Major Rating Factors:
Weak profitability index (0.5 on a scale of 0 to 10) with 136.8 million in losses in the last five years. Average return on equity has been extremely poor. Weak quality investment portfolio (1.4). Fair overall results on stability tests (3.7) based on rapid premium growth over the last five years, rapid enrollment growth during the past five years and a decline in the number of member physicians during 2023. Rating is significantly influenced by the strong financial results of Health Care Service Corporation.
Other Rating Factors:
Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent capitalization (7.9) based on excellent current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2022.
Principal Lines of Business:
--
Licensed in:
AR, CO, IL, IN, KS, NM, OK, TX
Principal Enrollment Breakdown:
--
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
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
Health Care Service Corporation
Investment Rating
--
Company Address
300 East Randolph Street
Chicago, IL 60601
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
29718
Website
Largest Affiliates