C
Sanford Health Plan
Rating Date
January 2026
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 (3.9 on a scale of 0 to 10). Weak profitability index (2.1) with operating losses during 2019, 2020, 2021 and 2023. Good quality investment portfolio (5.0) containing significant exposure to junk bonds.
Other Rating Factors: Good liquidity (6.0) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent capitalization (7.6) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2021.
Principal Lines of Business: --
Licensed in: IA, ND, SD
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
506
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
Salary
0
Bonus
707
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Sanford
Investment Rating
--
Company Address
4800 West 57th Street
Sioux Falls, SD 57108
Phone Number
(605) 328-6868
NAIC Number
95683
Largest Affiliates
B
Marshfield, WI - Health
C
Sioux Falls, SD - Health
B
Sioux Falls, SD - Health