D
Summit Health Plan Inc
Rating Date
January 2026
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 operating losses during 2020, 2021 and 2023. Weak capitalization index (2.0) based on weak current risk-adjusted capital (severe loss scenario). Good overall results on stability tests (4.9) in spite of healthy premium and capital growth during 2023. Rating is significantly influenced by the acceptable financial results of American Dental Association (inc).
Other Rating Factors: Good liquidity (6.1) with sufficient resources (cash flows and marketable investments) to handle a spike in claims. Excellent quality investment portfolio (9.9) containing small junk bond exposure.
Principal Lines of Business: --
Licensed in: OR
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
756
Fee For Service
Contractual Pay
Salary
0
Bonus
235
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
C
Portland, OR - Health
C
Portland, OR - Health
C
Portland, OR - Health