Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during 2019, 2021 and 2022. Average return on equity over the last five years has been poor at -21.2%. Good overall results on stability tests (5.9) despite rapid premium growth over the last five years. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Excellent capitalization (7.5) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2022.
Other Rating Factors:
Excellent quality investment portfolio (9.9) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
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
Oscar Health Inc
Investment Rating
Company Address
75 Varick Street
New York, NY 10013
New York, NY 10013
Phone Number
(646) 403-3677
NAIC Number
16231
Website
Largest Affiliates