D
Oscar Health Plan of NC 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 (0.9 on a scale of 0 to 10) with operating losses during 2020, 2021 and 2022. Weak overall results on stability tests (2.8) in spite of healthy premium and capital growth during 2022 but an excessive 67% enrollment growth during the period. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Excellent capitalization index (8.7) based on good current risk-adjusted capital (severe loss scenario).
Other Rating Factors: Excellent quality investment portfolio (9.8) containing no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (9.0) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: NC
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
443
Provider Compensation ($000)
Capitation Pay
19
Fee For Service
Contractual Pay
0
Salary
0
Bonus
0
Other
--
Member Physicians
Enrollment
801
Total Patient Encounters
Physician
Non-Physician
252
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
16852
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