B
GHS Health Maintenance Org Inc
ChicagoIL
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: Fair overall results on stability tests (4.3 on a scale of 0 to 10) based on inordinate decline in capital during 2022, rapid enrollment growth during the past five years. Rating is significantly influenced by the strong financial results of Health Care Service Corporation a Mutual Legal Reserve Co. Excellent overall capitalization (10.0) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Weak profitability index (1.2) with operating losses during 2018 and 2022. Average return on equity over the last five years has been poor at -16.4%.
Other Rating Factors: Weak quality investment portfolio (0.0) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks. Weak liquidity (2.7) as a spike in claims may stretch capacity.
Principal Lines of Business: --
Licensed in: OK
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
60
Provider Compensation ($000)
Capitation Pay
453
Fee For Service
Contractual Pay
Salary
0
Bonus
278
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Health Care Service Corporation a Mutual Legal Reserve Co
Investment Rating
--
Company Address
300 East Randolph Street
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
11814
Largest Affiliates
B
Chicago, IL - Health
B
Chicago, IL - Health
D
Chicago, IL - Health
B
Chicago, IL - Health
U
Chicago, IL - Health
Weiss Ratings