C
EmblemHealth 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: Fair profitability index (4.1 on a scale of 0 to 10) due to a decline in earnings during 2022. Weak overall results on stability tests (1.6) based on an inordinate decline in premium revenue in 2022. Excellent overall capitalization (8.3) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors: Excellent quality investment portfolio (9.1) containing small junk bond exposure. Excellent liquidity (6.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Principal Lines of Business: --
Licensed in: NY
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
90
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
Salary
0
Bonus
0
Other
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
0
Corporate Info
Group Affiliation
EmblemHealth Inc
Investment Rating
--
Company Address
55 Water Street
New York, NY 10041
Phone Number
(646) 447-5000
NAIC Number
55239
Largest Affiliates
D
New York, NY - Health
C
Farmington, CT - Health
C
Farmington, CT - Health
C
Farmington, CT - Health
D
New York, NY - Health