Major Rating Factors:
Good overall results on stability tests (5.5 on a scale of 0 to 10) based on consistent premium and capital growth in the last five years. Good liquidity (6.3) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Fair profitability index (4.5) due to a decline in earnings during 2022.
Other Rating Factors:
Excellent capitalization (8.3) based on good current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2019. Excellent quality investment portfolio (7.7) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
MA
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
Fallon Health Inc
Investment Rating
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Company Address
10 Chestnut Street
Worcester, MA 01608
Worcester, MA 01608
Phone Number
(508) 799-2100
NAIC Number
95541
Website
Largest Affiliates