C
Maine Community Health Options
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: Fair capitalization (2.9 on a scale of 0 to 10) based on excellent current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the fair level during recent years. Fair overall results on stability tests (3.4) based on inconsistent enrollment growth in the past five years due to declines in 2020 and 2021, a steep decline in capital during 2023. Weak profitability index (1.3) with 49.1 million in losses in the last three years.
Other Rating Factors: Good liquidity (5.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent quality investment portfolio (7.7) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: ME, NH
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
519
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
0
Salary
0
Bonus
455
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
60 Pineland Drive
New Gloucester, ME 04260
Phone Number
(207) 402-3330
NAIC Number
15077
Largest Affiliates
No affiliate information available.