Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during 2019, 2020, 2021 and 2023. Average return on equity over the last five years has been poor at -26.9%. Fair overall results on stability tests (4.6) based on a significant -20% decrease in enrollment during the period. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Excellent overall capitalization (7.8) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors:
Excellent quality investment portfolio (9.9) containing small junk bond exposure. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business:
--
Licensed in:
NY
Principal Enrollment Breakdown:
--
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
Oscar Health Inc
Investment Rating
Company Address
75 Varick Street
New York, NY 10013
New York, NY 10013
Phone Number
(646) 403-3677
NAIC Number
15281
Website
Largest Affiliates