B
UPMC Health Coverage Inc
Rating Date
September 2025
NAIC
Classification
Health
Risk Adjusted
Capital Ratio #1
1.21
Risk Adjusted
Capital Ratio #2
1.01
Total
Assets
29.57M
Capital
12.11M
Health
Premiums
44.94M
Net
Income
-2.41M
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Weiss Ratings UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Rating B
Capitalization Index 6.82
Investment Safety Index 1.83
Liquidity Index 6.75
Profitability Index 0.81
Reserve Adequacy Index --
Stability Index 3.98
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 29.57M
Capital and Reserves UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Risk-Adjusted Capital Ratio #1 1.21
Risk-Adjusted Capital Ratio #2 1.01
1-Year Reserve Development --
2-Year Reserve Development --
Capital 12.11M
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 93.97%
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 29.00
Contractual Pay 81.56K
Enrollment 11.77K
Fee For Service 0.00
Medical Expense Per Member Per Month $1,147.00
Network Physicians 30.72K
Other Pay --
Salary Pay 0.00
Total Patient Encounters - Physician 93.30K
Total Patient Encounters-Non-Physician 84.90K
Profitability UPMC Health Coverage Inc
Pittsburgh, PA 		Click to
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Net Income -2.41M
Net Premium 44.95M
Health Premium 44.94M