C
Medica Central Health Plan
MadisonWI
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 (1.9 on a scale of 0 to 10) with operating losses during 2019, 2020, 2021 and 2022. Excellent capitalization index (8.6) 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 quality investment portfolio (9.9) containing no exposure to mortgages, junk bonds, or unaffiliated stocks.
Other Rating Factors: Excellent overall results on stability tests (8.3). Rating is significantly influenced by the strong financial results of Medica Holding Co. Excellent liquidity (8.1) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: IL, MO, OK
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
690
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
0
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Medica Holding Co
Investment Rating
--
Company Address
1277 Deming Way
Madison, WI 53717
Phone Number
(608) 836-1400
NAIC Number
16474
Largest Affiliates
B
Minnetonka, MN - Health
A
Minnetonka, MN - Health
B
Madison, WI - Health
C
Madison, WI - Health
C
Minnetonka, MN - Health