C
Harvard Pilgrim Hlth Care (NE)
CantonMA
Rating Date
November 2025
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: Weak profitability index (0.9 on a scale of 0 to 10) with 66.3 million in losses in the last three years. Good overall results on stability tests (5.7) despite a decline in enrollment during 2022. Rating is significantly influenced by the acceptable financial results of Point32Health Inc. Good liquidity (5.4) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Excellent capitalization (7.3) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2021. Excellent quality investment portfolio (8.5) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: MA, NH
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
843
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
Other
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Point32Health Inc
Investment Rating
--
Company Address
One Wellness Way
Canton, MA 02021
Phone Number
(617) 972-9400
NAIC Number
96717
Largest Affiliates
C
C
Canton, MA - Health
C
C
Canton, MA - Health
B
Canton, MA - Health