Major Rating Factors:
Good liquidity (6.2 on a scale of 0 to 10) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Fair quality investment portfolio (3.8). Excellent profitability (8.8) with operating gains in each of the last five years.
Other Rating Factors:
Excellent overall capitalization (8.4) based on excellent current risk-adjusted capital (severe loss scenario). Moreover, capital levels have been consistent in recent years. Excellent overall results on stability tests (7.6) based on consistent premium and capital growth in the last five years but a decline in enrollment during 2023. Rating is significantly influenced by the weak financial results of CVS Health Corporation.
Principal Lines of Business:
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Licensed in:
NJ
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
CVS Health Corporation
Investment Rating
Company Address
Three Independence Way
Princeton, NJ 08540
Princeton, NJ 08540
Phone Number
(855) 232-3596
NAIC Number
15611
Largest Affiliates