C
Oscar Health Plan Inc
TempeAZ
Rating Date
January 2026
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 overall results on stability tests (4.4 on a scale of 0 to 10) based on rapid premium growth over the last five years, rapid enrollment growth during the past five years. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Weak profitability index (0.9) with operating losses during 2019, 2020, 2021 and 2022. Average return on equity over the last five years has been poor at -31.5%. Excellent capitalization index (7.1) based on excellent current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the weak level during recent years.
Other Rating Factors: Excellent quality investment portfolio (9.9) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (7.5) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: AZ, IL
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
363
Provider Compensation ($000)
Capitation Pay
46
Fee For Service
Contractual Pay
0
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Oscar Health Inc
Investment Rating
Company Address
615 South River Drive
Tempe, AZ 85281
Phone Number
(646) 403-3677
NAIC Number
16337
Largest Affiliates
D
New York, NY - Health
C
New York, NY - Health
D
New York, NY - Health
D
New York, NY - Health
C
New York, NY - Health