B
BC&BS of NC Senior Health
DurhamNC
Rating Date
September 2023
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Total
Assets
Capital
Health
Premiums
Net
Income
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Major Rating Factors: Excellent capitalization index (8.3 on a scale of 0 to 10) based on good current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the weak level during recent years. Excellent quality investment portfolio (9.9) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (8.8) with ample operational cash flow and liquid investments.
Other Rating Factors: Weak profitability index (0.9) with operating losses during 2020 and 2021. Weak overall results on stability tests (0.0) in spite of healthy premium and capital growth during 2021. Rating is significantly influenced by the strong financial results of Blue Cross and Blue Shield of North Carolina.
Principal Lines of Business: --
Licensed in: NC
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
271
Provider Compensation ($000)
Capitation Pay
96
Fee For Service
0
Contractual Pay
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Blue Cross and Blue Shield of North Carolina
Investment Rating
--
Company Address
4613 University Drive
Durham, NC 27707
Phone Number
(919) 489-7431
NAIC Number
15999
Largest Affiliates
Weiss Ratings