Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with 27.0 million in losses in the last five years. Average return on equity has been poor at -22.3%. Weak capitalization index (1.9) based on weak current risk-adjusted capital (severe loss scenario). Weak overall results on stability tests (1.5) based on a significant -50% decrease in enrollment during the period, rapid premium growth over the last five years and a steep decline in capital during 2023. Rating is significantly influenced by the weak financial results of EmblemHealth Inc.
Other Rating Factors:
Weak liquidity (0.0) as a spike in claims may stretch capacity. Excellent quality investment portfolio (9.2) 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
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