C
Amer Health Plan of MO Inc
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: Fair quality investment portfolio (3.5 on a scale of 0 to 10). Weak profitability index (1.9) with operating losses during 2018, 2019, 2020 and 2021. Average return on equity over the last five years has been poor at -51.6%. Good capitalization (5.6) based on fair current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2018.
Other Rating Factors: Good overall results on stability tests (4.9) in spite of consistent premium and capital growth in the last five years but fair risk diversification due to the company's size. Rating is significantly influenced by the weak financial results of American Health Advantage Of Missouri LLC. Excellent liquidity (7.4) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: MO
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
Salary
0
Bonus
405
Other
--
Member Physicians
Enrollment
463
Total Patient Encounters
Physician
Non-Physician
887
Corporate Info
Group Affiliation
American Health Advantage Of Missouri LLC
Investment Rating
--
Company Address
201 Jordan Road
Franklin, TN 37067
Phone Number
(615) 565-3654
NAIC Number
15757
Largest Affiliates
C
Franklin, TN - Health
C
Franklin, TN - Health
C
Coffeyville, KS - Health
D
Franklin, TN - Health
C
Franklin, TN - Health