D
Oscar Health Plan of Georgia
Rating Date
April 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: Weak profitability index (0.9 on a scale of 0 to 10) with 27.9 million in losses in the last four years. Fair overall results on stability tests (4.8) in spite of healthy premium and capital growth during 2022 but an excessive 5,774% enrollment growth during the period. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Excellent capitalization index (9.5) based on good current risk-adjusted capital (severe loss scenario).
Other Rating Factors: Excellent quality investment portfolio (9.9) containing small junk bond exposure. Excellent liquidity (7.4) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: GA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
342
Provider Compensation ($000)
Capitation Pay
425
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
16634
Largest Affiliates
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Plantation, FL - Health
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Dallas, TX - Health
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New York, NY - Health
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New York, NY - Health
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New York, NY - Health