B
UPMC Health Plan Inc
Rating Date
January 2026
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.27
Risk Adjusted
Capital Ratio #2
1.06
Total
Assets
750.90M
Capital
230.31M
Health
Premiums
1.95B
Net
Income
-31.95M
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Weiss Ratings UPMC Health Plan Inc
Pittsburgh, PA 		Click to
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Rating B
Capitalization Index 6.89
Investment Safety Index 2.91
Liquidity Index 6.96
Profitability Index 1.53
Reserve Adequacy Index --
Stability Index 4.66
Company Info UPMC Health Plan Inc
Pittsburgh, PA 		Click to
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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
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Total Assets 750.90M
Capital and Reserves UPMC Health Plan Inc
Pittsburgh, PA 		Click to
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Risk-Adjusted Capital Ratio #1 1.27
Risk-Adjusted Capital Ratio #2 1.06
1-Year Reserve Development --
2-Year Reserve Development --
Capital 230.31M
Premium to Surplus --
Reserves to Surplus --
Investments UPMC Health Plan Inc
Pittsburgh, PA 		Click to
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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
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Medical Loss Ratio 90.88%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical UPMC Health Plan Inc
Pittsburgh, PA 		Click to
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Bonus Pay 0.00
Capitation Pay 5.00
Contractual Pay 1.74M
Enrollment 154.58K
Fee For Service 0.00
Medical Expense Per Member Per Month $947.00
Network Physicians 63.88K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 2.41M
Total Patient Encounters-Non-Physician 2.36M
Profitability UPMC Health Plan Inc
Pittsburgh, PA 		Click to
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Net Income -31.95M
Net Premium 1.95B
Health Premium 1.95B