Major Rating Factors:
Good overall profitability index (5.6 on a scale of 0 to 10) despite a decline in earnings during 2023. Good liquidity (6.5) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Fair overall results on stability tests (4.3) based on a significant -22% decrease in enrollment during the period, rapid premium growth over the last five years. Rating is significantly influenced by the acceptable financial results of CVS Health Corporation.
Other Rating Factors:
Excellent overall capitalization (8.5) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (8.0) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
TX
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
CVS Health Corporation
Investment Rating
Company Address
750 W. John Carpenter Freeway
Irving, TX 75039
Irving, TX 75039
Phone Number
(800) 872-3862
NAIC Number
95040
Largest Affiliates