C
Optum Networks of New Jersey
Rating Date
April 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 (1.7 on a scale of 0 to 10) with operating losses during 2019 and 2021. Average return on equity over the last five years has been poor at -22.0%. Good capitalization (5.4) based on fair current risk-adjusted capital (severe loss scenario) reflecting some improvement over results in 2021. Good liquidity (6.0) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Excellent quality investment portfolio (9.9) containing small junk bond exposure. Excellent overall results on stability tests (7.4) based on healthy premium and capital growth during 2022. Rating is significantly influenced by the weak financial results of UnitedHealth Group Incorporated.
Principal Lines of Business: --
Licensed in: NJ
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
991
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
UnitedHealth Group Incorporated
Investment Rating
UNH
Company Address
1311 Mamaroneck Avenue
White Plains, NY 10605
Phone Number
(914) 681-8800
NAIC Number
11068
Largest Affiliates
A
Minnetonka, MN - Health
A
Las Vegas, NV - Health
B
Minnetonka, MN - Health
B
Milwaukee, WI - Health
B
Minnetonka, MN - Health