C
Aetna Better Hlth CA Inc
Rating Date
January 2026
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 2019, 2020 and 2023. Good capitalization (5.8) based on good current risk-adjusted capital (severe loss scenario) reflecting some improvement over results in 2020. Good overall results on stability tests (5.2) based on consistent premium and capital growth in the last five years but rapid enrollment growth during the past five years.
Other Rating Factors: Good liquidity (6.1) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business: --
Licensed in: CA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
472
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
CVS
Company Address
9350 Waxie Way
San Diego, CA 92123
Phone Number
(855) 772-9076
NAIC Number
--
Largest Affiliates
No affiliate information available.