C
AmeriHealth Caritas VIP Next
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: Fair overall results on stability tests (3.3 on a scale of 0 to 10). Rating is significantly influenced by the strong financial results of AmeriHealth Caritas Pennsylvania. Weak profitability index (0.0) with 0.0 million in losses in the last two years. Excellent overall capitalization (8.7) based on excellent current risk-adjusted capital (severe loss scenario).
Other Rating Factors: Excellent quality investment portfolio (9.9) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (9.5) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: DE
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
796
Provider Compensation ($000)
Capitation Pay
121
Fee For Service
0
Contractual Pay
907
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
311
Total Patient Encounters
Physician
Non-Physician
257
Corporate Info
Group Affiliation
AmeriHealth Caritas Pennsylvania
Investment Rating
--
Company Address
200 Stevens Drive
Philadelphia, PA 19113
Phone Number
(215) 937-8000
NAIC Number
17293
Largest Affiliates
B
Philadelphia, PA - Health
B
Philadelphia, PA - Health
B
Philadelphia, PA - Health
C
Philadelphia, PA - Health
B
North Charleston, SC - Health