UPMC Health Coverage Inc
Major Rating Factors:
Good overall results on stability tests (5.0 on a scale of 0 to 10) despite rapid enrollment growth during the past five years. Rating is significantly influenced by the strong financial results of UPMC. Good liquidity (6.6) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent overall capitalization (7.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors:
Excellent quality investment portfolio (8.0) containing small junk bond exposure. Weak profitability index (0.9) with operating losses during 2021 and 2022.
Principal Lines of Business:
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Licensed in:
MD, 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
600 Grant Street
Pittsburgh, PA 15219
Pittsburgh, PA 15219
Phone Number
(412) 434-1200
NAIC Number
15451
Website
Largest Affiliates