Major Rating Factors:
Excellent capitalization index (7.9 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. Weak profitability index (1.8) with operating losses during 2020, 2021 and 2022. Weak quality investment portfolio (1.8) containing no exposure to mortgages, junk bonds, or unaffiliated stocks.
Other Rating Factors:
Weak overall results on stability tests (2.8) in spite of healthy premium and capital growth during 2022 but a decline in the number of member physicians during 2022 and an excessive 580% enrollment growth during the period. Rating is significantly influenced by the strong financial results of Blue Cross and Blue Shield of North Carolina. Weak liquidity (2.2) as a spike in claims may stretch capacity.
Principal Lines of Business:
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Licensed in:
NC
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
Blue Cross and Blue Shield of North Carolina
Investment Rating
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Company Address
4613 University Drive
Durham, NC 27707
Durham, NC 27707
Phone Number
(919) 489-7431
NAIC Number
15999
Website
Largest Affiliates
