D
Health Ins Plan of Greater NY
Rating Date
April 2025
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 (1.1 on a scale of 0 to 10) with operating losses during 2018, 2019, 2020 and 2021. Weak capitalization index (1.9) 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 (2.1) as a spike in claims may stretch capacity.
Other Rating Factors: Fair quality investment portfolio (4.2). Fair overall results on stability tests (4.6) based on inordinate decline in capital during 2022.
Principal Lines of Business: --
Licensed in: NY
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
0
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
Phone Number
(646) 447-5000
NAIC Number
55247
Largest Affiliates
C
New York, NY - Health
C
Farmington, CT - Health
C
Farmington, CT - Health
C
Farmington, CT - Health
D
New York, NY - Health