Major Rating Factors:
Fair quality investment portfolio (3.7 on a scale of 0 to 10) containing large holdings of mortgages. Good overall results on stability tests (4.9) based on a significant -22% decrease in enrollment during the period, a decline in the number of member physicians during 2022. Rating is significantly influenced by the acceptable financial results of Health Care Service Corporation. Good overall profitability index (6.8) with operating gains in each of the last five years.
Other Rating Factors:
Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent capitalization (8.8) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2021.
Principal Lines of Business:
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Licensed in:
All states except CA
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Health Care Service Corporation
Investment Rating
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Company Address
500 Great Circle Road
Nashville, TN 37228
Nashville, TN 37228
Phone Number
(615) 291-7000
NAIC Number
12902
Website
Largest Affiliates