D
Clover HMO New Jersey Inc
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: Weak profitability index (0.9 on a scale of 0 to 10) with modest operating losses during 2019, 2020, 2021 and 2023. Average return on equity over the last five years has been poor at -39.5%. Fair quality investment portfolio (3.7). Good overall results on stability tests (5.5). Rating is significantly influenced by the weak financial results of Clover Health Investments Corp.
Other Rating Factors: Excellent capitalization index (8.1) 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. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business: --
Licensed in: NJ, TX
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
513
Fee For Service
0
Contractual Pay
Salary
274
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Clover Health Investments Corp
Investment Rating
Company Address
30 Montgomery Street
Jersey City, NJ 07302
Phone Number
(201) 432-2133
NAIC Number
16347
Largest Affiliates
C
Jersey City, NJ - Health