Fallon Cmnty Health Plan Inc

Worcester, MA

Rating Date

January 2026

NAIC
Classification

Health

Risk Adjusted
Capital Ratio #1

2.07

Risk Adjusted
Capital Ratio #2

1.72

Total
Assets

753.17M

Capital

228.92M

Health
Premiums

1.71B

Net
Income

-71.61M

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Weiss Ratings	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Rating	B
Capitalization Index	7.88
Investment Safety Index	7.82
Liquidity Index	6.47
Profitability Index	2.38
Reserve Adequacy Index	--
Stability Index	4.03

Company Info	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Industry	Health
NAIC Number	01247
Phone Number	(508) 799-2100
Website	www.fallonhealth.org
Address	One Mercantile Street Worcester, MA 01608

Balance Sheet	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Total Assets	753.17M

Capital and Reserves	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Risk-Adjusted Capital Ratio #1	2.07
Risk-Adjusted Capital Ratio #2	1.72
1-Year Reserve Development	--
2-Year Reserve Development	--
Capital	228.92M
Premium to Surplus	--
Reserves to Surplus	--

Investments	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Cash	--
CMO & Structured Securities	--
Common & Preferred Stock	--
Invested Assets	--
Investments in Affiliates	--
Mortgages in Good Standing	--
Non-Investment Grade Bonds	--
Non-Performing Mortgages	--
Other Investment Grade Bonds	--
Other Investments	--
Real Estate	--

Operating Ratios	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Medical Loss Ratio	92.29%
Cash From Underwriting	--
Combined Ratio	--
Expense Ratio	--
Loss Ratio	--
Net Premium Growth	--

Other Medical	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Bonus Pay	11.08K
Capitation Pay	543.13K
Contractual Pay	999.22K
Enrollment	131.67K
Fee For Service	0.00
Medical Expense Per Member Per Month	$930.00
Network Physicians	84.91K
Other Pay	--
Salary Pay	29.85K
Total Patient Encounters - Physician	460.20K
Total Patient Encounters-Non-Physician	696.96K

Profitability	Fallon Cmnty Health Plan Inc Worcester, MA	Click to Compare	Click to Compare	Click to Compare
Net Income	-71.61M
Net Premium	1.71B
Health Premium	1.71B