Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with 46.0 million in losses in the last five years. Weak overall results on stability tests (2.3) based on excessive premium growth during 2022, a decline in the number of member physicians during 2022 and an excessive 66% enrollment growth during the period. Rating is influenced by the weak financial results of Blue Cross and Blue Shield of North Carolina. Good liquidity (6.0) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent capitalization index (6.9) based on good current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the weak level during recent years. Excellent quality investment portfolio (7.6) containing no exposure to mortgages, junk bonds, or unaffiliated stocks.
Principal Lines of Business:
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Licensed in:
NC
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
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Medical Expense
Per Member Per Month ($)
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Provider Compensation ($000)
Capitation Pay
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Fee For Service
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Contractual Pay
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Salary
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Bonus
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Other
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Member Physicians
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Enrollment
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Total Patient Encounters
Physician
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Non-Physician
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Corporate Info
Group Affiliation
None
Investment Rating
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Company Address
4613 University Drive
Durham, NC 27707
Durham, NC 27707
Phone Number
(919) 489-7431
NAIC Number
16328
Largest Affiliates
No affiliate information available.