Major Rating Factors:
Good overall capitalization (6.8 on a scale of 0 to 10) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Good quality investment portfolio (6.3) containing significant exposure to junk bonds. Weak profitability index (0.5) with 490.4 million in losses in the last five years. Average return on equity has been poor at -48.5%.
Other Rating Factors:
Weak overall results on stability tests (1.9) based on inconsistent enrollment growth in the past five years due to declines in 2020 and 2021, a steep decline in capital during 2022. Rating is significantly influenced by the strong financial results of Health Care Service Corporation a Mutual Legal Reserve Co. Weak liquidity (2.1) as a spike in claims may stretch capacity.
Principal Lines of Business:
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Licensed in:
All states except CT, HI, ME, NH, NJ, NY, VT
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
Health Care Service Corporation a Mutual Legal Reserve Co
Investment Rating
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Company Address
300 East Randolph Street
Chicago, IL 60601
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
78611
Website
Largest Affiliates