D
WellCare Hlth Ins Co NJ Inc
Rating Date
April 2025
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 36.3 million in losses in the last three years. Good liquidity (6.5) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent capitalization index (7.2) based on good current risk-adjusted capital (severe loss scenario).
Other Rating Factors: Excellent quality investment portfolio (7.7) containing small junk bond exposure. Excellent overall results on stability tests (7.0) based on healthy premium and capital growth during 2022. Rating is significantly influenced by the weak financial results of Centene Corporation.
Principal Lines of Business: --
Licensed in: NJ
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
678
Provider Compensation ($000)
Capitation Pay
--
Fee For Service
--
Contractual Pay
--
Salary
--
Bonus
--
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
--
Corporate Info
Group Affiliation
Centene Corporation
Investment Rating
CNC
Company Address
7700 Forsyth Boulevard
Saint Louis, MO 63105
Phone Number
(314) 725-4477
NAIC Number
16789
Largest Affiliates
C
Saint Louis, MO - Health
B
Saint Louis, MO - Health
B
Saint Louis, MO - Health
C
Burr Ridge, IL - Health
C
Saint Louis, MO - Health