D
Summit Health Plan Inc
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 (0.6 on a scale of 0 to 10) with operating losses during 2020 and 2021. Fair overall results on stability tests (4.8). Rating is significantly influenced by the acceptable financial results of American Dental Association (inc). Good capitalization index (6.8) based on good current risk-adjusted capital (severe loss scenario).
Other Rating Factors: Excellent quality investment portfolio (9.8) containing small junk bond exposure. Excellent liquidity (7.1) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: OK
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
574
Fee For Service
Contractual Pay
Salary
0
Bonus
33
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
American Dental Association (inc)
Investment Rating
--
Company Address
601 Southwest Second Avenue
Portland, OR 97204
Phone Number
(503) 228-6554
NAIC Number
16791
Largest Affiliates
D
Portland, OR - Health
D
Portland, OR - Health
C
Portland, OR - Health
C
Portland, OR - Health