Major Rating Factors:
Fair overall capitalization (4.2 on a scale of 0 to 10) based on fair current risk-adjusted capital (severe loss scenario) as results have slipped from the excellent range over the last two years. Fair overall results on stability tests (3.3) in spite of steady enrollment growth, averaging 3% over the past five years but a steep decline in capital during 2022. Rating is significantly influenced by the strong financial results of GuideWell Mutual Holding Corporation. Good liquidity (5.9) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent quality investment portfolio (7.3) containing small junk bond exposure. Weak profitability index (1.9) with 51.1 million in losses in the last four years. Average return on equity over the last five years has been poor at -0.8%.
Principal Lines of Business:
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Licensed in:
PR, VI
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
GuideWell Mutual Holding Corporation
Investment Rating
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Company Address
1441 F.D. Roosevelt Avenue
San Juan, PR 00920
San Juan, PR 00920
Phone Number
(787) 749-4949
NAIC Number
55816
Website
Largest Affiliates