B
Presbyterian Health Plan Inc
Rating Date
June 2024
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Total
Assets
Capital
Health
Premiums
Net
Income
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Major Rating Factors: Good liquidity (6.6 on a scale of 0 to 10) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Fair overall results on stability tests (4.5) in spite of steady enrollment growth, averaging 6% over the past five years. Excellent profitability (8.3) despite a decline in earnings during 2022.
Other Rating Factors: Excellent capitalization (7.2) based on good current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2019. Excellent quality investment portfolio (9.0) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: NM
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
538
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Presbyterian Healthcare Services
Investment Rating
--
Company Address
9521 San Mateo Boulevard, NE
Albuquerque, NM 87113
Phone Number
(505) 923-6107
NAIC Number
95330
Largest Affiliates
B
Albuquerque, NM - Health
Weiss Ratings