C
Moda 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: Fair profitability index (3.0 on a scale of 0 to 10) with 35.9 million in losses in the current year. Good quality investment portfolio (4.9). Fair overall results on stability tests (4.8).
Other Rating Factors: Weak liquidity (0.3) as a spike in claims may stretch capacity. Excellent capitalization (6.9) based on excellent current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2019.
Principal Lines of Business: --
Licensed in: AK, CA, ID, OR, TX, WA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
515
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
0
Bonus
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
American Dental Association (inc)
Investment Rating
--
Company Address
601 S.W. Second Ave
Portland, OR 97204
Phone Number
(503) 228-6554
NAIC Number
47098
Largest Affiliates
C
Portland, OR - Health
C
Portland, OR - Health
D
Portland, OR - Health