C
Aspirus Health Plan Inc
WausauWI
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 profitability index (3.4 on a scale of 0 to 10) with operating losses during 2018 and 2022. Return on equity has been fair, averaging 9.9% over the last five years. Fair overall results on stability tests (3.0) based on an excessive 34% enrollment growth during the period, fair risk diversification due to the size of the company's affiliate group and a decline in the number of member physicians during 2022. Weak quality investment portfolio (1.7).
Other Rating Factors: Weak liquidity (2.5) as a spike in claims may stretch capacity. Good overall capitalization (5.7) based on fair current risk-adjusted capital (severe loss scenario).
Principal Lines of Business: --
Licensed in: WI
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
7
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
0
Enrollment
Total Patient Encounters
Physician
0
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
3000 Westhill Drive
Wausau, WI 54401
Phone Number
(715) 843-1387
NAIC Number
15926
Largest Affiliates
No affiliate information available.