B
UPMC Health Coverage Inc
Rating Date
January 2026
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.35
Risk Adjusted
Capital Ratio #2
1.13
Total
Assets
29.55M
Capital
15.68M
Health
Premiums
89.80M
Net
Income
619.39K
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Weiss Ratings UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Rating B
Capitalization Index 7.00
Investment Safety Index 7.97
Liquidity Index 6.55
Profitability Index 0.90
Reserve Adequacy Index --
Stability Index 5.03
Company Info UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Industry Health
NAIC Number 15451
Phone Number (412) 434-1200
Website www.upmchealthplan.com
Address 600 Grant Street Pittsburgh, PA 15219
Balance Sheet UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Total Assets 29.55M
Capital and Reserves UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Risk-Adjusted Capital Ratio #1 1.35
Risk-Adjusted Capital Ratio #2 1.13
1-Year Reserve Development --
2-Year Reserve Development --
Capital 15.68M
Premium to Surplus --
Reserves to Surplus --
Investments UPMC Health Coverage 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 Coverage Inc
Pittsburgh, PA 		Click to
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Medical Loss Ratio 92.04%
Cash From Underwriting --
Combined Ratio --
Expense Ratio --
Loss Ratio --
Net Premium Growth --
Other Medical UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Bonus Pay 0.00
Capitation Pay 24.00
Contractual Pay 82.24K
Enrollment 12.13K
Fee For Service 0.00
Medical Expense Per Member Per Month $584.00
Network Physicians 31.64K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 96.90K
Total Patient Encounters-Non-Physician 84.93K
Profitability UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Net Income 619.39K
Net Premium 89.81M
Health Premium 89.80M