C
Aetna Health Ins Co
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: Fair quality investment portfolio (3.7 on a scale of 0 to 10). Fair liquidity (3.0) as cash resources may not be adequate to cover a spike in claims. Weak profitability index (0.5) with 246.1 million in losses in the last five years. Average return on equity has been poor at -71.1%.
Other Rating Factors: Weak overall results on stability tests (1.2) based on excessive premium growth during 2022, rapid enrollment growth during the past five years. Rating is significantly influenced by the strong financial results of CVS Health Corporation. Excellent overall capitalization (10.0) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Principal Lines of Business: --
Licensed in: All states except CA, CT, MS, NY
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
470
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
0
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
0
Enrollment
Total Patient Encounters
Physician
0
Non-Physician
0
Corporate Info
Group Affiliation
CVS Health Corporation
Investment Rating
CVS
Company Address
1425 Union Meeting Road
Blue Bell, PA 19422
Phone Number
(800) 872-3862
NAIC Number
72052
Largest Affiliates
C
Franklin, TN - Health
B
Blue Bell, PA - Health
B
Downers Grove, IL - Health
B
Richmond, VA - Health
B
Linthicum, MD - Health