C
Seton Health Plan Inc
Austin,  TX
Rating Date
September 2025
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
2.69
Risk Adjusted
Capital Ratio #2
2.24
Total
Assets
70.96M
Capital
35.77M
Health
Premiums
102.10M
Net
Income
-6.41M
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Weiss Ratings Seton Health Plan Inc
Austin, TX 		Click to
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Rating C
Capitalization Index 8.66
Investment Safety Index 8.13
Liquidity Index 7.19
Profitability Index 3.61
Reserve Adequacy Index --
Stability Index 4.14
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 70.96M
Capital and Reserves Seton Health Plan Inc
Austin, TX 		Click to
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Risk-Adjusted Capital Ratio #1 2.69
Risk-Adjusted Capital Ratio #2 2.24
1-Year Reserve Development --
2-Year Reserve Development --
Capital 35.77M
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 80.59%
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 56.63K
Capitation Pay 824.00
Contractual Pay 35.08K
Enrollment 41.47K
Fee For Service 3.37K
Medical Expense Per Member Per Month $164.00
Network Physicians 6.76K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 82.66K
Total Patient Encounters-Non-Physician 118.68K
Profitability Seton Health Plan Inc
Austin, TX 		Click to
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Net Income -6.41M
Net Premium 102.10M
Health Premium 102.10M