B
UPMC Health Network Inc
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 (4.1 on a scale of 0 to 10) based on inordinate decline in capital during 2023, rapid enrollment growth during the past five years. Rating is significantly influenced by the strong financial results of UPMC. Good capitalization (6.8) based on excellent current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2019. Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors: Weak profitability index (2.4) with 48.3 million in losses in the current year. Weak quality investment portfolio (2.4).
Principal Lines of Business: --
Licensed in: PA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
890
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
0
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
UPMC
Investment Rating
--
Company Address
U.S. Steel Building
Pittsburgh, PA 15219
Phone Number
(412) 434-1200
NAIC Number
11994
Largest Affiliates
A
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health
B
Pittsburgh, PA - Health