C
Vermont Health Plan LLC
BerlinVT
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: Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during 2018, 2019 and 2022. Weak overall results on stability tests (0.8) based on a steep decline in capital during 2022. Rating is significantly influenced by the strong financial results of Blue Cross Blue Shield of Michigan Mutual Ins Co. Good liquidity (6.6) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (8.9) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: VT
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
318
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
335
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
708
Corporate Info
Group Affiliation
Blue Cross Blue Shield of Michigan Mutual Ins Co
Investment Rating
--
Company Address
445 Industrial Lane
Berlin, VT 05602
Phone Number
(802) 223-6131
NAIC Number
95696
Largest Affiliates
B
Detroit, MI - Health
B
Detroit, MI - Health
B
Lansing, MI - Health
C
D
Des Moines, IA - Health