Major Rating Factors:
Weak overall results on stability tests (1.6 on a scale of 0 to 10) based on an inordinate decline in premium revenue in 2022. Rating is influenced by the weak financial results of EmblemHealth Inc. Fair profitability index (4.2) due to a decline in earnings during 2022. Excellent overall capitalization (8.7) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors:
Excellent quality investment portfolio (9.1) containing small junk bond exposure. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business:
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Licensed in:
NY
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
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
EmblemHealth Inc
Investment Rating
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Company Address
55 Water Street
New York, NY 10041
New York, NY 10041
Phone Number
(646) 447-5000
NAIC Number
55239
Website
Largest Affiliates