B
UPMC Health Options Inc
Rating Date
January 2026
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.41
Risk Adjusted
Capital Ratio #2
1.18
Total
Assets
533.50M
Capital
230.03M
Health
Premiums
1.93B
Net
Income
-3.66M
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Weiss Ratings UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Rating B
Capitalization Index 7.07
Investment Safety Index 3.34
Liquidity Index 6.90
Profitability Index 1.05
Reserve Adequacy Index --
Stability Index 5.19
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 533.50M
Capital and Reserves UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Risk-Adjusted Capital Ratio #1 1.41
Risk-Adjusted Capital Ratio #2 1.18
1-Year Reserve Development --
2-Year Reserve Development --
Capital 230.03M
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 89.38%
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 1.71M
Enrollment 312.76K
Fee For Service 0.00
Medical Expense Per Member Per Month $451.00
Network Physicians 42.94K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 2.39M
Total Patient Encounters-Non-Physician 1.77M
Profitability UPMC Health Options Inc
Pittsburgh, PA 		Click to
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Net Income -3.66M
Net Premium 1.93B
Health Premium 1.93B