Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with modest operating losses during 2019, 2020, 2021 and 2023. Average return on equity over the last five years has been poor at -34.4%. Good overall results on stability tests (4.9) based on a significant -19% decrease in enrollment during the period, a decline in the number of member physicians during 2023. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Excellent capitalization index (7.5) 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 (7.7) with ample operational cash flow and liquid investments.
Principal Lines of Business:
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Licensed in:
PA
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
16590
Website
Largest Affiliates