Major Rating Factors:
Weak profitability index (0.4 on a scale of 0 to 10) with 87.3 million in losses in the last five years. Average return on equity has been extremely poor. Weak overall capitalization (1.7) based on weak current risk-adjusted capital (severe loss scenario). Weak overall results on stability tests (0.9) based on an excessive 116% enrollment growth during the period, excessive premium growth during 2022. Rating is significantly influenced by the strong financial results of Health Care Service Corporation a Mutual Legal Reserve Co.
Other Rating Factors:
Weak liquidity (0.0) as a spike in claims may stretch capacity. Fair quality investment portfolio (3.9).
Principal Lines of Business:
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Licensed in:
AR, CO, IL, IN, KS, NM, OK, TX
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
Health Care Service Corporation a Mutual Legal Reserve Co
Investment Rating
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Company Address
300 East Randolph Street
Chicago, IL 60601
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
29718
Website
Largest Affiliates
