Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during 2018, 2019, 2020 and 2021. Average return on equity over the last five years has been poor at -29.2%. Fair overall results on stability tests (4.1) based on excessive capital growth during 2022, a significant -30% decrease in enrollment during the period. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Good liquidity (6.6) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent overall capitalization (8.4) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (9.9) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
NY
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
Oscar Health Inc
Investment Rating
Company Address
75 Varick Street
New York, NY 10013
New York, NY 10013
Phone Number
(646) 403-3677
NAIC Number
15281
Website
Largest Affiliates