Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with 37.0 million in losses in the last three years. Fair overall results on stability tests (3.4) based on a decline in the number of member physicians during 2022, an excessive 236% enrollment growth during the period. Rating is significantly influenced by the strong financial results of Blue Cross Blue Shield of Michigan Mutual Ins Co. Good liquidity (5.7) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent capitalization index (10.0) based on excellent current risk-adjusted capital (severe loss scenario). Excellent quality investment portfolio (9.1) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
ND
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Blue Cross Blue Shield of Michigan Mutual Ins Co
Investment Rating
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Company Address
4510 13th Avenue, South
Fargo, ND 58121
Fargo, ND 58121
Phone Number
(701) 318-2896
NAIC Number
16739
Website
Largest Affiliates