Major Rating Factors:
Weak profitability index (0.6 on a scale of 0 to 10) with 17.1 million in losses in the last four years. Average return on equity over the last five years has been poor at -10.9%. Weak liquidity (2.2) as a spike in claims may stretch capacity. Fair overall results on stability tests (4.0) based on rapid enrollment growth during the past five years, rapid premium growth over the last five years and inordinate decline in capital during 2022. Rating is significantly influenced by the weak financial results of EmblemHealth Inc.
Other Rating Factors:
Good overall capitalization (5.2) based on fair current risk-adjusted capital (severe loss scenario). Excellent quality investment portfolio (9.3) containing small junk bond exposure.
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
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Company Address
55 Water Street
New York, NY 10041
New York, NY 10041
Phone Number
(646) 447-5000
NAIC Number
60094
Website
Largest Affiliates