D
Meritage Health Plan
Rating Date
September 2025
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 2022. Good capitalization index (6.0) based on fair current risk-adjusted capital (moderate loss scenario). Good overall results on stability tests (5.3) based on healthy premium and capital growth during 2022 but fair risk diversification due to the company's size.
Other Rating Factors: Good liquidity (6.4) 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 ($)
927
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
2100 South McDowell Blvd
Petaluma, CA 94954
Phone Number
(415) 884-1840
NAIC Number
--
Largest Affiliates
No affiliate information available.