Major Rating Factors:
Fair profitability index (3.0 on a scale of 0 to 10) with operating losses during 2020 and 2023. Return on equity has been fair, averaging 7.4% over the last five years. Fair overall results on stability tests (3.1) based on a significant -16% decrease in enrollment during the period. Rating is significantly influenced by the acceptable financial results of Point32Health Inc. Good liquidity (6.8) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent overall capitalization (7.8) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (9.0) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
AZ, CA, CT, DC, FL, GA, IL, IN, MA, MD, ME, MI, NC, NH, NY, OH, PA, RI, TX, VA, VT
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
Point32Health Inc
Investment Rating
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Company Address
One Wellness Way
Canton, MA 02021
Canton, MA 02021
Phone Number
(617) 972-9400
NAIC Number
60117
Website
Largest Affiliates