C
Maine Community Health Options
Rating Date
September 2023
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 good current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2017. Fair overall results on stability tests (3.5) based on inordinate decline in capital during 2021, a decline in the number of member physicians during 2021. Good overall profitability index (5.8) despite operating losses during 2017 and 2021.
Other Rating Factors: Good quality investment portfolio (6.0) containing significant exposure to junk bonds. Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business: --
Licensed in: ME, NH
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
534
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
0
Salary
0
Bonus
182
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
--
NAIC Number
15077
Largest Affiliates
No affiliate information available.
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