B
UPMC Health Options Inc
Rating Date
September 2025
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.52
Risk Adjusted
Capital Ratio #2
1.27
Total
Assets
559.85M
Capital
274.73M
Health
Premiums
991.93M
Net
Income
40.24M
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Weiss Ratings UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Rating B
Capitalization Index 7.21
Investment Safety Index 5.36
Liquidity Index 6.36
Profitability Index 2.46
Reserve Adequacy Index --
Stability Index 3.41
Company Info UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Industry Health
NAIC Number 15345
Phone Number (412) 434-1200
Website www.upmchealthplan.com
Address U.S. Steel Building Pittsburgh, PA 15219
Balance Sheet UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Total Assets 559.85M
Capital and Reserves UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Risk-Adjusted Capital Ratio #1 1.52
Risk-Adjusted Capital Ratio #2 1.27
1-Year Reserve Development --
2-Year Reserve Development --
Capital 274.73M
Premium to Surplus --
Reserves to Surplus --
Investments UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Cash --
CMO & Structured Securities --
Common & Preferred Stock --
Invested Assets --
Investments in Affiliates --
Mortgages in Good Standing --
Non-Investment Grade Bonds --
Non-Performing Mortgages --
Other Investment Grade Bonds --
Other Investments --
Real Estate --
Operating Ratios UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Medical Loss Ratio 90.24%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Bonus Pay 0.00
Capitation Pay 0.00
Contractual Pay 1.84M
Enrollment 319.95K
Fee For Service 0.00
Medical Expense Per Member Per Month $937.00
Network Physicians 42.01K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 2.58M
Total Patient Encounters-Non-Physician 1.97M
Profitability UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Net Income 40.24M
Net Premium 991.95M
Health Premium 991.93M