D
Oscar Hlth Plan PA Inc
Rating Date
September 2025
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Total
Assets
Capital
Health
Premiums
Net
Income
Loading...
Major Rating Factors: Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during 2019, 2020 and 2021. Good overall results on stability tests (6.7) despite a decline in enrollment during 2022. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Excellent capitalization index (9.5) 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 (8.2) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: PA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
361
Provider Compensation ($000)
Capitation Pay
31
Fee For Service
Contractual Pay
0
Salary
0
Bonus
0
Other
--
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
Phone Number
(646) 403-3677
NAIC Number
16590
Largest Affiliates
D
New York, NY - Health
D
New York, NY - Health
D
New York, NY - Health
D
New York, NY - Health
C
New York, NY - Health