D
CA Hlth & Wellness Plan
Rating Date
June 2024
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 (0.9 on a scale of 0 to 10) with operating losses during 2018, 2019, 2020 and 2021. Excellent overall results on stability tests (6.9) based on steady enrollment growth, averaging 5% over the past five years, consistent premium and capital growth in the last five years. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Excellent capitalization (7.1) based on good current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2018.
Principal Lines of Business: --
Licensed in: CA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
870
Provider Compensation ($000)
Capitation Pay
--
Fee For Service
--
Contractual Pay
--
Salary
--
Bonus
--
Other
--
Member Physicians
--
Enrollment
Total Patient Encounters
Physician
--
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
CNC
Company Address
1740 Creekside Oaks Drive
Sacramento, CA 95833
Phone Number
(916) 246-3600
NAIC Number
--
Largest Affiliates
No affiliate information available.