Major Rating Factors:
Weak profitability index (0.8 on a scale of 0 to 10) with 338.4 million in losses in the last five years. Weak capitalization index (0.0) based on weak current risk-adjusted capital (severe loss scenario). Furthermore, this low level of risk-adjusted capital has been consistent in previous years. Weak liquidity (0.0) as a spike in claims may stretch capacity.
Other Rating Factors:
Fair quality investment portfolio (3.3). Fair overall results on stability tests (4.1) based on weak risk-adjusted capital in prior years. Potentially strong support from affiliation with EmblemHealth Inc.
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
--
Company Address
55 Water Street
New York, NY 10041
New York, NY 10041
Phone Number
(646) 447-5000
NAIC Number
55247
Website
Largest Affiliates
