B
UPMC Health Plan Inc
Rating Date
September 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: Fair overall results on stability tests (3.8 on a scale of 0 to 10) based on inordinate decline in capital during 2022. Potentially strong support from affiliation with UPMC. Good overall capitalization (6.2) based on good current risk-adjusted capital (severe loss scenario). Excellent liquidity (7.0) with ample operational cash flow and liquid investments.
Other Rating Factors: Weak profitability index (2.6) with operating losses during 2021. Weak quality investment portfolio (2.7).
Principal Lines of Business: --
Licensed in: OH, PA, WV
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
0
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
UPMC
Investment Rating
--
Company Address
U.S. Steel Building
Pittsburgh, PA 15219
Phone Number
(412) 434-1200
NAIC Number
95216
Largest Affiliates
A
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health