C
Medica Community Health Plan
Rating Date
April 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 profitability index (3.7 on a scale of 0 to 10) with operating losses during 2021 and 2022. Fair overall results on stability tests (4.3). Rating is significantly influenced by the strong financial results of Medica Holding Co. Good liquidity (6.4) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Excellent overall capitalization (10.0) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (9.5) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: AZ, IA, KS, MN, MO, NE, OK, WI
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
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Medica Holding Co
Investment Rating
--
Company Address
401 Carlson Parkway
Minnetonka, MN 55305
Phone Number
(952) 992-3674
NAIC Number
95232
Largest Affiliates
B
Minnetonka, MN - Health
B
Minnetonka, MN - Health
B
Madison, WI - Health
C
Madison, WI - Health
C
Madison, WI - Health