C
Seton Health Plan Inc
Austin,  TX
Rating Date
January 2026
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.69
Risk Adjusted
Capital Ratio #2
1.40
Total
Assets
75.29M
Capital
27.77M
Health
Premiums
128.62M
Net
Income
-15.93M
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Weiss Ratings Seton Health Plan Inc
Austin, TX 		Click to
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Rating C
Capitalization Index 7.40
Investment Safety Index 5.91
Liquidity Index 6.28
Profitability Index 0.90
Reserve Adequacy Index --
Stability Index 3.61
Company Info Seton Health Plan Inc
Austin, TX 		Click to
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Industry Health
NAIC Number 01879
Phone Number (512) 324-3350
Website www.seton.net/health-plan
Address 1345 Philomena Street Austin, TX 78723
Balance Sheet Seton Health Plan Inc
Austin, TX 		Click to
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Total Assets 75.29M
Capital and Reserves Seton Health Plan Inc
Austin, TX 		Click to
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Risk-Adjusted Capital Ratio #1 1.69
Risk-Adjusted Capital Ratio #2 1.40
1-Year Reserve Development --
2-Year Reserve Development --
Capital 27.77M
Premium to Surplus --
Reserves to Surplus --
Investments Seton Health Plan Inc
Austin, TX 		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 Seton Health Plan Inc
Austin, TX 		Click to
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Medical Loss Ratio 93.45%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical Seton Health Plan Inc
Austin, TX 		Click to
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Bonus Pay 60.02K
Capitation Pay 654.00
Contractual Pay 34.97K
Enrollment 35.66K
Fee For Service 9.68K
Medical Expense Per Member Per Month $227.00
Network Physicians 6.66K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 72.56K
Total Patient Encounters-Non-Physician 83.40K
Profitability Seton Health Plan Inc
Austin, TX 		Click to
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Net Income -15.93M
Net Premium 128.62M
Health Premium 128.62M