Major Rating Factors:
Fair quality investment portfolio (3.5 on a scale of 0 to 10). Good overall results on stability tests (5.4) despite inconsistent enrollment growth in the past five years due to declines in 2020 and 2023, weak risk-adjusted capital in prior years. Potentially strong support from affiliation with Sentara Health. Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent capitalization (7.0) based on excellent current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2021. Weak profitability index (0.9) with 274.0 million in losses in the last three years.
Principal Lines of Business:
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Licensed in:
FL
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
Sentara Health
Investment Rating
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Company Address
3470 NW 82nd Avenue
Doral, FL 33122
Doral, FL 33122
Phone Number
(352) 372-8400
NAIC Number
95263
Website
Largest Affiliates