B
Sutter Health Plan
Rating Date
January 2026
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.65
Risk Adjusted
Capital Ratio #2
1.03
Total
Assets
14.06M
Capital
77.65M
Health
Premiums
701.73M
Net
Income
10.67M
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Major Rating Factors: Good overall profitability index (6.7 on a scale of 0 to 10) despite a decline in earnings during 2023. Excellent capitalization (6.9) based on excellent current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2019. Excellent overall results on stability tests (7.4) based on steady enrollment growth, averaging 7% over the past five years, consistent premium and capital growth in the last five years.
Other Rating Factors: Excellent liquidity (7.3) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: CA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
89.19%
Medical Expense
Per Member Per Month ($)
497
Provider Compensation ($000)
Capitation Pay
--
Fee For Service
--
Contractual Pay
--
Salary
--
Bonus
--
Other
--
Member Physicians
--
Enrollment
107,673
Total Patient Encounters
Physician
--
Non-Physician
59,477
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
2700 Gateway Oaks Drive
Sacramento, CA 95833
Phone Number
(855) 315-5800
NAIC Number
--
Website
http://www.sutterhealthplus.org
Largest Affiliates
No affiliate information available.