UPMC Health Coverage Inc
Major Rating Factors:
Fair overall results on stability tests (4.0 on a scale of 0 to 10) based on rapid enrollment growth during the past five years, excessive premium growth during 2022. Rating is significantly influenced by the strong financial results of UPMC. Good overall capitalization (6.8) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Weak profitability index (0.8) with 7.0 million in losses in the last two years. Weak quality investment portfolio (1.8).
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