CA
Rating Date
September 2025
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
6.72
Risk Adjusted
Capital Ratio #2
4.42
Total
Assets
219.22M
Capital
1.73B
Health
Premiums
3.49B
Net
Income
268.99M
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Major Rating Factors: Good overall results on stability tests (6.8 on a scale of 0 to 10) based on healthy premium and capital growth during 2022. Rating is influenced by the weak financial results of Orange County Health Authority. Excellent profitability (8.6) Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario). Moreover, capital levels have been consistent in recent years.
Other Rating Factors: Excellent liquidity (8.0) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: CA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
93.27%
Medical Expense
Per Member Per Month ($)
411
Provider Compensation ($000)
Capitation Pay
--
Fee For Service
--
Contractual Pay
--
Salary
--
Bonus
--
Other
--
Member Physicians
--
Enrollment
979,148
Total Patient Encounters
Physician
--
Non-Physician
0
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
505 City Parkway West
Orange, CA 92868
Phone Number
(714) 246-8400
NAIC Number
--
Website
http://www.caloptima.org
Largest Affiliates
No affiliate information available.