Major Rating Factors:
Fair profitability index (3.7 on a scale of 0 to 10) with operating losses during 2019 and 2020. Average return on equity over the last five years has been poor at -29.6%. Fair overall results on stability tests (4.0) based on an excessive 44% enrollment growth during the period. Rating is significantly influenced by the strong financial results of Fallon Community Health Plan Inc. Excellent capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2019.
Other Rating Factors:
Excellent quality investment portfolio (9.8) containing small junk bond exposure. Excellent liquidity (9.2) with ample operational cash flow and liquid investments.
Principal Lines of Business:
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Licensed in:
MA
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
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Fallon Community Health Plan Inc
Investment Rating
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Company Address
One Mecantile Street
Worcester, MA 01608
Worcester, MA 01608
Phone Number
(508) 799-2100
NAIC Number
66828
Website
Largest Affiliates