C
Medica Central Health Plan
MadisonWI
Rating Date
September 2025
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: Good overall results on stability tests (5.0 on a scale of 0 to 10) based on an excessive 31% enrollment growth during the period, a decline in the number of member physicians during 2022. Rating is significantly influenced by the strong financial results of Medica Holding Co. Weak profitability index (1.1) with 26.1 million in losses in the last five years. Excellent capitalization index (8.4) based on excellent current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the weak level during recent years.
Other Rating Factors: Excellent quality investment portfolio (9.9) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (7.3) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: IL, MO, OK
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
848
Provider Compensation ($000)
Capitation Pay
Fee For Service
0
Contractual Pay
0
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Medica Holding Co
Investment Rating
--
Company Address
1277 Deming Way
Madison, WI 53717
Phone Number
(608) 836-1400
NAIC Number
16474
Largest Affiliates
B
Minnetonka, MN - Health
B
Minnetonka, MN - Health
B
Madison, WI - Health
C
Madison, WI - Health
C
Minnetonka, MN - Health