Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with 141.6 million in losses in the last three years. Weak liquidity (1.4) as a spike in claims may stretch capacity. Fair quality investment portfolio (4.2).
Other Rating Factors:
Good capitalization index (6.3) based on fair current risk-adjusted capital (severe loss scenario). Excellent overall results on stability tests (7.5) based on healthy premium and capital growth during 2022. Rating is significantly influenced by the weak financial results of Horizon Healthcare Services Inc.
Principal Lines of Business:
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Licensed in:
NJ
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
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
Enrollment
Total Patient Encounters
Physician
Non-Physician
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Corporate Info
Group Affiliation
Horizon Healthcare Services Inc
Investment Rating
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Company Address
Three Penn Plaza, East
Newark, NJ 07105
Newark, NJ 07105
Phone Number
(973) 466-5607
NAIC Number
16714
Website
Largest Affiliates