E
Clever Care of Golden State
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 (0.8 on a scale of 0 to 10) with 111.8 million in losses in the last four years. Fair capitalization index (2.9) based on weak current risk-adjusted capital (severe loss scenario). Furthermore, this low level of risk-adjusted capital has been consistent in previous years. Fair overall results on stability tests (3.2) in spite of healthy premium and capital growth during 2023 but fair risk diversification due to the size of the company's affiliate group and an excessive 88% enrollment growth during the period.
Other Rating Factors: Excellent liquidity (6.9) 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 ($)
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
--
Company Address
7711 Center Ave.
Huntington Beach, CA 92647
Phone Number
(833) 388-8168
NAIC Number
--
Largest Affiliates
No affiliate information available.