E
MODA HEALTH PLAN INC
Data as of
September 30, 2020
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). Good capitalization (6.5) based on good current risk-adjusted capital (severe loss scenario). Good quality investment portfolio (5.7).
Other Rating Factors: Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business: Comp med (68.1%), Medicare (16.4%), med supp (14.7%), other (0.7%)
Licensed in: AK, CA, ID, OR, TX, WA
Principal Enrollment Breakdown: PPO (70.2%), Indemnity (27.8%), other (2.0%)
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
513
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
Other
0
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
None
Investment Rating
--
Company Address
601 SW SECOND AVE
PORTLAND, OR 97204
Phone Number
(503) 228-6554
NAIC Number
47098
Website
--
Largest Affiliates
No affiliate information available.
Weiss Ratings