Major Rating Factors:
Fair profitability index (4.3 on a scale of 0 to 10) with operating losses during 2022. Return on equity has been fair, averaging 8.3% over the last five years. Fair quality investment portfolio (3.7). Fair overall results on stability tests (3.3) based on an overall decline in enrollment over the past five years, a steep decline in premium revenue in 2023. Rating is significantly influenced by the acceptable financial results of CVS Health Corporation.
Other Rating Factors:
Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business:
--
Licensed in:
PA
Principal Enrollment Breakdown:
--
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
CVS Health Corporation
Investment Rating
Company Address
1425 Union Meeting Road
Blue Bell, PA 19422
Blue Bell, PA 19422
Phone Number
(800) 872-3862
NAIC Number
15827
Website
Largest Affiliates