Major Rating Factors:
Good liquidity (6.7 on a scale of 0 to 10) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Fair profitability index (4.2) with 6.8 million in losses in the current year. Fair overall results on stability tests (4.2) based on a significant -65% decrease in enrollment during the period, a steep decline in premium revenue in 2023 and inordinate decline in capital during 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 quality investment portfolio (8.5) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
AZ, OK
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
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
15919
Largest Affiliates