Major Rating Factors:
Weak profitability index (0.4 on a scale of 0 to 10) with 47.5 million in losses in the last five years. Average return on equity has been poor at -52.7%. Weak overall results on stability tests (1.9) based on excessive premium growth during 2023. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Weak liquidity (2.2) as a spike in claims may stretch capacity.
Other Rating Factors:
Good capitalization index (5.9) based on good current risk-adjusted capital (severe loss scenario). Excellent quality investment portfolio (9.9) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
GA
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
16634
Website
Largest Affiliates