C
Geisinger Quality Options Inc
Rating Date
June 2024
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: Good capitalization (5.7 on a scale of 0 to 10) based on fair current risk-adjusted capital (severe loss scenario) reflecting some improvement over results in 2020. Good overall results on stability tests (5.1) despite a decline in enrollment during 2022, good risk-adjusted capital in prior years. Rating is significantly influenced by the strong financial results of Geisinger Health System Foundation. Weak profitability index (0.9) with 28.3 million in losses in the last three years. Average return on equity over the last five years has been poor at -12.8%.
Other Rating Factors: Weak liquidity (0.7) as a spike in claims may stretch capacity. Excellent quality investment portfolio (9.2) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: NJ, PA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
16
Fee For Service
Contractual Pay
Salary
0
Bonus
604
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Geisinger Health System Foundation
Investment Rating
--
Company Address
100 North Academy Avenue
Danville, PA 17822
Phone Number
(570) 271-8777
NAIC Number
12743
Largest Affiliates
B
Danville, PA - Health
C
Danville, PA - Health