Major Rating Factors:
Fair profitability index (3.9 on a scale of 0 to 10) with operating losses during 2019 and 2020. Average return on equity over the last five years has been poor at -13.0%. Fair overall results on stability tests (3.0) based on fair risk diversification due to the size of the company's affiliate group, a decline in the number of member physicians during 2023. Fair liquidity (3.0) as cash resources may not be adequate to cover a spike in claims.
Other Rating Factors:
Excellent capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2020. Excellent quality investment portfolio (9.5) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
PA
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Pphp Holdco LLC
Investment Rating
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Company Address
8820 Columbia 100 Parkway
Columbia, MD 21045
Columbia, MD 21045
Phone Number
(443) 275-9800
NAIC Number
14458
Website
Largest Affiliates