D
WPS Health Plan Inc
MadisonWI
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 (2.7 on a scale of 0 to 10) with operating losses during 2019, 2021 and 2022. Average return on equity over the last five years has been poor at -0.1%. Weak overall results on stability tests (2.4) based on a significant -63% decrease in enrollment during the period, a steep decline in premium revenue in 2023 and a decline in the number of member physicians during 2023. Rating is significantly influenced by the acceptable financial results of Wisconsin Physicians Service Ins Corporation. Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors: Excellent quality investment portfolio (7.8) containing small junk bond exposure. Excellent liquidity (7.2) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: WI
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
514
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Wisconsin Physicians Service Ins Corporation
Investment Rating
--
Company Address
1717 West Broadway
Madison, WI 53713
Phone Number
(608) 977-5000
NAIC Number
10159
Largest Affiliates
C
Madison, WI - Health