Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with 184.5 million in losses in the last two years. Weak capitalization index (2.4) based on weak current risk-adjusted capital (severe loss scenario). Weak overall results on stability tests (2.8) based on inconsistent enrollment growth in the past five years due to declines in 2019 and 2020, a decline in the number of member physicians during 2022. Potentially strong support from affiliation with Sentara Health.
Other Rating Factors:
Weak liquidity (0.0) as a spike in claims may stretch capacity. Excellent quality investment portfolio (7.5) containing small junk bond exposure.
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