Major Rating Factors:
Weak profitability index (0.8 on a scale of 0 to 10) with operating losses during 2018, 2019, 2020 and 2021. Weak capitalization index (0.0) based on weak current risk-adjusted capital (severe loss scenario). Furthermore, this low level of risk-adjusted capital has been consistent in previous years. Weak overall results on stability tests (2.7) based on inconsistent enrollment growth in the past five years due to declines in 2019 and 2022, inordinate decline in capital during 2022. Potentially strong support from affiliation with EmblemHealth Inc.
Other Rating Factors:
Weak liquidity (2.1) as a spike in claims may stretch capacity. Fair quality investment portfolio (4.2).
Principal Lines of Business:
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Licensed in:
NY
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
EmblemHealth Inc
Investment Rating
--
Company Address
55 Water Street
New York, NY 10041
New York, NY 10041
Phone Number
(646) 447-5000
NAIC Number
55247
Website
Largest Affiliates