B
UPMC Health Plan Inc
Rating Date
September 2025
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.10
Risk Adjusted
Capital Ratio #2
0.92
Total
Assets
1.13B
Capital
204.66M
Health
Premiums
1.00B
Net
Income
-19.67M
My Lists My Alerts
Weiss Ratings UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Rating B
Capitalization Index 6.16
Investment Safety Index 2.71
Liquidity Index 7.01
Profitability Index 2.61
Reserve Adequacy Index --
Stability Index 3.84
Company Info UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Industry Health
NAIC Number 01824
Phone Number (412) 434-1200
Website www.upmchealthplan.com
Address U.S. Steel Building Pittsburgh, PA 15219
Balance Sheet UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Total Assets 1.13B
Capital and Reserves UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Risk-Adjusted Capital Ratio #1 1.10
Risk-Adjusted Capital Ratio #2 0.92
1-Year Reserve Development --
2-Year Reserve Development --
Capital 204.66M
Premium to Surplus --
Reserves to Surplus --
Investments UPMC Health Plan Inc
Pittsburgh, PA 		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 UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Medical Loss Ratio 87.83%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Bonus Pay 0.00
Capitation Pay 0.00
Contractual Pay 1.68M
Enrollment 156.17K
Fee For Service 0.00
Medical Expense Per Member Per Month $1,767.00
Network Physicians 61.03K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 2.39M
Total Patient Encounters-Non-Physician 2.41M
Profitability UPMC Health Plan Inc
Pittsburgh, PA 		Click to
Compare		 Click to
Compare		 Click to
Compare
Net Income -19.67M
Net Premium 1.00B
Health Premium 1.00B