UPMC Health Options Inc
Major Rating Factors:
Fair quality investment portfolio (3.3 on a scale of 0 to 10). Good overall results on stability tests (5.2) despite a decline in enrollment during 2023. Potentially strong support from affiliation with UPMC. Excellent capitalization (7.1) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2021.
Other Rating Factors:
Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Weak profitability index (1.1) with operating losses during 2021 and 2023. Average return on equity over the last five years has been poor at -1.7%.
Principal Lines of Business:
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Licensed in:
PA
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
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
UPMC
Investment Rating
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Company Address
U.S. Steel Building
Pittsburgh, PA 15219
Pittsburgh, PA 15219
Phone Number
(412) 434-1200
NAIC Number
15345
Website
Largest Affiliates